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Whether you want to get rid of chronic pain, look and feel younger, or simply increase your energy level so you can pursue your goals with renewed fervor, the team at Richardson Pain & Wellness is ready and able to help you do it.

Pain Relief and Chronic Pain Management

Humanity is unfortunately no stranger to pain. Regardless of where you live in the world, the socio-economic status you hold or your perceived level of happiness, you can be guaranteed that without fail you will experience some degree of pain in your physical body at some time during your lifetime.

Conservative Pain Management

What is Pain?

Pain comes in many forms, the most obvious being physical pain, in which a person experiences feelings of discomfort or hurt within the body. Not all physical pain is bad, nor is it necessarily associated with illness; ask any woman who has been through the birthing process, or a child proudly showing off their new tooth. Similarly, the pains felt when you break your arm, cut your finger or haul yourself out of bed after doing 200 sit-ups the previous day are all normal and healthy messages. Your body in its automatic self-preservation mode is alerting you to the fact that it has experienced trauma - just in case you hadn't noticed!

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Chronic Pain

However, some physical pain can become chronic. Chronic pain is pain that continues day in, day out, without any signs that the problem is resolving itself! Do you know what I'm referring to? It may have at its roots a long-term or presently incurable illness, or may have been brought about by injury or even a former operation. Some chronic pain may not even have an evident source; however its existence is keenly felt.

People who live with chronic pain will often testify that it affects their quality of life. It can physically prevent them from being able to participate in various activities of normal life, which then often leads to feelings of helplessness or even depression. For some, there seems to be no escape from the endless state of pain.

Chronic Pain Management for a Better Life

If the feelings I have just described sound familiar as a sufferer of chronic pain, I am sure that you would welcome any reasonable solution to help alleviate - and potentially remove - your symptoms. Some sufferers are willing to try any manner of pills, remedies and therapies in the hope of finding relief. They often turn to medication or even surgery in their quest for chronic pain management, but somewhere in the subconscious mind, the pain is still very real. It is clear that an alternative method of chronic pain management is needed.

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Pain Relief Hypnosis

I recommend that you consider pain relief hypnotherapy. It has been clinically documented that pain relief hypnosis work. In a report published in 2001, The British Psychological Society found that "...hypnotic procedures are effective in the management and relief of both acute and chronic pain and in assisting in the alleviation of pain, discomfort and distress due to medical and dental procedures and childbirth".

Without getting too anatomical, let me explain that pain signals are sent via your nerves through your body and into your brain. As a pain relief hypnotherapist, I utilise the techniques of Hypnosis and NLP to change the way in which those pain signals are processed by the brain. As an outcome, the pain you perceive or feel will either be greatly reduced or controlled. How is this possible? Put simply, when you are in a relaxed state, your body is calmer - and when your body is calmer, the pain you feel is lessened.

Pain Management Doctors

Pain management doctors in most cases happen to be anesthesiologists. Anesthesiologists ensure that you are safe, pain-free and comfortable during and after surgery. They are also at work in the labor and delivery area, or in doctors' chambers where painful medical tests or procedures are performed. But the methods applied by anesthesiologists have now traveled beyond these familiar territories, and led to the development of a new category of medicine known as pain medicine.

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In many cases, an anesthesiologist heads a team of other specialists and doctors who work together to alleviate your pain. The anesthesiologist or other pain medicine doctors like neurologists, oncologists, orthopedists, physiatrists and psychiatrists, and non-physician specialists like nurses, nurse practitioners, physician assistants, physical or rehabilitation therapists and psychologists, join together to assess your condition. After a thorough assessment, this team of specialists develops a treatment plan just for you.

Pain management doctors are specialists at diagnosing the reasons for your pain as well as treating the pain itself. Arthritis, back and neck pain, cancer pain, nerve pain, migraine headaches, shingles, and phantom limb pain for amputees are among the most common pain problems they usually manage.

Pain management doctors also treat acute pain caused by surgery, a debilitating illness or a serious injury. Among such pains is post knee-joint replacement pain, pain during recovery from a car accident, pain following stomach or chest surgery, or pain associated with sickle cell disease. They can treat the patient in the hospital or in an outpatient clinic.

The pain medicine doctor usually works closely with your own physician. They will review your medical records and X-rays as required. To have a clear understanding of the case, they will give you a detailed questionnaire. Your replies will help them to assess how your pain is affecting your daily life. Pain management doctors will also carry out a complete physical examination on you. They may even go for additional tests and review all the results to find the root cause of your pain and determine how the problem can be solved.

Chronic Pain Management Services

Chronic pain can be defined as a progressive discomfort which can be of different degrees - from mild to severe. Chronic pain is usually linked to a chronic disease and persists longer than acute pain, and lacks a clear cause. Millions of people suffer from chronic pain, and effective tackling of chronic pain is necessary. It is here that chronic pain management services become important in lessening or eliminating the pain.


Pain management specialists help patients adopt a multifaceted approach to treat pain. They also teach people how to live with chronic pain. These treatment programs are specific for each patient as different people have different pain tolerance levels and different reactions to pain. Persistent lower-back pain, chronic headaches and cancer pain belong to the category of chronic pains. Chronic pain may be the result of autoimmune diseases such as lupus or rheumatoid arthritis, thyroid conditions including Grave's disease, genetic disorders such as multiple sclerosis, back or neck trauma and less defined disorders like fibromyalgia.

Chronic pain is usually managed by medical methods, psychological methods or alternate therapy approaches. Medical approaches can be divided into two - drug treatment and surgical intervention. Medications prescribed for pain management include non-steroidal anti-inflammatory drugs (NSAID), steroids to reduce inflammation, muscle relaxants, or anti-anxiety medication to reduce tension, and antidepressants or anti-convulsants to help control specific types of nerve pain.

Non-drug therapies employed include individual/family therapy, hot and cold therapy, physical therapy, biofeedback, chiropractic and acupuncture massage, breathing exercises, self hypnosis and transcutaneous electrical nerve stimulation (TENS). However, these therapies don't work fast and require regular practice. Exercise, stretching and physical therapy reduces chronic joint pain and muscle soreness and spasms by increasing strength, tone and flexibility. Along with medications and therapies, psychological therapy should also be employed for anxiety and depression and is helpful in managing the emotional consequences of chronic pain.

Painkillers and other drug medications used in pain management sometimes have side effects which include nausea, dizziness and fatigue. Although with chronic pain management services, the pain may never go away completely, it is possible to reduce pain levels and thereby improve the quality of your life.

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What Can A Pain Management Doctor Do For Me?

A pain management doctor is a specialist that diagnoses why a patient is experiencing pain. A pain management doctor will also be the one that will provide a treatment plan for the pain in conjunction with the patient's other doctors.

In most cases, these are Anesthesiologists who ensure you are comfortable and pain-free safely while having surgery. Women are most familiar with them in the L&D room during childbirth. You may encounter the services of this specialist in your dentist or doctor's office as well for smaller procedures. Because of the variety of ways this type of specialist is used today, they have become their own category of doctors.

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Often, it is the Anesthesiologist that leads a team of others that are all specialists themselves. Together, they all work to alleviate a patient's pain, not just during a procedure or surgery, but afterward as well. The Anesthesiologist or other pain management doctors such as Neurologists and Oncologists and Orthopedists and even Physiatrists and Psychiatrists will confer with one another regarding a patient's pain.

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Even specialists that are categorized as non-physician such as nurses, and nurse practitioners, physician assistants, and therapists will be brought in consultation with others in assessing a patient's needs for pain management. A specialist with pain treatment will treat patients outside of procedures and surgery for a variety of things. Among them would be arthritis, back pain, cancer pain, migraine headache pain, neck pain, nerve pain, and shingles. One example would be amputees that experience phantom limb pain are often referred to a pain specialist for help and treatment as well.

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A specialist of pain will also treat patients suffering from acute pain after an incapacitating illness, serious injury or surgery as well. Other times their services are needed is post knee-joint surgery pain and during recovery after an accident. They also see a patient that have had chest or stomach surgery or has been diagnosed with diseases like Sickle Cell.

Patients that are hospitalized or through an outpatient clinic are seen by pain management specialists. They will work close with a patient's physician, including reviewing the medical history and records including x-rays so they have a full understanding of the situation.

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When Should a Pain Management Patient Be Referred for Surgery?

When a patient receives pain pain management treatment for back pain, the goal is to try and avoid the need for an operation. But sometimes this is just not possible. In what situations is surgery indicated and pain management deemed a failure?

The first qualification that needs to be clarified is whether or not the patient is dealing with a quality of life issue or one that has an absolute indication for surgery. The quality of life issue is something such as arthritis which never killed anybody, or degenerative disc disease where it is also a form of an arthritic type condition.


Degenerative disc disease may very well be exceptionally painful to a person suffering from it, but as with arthritis the condition is not fatal and can often be tolerated.

So that's the first clarification needs to be made is whether or not it's a quality-of-life situation or otherwise. Problems that fit into the otherwise situation are dramatic situations where there is a fracture that is unstable, or a nerve root is being pinched and the patient is suffering motor weakness from it. Additionally, there are a couple of emergency situations in the spine, one of which is called cauda equina syndrome.

Cauda equina syndrome is when the spinal cord is getting pinched near the bottom of the area around T12 or L1 and patients are at risk of losing their bowel and bladder function which may become a permanent situation if not addressed within 24 hours. It is an unusual diagnosis but an emergency one.

So if the patient has an emergency situation and cauda equina is present then an operation should be performed within 24 hours. If the patient has a fracture and instability from a trauma situation, then surgery is indicated as well and the specific timeframe will depend on the extent of an individual's injury.

If it is a quality of life diseases such as arthritis then the patient should try nonoperative forms of treatment such as chiropractic manipulations, physical therapy, spinal decompression therapy, medication management, or interventional pain treatments from a pain management doctor. Over 90% of the time, these suffice and allow patients to continue working, playing with their children, and socializing satisfactorily while avoiding surgery.

The general rule is that if a patient tries consecutive conservative treatment for over six months with degenerative disc disease, then surgery can be considered. Considering that the surgical outcomes for a spinal fusion for degenerative disc disease are typically in the 50 to 70% satisfactory outcome range, it's really should be considered a last resort.

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For patients dealing with spinal stenosis of the lumbar spine, this too is considered a quality of life decision. Arthritis causes soft tissue and bony overgrowth in the spinal column, and multiple nerve roots can start to get pinched which can cause sciatica and pain in one or both legs of the patients. Patients should try physical therapy, epidural injections, medications such as neurontin or some pain medications, and other nonoperative treatments just as with degenerative disc disease.

Conservative Pain Management

When a patient has a pinched nerve from a herniated disc, it is prudent to also try and avoid surgery. Granted, the surgery has low risks associated with it, but it is not a risk free proposition.

Contact Details:

Richardson Pain & Wellness

777 S. Central Expy Suite 6E

Richardson, TX 75080

Phone: (972) 907-1125


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