{"id":1013,"date":"2021-06-16T01:30:53","date_gmt":"2021-06-16T01:30:53","guid":{"rendered":"https:\/\/msapc.managed3.brouser.net\/hand-center\/?page_id=1013"},"modified":"2021-12-30T16:19:09","modified_gmt":"2021-12-30T16:19:09","slug":"pain-management","status":"publish","type":"page","link":"https:\/\/msapc.com\/hand-center\/aftercare\/pain-management\/","title":{"rendered":"Pain Management"},"content":{"rendered":"

\"\"Pain<\/h3>\n

\u201cA localized or generalized unpleasant bodily sensation or complex of sensations that causes mild to severe physical discomfort and emotional distress and typically results from bodily disorder (such as injury or disease).\u201d \u2013Merriam-Webster<\/p>\n

Pain is either acute or chronic (lasting greater than 6 months).\u00a0 Pain can be further categorized as Nociceptive (caused by thermal, mechanical or chemical stimulus), Neuropathic (damage or disease affecting the nervous system), or Psychogenic (pain produced by mental, emotional or behavioral factors).<\/p>\n

Post-operative pain and acute pain is strongly correlated to how proactive\/compliant you are with your post-operative care, activity and work-related modifications\/restrictions, and therapy.<\/p>\n

Activity Modification\/Restrictions<\/h3>\n

During the acute phase of recovery, it is recommended that you modify\/restrict your activity level.\u00a0 The more you do, the more you will produce inflammation, swelling and pain.\u00a0 Increased\/unrestricted activity will only delay your recovery process, increase your pain and prolong your use of pain medications.<\/p>\n

You are also encouraged to elevate as much as possible.\u00a0 Elevation uses gravity to assist fluid movement.\u00a0 This, along with gentle range of motion (when permitted), will promote the reduction of swelling and prevent additional swelling.\u00a0 Added swelling will only produce more pain and discomfort.<\/p>\n

Wound Care<\/h3>\n

Wound care is important in promoting an optimal healing environment, preventing infection and reducing pain.\u00a0 Wound healing is greatly affected by a person\u2019s overall health, activity level, past medical history (diabetes), nutrition, and recreational habits (smoking and alcohol consumption).\u00a0 See wound care<\/a> for more information.<\/p>\n

Casting\/Splinting<\/h3>\n

Casting\/splinting is intended to stabilize an extremity\/body part following an injury or surgery to prevent subsequent injury during recovery.\u00a0 Rigid stability of the cast\/splint will help reduce pain and promote healing.\u00a0 See cast care<\/a> for more information.<\/p>\n

Occupational Therapy<\/h3>\n

Therapy uses modalities (a method of therapeutic approach) that may include thermotherapy, cryotherapy, massage therapy, therapeutic ultrasound, manual therapy, range of motion exercises and patient educated home exercise programs to promote healing and improve function.<\/p>\n

Thermotherapy\/Cryotherapy<\/h3>\n

Thermotherapy is the application of heat (or cryotherapy-cold) with the intention of modulating pain, promoting healing and improving overall function.\u00a0 The general rule of thumb is to not apply heat to an acute or inflamed\/hot area.\u00a0 Treatment time is often 15-20 minutes in duration.\u00a0 It is important to understand that the many ways to \u201capplying\u201d heat\/ice can greatly impact the transfer of heat, thereby increasing the risk of tissue damage (burn).\u00a0 Talk to your provider for more detailed information.<\/p>\n

Medications<\/h3>\n

Nonsteroidal Anti-inflammatory Drugs (NSAID\u2019s)<\/h4>\n

Anti-inflammatory medications, such as Aspirin (ASA, acetylsalicylic acid), Ibuprofen (Advil, Motrin), Naproxen Sodium (Aleve), provide good pain relief for inflammatory conditions (arthritis, acute injury, post-operative pain).\u00a0 NSAID\u2019s can be associated with an increase in gastric ulcers and GI bleeding, renal insufficiency, hypertension and cardiac events.<\/p>\n

Acetaminophen (Tylenol)<\/h4>\n

Used for mild to moderate pain.\u00a0 Tylenol may be used in an alternating fashion with ibuprofen to supplement pain control.\u00a0 Risks with the use of acetaminophen include dose-dependent liver toxicity (DO NOT EXCEED<\/strong> 3000 mg of Tylenol in 24 hours), alcohol consumption and liver disease.<\/p>\n

Topical Pain Relievers**<\/h4>\n

Topical pain relievers\/analgesics come in patches, creams, ointments, rubs and sprays.\u00a0 The ingredients may vary from product to product in their approach to pain relief but often take advantage of the following ingredients to modulate your perception of pain.<\/p>\n

    \n
  • Counterirritants (menthol, methyl salicylate\/oil of evergreen) create a cooling sensation that modulates\/reduces your perception of pain.\u00a0 It \u201cdistracts\u201d you from your pain<\/li>\n
  • Capsaicin (main ingredient of hot chili peppers) is also a counterirritant that creates a warm tingling\/burning sensation when absorbed into the skin.<\/li>\n
  • Camphor, found in the wood of Cinnamomum camphora\/evergreen tree, is strong smelling and used topically to relieve pain, irritation and pruritus (itching).<\/li>\n
  • Salicylates (Aspercreme) include the same ingredients as aspirin and can be absorbed in the skin.\u00a0 Salicylates creams can be particularly helpful for joints close to the skin (fingers, knees and elbows).\u00a0 Use as directed due to the risk of salicylate poisoning.<\/li>\n
  • Lidocaine is a local\/topical anesthetic that reduces pain to the area applied.\u00a0 Over-the-counter patches come in 4% lidocaine and are produced by multiple companies (Salonpas, Aspercreme, IcyHot).\u00a0 Patches are best use for flat surfaces.<\/li>\n<\/ul>\n

    **The use of such pain relievers often do not directly \u201ctreat\u201d the proposed area but only modulate\/reduce your perception of pain.\u00a0 View it as a tool in your tool box to help you feel comfortable during your recovery process.\u00a0 Be careful not to use them as a way to continue unrestricted activity and return to work-related activities without making necessary activity modifications\/restrictions and developing a treatment plan.<\/p>\n

    Do not use the above medications over damage skin or near wounds.\u00a0 Do not use along with heating pads or under tight bandages.\u00a0 Wash hands well after use and\/or avoid touching your face\/eyes while using the product.<\/strong><\/p>\n

    Injections<\/h4>\n

    Corticosteroids are often used in the treatment of pain.\u00a0 This potent anti-inflammatory is similar to one of your body\u2019s natural anti-inflammatory hormones, cortisol.\u00a0 Within about 3 weeks, the corticosteroid administered has been absorbed.\u00a0 The lasting result can be attributed to the anti-inflammatory nature of the medication and can be further assisted by activity modifications and a home exercise program that focuses on muscular endurance (much the same way an athlete stays in shape to tolerated extended activity).<\/p>\n

    Side effects may include but are not limited to pain and aggravation at the injection site, temporary bruising, flushing, blood sugar elevation, elevated blood pressure, localized skin atrophy and depigmentation, and possible infection.<\/p>\n

    Narcotics<\/h4>\n

    Narcotics are drugs derived from the opium poppy plants and are useful for acute\/post-operative pain.\u00a0 They are metabolized in the liver and later excreted by the kidneys.\u00a0 Side effects included but are not limited to constipation, nausea, sedation, pruritus (itch), miosis (pupil constriction), confusion, hallucinations, euphoria, hypotension (low blood pressure), and respiratory depression.<\/p>\n

    These medications are often combined with acetaminophen (Tylenol) and care should be taken to not exceeding the maximally daily dose of acetaminophen as this may lead to hepatotoxicity (liver).\u00a0 Extended use of narcotics can also lead to dependency\/addiction and cause severe constipation and GI complications.<\/p>\n

    Federal law requires all patients given a prescription for narcotics receive and sign the educational document, \u201cOpioid Start Talking.\u201d\u00a0 Providers are also required to use MAPS (Michigan Automated Prescription System) for each prescription request.<\/p>\n

    Narcotics are NOT<\/strong> intended to do away with all of your pain but only to modulate your pain and give you some comfort while you recover.\u00a0 Although effective for moderate to severe acute pain, the effectiveness of its use is in question beyond 3 months.\u00a0 In order to limit overuse and dependency, the quantity of narcotics given will be progressively reduced with each subsequent request.<\/p>\n","protected":false},"excerpt":{"rendered":"

    Pain \u201cA localized or generalized unpleasant bodily sensation or complex of sensations that causes mild to severe physical discomfort and emotional distress and typically results from bodily disorder (such as injury or disease).\u201d \u2013Merriam-Webster Pain is either acute or chronic (lasting greater than 6 months).\u00a0 Pain can be further categorized as Nociceptive (caused by thermal,…<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":983,"menu_order":15,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1013","page","type-page","status-publish","hentry"],"yoast_head":"\nPain Management - MSA Hand Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/msapc.com\/hand-center\/aftercare\/pain-management\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pain Management - MSA Hand Center\" \/>\n<meta property=\"og:description\" content=\"Pain \u201cA localized or generalized unpleasant bodily sensation or complex of sensations that causes mild to severe physical discomfort and emotional distress and typically results from bodily disorder (such as injury or disease).\u201d \u2013Merriam-Webster Pain is either acute or chronic (lasting greater than 6 months).\u00a0 Pain can be further categorized as Nociceptive (caused by thermal,...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/msapc.com\/hand-center\/aftercare\/pain-management\/\" \/>\n<meta property=\"og:site_name\" content=\"MSA Hand Center\" \/>\n<meta property=\"article:modified_time\" content=\"2021-12-30T16:19:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/msapc.com\/hand-center\/wp-content\/uploads\/sites\/6\/2021\/06\/pain-severity-scale-232x300.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/aftercare\\\/pain-management\\\/\",\"url\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/aftercare\\\/pain-management\\\/\",\"name\":\"Pain Management - MSA Hand Center\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/aftercare\\\/pain-management\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/aftercare\\\/pain-management\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/wp-content\\\/uploads\\\/sites\\\/6\\\/2021\\\/06\\\/pain-severity-scale-232x300.png\",\"datePublished\":\"2021-06-16T01:30:53+00:00\",\"dateModified\":\"2021-12-30T16:19:09+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/aftercare\\\/pain-management\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/msapc.com\\\/hand-center\\\/aftercare\\\/pain-management\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/aftercare\\\/pain-management\\\/#primaryimage\",\"url\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/wp-content\\\/uploads\\\/sites\\\/6\\\/2021\\\/06\\\/pain-severity-scale.png\",\"contentUrl\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/wp-content\\\/uploads\\\/sites\\\/6\\\/2021\\\/06\\\/pain-severity-scale.png\",\"width\":540,\"height\":699},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/aftercare\\\/pain-management\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Aftercare\",\"item\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/aftercare\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Pain Management\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/#website\",\"url\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/\",\"name\":\"MSA Hand Center\",\"description\":\"MSA Hand Center\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/msapc.com\\\/hand-center\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Pain Management - MSA Hand Center","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/msapc.com\/hand-center\/aftercare\/pain-management\/","og_locale":"en_US","og_type":"article","og_title":"Pain Management - MSA Hand Center","og_description":"Pain \u201cA localized or generalized unpleasant bodily sensation or complex of sensations that causes mild to severe physical discomfort and emotional distress and typically results from bodily disorder (such as injury or disease).\u201d \u2013Merriam-Webster Pain is either acute or chronic (lasting greater than 6 months).\u00a0 Pain can be further categorized as Nociceptive (caused by thermal,...","og_url":"https:\/\/msapc.com\/hand-center\/aftercare\/pain-management\/","og_site_name":"MSA Hand Center","article_modified_time":"2021-12-30T16:19:09+00:00","og_image":[{"url":"https:\/\/msapc.com\/hand-center\/wp-content\/uploads\/sites\/6\/2021\/06\/pain-severity-scale-232x300.png","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/msapc.com\/hand-center\/aftercare\/pain-management\/","url":"https:\/\/msapc.com\/hand-center\/aftercare\/pain-management\/","name":"Pain Management - MSA Hand Center","isPartOf":{"@id":"https:\/\/msapc.com\/hand-center\/#website"},"primaryImageOfPage":{"@id":"https:\/\/msapc.com\/hand-center\/aftercare\/pain-management\/#primaryimage"},"image":{"@id":"https:\/\/msapc.com\/hand-center\/aftercare\/pain-management\/#primaryimage"},"thumbnailUrl":"https:\/\/msapc.com\/hand-center\/wp-content\/uploads\/sites\/6\/2021\/06\/pain-severity-scale-232x300.png","datePublished":"2021-06-16T01:30:53+00:00","dateModified":"2021-12-30T16:19:09+00:00","breadcrumb":{"@id":"https:\/\/msapc.com\/hand-center\/aftercare\/pain-management\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/msapc.com\/hand-center\/aftercare\/pain-management\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/msapc.com\/hand-center\/aftercare\/pain-management\/#primaryimage","url":"https:\/\/msapc.com\/hand-center\/wp-content\/uploads\/sites\/6\/2021\/06\/pain-severity-scale.png","contentUrl":"https:\/\/msapc.com\/hand-center\/wp-content\/uploads\/sites\/6\/2021\/06\/pain-severity-scale.png","width":540,"height":699},{"@type":"BreadcrumbList","@id":"https:\/\/msapc.com\/hand-center\/aftercare\/pain-management\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/msapc.com\/hand-center\/"},{"@type":"ListItem","position":2,"name":"Aftercare","item":"https:\/\/msapc.com\/hand-center\/aftercare\/"},{"@type":"ListItem","position":3,"name":"Pain Management"}]},{"@type":"WebSite","@id":"https:\/\/msapc.com\/hand-center\/#website","url":"https:\/\/msapc.com\/hand-center\/","name":"MSA Hand Center","description":"MSA Hand Center","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/msapc.com\/hand-center\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/msapc.com\/hand-center\/wp-json\/wp\/v2\/pages\/1013","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/msapc.com\/hand-center\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/msapc.com\/hand-center\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/msapc.com\/hand-center\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/msapc.com\/hand-center\/wp-json\/wp\/v2\/comments?post=1013"}],"version-history":[{"count":9,"href":"https:\/\/msapc.com\/hand-center\/wp-json\/wp\/v2\/pages\/1013\/revisions"}],"predecessor-version":[{"id":1380,"href":"https:\/\/msapc.com\/hand-center\/wp-json\/wp\/v2\/pages\/1013\/revisions\/1380"}],"up":[{"embeddable":true,"href":"https:\/\/msapc.com\/hand-center\/wp-json\/wp\/v2\/pages\/983"}],"wp:attachment":[{"href":"https:\/\/msapc.com\/hand-center\/wp-json\/wp\/v2\/media?parent=1013"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}