America’s deadliest Opioids problem: From Pain specialist view

Pain is one of the most significant problems from which a person suffers. Chronic pain alone has affected more than 100 million US adults at present. With pain, you tend to lose your normal routine life and it costs more than $560-635 billion annually to people living in the United States.

Why US residents fail to seek effective pain treatments?

US residents fail to seek effective pain treatments

Los Angeles pain clinic and their specialist have found out that a large number of Americans have received inadequate pain prevention, assessment and treatment because of various financial incentives that work against the best provision for personal care. The unrealistic expectations of a patient and lack of valid pain assessment measures make US residents fail to receive a proper pain treatment.

The clinicians in the pain management clinics often look after the patients to help them gain day to day control on their pain killer addiction, but many health professionals lack proper training to perform this supportive role. If we look into the primary care, it is always the first stop for the patients suffering from chronic pain. However, this primary care is often missed and hence the pain specialists cannot perform comprehensive treatments.

How Opioid has risen in America?

Opioid has risen in America
Figure 1 – Opioid Prescriptions Dispensed by US Retail Pharmacies IMS Health, Vector One: National, years 1991-1996, Data Extracted 2011. IMS Health, National Prescription Audit, years 1997-2013, Data Extracted 2014.

Drug Use rate in USA
Figure 2 – Growing Evidence suggests that abusers of prescription opioids are shifting to heroin as prescription drugs become less available or harder to abuse. For example, a recent increase in heroin use accompanied a downward trend in OxyContin abuse following the introduction of an abuse-deterrent formulation of that medication (dashed vertical line)

Relation between Use and Death
Figure 3 – Trend in Prevalence of Heroin Use and Heroin Related Overdose Death in the US (1999-2012)

Methadone Pre and Post

The rise of the opioid analgesics indicates both a medical hint and an abuse. Therefore, their prescribing, dispensing and administration is directly under the control of the government including treaties and US federal and state laws. The policies as directed control drug movement and prevent abuse or prescription medicines. However, there are many opioids that are important to control pains and for that, governments must make sure that there is adequate supply.

Why pain specialist prefers to use Opioid to treat chronic pains?

From mild to acute, pain could be often cured with physical interventions such as common application of the ice, transcutaneous electrical nerve stimulation (TENS), massage or bracing etc. But along with that the specialists in Los Angeles pain clinic also make the use of mild analgesic such as an NSAID. However, a severe pain demands opioid therapy. With the help of the skilled clinicians, they can able to treat nerve blocks and spinal infusions to control the severe acute pain to a high level.

Clinicians should look into the proper medication and treatment and must carefully analyze how everything can synchronize. We strictly follow this and also our pain management clinic in Los Angeles carefully supervise short-term use of opioids in the context of treatment of short-term pains compared to those documented pains that has been severe down the years.

However, a number of barriers continue to be there in America according to the viewpoint of the pain specialists. The health professionals at times hold negative attitude towards people who report about the pain and may not pay much attention. However, it is the duty of the clinicians to attend the patients no matter how much debilitating or controllable the pain might be. However, without the prescription it is not advisable to prescribe medicines of opioids to the sufferers, so its claims immediate attention of pain specialists of the Los Angeles Pain Clinic.

A detailed information About Acute Pain Management

Acute Pain Management

Pain is an unpleasant experience which may arise from an existing damage or a potential threat to the body. In order to schedule a proper pain management plant, physicians first need to determine the nature of the pain. Pain can be acute, chronic, neuropathic or psychogenic. Acute pain refers to a sudden burst of sharp pain which might be difficult to diagnose and treat. A number of events and circumstances may trigger such symptoms which may last for hours,days or weeks. The factors that may lead to symptoms of acute pain include:

  • Surgical procedures
  • Fracture, muscle tears and other forms of tissue injury and inflammation
  • Dental problems
  • Burns and cuts
  • Labor pain
  • Underlying diseases

Acute Pain Management Strategies

Doctors at pain clinics like the Los Angeles pain management clinics will be able to assist you in resolving your acute pain problems.The first step in any pain management strategy is the diagnosis of the root cause of the painful condition. First, the doctors will ask you to describe the nature and of the symptoms you are experiencing and whether you have knowledge of any underlying problem that may be causing such symptoms. You might also be asked to fill out a questionnaire to assess the intensity and possible cause of your pain. After recording your full medical history, if deemed necessary, you may be asked to undergo a thorough physical examination and certain diagnostic tests.The diagnostic tests might include one or more of the following:

  • Blood tests
  • Imaging studies like X-ray, MRI, CT scan or ultrasound imaging.
  • Nerve conduction tests and electromyography to detect abnormalities in the nervous systems.
  • A myelogram to detect any abnormalities in the spinal nerves or a diskogram for identifying spinal disc dislocation or other types of damages.

Treatment of acute pain

Treatment of acute pain

After a conclusive diagnosis of the root cause of acute pain, the next step involves the mapping of treatment schedules that will work best for your condition. Some basic therapies (first tier) to alleviate the effects of acute pain include:

  • Taking sufficient rest may heal an injured area and result in resolving the painful symptoms
  • Application of heat or ice therapy to the affected area could provide temporary relief from pain. Heat and ice assists in reducing the swelling and inflammtion resulting from tissue injuries like muscle sprains, strains, etc.
  • Pain medications: Non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, ibuprofen, muscle re-laxants, opioid medications like codeine or morphine, acetaminophen, etc. may be used to rescue you from acute pain.

If the first tier therapies fail to provide signifiant results and your pain still lingers, then the second tier of pain management strategies can be brought into action.This includes stronger and more effective treatment modules like:

  • Administration of anticonvulsants.
  • Steroid injections administered to reduce tissue inflammation.
  • Use of local anesthetics called nerve blocks to desensitize nerve ending in the affected area to diminish the sensation of pain.
  • Trigger point injections to treat muscle spasms.

Alternative treatment strategies like acupuncture, chiropractic, etc, might also be adopted by your Los Angeles pain management doctors to further alleviate the symptoms of acute pain.


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Platelet Rich Plasma Therapy Los Angeles

Platelet Rich Plasma


Los Angeles PRP TherapyPlatelet activation is a key part of the healing process for your wounds. By using platelet rich plasma, or PRP, part of your blood is taken and injected into the wound site to promote better healing of your tendons, joints, muscles, or ligaments.

How long has this process been around?

The use of PRP has been around as early as the 1990’s when injections of patients’ own blood were taken and used during surgery.

The blood which is taken is injected into a centrifuge so that the white blood cells can be increased. Once this is done, the blood is mixed back into the patient so as to increase growth and repair damaged cells.

Is this process safe?

The use of PRP is quite safe and several different clinical studies have demonstrated that using this treatment method to induce faster healing will improve function and decrease pain.

What are the side effects?

Because PRP uses the blood of the patient there are very little reactions associated with the process, if any.

What happens during the process?

If you undergo PRP treatment, your blood will be taken with a needle and then injected, after it has been treated, into the problem area to induce healing.

What happens after?

Immediately after the process patients need to rest and after this, they can enjoy progressive stretching and strengthening to improve the problem area which was healed.

The lower back is made up of a number of bones, joints, muscles, nerves, and spinal discs which work together to support your body and allow you to move. The spine naturally forms an “S” shape and when it is in neutral alignment, it supports the rest of your body. LA PRP TherapyIt is important that you use proper posture while sitting and standing so that you can support the spine. Bad posture and injuries can result in back pain. There are different types of pain including acute pain and chronic pain. This pain may be severe and only come at random, or it may be mild and continual, or anything in between. Pain is your body’s way of telling you that something is wrong. The pain you experience could be the result of a back injury such as a slipped disc, sciatica, spondylolithesis, or Piriformis syndrome. If you are experiencing back pain there are many methods of treatment including heat, avoiding sustained postures, avoiding repetitive movements, avoiding heaving lifting, TENS, painkillers, and if those things don’t work: consulting a medical practitioner. There are of course ways in which you can avoid injury. You can watch for warning signs, stretch regularly, utilize good posture at all times, and integrate Pilates into your daily routine. In addition to that, you can utilize ergonomics while you sit at a desk or in a car, while you lift things, and while you are at a work station. All of this things combined can help you to treat existing back pain, recognize signs in the future of back pain, and take preventative measures to stay healthy.

Lumbar Sympathetic Block Treatment With Back Pain Doctor Los Angeles

What is Lumbar Sympathetic Block?

RSD treatment Los AngelesA Lumbar Sympathetic Block is an infusion found on the lower back, on the left or right side. The “lumbar sympathetic nerves” are a little nervous wreck that conveys “thoughtful” nerve signals from the lower furthest points. Certain injuries to the lower back can lead to burning, strange irritation known as complex provincial agony disorder or reflex thoughtful dystrophy. Taking proper measures on the lumbar nerves can help fight Lumbar Sympathetic Block regardless of whether this agony is conveyed by the sensory system.

Why Prefer Lumbar Sympathetic Block?

Lumber Sympathetic block is preferred since it helps figures out whether there is any harm caused to the nerve chain. It also determine if the pain is as a result of the damage. Ideally, this is considered to be a symptomatic test; however it may give help far in abundance of the length of time of an analgesic.
The infusion hinders the Sympathetic Nerves which helps relieve pain, swelling, shading and the sweating will go away in the lower back thus increase flexibility. Also, Lumbar Sympathetic Block is used in treatment of Complex Regional Pain Syndrome (CRPS), Reflex Sympathetic Dystrophy Syndrome (RSDS), Sympathetic Maintained Pain, and Herpes Zoster (shingles).

How is Lumbar Sympathetic Block performed?

Lumbar Sympathetic BlockLumbar Sympathetic Block procedures are normally done with you lying on your stomach. Your pulse and oxygenation will be checked. Notwithstanding your specialist and the x-beam professional, there will be a medical attendant in the room at all times in the event that you have any inquiries or inconvenience during the method. The skin on the back is cleaned with sterile arrangement and the procedure is done.

For indicative purposes, simple analgesics are infused, in this case Bupivacaine or Ropivicaine. If the symptomatic infusion is successful in relieving the pain, different medications may be used for more enduring alleviation.
It is hard to tell how long this will take. Blockage of the nerves can sometimes last forever. Repeated infusions can sometimes cause dynamic lessening of indications. Your specialist will examine identify this as soon as possible.
After performing this procedure, the patient will notice a change with decreased pain which disappears with time. Several shortcoming and/or incidences of numbness may also be felt for a short period of time.

How does Lumbar Sympathetic Block Relieve Pain?

It is extremely hard to anticipate whether the injection(s) will undoubtedly be of great help to you or not. Those who suffer from pain and display the effects before schedule of this condition have a tendency to react better than the individuals with such treatment after around half a year of living with the symptoms. The victims in the advance treatment phase may not react satisfactorily.

Are there Risks Associated with Lumber Sympathetic Block?

Generally, the blockade has several risks. Therefore, just like other procedures, there are a few risks and symptoms you need to be aware of. Unusual experienced reactions are extreme pain from the infusion, infrequently unintentional cut of the “sack” containing spinal liquid, incidental infusion into veins around the spine, contamination, dying, nerve damage, or incidences of lack of alleviation from your standard pain.

Well, whatever the risk, ensure you inform your doctor in case you experience the above affects..