Pain Medicine Management

Roger Kasendorf, DO

January 12, 2023

Pain medicine management is an area of medicine that involves the use of NSAIDs, Opioids, Spinal cord stimulator implants and Nerve blocks to help patients deal with pain. There are several benefits to these treatments, including reducing pain, improving sleep, and increasing overall function. These procedures are often used for patients who have suffered from chronic pain and are not responding to traditional medications.


Nonsteroidal anti-inflammatory drugs (NSAIDs) are effective pain medications. They work by blocking an enzyme called cyclooxygenase, released during tissue damage. It helps the body to reduce inflammation, heat and swelling. These medications are available over the counter and by prescription. However, they are also linked to some side effects. The potential dangers of using these drugs should be discussed with your doctor.

NSAIDs may be useful for treating the pain associated with arthritis, back injuries, menstrual cramps, fever from colds, and a variety of other ailments. In general, NSAIDs are not effective for more severe conditions. Rather, they are used for pain that is categorized as mild to moderate.

Using NSAIDs for longer than one week increases your risk of stomach ulcer. People with a stomach ulcers should use extreme caution when taking NSAIDs.


A variety of opioids are used to manage pain. Some of these include morphine, oxycodone, codeine, and fentanyl. These drugs can manage various conditions, including chronic pain, cancer, and surgery.

While opioids are effective in treating pain, they can also have serious side effects. Using these medications inappropriately can cause addiction. It is important to discuss these risks with your doctor.

Opioids are administered in several ways, including inhalation, injection, IV, and oral administration. They are usually prescribed for short periods. However, long-term opioid use for chronic non-cancer pain remains controversial.

As the medical community re-evaluates its prescribing practices, opioids have gained increased attention. The National Survey on Drug Use and Health reported increased prescription opioid abuse.

Nerve blocks

Nerve blocks are an alternative medicine to surgery that can reduce pain and inflammation. They can also be used to prevent phantom limb pain after surgery. Depending on the type of block used, pain relief can last for weeks to months.

A nerve block is usually an anaesthetic injection. The purpose is to block pain signals from reaching the brain. It can be performed in a surgical setting or as an outpatient procedure.

Before a nerve block is administered, a medical team will monitor a patient’s vitals. Some patients may need to be admitted after the procedure.

During a nerve block, a patient is placed on a table and numbed with a local anaesthetic. Afterwards, a needle is inserted into the numbing agent, and medication is injected.

Spinal cord stimulator implants

Spinal cord stimulation is a form of neuromodulation that uses thin wires (called leads) to deliver mild electrical pulses to the spinal cord. The goal is to alleviate pain without creating perceptible sensations.

Before a spinal cord stimulator implant can be performed, the patient should undergo a thorough physical examination. If there is an underlying health condition, such as a heart condition or diabetes, the physician should address these issues before proceeding with the procedure.

In addition, a psychological assessment may be necessary before a spinal cord stimulator can be implanted. Some insurance companies require this screening before the procedure can take place.

During the procedure, a small incision will be made in the back, allowing the leads to be placed under the skin. Once the leads are in place, they will be secured with sutures.

Steroid injections

Steroid injections are often used to treat various kinds of pain. They work by blocking the inflammation that causes pain. In addition, they may be used along with other treatments for pain, such as physical therapy.

While most people have no side effects from steroid injections, there are some possible risks. If you have any concerns, discuss them with your doctor.

Depending on the location of the injection, it may be uncomfortable to receive a steroid injection. It’s important to stay comfortable during the procedure. Your doctor can make it more comfortable by applying a local anaesthetic spray to the area. Cold packs can also be applied to the injection site to reduce soreness.

Anesthesia is often combined with a corticosteroid. This type of injection is usually effective when the steroid is injected directly into the painful joint. However, it can cause serious side effects if given too frequently.