El Paso TX. Chiropractor, Dr. Alex Jimenez discusses waysÂ to assist you to get the care you’ll need at your next appointment.
Dr. Michael J. Cooney, D.CÂ Iâ€™ve been treating patients with severe and chronic pain from around the corner in Rutherford, New Jersey to as far away as Australia and South Africa.
From our patientâ€™s first reference to the past treatment office visit, the success of any pain treatment we prescribe is contingent upon us (the health care provider) correctly treating the root cause of your pain.
As the patient, just describing your intense pain or neuropathic pain is a high stakesâ€ conversation that is â€œ. I am able to read your medical history, attributing lab results and physician reports, however this really is secondary to understanding each patientâ€™s pain mechanics. It is absolutely vital this is communicated to your pain management provider as correctly as possible.
For those fighting â€œinvisible pain” such as fibromyalgia, CRPS (complex areas pain syndrome), RSD (reflex sympathetic dystrophy), diabetic neuropathy or long-term pain after cancer treatment, correctly communicating the place, frequency and depth of the discomfort can be especially demanding and emotionally taxing.
You might wish to bring this short article for your next doctor visit and go over each of the key pain description points Iâ€™ve outlined below.
I really hope your doctor will ask you these questions, but if not, you are able to behave as your own pain promoter and offer this information.
â€œTell Me About Your Painâ€
Based upon your medical records, we already know the reason behind your pain (injury or ailment). In order to restart your highest quality of life possible, our goal would be to remove or minimize this symptom.
Pain symptoms are private, subjective –and unique. (What Joe describes as â€œunbearable painâ€ could be considered â€œfairly disagreeable painâ€ to Mike). Through the years, I developed my own â€œpain diagnosticâ€ conversation with patients to assist my team and I understand what, where, when and just how much pain patients are feeling.
Iâ€™ve outlined key points below:
This is key to a proper analysis. Donâ€™t presume we know youâ€™ve combated with this pain to get a month a year or a decade.
1.Iâ€™ve had this pain for _________________.
2.How frequently and how long does it last?
3.What ignites (flare) or lessens your pain and for how long?
Location, Location, Location
Graphic of a human body with a rear & front view (see above)
Doctors may instruct you to indicate the area/s where your pain is concentrated. They may also request that you notice a difference between pain which is on pain and the surface that’s below the surface.
The front and back of the unisex individual figure are the most identifiable, although this tool comes from the McGill Pain Questionnaire including other measurements.
Most referring physicians, regardless of their medical specialty, utilize 1 to 10 point pain scale that is simple, soÂ I keep everyone on the same page.
This tool comes from the McGill Pain Questionnaire including other measurements, but the front and back of the unisex person body are the most identifiable.
How Bad Is Your Pain – Measurement Tool
Simply said, take into consideration where your pain level falls the majority of the timeâ€”unless you experience extreme pain changes.
0 â€“ Painfree
1 â€“ Pain is quite mild, barely noticeable. You don’t think about it.
2 â€“ Small pain. Annoying and may have occasional twinges that are stronger.
3 â€“ Pain distracting and is noticeable, you may get used to it and adapt.
ModerateÂ Painâ€”Disrupts Regular Day-To-Day Living Tasks
4 â€“ Moderate pain. If you should be deeply in an action, it may be blown off to get a time frame, but is diverting.
5 â€“ Moderately strong pain. It can’t be dismissed for more than a few minutes, but you still can manage to work or participate in some social activities.
6 â€“ Rather strong pain that interferes with normal daily activities. Difficulty focusing.
SevereÂ Painâ€”Disabling; Debilitating, Reduces Daily Quality Of Life, Cannot Live Independently
7â€“ Severe pain that dominates your senses and significantly restricts your capability to perform ordinary daily tasks or maintain social relationships. Interferes with sleep.
8â€“ Intense pain. Physical action is seriously limited. Conversing requires great exertion.
9. Not able to converse. Weeping outside or moaning uncontrollably.
10â€“ Unspeakable pain. Perhaps and bedridden delirious. Mobility may be undermined.
â€œMy Pain Feels Likeâ€¦â€
Most of the time, patients experience one or two consistent pain â€œfeelingsâ€ but some can experience a variety of sensations.
The most common pain kinds are:
- Sharp stabbing pain
- Extreme heat or burning sensation
- Extreme cold
- Throbbing, inflamed tissue
- Susceptibility to contact / touching
- Numbness, tingling, pins & needles
Create A Pain Journal
I motivate patients or their family members to document a weeklong pain cycle till they meet with chiropractic, their pain management or alternative medicine team.
Additionally, jot down any treatments or activitiesÂ that lessen or increase your discomfort.
As an example, maybe you have discovered that hot showers or cold weather allows you to feel worse, but exercise or Epsom salt baths makes the pain more manageable.
If you come prepared with all this information, your time with all the physician can be spent focusing on next steps and also a treatment plan, rather than a lengthy Q & A review of the information supplied here.
More importantly, addressing these issues beforehand will ensure your physician receives up-to-date, higher quality information.
Consequently, your case could be assessed more quickly and a pain management plan can be placed into action to begin removing or reducing your suffering as rapidly and efficiently as possible.
The information herein on "Explain Your Pain To A Doctor" is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional.
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Dr. Alex Jimenez DC, MSACP, CIFM*, IFMCP*, ATN*, CCST
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