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Interventional Pain Management Can Provide Relief For Pain Sufferers
DrOshidar • July 30, 2013

By Robert Fogarty

Most chronic pain sufferers have utilized medications, surgery, psychological and physical therapies, as well as chiropractic care, the conventional treatments. Although many will find relief in these treatments, there are those that these solutions don’t provide long enough relief or any relief at all. And those individuals are turning to interventional pain specialist to find the relief they need.

There are more than a 100 million individuals in the United States that suffer from chronic and debilitating pain. Chronic pain accounts for more than 75% of all doctors’ visits and causes billions of dollars in lost productivity from employees calling off work. This would have you think that health care providers would seek better ways to treat chronic pain sufferers but they haven’t and pain still remains under treated and misunderstood.

An interventional pain specialist is able to treat different non-spinal and spinal conditions due to his or her extensive training. A combination of neurological and musculoskeletal anatomy knowledge enables them to use tools such as musculoskeletal and neurological imaging, exams, and electro-diagnosis to pinpoint the cause of the patient’s pain and apply pain management procedures to alleviate and reduce one’s pain.

Most of these specialists will determine what level of pain a patient is experiencing and the right treatment for their condition. There are typically three levels of pain which determines the type of treatment a chronic pain sufferer may expect to receive. These levels and their treatment options can include the following:

Level One

1. Non-Steroidal Anti-Inflammatory Drugs – these medications are a low risk treatment that are available OTC, like Tylenol, to provide pain relief.
2. Physical Therapy – this treatment can include strengthening, stretching, and core exercises, as well as, chiropractic treatments.
3. Behavioral Treatment – continuous pain can affect one’s emotional state and in order to help deal with the pain treatment with a mental health specialist is beneficial.
4. Nutrition – keeping one’s body healthy by proper dieting is essential for one’s care.

Level Two

1. Nerve Block Injections – an interventional pain management specialist will directly inject into the affected area a numbing agent. This treatment varies in the time pain relief is maintained which can be anywhere from hours to years.
2. Transcutaneous Electrical Nerve Stimulation – electrical impulses are sent through the skin into the nerves and muscles to change painful signals.
3. Prescription Narcotics – opiate medications which work on altering pain perception if the brain’s receptors.
4. Thermal Treatment – utilizing ice on the painful area to numb it.

Level Three

1. Implants – these can include drug pumps and spinal cord stimulators which are devices implanted into the body to either use narcotic drugs or electrical signals to mask pain perception.
2. Surgery – usually used as a last resort and will either provide a pain-free lifestyle or a partially pain-free lifestyle which would include stage one treatment.

Talking with an Interventional pain management specialist will determine which stage of treatment is best for you to have an improved and active life.

Written by By Robert Fogarty of US Pain Network

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January 31, 2025
Originally posted on January 30,2023, this article has been updated on August 24, 2024 to reflect the latest research and statistics. Our editorial team has ensured you’re viewing the most current data on this topic. Need help or have a question? Email us.
September 23, 2024
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August 7, 2024
Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMPXylitol and Erythritol are commonly used by those wanting to lose weight or who are diabetic. Many people use artificial, low-calorie sweeteners to reduce their sugar intake. It's found in chewing gum, toothpaste, sugar-free candy, baked goods, and more. According to a June 2024 study, high levels of xylitol and erythritol, sugar alcohols and low-calorie sweeteners used in many foods and products, has been associated with an increased risk of a major cardiovascular event, like a heart attack or stroke and death. The researchers in this study analyzed how xylitol impacts heart health in over 3,000 patients in the U.S. and Europe. The team of researchers, led by Dr. Stanley Hazen at the Cleveland Clinic and published in European Heart Journal on June 6, 2024 showed that having the highest blood levels of xylitol is linked with a 57% increased risk of a major cardiovascular event compared with lower levels. The Reason Why Xylitol and Erythritol May Pose a Cardiovascular Risk? Blood components called platelets help blood to clot. The researchers found that both erythritol and xylitol made platelets more sensitive to blood clotting signals. . Additionally, taking a single 30-gram dose of xylitol increases blood levels 1000-fold within 30 minutes – this increase can stimulate blood clotting, which is concerning for people with existing heart disease. These results suggest that consuming erythritol and xylitol can increase blood clot formation. This, in turn, could increase the risk of heart attack or stroke. What Products Commonly Include Erythritol and Xylitol? Chewing gum Candy Ice Cream Breath mints Some Dietary supplements Mouthwash Toothpaste Sugar-Free Desserts Liquid compounded medications Commercially produced: Baked goods, beverages, candies, chewing gums, chocolates, tabletop sweetener packets, ice cream, puddings, jams and jellies, fruit preparations, biscuits, and sauces Dr. Grisanti's Comments For now, I recommend being cautious using products with xylitol and erythritol in it, – particularly those with cardiovascular risk factors. Although some people will say the research may be flawed, I have to wonder if the people against this new study have an agenda that places the public at risk. All in all, I say why take the risk. I prefer to err on the side of caution and simply stop consuming food items that have erythritol and xylitol in it. Using xylitol and erythritol in the small amounts typically found in chewing gum, toothpastes, and mouth rinses seems to be safe. But using it in very high doses and long-term isn't a good idea. It does not mean throw out your toothpaste if it has xylitol in it, but we should be aware that consumption of a product containing high levels could increase the risk of blood clot-related events. If you're looking for a sweet treat, the only sweeteners I stand behind are organic, 100 percent stevia or monk fruit extracts. Remember simply read the labels of the items you eat or drink if you want to know if xylitol and erythritol has been added. --------- ATTENTION DOCTORS, ALL HEALTHCARE PRACTITIONERS, PATIENTS and POTENTIAL NEW PATIENTS If you found this article of value may I ask if you can tell your friends and colleagues about Clinical Rounds. This is a great introduction to the field of functional medicine as well as having the opportunity to stay current on the latest medical news on a variety of important health issues. Here is the webpage to subscribe: http://www.clinicalrounds.com References: https://www.nih.gov/news-events/nih-research-matters/xylitol-may-affect-cardiovascular-health https://www.nbcnews.com/health/heart-health/xylitol-linked-increased-heart-risk-reconsider-sugar-substitutes-rcna155688 https://www.nhlbi.nih.gov/news/2024/common-sweetener-linked-potential-cardiovascular-risks https://academic.oup.com/eurheartj/article/45/27/2439/7683453 https://www.washingtonpost.com/wellness/2024/06/06/xylitol-sugar-artificial-sweetener-heart/ https://www.nih.gov/news-events/nih-research-matters/erythritol-cardiovascular-events https://www.nature.com/articles/s41591-023-02223-9 https://academic.oup.com/eurheartj/article/45/27/2439/7683453 https://academic.oup.com/eurheartj/article/45/27/2439/7683453 ** Always consult with a physician or healthcare practitioner with significant integrative or functional medicine training before starting any of the above recommendations. You can find a qualified and certified functional medicine practitioner by going to: www.FunctionalMedicineDoctors.com The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. It is intended as a sharing of knowledge and information from the research and experience of Dr. Grisanti and his functional medicine community. Dr. Grisanti encourages you to make your own health care decisions based upon your research and in partnership with a qualified health care professional. Visit www.FunctionalMedicineUniversity.com for more information on our training in functional medicine. Look for practitioners who have successfully completed the Functional Medicine University's Certification Program (CFMP) www.functionalmedicinedoctors.com . This content may be copied in full, with copyright, contact, creation and information intact, without specific permission, when used only in a not-for-profit format. If any other use is desired, permission in writing from Dr. Grisanti is required
May 1, 2024
https://www.functionalmedicineuniversity.com/public/2017.cfm ** Feel free to use this article on your website. and have it linked back to www.FunctionalMedicineUniversity.com ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds . This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
April 17, 2024
https://www.functionalmedicineuniversity.com/public/2012.cfm ** Feel free to use this article on your website. Compliments from Functional Medicine University . ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm View Rick Bramos Fitness YouTube Channel https://www.youtube.com/channel/UC_x4I27Z0DfYkfcroXxAhcA/videos Here is Rick's New Video of the Week: https://youtu.be/Pk9FeTKlufU Rick is now offering phone consultations for those wanting to lose weight or simply to improve their fitness. Rick can be reached at 2days2fitness@gmail.com for more details. ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds . This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
April 3, 2024
https://www.functionalmedicineuniversity.com/public/2006.cfm ** Feel free to use this article on your website. All I ask is to add at the bottom of the article: Compliments from Functional Medicine University and have it linked back to www.FunctionalMedicineUniversity.com ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm ===================== View Rick Bramos Fitness YouTube Channel https://www.youtube.com/channel/UC_x4I27Z0DfYkfcroXxAhcA/videos Here is Rick's New Video of the Week: https://youtu.be/Pk9FeTKlufU Rick is now offering phone consultations for those wanting to lose weight or simply to improve their fitness. Rick can be reached at 2days2fitness@gmail.com for more details. ===================== ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds . This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
By Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP March 13, 2024
https://www.functionalmedicineuniversity.com/public/2000.cfm ** Feel free to use this article on your website. Compliments from Functional Medicine University . ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm ===================== View Rick Bramos Fitness YouTube Channel https://www.youtube.com/channel/UC_x4I27Z0DfYkfcroXxAhcA/videos Here is Rick's New Video of the Week: https://www.youtube.com/watch?v=W__EwtXJkyY Rick is now offering phone consultations for those wanting to lose weight or simply to improve their fitness. Rick can be reached at 2days2fitness@gmail.com for more details. ===================== ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds. This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
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