Pain physicians do not cure all diseases. Pain physicians mainly treat patients with chronic pain. For many chronic pain patients, pain itself is a disease. For example, for patients with migraine and trigeminal neuralgia, curing the pain means curing the disease. A common phrase used by cancer patients is, "If you are not afraid of death, you are afraid of pain", and "pain does not want to live" is the most accurate description. With the extension of human life, the occurrence of pain becomes more and more common: for example, neuropathic pain caused by diabetes; herpes zoster caused by decreased resistance, even the contact with clothes can also cause severe pain afterwards; due to intervertebral disc herniation, vertebra The treatment of chronic pain caused by narrowing, osteoporosis, etc. is the specialty of pain physicians.
The current pain department treatment scope includes:
Head and face pain: trigeminal neuralgia, glossopharyngeal neuralgia, etc.
Neck pain: cervical spondylosis, atlantoaxial joint disorders, occipital neuralgia, etc.
Low back pain: lumbar disc herniation, lumbar spinal stenosis, osteoporosis, ankylosing spondylitis, etc.
Limb pain: such as frozen shoulder, external humeral epicondylitis (tennis elbow), tenosynovitis, hip joint pain, knee joint pain, heel pain, etc.
Soft tissue pain: lumbar 3 transverse process syndrome, myofibritis, myofascial pain syndrome, etc.
Neuralgia: Post-herpetic neuralgia, phantom limb pain, etc.
Cancer pain: pain caused by cancer or pain related to cancer treatment
The Ministry of Health Document No. 227 in 2007 stipulates that the main business scope of the pain discipline is the diagnosis and treatment of chronic pain diseases.
The scope of diagnosis and treatment of pain department mainly includes the following aspects:
1. Chronic pain caused by systemic soft tissue damage;
2. Neuropathic pain requiring interventional damage treatment;
3. Cancer pain that requires minimally invasive treatment for ineffective drug analgesia;
4. Pain of unknown cause;
5. Non-painful diseases related to nerves.
The following comprehensive clinical classification of pain diseases have been basically cured after treatment in related disciplines, but patients who still cannot relieve their pain can go to the pain department for treatment.
1. Headache: Cervical headache; Tension headache; Migraine; Cluster headache; Vascular pain and headache after trauma.
2. Maxillofacial pain: trigeminal nerve and its branch pain; glossopharyngeal neuralgia; sphenopalatine neuralgia; facial organ-induced pain.
3. Nape occipital pain: occipital neuralgia; mastoid pain; neck myofascial pain.
4. Neck and shoulder pain: cervical arthropathy; neck and shoulder syndrome; atlantooccipital deformity; cervical ribs; frozen shoulder.
5. Upper limb pain: upper limb vascular pain; external humeral epicondylitis and tenosynovitis; anterior scalene syndrome; thoracic outlet syndrome.
6. Chest pain: intercostal neuralgia; post-herpetic neuralgia; intercostal neuralgia after chest surgery; costochondritis; thoracic visceral disease invading thoracic wall neuralgia.
7. Abdominal pain: abdominal neuralgia; abdominal phlebitis; incision pain after surgery.
8. Low back pain: pain after nerve injury; phantom limb pain; residual limb pain; complex local pain syndrome; spine surgery failure syndrome; rheumatoid pain; ankylosing spondylitis; low back pain; fibromyalgia; Erythema pain; gouty arthritis; lower limb ischemic pain; peripheral neuritis; heel pain.
9. Central pain: Pain caused by stimulation from the spinal cord, brain stem, thalamus, and cerebral cortex.
10. Psychological pain: There is no clear pathology and tissue damage, but the patient feels stubborn pain.
11. Cancer pain.
12. Non-painful diseases: refractory hiccups, facial nerve palsy, hemifacial spasm, indefinite statement syndrome.
The scope of practice of the pain department is mainly chronic pain diagnosis and treatment.
We have given the anesthesiologist the postoperative analgesia, painless abortion, and painless gastrointestinal endoscopy that once belonged to our pain department and were also our lead. We are exploring new areas in the diagnosis and treatment of chronic pain. Pain doctors must make outstanding contributions to clinical medicine.
The scope of treatment at the Pain Clinic
1) Headache: migraine, cervical spine headache, muscle tension headache, headache after trauma and headache after lumbar puncture.
2) Neuralgia: Trigeminal neuralgia, intercostal neuralgia, sciatica, acute herpes zoster, post-herpetic neuralgia, neuropathic pain, pain after nerve injury, central pain, phantom limb pain, stump pain, Diabetic neuralgia, sympathetic nerve-related pain, complex local pain syndrome.
3) Bone joint pain: low back pain, cervical spondylosis, cervical disc herniation, lumbar disc herniation, knee arthritis, heel pain, temporomandibular joint dysfunction syndrome, degenerative osteoarthritis, femoral head necrosis.
4) Soft tissue pain: Acute and chronic lumbar sprain, lumbar muscle strain, supraspinal ligamentitis, low back myofasciitis, piriformis syndrome, fibromyalgia syndrome, tenosynovitis, frozen shoulder, tennis elbow, soft tissue damage.
5) Cancer pain: advanced cancer pain, bone metastatic pain, cancerous pleural and ascites and intratumoral chemotherapy.
6) Ischemic pain: angina pectoris, thromboangiitis obliterans, diabetic vascular disease, dysmenorrhea, chronic pelvic pain.
7) Painless diagnosis and treatment services: painless childbirth, painless abortion, painless endoscopy, painless tooth extraction and postoperative analgesia.
8) Non-painful diseases: intractable hiccups (hiccups), acute facial neuritis (facial paralysis), hemifacial spasm, sudden deafness, ganglion cysts, autonomic dysfunction, liver/kidney cysts.
There are other painless diseases such as hemifacial or ophthalmospasm, paralysis, dizziness, tinnitus, allergic rhinitis, retinal vascular occlusion, refractory hiccups, angina pectoris, cerebral vasospasm, thrombosis, infarction, peripheral vascular disease , Menstrual disorders, etc., can also be treated by nerve stimulation or block.
Pain treatment range (type of disease)
1. Burns and scalds (shallow 1-shallow 2) relieve pain quickly. Heals quickly without leaving scars.
2. Neck, shoulder, lumbar and leg pain: 1. Cervical spondylopathy (hyperplasia, intervertebral disc herniation) 2. Frozen shoulder (shoulder joint adhesion) 3. Lumbar spondylosis (hyperplasia, intervertebral disc herniation) 4. Knee arthritis (hyperplasia, trauma, etc.) , Ankle arthritis (new and old fractures, sprains, etc.) 6, heel spurs 7, neuralgia (Sancha nerve pain, greater occipital nerve pain).
3. Hemorrhoid fistula 1. Hemorrhoids (internal, external, mixed hemorrhoids) 2. Anal fistula (simple|complex, etc.) 3. Rectal polyps (single, multiple) 4. Colorectal inflammation (non-specific).
4. Prostatic disease 1. Enlarged prostate (enlargement) 2. Prostatitis (acute and chronic) 3. Cystitis (frequent urinary pain).
5. Arthritis: 1. Rheumatoid arthritis 2. Rheumatoid arthritis 3. Traumatic arthritis (sprain and rub) 4. Fracture sequelae.
6. Thyroid cysts, vasculitis, phlebitis, and herpes zoster pain.