Medication

Treating chronic pain effectively is challenging  and demands  a great deal of attention and motivation  on the part of physician . Pain management & Rehabilitation Center is commited to  help our pateint achieve maximum pain relieve with minium side  effects. In the course of  pain management , it  requires physician prescribing  analgesia  medications or  even opoid. Some of our patient are in chronic pain stages, which require long term  opioid  treatment . A monthly routine follow-up  is  required to all of our patients  for  their safty and  effecacy. We do not  accept  call  refill medicaiton requires as office policy.   A treatment plan  will be  spell out  after  office  visit. We  expect out patient follow-up  with  instruction about  dosing of  medications and  physical therapy  schedule, which is  important part of  pain management  ,particular for  the pain  which is muscularskeletal  origin. Missing physical therapy or  appointment  will  comprimate  your treatment plan  and leave physician in the position  no knowing   how you respond to   the  therapy.  In  the case of  opioid  is used for effective pain management, we  requires our pateitn sign a  opioid patient care agreement ,  ranging  from  no missed appointment, or seeking   an opioid  prescribtion from  another doctors, or giving  a sigle  tablet  to a friend or relative  for relieve pain . Our patient's  primary care physicians also will  received  signed agreement  from us .While  the pain is  better , we will  help patient to wean off  opioid. The pain management  goal is  help you wean down  opioid  in order to  prevent  adverse side effects:  constipation,sedation,nausea/vomiting, dry month,respiratory depression, confusion, urinary retension, itching  and  decrease in testosterone.

For  some of  patients who have clear signs of addiction,continued pain management  with opioids is not   neccessarily  contraindicated.   We close monitor opioids dose  under medical  supervision. We strongly encourage patient's family involvement of  pateint's  opioid  management.  We  may arrange a  consultation  with an addiction  specialist or  psycologist .  Urinalysis, as  provided for  in a care plan, will indicate whether  they are  abusing  other substances or indeed not taking their prescribed opioids.

Regrettably,  there are  also  patients who will  obtain  opioids by willful deception,  for exemple  by exaggerating his  or her syndrome on repeated visit. Such patitnt are a  rare but  discomforting  problem  in the practice of pain management.  On such  occasions,  it become  neccessary to  remove the patient from our practice. Also,  in instance where we discover a patient is engaging  in clearly  illegal activities, we  are required to report  them to the police,  examples of  such  activities include  fraudulently calling  in prescriptions under physician's name, selling  or redistributing  prescribed  opioids.