logging in or signing up Mellick Pain Lecture aSGuest46583 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 435 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: May 31, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript TREATMENT OF NEUROPATHIC PAIN : TREATMENT OF NEUROPATHIC PAIN GARY A. MELLICK, D.O. American PAIN Specialists, Inc. American SLEEP Disorders Clinic Dr. Gary Mellick & Staff : Dr. Gary Mellick & Staff Chronic Pain : Chronic Pain Understanding Chronic Pain What Causes Chronic Pain Chronic Pain Treatments Chronic Pain : Chronic Pain Pain -- has an Element of Blank -- It cannot recollect When it begun -- or if there were A time when it was not Emily Dickinson New England Poet CHRONIC PAIN : CHRONIC PAIN The Terrible Triad Suffering, Sadness & Sleeplessness “Chronic Pain is the most costly health problem in America.” Headache Lower back pain Cancer pain Arthritis pain Understanding Chronic Pain : Understanding Chronic Pain Sounding The Alarm Broadcasting The News Censoring The News Understanding Chronic Pain : Understanding Chronic Pain Sounding The Pain Alarm Nociceptors Nerve fibers in the skin, muscles, or joints Excited exclusively by intense, potentially harmful stimulation Pinprick Painful heat Irritating chemicals Degree/Type of Noxious Stimuli & Pain Perception : Degree/Type of Noxious Stimuli & Pain Perception Nociceptors Sound The Pain Alarm Ascending Pain Pathways : Ascending Pain Pathways Understanding Chronic Pain : Understanding Chronic Pain Broadcasting The News Higher brain centers are alerted by spinal pathways Different pathways carry different information Where it hurts; how bad it is; whether the pain is sharp or burning Fear, anger, anxiety Change in pulse rate, blood pressure, dilating the pupils Pain Transmission : Pain Transmission Broadcasting The News Higher brain centers are alerted by spinal pathways. Different pathways carry different information. Understanding Chronic Pain : Understanding Chronic Pain Censoring The News Built-in nervous system mechanisms can block pain messages Pathways come down from the brain to prevent pain signals from coming through Endorphins - natural opiates Descending Pain Control Pathways : Descending Pain Control Pathways Censoring The News Built-in nervous system mechanisms can block pain messages. What Causes Chronic Pain : What Causes Chronic Pain Gate Theory of Pain A hypothetical gate opens up and allows pain to travel to the brain Chronic pain results in “many opened gates and broken fences” “Pain Wind-up” “Centralization” Peripheral Nervous system : Peripheral Nervous system Touch Pain Touch-evoked pain Pain & hypersensitivity Sensitized C-fibers Sensitized A-Beta fibers “Wind-up” (Central Sensitization) Normal Sensory Processing Normal A-Beta fibers Normal C-fibers Central Nervous System Pain Neurochemistry : Pain Neurochemistry “Pain Wind-up” “Central Spinal Sensitization” Gate Theory of Pain Images of Acute Pain : Images of Acute Pain Images of Chronic Pain : Images of Chronic Pain Chronic Pain Treatments : Chronic Pain Treatments Pain Medications Opiates (morphine, Darvocet, etc.) Adjuvant pain medicines (all the others combined) TENS (local electrical pain blocks) Anesthetic and Cortisone Injections Spinal Cord Stimulation and Pumps Alternative Medicine Treatments (Acupuncture, Chiropractic, etc.) Physician Responsibilities : Physician Responsibilities Slide 21: PAIN POEM You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Mellick Pain Lecture aSGuest46583 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 435 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: May 31, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript TREATMENT OF NEUROPATHIC PAIN : TREATMENT OF NEUROPATHIC PAIN GARY A. MELLICK, D.O. American PAIN Specialists, Inc. American SLEEP Disorders Clinic Dr. Gary Mellick & Staff : Dr. Gary Mellick & Staff Chronic Pain : Chronic Pain Understanding Chronic Pain What Causes Chronic Pain Chronic Pain Treatments Chronic Pain : Chronic Pain Pain -- has an Element of Blank -- It cannot recollect When it begun -- or if there were A time when it was not Emily Dickinson New England Poet CHRONIC PAIN : CHRONIC PAIN The Terrible Triad Suffering, Sadness & Sleeplessness “Chronic Pain is the most costly health problem in America.” Headache Lower back pain Cancer pain Arthritis pain Understanding Chronic Pain : Understanding Chronic Pain Sounding The Alarm Broadcasting The News Censoring The News Understanding Chronic Pain : Understanding Chronic Pain Sounding The Pain Alarm Nociceptors Nerve fibers in the skin, muscles, or joints Excited exclusively by intense, potentially harmful stimulation Pinprick Painful heat Irritating chemicals Degree/Type of Noxious Stimuli & Pain Perception : Degree/Type of Noxious Stimuli & Pain Perception Nociceptors Sound The Pain Alarm Ascending Pain Pathways : Ascending Pain Pathways Understanding Chronic Pain : Understanding Chronic Pain Broadcasting The News Higher brain centers are alerted by spinal pathways Different pathways carry different information Where it hurts; how bad it is; whether the pain is sharp or burning Fear, anger, anxiety Change in pulse rate, blood pressure, dilating the pupils Pain Transmission : Pain Transmission Broadcasting The News Higher brain centers are alerted by spinal pathways. Different pathways carry different information. Understanding Chronic Pain : Understanding Chronic Pain Censoring The News Built-in nervous system mechanisms can block pain messages Pathways come down from the brain to prevent pain signals from coming through Endorphins - natural opiates Descending Pain Control Pathways : Descending Pain Control Pathways Censoring The News Built-in nervous system mechanisms can block pain messages. What Causes Chronic Pain : What Causes Chronic Pain Gate Theory of Pain A hypothetical gate opens up and allows pain to travel to the brain Chronic pain results in “many opened gates and broken fences” “Pain Wind-up” “Centralization” Peripheral Nervous system : Peripheral Nervous system Touch Pain Touch-evoked pain Pain & hypersensitivity Sensitized C-fibers Sensitized A-Beta fibers “Wind-up” (Central Sensitization) Normal Sensory Processing Normal A-Beta fibers Normal C-fibers Central Nervous System Pain Neurochemistry : Pain Neurochemistry “Pain Wind-up” “Central Spinal Sensitization” Gate Theory of Pain Images of Acute Pain : Images of Acute Pain Images of Chronic Pain : Images of Chronic Pain Chronic Pain Treatments : Chronic Pain Treatments Pain Medications Opiates (morphine, Darvocet, etc.) Adjuvant pain medicines (all the others combined) TENS (local electrical pain blocks) Anesthetic and Cortisone Injections Spinal Cord Stimulation and Pumps Alternative Medicine Treatments (Acupuncture, Chiropractic, etc.) Physician Responsibilities : Physician Responsibilities Slide 21: PAIN POEM