The treatment of pain is guided by the history of the pain, its intensity, duration, aggravating and relieving conditions, and structures involved in causing the pain. In order for a structure to cause pain, it must have a nerve supply, be susceptible to injury, and stimulation of the structure should cause pain. The concept behind most interventional procedures for treating pain is that there is a specific structure in the body with nerves of sensation that is generating the pain. Pain management has a role in identifying the precise source of the problem and isolating the optimal treatment.
This can require a wide variety of skills and techniques to treat the pain. These skills and techniques include:
· Interventional procedures
· Medication management
· Physical therapy or chiropractic therapy
· Psychological counseling and support
· Acupuncture and other alternative therapies; and
· Referral to other medical specialists
All of these skills and services are necessary because pain can involve many aspects of a person's daily life.