#92. Is Physical Therapy, The Panacea of Chronic Pain?
Pedia Pain Focus
Have you ever had any of your patients say that they don't think physical therapy helps their pain? Or that the physical therapy made their pain worse? It would certainly not surprise me, if you said yes. And in that case, this is definitely is the episode you want to listen to carefully. And if your answer to my question was no, this is an episode for you too, my friend. Because sooner or later you too will join this elite club with rest of us. However, this episode will give you the framework and tools to change that in your practice. Learn it from our guest who magically...
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#91. Mental Health and Pediatric Pain; Chicken or the Egg?
Pedia Pain Focus
Pain and mental illnesses coexist, often more than any of other illnesses. Both of them have a profound effect on a child's child’s quality of life, individually. Now imagine the magnitude of impact when they co-exist. In this episode, Dr. Anjana Kundu, with guest speaker Dr. Mirabelle Mattar, a child, and adolescent psychiatrist, discusses the intricate and dynamic relationship between pediatric pain and mental health, likely cause or affect and prognosis for a child with pain in the setting of mental health issues or vice-versa. They also discussed the factors...
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#90. Can We Prevent Pain from Becoming Chronic?
Pedia Pain Focus
Acute pain may be a protective and adaptive phenomenon, but chronic pain is nothing but damaging and a burden in every way possible and for all involved directly or indirectly. So how do we reduce or can we reduce burden? Join me in this episode to learn the factors that contribute to chronicity of pain and whether we can prevent it. Takeaways in This Episode Complexities of pain and its impact for the individuals and the society What differentiates acute from chronic pain and why that is important Various factors contributing to pain and its chronicity Modifiable vs....
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#89. The Pain of Being a Redhead
Pedia Pain Focus
An anesthesiologist or a dentist might tell you that redheads need more anesthesia or local anesthetic. Yet research around their pain perception, tolerance, modulation and response to different pain medications is much more variable and complicated. Join me to learn the recent and emerging evidence about the pain among redheads and what you can do for effectively and safely managing it!
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#88. Pharmacovigilance to Evaluate Efficacy and Net Clinical Benefit in Pediatric Pain Medicine
Pedia Pain Focus
What if you had the lessons from the hindsight AND the foresight while managing children's pain? How would that change your practice? How would that change the outcomes of pediatric pain treatments?
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87. Shifting the Paradigm in Pediatric Pain Medicine
Pedia Pain Focus
Pediatric pain has long been and continues to be neglected for many reasons and because of many challenges. In this episode we discuss those factors and more importantly, the way forward to make the paradigm shift, overcoming challenges and recognizing opportunities.
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#86. Essential Elements of a Successful Patient Encounter
Pedia Pain Focus
A clinical care visit is like flying a plane. It has to be smooth (charming), safe (thorough) yet efficient and on time!
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#85. Pain Amongst Children with Autism Spectrum Disorder
Pedia Pain Focus
Rising prevalence of Autism Spectrum Disorders, contradicting opinions and misconceptions around pain sensitivity and expression among these patients pose unique challenges for clinicians.
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#84. Post-Concussive Headache and Symptom Management in Children
Pedia Pain Focus
Headache is a presenting symptom in 90% of children after a traumatic head injury and for many it may persist for years. It can be extremely debilitating and difficult to treat, posing several unique diagnostic and therapeutic challenges. Join me in conversation with Blake Windsor, MD a pediatrician with a subspecialty in training for pediatric pain medicine, a board certified headache specialist and Chief of Primas Health Pediatric Pain Medicine.
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#83. Reengineering Pediatric Perioperative Care for Optimal Outcomes
Pedia Pain Focus
Postoperative outcomes and success of the interventions is certainly dependent on the analgesia and anesthesia care, but what truly drives the outcomes is a complex interplay of biopsychosocial factors; an alignment between the patients and family's goals and medical as well as surgical interventions. How one goes about achieving that is what this episode is all about!
info_outlineWhat does pain look like? In today’s episode, I discuss different ways in which our biases and experiences can often overshadow the experience of the patient, impact clinician-patient encounters and the importance of context in every situation.
Is there a specific look to pain? Have you ever wondered if a patient is exaggerating their pain? It is common for chronic pain sufferers to hear comments like, “But you look so normal, you can’t be in that much pain.” These comments can be especially detrimental coming from a physician.
I also discuss the "Catch 22 of pain" where we emphasize improvement in function over reduction in pain scores for the optimal outcomes, and also undermine patient's pain intensity watching them follow that advice!
Takeaways in This Episode
- The automatic assumptions about pain
- When should you believe the self report of pain. How accurate is the statement "When someone says they’re in pain, they’re in pain" ?
- Considering the context of the situation, the patients’ previous experiences and other influences on pain experience and pain behaviors
- Impact of bias on pain {Hint: It's not just the patients/families!}
- "Catch 22 of pain" - Patients can receive contradictory and diverse messages
- Stop considering pain solely as a symptom of some other illness and give it the due recognition as a disease process in itself, even in cases of acute pain
- Finding out what is driving your patient’s behaviors, their illnesses; understanding what is underneath
Links
Managing Disagreement and Misalignment of Opinions in Pediatric Pain Care Episode 41
Manage Memory, Manage Pain! Episode 26
Disparities in Pediatric Pain Care Episode 10
Dr. Hans Killian's book, Facies Dolorosa