It is the goal of CPRC to provide the highest quality care available by utilizing proven physical and psychological methods to reduce pain and increase mobility and functioning with the patients we treat. The policies and procedures outlined below help us to provide quality outcomes for our patients. CPRC is committed to helping people aim for healthier, more productive lives by managing their pain and incorporating proper body mechanics and energy conservation techniques into every day life.
Pain is the most common symptom that brings a patient to a physician’s office. Pain is usually a physiologic consequence of tissue injury and serves as a vital protective function to prevent further injury or debilitation.
Pain can be defined as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, with affective and cognitive responses.”
Pain patients are often misperceived as exaggerating, taking advantage of the system, and/or addicted to narcotics. We understand that the vast majority of patients simply need help. At CPRC we endeavor to create a safe, supportive environment in which the patient feels that their pain is validated. This enables us to reduce the stigma associated with chronic pain, bypass any defensiveness and focus on recovery. In an effort to reduce the narcotic seeking stereotype, we use the terminology of Opioid instead of narcotic.
At CPRC we realize that unremitting pain and the constant stress, which accompanies it, can greatly interfere with a patient’s quality of life. We know it can disrupt and sometimes eliminate normal daily activities.
Our goal at CPRC is to deliver cost effective healthcare to our patients from a multidisciplinary approach. This team approach will help to maximize the patient’s progress and teach them how to maintain an increased quality of life with minimal discomfort.
Interdisciplinary and Multidisciplinary Approach
CPRC is a comprehensive, full-service clinic specially designed to provide the most advanced resources for the treatment and management of chronic pain.
Our highly qualified staff of pain specialists focuses on both the physical and psychological aspects of a patient’s pain condition. While pain relief is one of our goals, it is not always 100% attainable for the chronic pain patient.
Our focus is on helping patients to accept and manage their pain, increase their strength and endurance and return to a functional, productive lifestyle.
Because chronic pain is a complex problem including a combination of physical, psychological and social factors, it often requires a multifaceted solution. We utilize an interdisciplinary approach to evaluate and treat each patient’s comprehensive physical and psychological needs.
Our team of professionals consists of: Physical Therapists, Occupational Therapists, Vocational Consultants, Licensed Professional Counselors, Psychologists, Dietition, Hypnotherapists, Anesthesiologists, Physiatrists, Orthopedic Surgeons, Rheumatogists and Gastrointerologists.
The CPRC Pain Management Program is designed to meet the needs of individuals in chronic pain. We endeavor to achieve the best results for patients through a comprehensive treatment program, which enhances the recovery process. To accomplish these results, we have established the following primary goals of our treatment program:
- To help patients progress toward a safe return to normal activities of daily living and to resume the most functional, independent and productive lifestyle possible.
- To increase the patient’s general level of strength, mobility, muscular, and cardio-vascular endurance.
- To educate patients concerning their injury and to help them live within their physical limitations to prevent re-injury.
- To provide a comprehensive evaluation and assessment in conjunction with the patient’s primary physician.
- To develop a patient tailored physical and psychological treatment plan. All available data will be considered in the development of the patient’s chronic pain program. Weekly goals and activities will be established with the help of the patient to encourage their full cooperation and participation in the healing process.
- To eliminate the origin of the patient’s pain when possible while at the same time helping them to accept and cope with any continued pain.
- To teach patient’s to function despite their continued pain and to raise their threshold of discomfort.
- To decrease the patient’s dependency on medication for pain when appropriate and to substitute healthier non-Opioid pain management techniques.
- To return patient’s to gainful employment.
Multidisciplinary treatment modalities to be provided will include the following:
Medication Evaluation and Management
Our program incorporates physician recommended medications to reduce pain levels and enable patients to actively participate in exercising to improve their daily functioning. Medications will also help establish adequate sleep patterns, to reduce depression, and to decrease anxiety, which are often barriers to successful rehabilitation. Our goal is to help patients titrate medication, substitute non-Opioid coping strategies and whenever possible become Opioid free. Our on site Physiatrist (physician specializing in Physical Medicine and Rehabilitation) will provide consultation to the treating physician as requested to help the patient become less dependent on Opioid medication.
Massage Therapy and Myofascial Release
This modality provides the reduction of muscle spasms/muscle tension, oxygenates muscles to promote healing, and reduces pain to sensitive trigger point areas.
This modality helps patients to improve their strength, flexibility, active range of motion, and endurance through stretching, cardio-vascular, and weight lifting activities. Exercise also increases the natural endorphins (painkillers) and neurotransmitters (antidepressants) in the brain.
This modality provides low impact physical conditioning to assist in muscle strengthening and increased flexibility.
This modality will help the patient to accept and manage their pain; deal with the trauma associated with a catastrophic injury, complete the grieving process related to their physical loss and develop realistic expectations concerning their intractable pain. Individual therapy will assist the patient in expressing him/herself directly to avoid channeling his/her feelings into somatic complaints. Individual treatment will also provide the patient with feedback regarding their performance as well as providing an opportunity to refine their individualized treatment goals.
Pain Management Group Treatment
Group psychotherapy will assist the patient in learning new ways to manage their pain from other individuals who suffer from a similar disability in a safe, open atmosphere. Examples of relevant group topics include setting realistic limits to avoid re-injury, the importance of returning to work as a method of distracting the mind from continuous pain, assertiveness training, anger management, stress management, and cognitive restructuring techniques for reducing pain exacerbating negative thinking.
Individuals are provided with state of the art vocational testing and consultation. This counseling helps the patient to explore new employment options while taking their physical limitations into account. Patients will explore educational and employment opportunities and will be offered direction in obtaining the skills necessary to achieve the goal of returning to gainful employment.
Interdisciplinary Case Conference
The chronic pain management team will meet weekly to coordinate care and to develop weekly treatment goals for each patient. Patients are provided with information and feedback concerning their performance as well as giving them an opportunity to have input into their treatment plan and to provide feedback to help us to serve them better.
Biofeedback and Hypnotherapy
These modalities provide the patient with training on how to relax and to reduce their muscle tension despite their intractable pain. This treatment will enhance their sleep as well as reduce their perception of pain. We have state of the art biofeedback equipment as well as treatment staff with expertise in biofeedback and hypnotherapy.
At CPRC each patient undergoes an initial assessment by professionals who specialize in pain control including a physical therapist, a clinical psychologist and a physician. A pain management plan is then individually tailored and a multidisciplinary treatment program is developed for each patient. The treatment program may include the following professional services and modalities:
- Physical Therapy
- Occupational Therapy
- Vocational Counseling
- Educational Groups
- Relaxation Training
- Medication Management
- Case Management