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Pain Management Guide: Integrated vs Interventional Approach

March 8, 2024

Acupuncture Q & A

What Is Acupuncture Treatment?

Acupuncture is a type of treatment that originated in China more than 3,000 years ago. Acupuncturists use extremely slim needles, placing them in key areas on the body to alleviate pain in a natural way. The needles create a balance in the body’s energy, which allows the body to return to its optimal pain-free state.

There are several types of acupuncture. In moxibustion, moxa taken from dried mugwort warms key areas and helps with smooth qi energy flow. In auricular acupuncture, points on the outer ear are stimulated for healing. In cupping therapy, suction is used to help stimulate blood flow and promote healing.

Chronic pain worsening for months can become demoralizing, severely impacting health and quality of life. While pain management traditionally uses medications, therapy referrals, and lifestyle changes, a related subspecialty - interventional pain management - performs targeted procedures when conservative options cannot provide adequate relief alone.

This guide explains key similarities and differences between these two approaches working to treat discomfort through customized combinations best aligned to your needs and sensitivities.

What is Pain Management?

At its core, this specialty aims to treat all sorts of discomfort gently but effectively without relying on pain medications or injections alone.

Pain management physicians have advanced expertise in holistically evaluating the root causes behind your persistent headaches, joint swelling, and injury trauma. Their customized combinations of therapies target what specifically aggravates your unique pain profile.

For example, your arthritis flare-ups causing mobility limitations may benefit from the following integrated treatments from pain management doctors:

  • anti-inflammatory tablets reducing swollen rubbing joints, 
  • hands-on physical therapy sessions unlocking stiff back mobility, 
  • psychology counseling builds thought pattern skills preventing amplifying distress, 
  • and guided meditation training countering stress reactions aggravating inflammation.

It's essentially a whole-person perspective assessing biological, lifestyle, and emotional contributors in an integrated way - not just isolated body parts. The goal is to improve function for positive life participation with compassionate sustainable solutions, not quick symptom fixes.

What is Interventional Pain Management?

a pain management specialist treating a patient

If the customized combination therapies of standard pain management, such as medications, physical therapy, injections, etc., are no longer improving your back injury after several weeks/months of treatment attempts, then interventional pain specialty care can help. It provides advanced precision procedures targeting irritated nerves when surgery seems too risky or outcomes remain suboptimal.

These minimally invasive spinal and nerve treatments are performed by physicians like anesthesiologists or physiatrists who pursue specialized education in perfecting advanced injection approaches.

Advanced imaging guides needles precisely to inflamed areas, irritating nerves and causing pain.

Once precisely placed, options like numbing nerve medications, procedures interrupting overactive nerve signals, tissue scarring techniques, or implanted nerve stimulators provide targeted treatment to calm the pain generators without affecting nearby regions.

The goal is to precisely treat nerves that keep transmitting high discomfort when other treatments haven't helped enough.

Similarities between Pain and Interventional Pain Management

At their core, both specialize in gently easing suffering through personalized evaluations and treatment combinations beyond just risky medication or repeat surgery attempts. Some key commonalities include:

  • Reducing Pain and Restoring Function: Whether back injury flare or migraine, the aim is to decrease severity enough to increase engagement again in relationships, work, and leisure.
  • Thorough Health History Evaluations: Reviewing lifestyle habits, previous treatment responses, and activity limitations guide appropriate customized next steps.
  • Integrated Modalities Mixing Solutions: Care plans interweave medication, physical therapy, psychology referrals, injections, and self-care training based on root causes.
  • Alternatives to Risky Medications or Surgeries: Precision procedures, specialized pharmaceuticals, and holistic healing provide options between extremes.
  • Broad Pain Condition Expertise: Both treat an array of issues - from nerve injuries to arthritis aches; cancer pain to unexplained pelvic pain.

Differences between Pain and Interventional Pain Management

a pain management doctor consulting a patient

While the two fields overlap, recognizing their unique aspects clarifies which one to choose for your needs. Here are the differences between both treatments:

  • Pain Management Prioritizes Conservative Therapies: Integrated pain care first tries more conservative options like oral or topical medications, hands-on physical therapy, and psychology counseling for several weeks or months before considering precision injections or invasive procedures. The goal is to gently help the body heal through natural modalities before tech interventions.
  • Interventional Starts with Diagnostic Nerve Blocks: Interventional routes tend to start with diagnostic nerve blocks - investigatory injections that pinpoint specific anatomical structures contributing to pain. These guiding diagnostics inform what specialized nerve treatments come next.
  • Interventional Offers Advanced Technology Procedures: Interventional specialty also uniquely offers advanced technology procedures like nerve ablation, epidural steroid injections around spinal nerve regions, or implanted stimulators that alter nerve firing. These precision procedures provide targeted relief when medications, therapy, or surgery have hit limits in managing pain.
  • Medications Play a Secondary Role in Interventional: Lastly, oral and topical medications play more of a supplemental role in interventional care rather than primary treatments. Specialized injections, infusion devices, and nerve stimulators lead the care plans as opposed to pills or creams.

Rediscover Your Pain-Free, Active Lifestyle

Integrated pain care and interventional management leverage holistic assessment and customized treatment to gently treat various acute and chronic discomforts. Recognizing their differences in application optimizes your recovery from pain.

Here at Complete Wellness, we listen deeply and then calibrate integrated modalities like nerve blocks, trigger point injections, and botox targeting your proven pain generators for sustained results. 

Book an appointment today to rediscover your pain-free life.

Frequently Asked Questions (FAQs)

1. What are the modalities of interventional pain management?

Common interventional modalities include diagnostic nerve blocks, epidural steroid injections, radiofrequency nerve ablation, cooled nerve ablation, spinal cord stimulation, intrathecal pumps, and targeted medication infusions.

2. What is the most common intervention for pain relief?

The most common intervention is a cortisone or anesthetic injection placing anti-inflammatory or numbing medication directly into irritated tissues like spinal joints or compressed nerves.

3. What is a type of non-invasive intervention used to treat pain?

Non-invasive interventions include physical therapy, psychological counseling, acupuncture, traction devices, electrical nerve stimulation, ice/heat, ultrasound therapy, TENS units, and medical massage.

4. What do you do when your chronic pain is unbearable?

Seek prompt specialized care when chronic pain becomes severely intolerable. Integrated pain management or interventional procedures may provide relief when other options fail.

5. What is the interventional management of neuropathic pain?

Interventional treatments like nerve blocks, radiofrequency ablation destroying damaged nerve fibers, spinal cord stimulation adjusting firing, and targeted medication infusions calm neuropathic nerve-related pain.

Complete wellness

Medically reviewed by Complete Wellness on Mar 08, 2024

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