The Pain Consultation Service in the Department of 精神病学 provides a holistic approach to treating chronic pain. 推荐最近最火的赌博软件 is a teaching hospital so your treatment team will include trainees as well as the attending physician.

成为病人的步骤

1. The patient 必须 call 315-464-3130 to schedule their own appointment (family, friends and referring providers may not schedule these appointments)
2. The Pain Service only schedules appointments on Wednesday afternoons between 1:00 PM and 5:00 PM.
3. Bring your insurance information with you when you register
4. 每个病人 必须 be accompanied by a support person for their initial appointment. No patient can be seen without a support person on their first visit.
5. You will be required to complete the Cold Pressor Test during your appointment to gauge your pain tolerance

了解慢性疼痛

Chronic pain is one of the most difficult and least understood of all problems in primary care practice. According to the National Health and Nutrition Examination Survey, chronic regional pain was reported by 11.0% of Americans and widespread pain was reported by 3.6%的美国人. 创伤后12个月, 63% of 3047 subjects still reported pain; most often pain in more than 1 body region.

Unfortunately, physicians often respond to pain complaints by starting patients on opioid hormones. 美国人，构成4.占世界人口的6%, consume 80% of the world's opioid supply and 99% of the world's hydrocodone supply. Prescription of opioids increased 2 times from 1997 - 2006. According to the National Ambulatory Medical Care Survey opioid prescribing for chronic pain doubled from 1980 - 2000 to 16% of all patients seen. Prescriptions for more potent opioids; hydrocodone, 羟考酮和吗啡, 用于慢性肌肉骨骼疼痛, increased from 2% of patients to 9% of patients from 1980 - 2002.

When a hormone is taken daily, the body's natural production of the hormone is suppressed. The brain responds to blanketing of its pain receptors by increasing the number and sensitivity of those receptors. The resulting condition is called "hyperalgesia." Chronic pain patients begin to feel more and more pain. They experience that every pain killer helps, but they often do not notice how pain sensitive they are becoming.

We diagnose hyperalgesia with the Cold Pressor Test; simply the time that a person can tolerate the discomfort of holding their forearm in ice water. 95% of our normal control subjects could hold their arm in the ice water for at least 34 seconds. We find most patients maintained on opioids for pain have times such as 5, 4 or 2 seconds while on their "pain pills."

The staff of the Psychiatric Pain Consultation Service includes both Psychiatrists and Pain Fellows; physicians who have already completed their resident training in a specialty such as anesthesia or neurology, but who are taking an extra training year to learn how to address chronic pain. Patients who come for evaluation have a careful history, 抑郁症和认知屏幕, 体格检查, 和冷压试验. In many cases we detoxify patients from their opioid medications. Patients are amazed when a week later their pain is already reduced by half.

We have a number of treatments for pain that are effective and not addictive. In many cases of patients who have been maintained on opioids for prolonged periods, we will treat persistent hyperalgesia with naltrexone at 1/10 of the usual dose to help their body's own natural opioid system return to normal, 健康的功能. In cases where pain patients have been addicted to opioid pills by their physicians, we will help this subpopulation of pain patients get into a process of recovery from addiction.