Protocols designed to maximize comfort while facilitating return to normal function
Pain is handled by the body by different pathways. Ultimately, a painful stimulus is processed by nerves in the spinal cord and then perceived and processed in the brain. A multimodal approach is used to try and treat pain at more than one pathway so that the lowest effective dose of medication can be used.
This often means that there is more than one medication being used, but the doses of the medications are lower than if only one medication was used. Using this approach allows us to minimize the use of opioids which are very potent pain relievers, but they have some unwanted side effects (sedation, decreased GI motility, panting).