Pain after Treatment/Surgery

What to do if you still have pain after treatment or surgery

In many cases the reason for failed treatment is misdiagnosis.  A thorough neurological and musculoskeletal examination is essential to correctly diagnose the pain problem.  In many cases MRI or CT Scan and electrodiagnostic studies may be needed.  Even if these tests have previously been performed, repeating them as soon as a few months later may yield different or more definitive results, especially if symptoms have worsened since the last test. If anti-inflammatory medications or muscle relaxants have been tried, using a different medical agent in the same class of medicine may help.  Orthopedic supports if not tried may be useful.

Usually patients who have seen other doctors and have had their pain for a while have usually received physical therapy.  (If someone has not had therapy this would be a good first step to treating the condition).  Those who have had physical therapy usually have not had one or more of the following:  kinesio taping, cold laser/light therapy, iontophoresis, freeze spray and stretch, stimulation probe and aquatic therapy.  Even one or two of these may effectively treat someone's pain condition.

Even people who have had surgery and still have pain, can be helped.  Perhaps surgery  was done on a problem (found on a test) that was not contributing significantly to the pain, as medical tests can show false positives in some cases.  Also surgery could have been done on a problem that was only partly contributing to the patient's pain.  For example if a patient has a pinched nerve of the neck or back causing muscular, mechanical and postural problems, then surgery will only correct the nerve problem.  The other problems will continue, but now that the nerve problem has been corrected then these other causes of pain can be treated effectively without the presence of the underlying nerve problem.