PAIN MANAGEMENT

Muscle pain is extremely common. Almost everyone has likely experienced discomfort in his or her muscles at some point. Myalgia or muscle pain is a symptom of many diseases and disorders. The most common causes are the overuse or over-stretching of a muscle or a group of muscles. The causes of muscle pain are – tension, stress, overuse, strain and minor injuries.

Three types of pain:

  1. Somatic

– Somatic pain is a type of nociceptive pain that is also referred to as skin pain, tissue pain, or muscle pain. The nerves that detect somatic pain are located in the skin and deep tissues.

  1. Visceral

    Visceral pain is pain that results from the activation of nociceptors of the thoracic, pelvic, or abdominal viscera (organs). Visceral structures are highly sensitive to distension (stretch), ischemia and inflammation, but relatively insensitive to other stimuli that normally evoke pain such as cutting or burning.

  1. Neuropathic

Neuropathic pain is a complex, chronic pain state that usually is accompanied by tissue injury. With neuropathic pain, the nerve fibers themselves may be damaged, dysfunctional, or injured. These damaged nerve fibers send incorrect signals to other pain centers. The impact of nerve fiber injury includes a change in nerve function both at the site of injury and areas around the injury. 

What are the medical supplies available for prevention and treatment of muscle pain?

TENS – Transcutaneous Electrical Nerve Stimulator

TENS devices generate small pulses of electrical current and deliver the pulses to the user’s skin through electrode pads. The electricity from the electrodes stimulates nerves in the affected area and sends signals to the brain that “scramble” normal pain reception, allowing the pain associated with sore and aching muscles to be relieved.

BREG Polar Care Kodiak

Breg’s Polar Care is intended for application of external cold therapy for temporary reduction of pain, recovery, swelling, and/or inflammation resulting from injury or surgery. The Breg Polar Care Kodiak is the most convenient and versatile offering in Breg’s Polar care line. It is easy to use, compact design makes it great for clinic, hospital and home use. Depending on the patient’s protocol, with nothing more than an initial fill of a little ice and water, the user can enjoy up to 6-8 hours of motorized cold therapy.

Compression Stockings

As a person walks, the contraction and relaxation of the calf muscles around the veins aid in moving blood toward the heart. The external graduated compression socks and stockings act as a layer of muscle by gently squeezing the stretched vein walls together, allowing the valves to close. The cavity of the vein is reduced, thereby restoring blood flow to a normal state and aiding overall circulation.

Orthotics and Orthosis

Orthotics is a specialty within the medical field concerned with the designmanufacture and application of orthoses. An orthosis (plural: orthoses) is “an externally applied device used to modify the structural and functional characteristics of the neuromuscular and skeletal system“.  An orthosis may be used to:

  • Control, guide, limit and/or immobilize an extremityjointor body segment for a particular reason
  • To restrict movement in a given direction
  • To assist movement generally
  • To reduce weight bearingforces for a particular purpose
  • To aid rehabilitationfrom fractures after the removal of a cast
  • To otherwise correct the shape and/or function of the body, to provide easier movement capability or reduce pain

Kinesiology Tape

Therapeutic kinesiology tape can benefit a wide variety of musculoskeletal and sports injuries, plus inflammatory conditions. Kinesiology tape is almost identical to human skin in both thickness and elasticity, which allows kinesio tape to be worn without binding, constricting or restriction of your movement. Kinesiology tape is used for treating athletic injuries and a variety of physical disorders. You would have noticed that more professional athletes use kinesiology taping improve their sporting performance, prevent injury and allow them to return to sport quicker.

Therapeutic Ultrasound

The ultrasound device converts electrical current to high frequency sound waves, undetectable by the human ear. The sound waves penetrate deeply into muscle, nerve, bone and connective tissues. The waves vibrate the cells and cause friction, which creates heat. This occurs much deeper in the tissues (2 inches or more) than heat packs or any other heating modality can reach. The heat causes vasodilation with increased blood flow in the deeper tissues, which results in improved delivery of oxygen and nutrients as well as removal of cell wastes in these tissues. Deep heat also leads to decreased nerve sensitivity and pain by sedating nerve endings. Furthermore, it reduces swelling, inflammation, and muscle spasms as it increases range of motion, muscle relaxation, and tissue healing.