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Chronic pain is a major health issue affecting millions of people globally. It can have a debilitating impact on lives, preventing people from enjoying activities they love and limiting the quality of their day-today life. Recent surveys indicate that approximately 50 million adults in the U.S.—more than one in five—report experiencing pain every day or most days, most commonly in their back, hips, knees, or feet. People with chronic pain say it limits their functioning, including social activities and activities of daily living. Chronic pain is generally defined as pain persisting for longer than 12 weeks despite medication or treatment. Clinicians may use various determinations, but a general rule of thumb is that the pain has lasted beyond the expected duration after an acute injury or illness or is present without any history of an injury or insult. Taking a Multimodal Approach to Treatment Treating chronic pain is not a one-size-fits-all endeavor. To optimize outcomes, it is critical to form a multimodal treatment strategy. A multidisciplinary approach has been shown to be one of the most effective ways to manage chronic pain. A combination of medications, physical and behavioral therapies, injections, neuromodulation and in rare cases, implantable pain pumps should be considered in order to provide patients with the best possible results. Physicians who specialize in interventional pain management typically offer a full range of such options and work with their patients to develop a course of treatment aimed at helping them manage their chronic pain to the best extent possible.
Classifying Pain
For all physicians considering the challenge of chronic pain management, it may be helpful to review the different types of pain classification:
• Somatic pain is felt in the muscles, bones or soft tissues. It is typically localized and can be intermittent or constant. It is often described as an
aching, gnawing, throbbing, or cramping type of pain.
• Visceral pain comes from the internal organs and blood vessels and is typically more diffuse than localized. Visceral pain tends to be referred to other locations, and can be accompanied by symptoms such as nausea, vomiting, or tension in lower back muscles. It can be intermittent or constant, and is typically described as being dull, squeezing, or aching.
• Neuropathic pain occurs when the nervous system is damaged or not working properly. It can be experienced at the various levels of the nervous
The Importance of Multimodal Therapy Tools for treating chronic pain system, from the peripheral nerves to the spinal cord and the brain. Nerve pain can be described as shooting, sharp, stabbing, lancinating, or burning.
Tools in the Pain Management Toolbox
A multimodal approach to managing chronic pain often involves “layering” options that range from conservative to highly interventional. Conservative management-The least invasive options for many patients include first-line therapies such as topical analgesics, physical therapy, acupuncture, chiropractic, transcutaneous electrical nerve stimulation (TENS) therapy and massage therapy. For some patients experiencing mild or temporary pain states, these interventions can be enough to manage the problem. For individuals who experience ongoing pain, these interventions can be helpful adjunctive therapies alongside other more intensive approaches.
Medication management- Depending on the type of pain and its severity, doctors may opt for either short- or long term use of over-the-counter medications like nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, anticonvulsants, neuropathic agents and in severe cases, opioids. While these medications can provide short-term relief, they may not be sufficient to manage chronic pain. Regarding the use of narcotic pain relievers (such as fentanyl, buprenorphine, oxycodone, hydrocodone, hydromorphone, morphine and methadone), and practitioner education in the last few years has been extensive. Education has reduced the number of opioid prescriptions and underscored their use as a tool for management of acute pain, which is their primary indication. There is considerable research showing that the use of opioids for chronic pain does not provide substantial benefit beyond the acute care period. Most providers are increasingly aware of this, and educating their patients about opioid risks and benefits is an ongoing responsibility of all physicians. There are several non-narcotic prescriptions which can be used to manage chronic pain. The group of gabapentinoids (gabapentin and pregabalin) can be particularly effective, especially for neuropathic pain. Another commonly used medication is duloxetine, a serotonin and norepinephrine reuptake inhibitor, often used for neuropathic pain in combination with gabapentin. For myofascial pain, muscle relaxers such as tizanidine, baclofen, and cyclobenzaprine can be helpful for certain patients. Medical cannabis is increasingly understood to be useful for select patients, with about a 50–60% reported success rate in reducing pain. Anecdotally, people who have previously used marijuana recreationally seem to respond well to it in a pain management context, because they understand what having cannabis in their system feels like. Other patients who have not used cannabis previously may not care for the side effects and therefore not report such positive results. In general, though, many physicians and patients agree that cannabis can be helpful to try in low doses and safely ingested in oral form. A comprehensive, multidisciplinary pain practice typically has physicians who can certify patients for medical cannabis.
Interventional Therapies
There are several interventional procedures that can be effective in addressing chronic pain, starting with local injections in the joint, spine or nerves. These can be trialed as part of a treatment plan for certain types of chronic pain, particularly in cases where the specific sources of pain have been identified. For example, injections can treat arthritis, nerve blocks can relieve neuropathic pain and epidural steroid injections can assuage radicular back and neck pain. When combined with physical therapy, these targeted treatments may help reduce inflammation and improve mobility. In cases where injection therapy does not prove adequate for ongoing pain relief, other advanced interventional 50 million adults in the U.S.— more than one in five— report experiencing pain every day or most days. Therapies may be utilized. The technology and practice of implantable pain control devices is advancing rapidly, with life-changing outcomes for many more patients than ever before. These devices deliver very low doses of specifically targeted pain relief around the clock and present less risk of addiction and fewer side effects, removing concerns around either forgetting to take or taking too much medication. Peripheral nerve stimulation (PNS) therapy delivers an ongoing series of electrical pulses to a targeted area of a peripheral nerve, reducing the pain signals that are sent from the body to the brain. For other cases, spinal cord stimulation (SCS) can be an effective solution. SCS therapy also uses electricity to modulate the way pain signals are sent from the body to the brain, with the modulation being done at the level of the spinal cord. One of the most common indications for SCS is “failed back syndrome”: people who have had surgery on their back but continue to have low back pain and possibly leg pain. SCS therapy can also be used for other indications, such as painful neuropathies including diabetic neuropathy and alcohol-induced neuropathy, as well as complex regional pain syndrome involving chronic arm or leg pain that develops after injury or illness. The data supporting use of spinal cord stimulation for chronic pain is favorable. The technology of today has greatly improved compared to even five or ten years ago, and results are getting better. Neuromodulation does not work for every patient, however, and we don’t ever promise or expect 100% pain relief; the goal is typically a 50–75% reduction in pain, enough to improve comfort, mobility and quality of life. In some cases where systemic medications, surgeries, interventional procedures and neuro-stimulation implants have failed, pain specialists may recommend an intrathecal drug delivery system, also known as a pain pump. The pain pump is surgically implanted in the abdomen or upper buttock and delivers a steady supply of medications directly into the intrathecal space where the spinal cord is located. The medications—typically a combination of an opioid and a local anesthetic—can be provided in very low doses, directly at the site of where those medications work on the spinal cord. Intrathecal drug delivery is sometimes referred to as a targeted drug delivery because it primarily targets spinal binding sites for pain relief, bypassing the blood brain barrier by infusing the therapeutic agents into the cerebrospinal fluid. Because of the targeted delivery, it reduces the mental side effects associated with systemic opioid management. Intrathecal drug delivery has flourished since its inception because it is uniquely effective. Many experienced pain physicians consider it to be “the best therapy for the worst pain.”
Physical and Behavioral Therapy
In conjunction with other interventions, it is paramount for pain management physicians to utilize physical and behavioral therapy as part of the treatment plan for chronic pain patients when indicated. Physical therapists can teach patients exercises that focus on posture, mobility, balance and strength-building that can provide long-term relief from chronic conditions like arthritis, fibromyalgia and low back pain. Behavioral therapy can also help patients address underlying mental health issues that commonly go hand in hand with chronic pain. When patients have depression or anxiety that is not well controlled, their chronic pain is often quite challenging to treat effectively.
Referring to a Pain Specialist
Gaining control over a patient’s chronic pain can present a real challenge to primary care physicians and other general practitioners. Faced with a patient that proves refractory to usual treatments, doctors may consider referring the patient to a specialist in pain management. Primary care clinicians should be aware of their options for referring a patient suffering from chronic pain in order to provide them with the best hope for achieving long-term relief. An experienced specialist may be able to tailor treatments specifically targeted for their patient’s condition, which can be invaluable when handling complex cases such as chronic pain conditions. Chronic pain is challenging to treat. As opposed to acute pain, wherein physicians often know the etiology of a patient’s pain, chronic pain often requires a more extensive workup to identify the source or sources of a patient’s painful condition. This can be especially true when it comes to spinally mediated pain, which is the most common complaint chronic pain physicians encounter. The spine is a complex anatomic structure. The task a pain specialist undertakes is to find out what may be causing the pain, utilizing advanced imaging, tests and interventional therapies, which are often diagnostic as well as therapeutic. When a patient is initially seen by a pain specialist, the physician takes a full history, reviews the referring provider’s notes and any diagnostic results to date. As previously mentioned, physical therapy is often a first line intervention for patients. If psycho-social stressors are present, behavioral health consultation is warranted. Additional workup such as diagnostic tests and imaging will then be considered if indicated. Once this workup has been initiated, the pain physician can hopefully find the source of the chronic pain and begin interventions and allied therapies in a more targeted approach. This all happens concurrently with the patient working with physical therapy, seeing a behavioral health therapist, and optimizing a medication regimen along the way as indicated. A comprehensive pain clinic often has physical therapy and behavioral health specialists on site as a part of their practice and can offer a multidisciplinary approach to chronic pain under one roof.
A Focused, Intensive Approach
Many pain specialty practices offer a chronic pain program— an intensive, focused initiative designed for patients who may have exhausted their therapeutic options, are no longer seeking a specific diagnosis or additional interventions, and are simply living with chronic pain they are likely to have for the rest of their lives. Our program, and programs like it around the country, combine education with physical and behavioral therapy. Patients learn principles for self-management: quality nutrition, good sleep hygiene, smoking cessation, benefits of exercise in improving mental and physical health—basically how all the components of their own behaviors are going to help them manage their pain better and improve their quality of life. These programs are usually quite intensive, with patients coming every day or several days a week for the duration of the program, which may be four to eight weeks in length. Educating Patients and Setting Expectations When we think of patients achieving relief from their chronic pain, we typically mean their pain has become minimal enough that it doesn’t unduly affect their daily life. Chronic pain is challenging to treat; the longer the body experiences a hyper-excitable state while in pain, the more the brain remodels and adapts to the chronic pain state. This phenomenon is known as central sensitization and can present as a vicious cycle which can be hard to break. Breaking this cycle is what a pain specialist’s care team works toward. A key part of chronic pain management is educating patients about their health and their options, making sure they understand time to therapeutic effects, setting realistic expectations for each modality and helping them play a positive role in their pain relief journey.
Today more than ever before, there are options that can help nearly every patient. Taking a multimodal, multidisciplinary approach gives us the greatest chance of achieving significant pain management and improved quality of life.
Cody Foster, MD, practices at Nura Pain Management and is board certified in Anesthesiology and Pain Medicine
The human body is amazingly complex. With nearly a dozen systems working in symphony with one another, each is vitally important to a persons overall health. The skeletal system is comprised of 206 bones and performs six major functions in the body: support, movement, protection, production of blood cells, storage of minerals, and endocrine regulation.Osteoporosis is a disease that can impact the skeletal system, causing bones to become weak or brittle, putting people at risk for fractures. Bone is living tissue that is constantly being broken down and replaced. When a person is young, bone is made faster than it is broken down. As people age, this process slows and bone mass is lost faster than its created. Osteoporosis occurs when the creation of new bone is unable to keep up with the loss of old bone.At American, Advocate and Whitsyms In-Home Care, we know that keeping bones healthy is an important part of helping older adults live independently. To better understand the risk factors, as well as osteoporosis prevention strategies, we share the following helpful information.Who Is at Risk for Osteoporosis?Osteoporosis can affect both women and men, and while it can develop at any age, the risk factors increase as a person ages. In women, the disease may begin to develop a year or two prior to menopause. Although most common in non-Hispanic white and Asian women, osteoporosis can develop in men and in African American and Hispanic individuals of both sexes. Additional risk factors include:Body frame size. Women and men who have small body frames are typically at higher risk as they have less bone mass to draw from as they age.Family history. Having a parent or sibling with osteoporosis puts an individual at greater risk.Thyroid issues. Too much thyroid hormone can cause bone loss. This can occur if a persons thyroid is overactive or if too much thyroid hormone medication is taken to treat an underactive thyroid.Sex hormones. Lowered sex hormone levels can be a strong contributing factor for osteoporosis. Decreased estrogen levels following menopause, treatments for prostate cancer that reduce testosterone levels in men, and treatments for breast cancer that reduce estrogen levels in women are likely to accelerate bone loss.Low calcium intake. Long-term lack of calcium in a persons diet plays a role in the development of osteoporosis and can contribute to diminished bone density, early bone loss, and an increased risk of fractures.Steroids and other medications. Long-term use of oral or injected corticosteroid medications, such as prednisone and cortisone, interferes with the bone-rebuilding process. Additionally, medications for gastric reflux, transplant rejection, and seizures can increase bone loss and the risk for osteoporosis.Sedentary lifestyle. People who spend large amounts of time sitting have a higher risk of osteoporosis than individuals who are more active.Tobacco use. While the exact role tobacco plays in osteoporosis is not clear, it has been shown to contribute to weak bones.Chronic heavy drinking. Long-term consumption of more than two alcoholic drinks per day increases the risk of osteoporosis.Osteoporosis PreventionWhile a number of osteoporosis risk factors are out of a persons control, lifestyle changes can help maintain bone health.Calcium.Men and women between the ages of 18 and 50 need 1,000 milligrams of calcium per day. This daily amount increases to 1,200 milligrams when women turn 50 and men turn 70. To increase calcium intake, consider including these foods as part of a well-rounded diet:Calcium-fortified cereals and orange juiceLow-fat dairy productsDark green leafy vegetablesCanned salmon or sardines with bonesSoy products, such as tofuIf it is difficult to reach the recommended daily intake of calcium through diet alone, speak with your physician about including an over-the-counter calcium supplement.Vitamin D.Vitamin D helps improve the body's ability to absorb calcium. People can get vitamin D from sunlight; however, the use of sunscreen reduces the amount of vitamin D absorbed this way. It is recommended that people get at least 600 international units (IU) of vitamin D per day. After a person turns 70 years old, that recommendation increases to 800 IU per day. Vitamin D can be found in:Trout, salmon, tuna and swordfishOrange juice fortified with vitamin DDairy and plant milks fortified with vitamin DEgg yolksFortified cerealsIf you have trouble getting enough vitamin D in your diet, speak with your health care provider to determine the type and amount of vitamin D supplements you should take.Exercise.Exercise helps build strong bones and slow bone loss, and provides benefits no matter when you start. For maximum benefits, combine strength training exercises with weight-bearing and balance exercises.Strength training helps strengthen muscles and bones in the arms and upper spine.Weight-bearing exercises such as walking or jogging strengthen the bones in the legs, hips and lower spine.Balance exercises such as tai chi help to reduce the risk of falling.At American, Advocate and Whitsyms In-Home Care, our referred care providers help older adults make healthy lifestyle choices by encouraging regular, physician-approved exercise, healthy eating habits and much more. These care providers can work with each client to offer a variety of in-home care services that enhance independence and safety, while helping to monitor conditions such as osteoporosis and other chronic health conditions.Contact us today at the location nearest you and let us help find the perfect care provider to meet your needs. American In-Home Care Serving North, Central, and West Coast of FloridaAdvocate In-Home Care Serving Southeast and Southwest FloridaWhitsyms In-Home Care Serving Southeast and Southwest FloridaState of Florida License and Registration Numbers: 30211518, 30211651, 30211295, 30211390, 30210978, 30211293, 30211382, 30211504, 30211733, 30211535, 30211531, 30211710, 30211709, 30211045, 5661
Medically reviewed by Karen Wolters, RN and Joanna Fearnley, LPNIf you are like most active individuals, you probably enjoy engaging in sports, but hate the sore muscles you experience after a good game. So have you ever wondered if there exists an easy way to reduce the time needed for post-game muscle recovery? And is there a safe and effective way to decrease muscle fatigue for better athletic performance? The simple answer to these questions is yes, there is non-invasive, fast-acting, and risk-free Red Light Therapy!The good news for all athletes is that a simple and easy twenty-minute Red Light Therapy session before and/or after any type of sports activity or exercise can make a big difference in muscle performance, muscle fatigue, and recovery time! And not only can Red Light Therapy accelerate the repair of muscle damage, it can even help prevent it!Red Light Therapy Benefits AthletesIn a nutshell, Red Light Therapy is the use of light at different wavelengths and intensities to induce biochemical changes in tissue in a stimulatory or inhibitory manner.1 Red Light Therapy is also known as light emitting diode (LED) therapy; photobiomodulation (PBM), and phototherapy.With each passing decade, science continues to discover more and more therapeutic benefits that Red Light Therapy affords skin, muscles, nerves, cartilage, tendons, and even bones. Red Light Therapys benefits for muscles are especially exciting for athletes:Red Light Therapy can enhance muscle performanceRed Light Therapy can delay and reduce muscle fatigueRed Light Therapy can repair muscle damageRed Light Therapy can prevent muscle damageRed Light Therapy can improve postexercise muscle recoveryAs a 2013 study published in the Journal of Athletic Training confirms, Investigators could conclude that exposing skeletal muscle to single-diode and multidiode laser or multidiode LED therapy positively affects physical performance by delaying the onset of fatigue, reducing the fatigue response, improving postexercise recovery, and protecting cells from exercise-induced damage. This makes Red Light Therapy a very valuable therapeutic tool for all athletes, whatever their performance level. So why does Red Light Therapy affect such beneficial results in skeletal muscle?How Red Light Therapy Supports MusclesRed Light Therapy produces wide-ranging effects at the molecular, cellular, and tissue levels when Red Light Therapy pads are placed on the body. Photons of light emitted from the pads are easily absorbed through the skin, penetrating deeply into several inches of tissue. This light is then converted into signals that induce cascades of therapeutic chemicals to be released in cells that trigger, support, and speed up the bodys innate healing processes.One of the therapeutic chemicals that Red Light Therapy boosts is adenosine triphosphate (ATP), which is vital for muscles. Muscles rely heavily on adenosine triphosphate (ATP), which is the biological source of energy needed for muscle work, and therefore robust increased ATP levels are the most popular hypothesis to explain the extraordinary effects that PBM appears to exert on muscle tissue. So, by using Red Light Therapy pre-game, athletes can increase their skeletal muscle ATP levels, resulting in better working muscles for better game performance.Red Light Therapy Reduces Recovery TimeScience has discovered that the level of ATP in muscle cells can make a big difference in not only performance but also recovery time. Skeletal muscle adenosine triphosphate (ATP) levels are severely depleted during and following prolonged high intensity exercise. Recovery from these lower ATP levels can take days, which can affect performance on subsequent days of exercise. But by using Red Light Therapy post-game, athletes can replenish the ATP levels in their muscles for faster recovery time!When to Use Red Light TherapyIs it better to use Red Light Therapy pre- or post-game? Although most researchers have chosen to study the effects of Red Light Therapy before physical activity, there are studies that have found that Red Light Therapy provides benefits both before and after physical activity. However, evidence has shown positive effects in the application before and after exercise in the ability to prevent injuries related to muscle fatigue and also in the improvement of the recovery process. Another study stated, Both preconditioning (light delivered to muscles before exercise) and PBM applied after exercise can increase sports performance in athletes.It is interesting to note that Red Light Therapy administered before activity can also help improve muscle recovery after exercise or sports. One study found that even though Red Light Therapy was administered as a stand-alone therapy to high-level soccer players before exercise, performance and recovery were also improved, with Red Light Therapy, enhancing athletic performance and improving postexercise recovery. And a 2016 study of twelve male athletes also concluded that Red Light Therapy administered pre-exercise can enhance performance and accelerate recovery of high-level rugby players in field test.Add Red Light Therapy to Your Exercise EquipmentWhether Red Light Therapy is administered pre- or post-game, or both, its therapeutic benefits for muscle endurance and performance during sports and exercise, and muscle recovery after physical activity are undeniable. To summarize, Red Light Therapy, can improve muscle performance, reduce muscle fatigue during exercises, and benefit the muscle repair. So, keep a Red Light Therapy device wherever you train or exercise because, Phototherapy appears to be a viable treatment modality for skeletal muscle. It is safe, easy to administer, and noninvasive and has no known side effects and few reported contraindications.Choose HealthLight for Red Light Therapy PadsJust as all exercise equipment is not created equal, so it is with Red Light Therapy devices. To get the best support for your muscles, purchase your Red Light Therapy device from HealthLight. All HealthLight systems are durable, high quality medical-grade devices for both clinics and consumers that deliver the optimum amount of joules into the body for fast-acting and dependable pain relief, plus the acceleration of your bodys innate healing processes! HealthLight makes the most powerful clinical-strength Red Light Therapy devices available in todays marketplace to provide you the therapeutic benefits of Red Light Therapy in the convenience of your home. HealthLight offers a wide choice of Red Light Therapy pads and controllers to meet the needs and budget of any individual, family, or health practitioner. Your muscles will thank you!
Medically reviewed by Karen Wolters, RN and Joanna Fearnley, LPNThe medical establishment today seems to basically have three ways to treat both acute and chronic pain: drugs, injections, and/or surgery. Currently accepted therapies consist of non-steroidal anti-inflammatory drugs, steroid injections, opiate pain medications and surgery, each of which carries their own specific risk profiles. But this does not have to continue to be the norm for pain treatment. There is a better way to achieve pain relief using an alternative option available to everyone that is non-invasive, painless, non-addictive, fast-acting, highly effective, dependable, totally safe, and risk free and that is Red Light Therapy!Red Light Therapy is a BreakthroughAccording to author Ari Whitten, Red and near-infrared light therapy are one of the biggest breakthrough discoveries in health in the last half century. And Dr. Michael R. Hamblin, a pioneer in the study of light therapy, states, To a very great extent I believe that almost all types and variety of human diseases can be treated with light (of one kind or another).What is Red Light Therapy?Red Light Therapy is non-invasive, painless, and does not add any amount of stress or negative side effects to the body. It is a drug-free way to relieve existing pain. A good basic definition of Red Light Therapy is, a fast-growing technology used to treat a multitude of conditions that require stimulation of healing, relief of pain and inflammation, and restoration of function.[4] Red/Infrared Light utilizes non-coherent light sources consisting of light-emitting diodes (LEDs) in specific wavelengths that produce a wide range of beneficial effects on the body, and can even support the bodys repair and regeneration of nerves and tissues. Many patients feel pain relief after just their first session of Red Light Therapy.How Red Light Therapy WorksRed Light Therapy not only effectively relieves pain, but it also stimulates and accelerates the bodys own innate healing processes a very important benefit which drugs and injections simply cannot accomplish. Wherever a Red Light Therapy Pad is placed on the body, photons of light are released which induce cascades of beneficial biochemical processes within the cells, similar to photosynthesis in plants. Radiation of tissue with light causes an increase in mitochondrial products such as ATP, NADH, protein, and RNA Nitric oxide, the bodys vasodilator, is also released, which increases circulation, so that blood rich with oxygen and nutrients can now flow more freely into nerves, muscles, joints, and other tissues within that local area and accelerate the bodys natural healing processes.Safe and Risk FreeRed Light Therapy has been found to be risk free and can be administered without concern for harmful side effects. According to Dr. Michael R. Hamblin, Red Light Therapy has been proven to have an almost complete lack of reported adverse effectsA Typical Therapy SessionSo what is a typical Red Light Therapy session like? A typical session usually lasts twenty minutes. Depending upon where the light therapy pads are needed for pain relief and healing support, you will either sit or recline. All you need do is relax and stay comfortable. You can watch television, read, talk on the phone, listen to music, or meditate during your therapy. When the pads are in place and the controller is turned on, a gentle heat can be felt. Photons of light will be emitted that penetrate beneath your skin and are absorbed within your cells. Patients have described their Red Light Therapy sessions as comfortable, relaxing, and soothing. There is no downtime after a treatment session, and this boost of pain relief and beneficial cellular processes continues for several hours or even days after the session.Getting StartedPatients with chronic pain management needs will benefit from purchasing a Red Light Therapy system for home use, which may also benefit the entire family. And, since Red Light Therapy pads are made of flexible neoprene, this makes each pad very versatile. The same therapy pad can be used to treat issues that affect different areas of the body.HealthLight, a leading American manufacturer of professional, medical-grade FDA-cleared Red Light Therapy devices, makes two lines of Red Light Therapy systems: their Express-At-Home Line of devices for home users which feature convenient small and lightweight attached controllers, and their Clinical Line of Red Light Therapy products for health practitioners that utilize a separate 3 or 6-port controller to power the light therapy pads.HealthLights Small 90 Diode Pad can make the perfect therapy system for the whole family. The small size of this pad makes it easy to place anywhere on the body. For health practitioners, a 3-port controller and one to three light therapy pads (for example, HealthLights Large 264 Diode Body Pad along with their Long 180 Diode Pad) will make a world of difference in your clinic for better patient outcomes and for your revenue stream.Try Red Light TherapyNow that you know what Red Light Therapy is, you can depend upon Red Light Therapy to provide fast-acting and effective pain relief. And HealthLight makes the most durable and most powerful clinical-strength Red Light Therapy devices available today. HealthLight offers a variety of systems to meet the needs of any individual, family, or health clinic. Purchasing a Red Light Therapy system from HealthLight will provide you and/or your patients with effective pain relief, plus stimulate, accelerate, and support the bodys own innate healing processes the best way to maintain health and wellness, and, hopefully, avoid drugs, injections, and surgery.
Nura Pain Clinics: Pioneering Physical Therapy for a Pain-Free TomorrowIn the bustling landscape of modern healthcare, where the pursuit of pain relief often feels like a labyrinthine journey, Nura Pain Clinics stands as a beacon of hope and healing. Nestled in the heart of urban vitality, with branches spanning across communities, Nura is not just a physical therapy clinic; it's a sanctuary where individuals rediscover the joy of movement and the freedom from chronic pain.A Holistic Haven:Step through the doors of Nura Pain Clinics, and you're immediately enveloped in an atmosphere of serenity and reassurance. The clinic's ambiance is meticulously curated to foster a sense of calm, with soft lighting, soothing colors, and the gentle hum of tranquil melodies floating through the air. From the moment you arrive, it's evident that this is not just a place of treatment but a haven for holistic healing.Expertise That Matters:At the core of Nura's ethos lies an unwavering commitment to excellence in care. Every member of the clinical team is not just highly skilled but deeply compassionate, embodying the belief that healing is as much about empathy as it is about expertise. Led by a cadre of distinguished physical therapists, each with a wealth of experience and a passion for innovation, Nura Pain Clinics sets the standard for quality care in the field of pain management.Tailored Solutions, Personalized Care:No two individuals are alike, and at Nura Pain Clinics, the approach to treatment reflects this fundamental truth. Here, there are no one-size-fits-all solutions; instead, every patient receives a bespoke treatment plan tailored to their unique needs, goals, and circumstances. Whether recovering from injury, managing a chronic condition, or seeking to optimize physical performance, clients can expect personalized care that honors their individual journey to wellness.Cutting-Edge Techniques, Timeless Wisdom:Innovation is the lifeblood of progress, and Nura Pain Clinics stands at the forefront of the latest advancements in physical therapy. From state-of-the-art equipment to cutting-edge techniques, the clinic embraces technology as a tool for empowerment, enhancing the efficacy of treatment while minimizing discomfort and downtime. Yet, amidst this commitment to innovation, Nura remains rooted in timeless principles of healing, drawing upon centuries-old practices and wisdom traditions to inform its approach.A Multidisciplinary Approach:True healing extends beyond the confines of a single discipline, recognizing the interconnectedness of body, mind, and spirit. At Nura Pain Clinics, this understanding is reflected in a multidisciplinary approach that integrates various modalities of care, from physical therapy and chiropractic care to acupuncture, massage therapy, and beyond. By harnessing the synergies between these diverse disciplines, Nura offers comprehensive solutions that address the root causes of pain and promote lasting vitality.Empowering Education:In the journey toward wellness, knowledge is power, and at Nura Pain Clinics, education is regarded as an essential component of healing. Patients are not mere recipients of care but active participants in their own health journey, empowered with the understanding and tools needed to make informed decisions and cultivate sustainable habits. Through workshops, seminars, and one-on-one consultations, Nura equips individuals with the insights and strategies they need to reclaim agency over their health and well-being.Community-Centric Care:Beyond the confines of its clinical walls, Nura Pain Clinics is deeply embedded in the fabric of its surrounding communities. Whether through outreach programs, partnerships with local organizations, or participation in community events, the clinic is committed to fostering wellness on a broader scale. By nurturing connections and building bridges within and beyond its geographical boundaries, Nura strives to create a ripple effect of health and healing that extends far beyond its immediate sphere of influence.A Legacy of Transformation:For those who have walked through its doors, Nura Pain Clinics is more than a healthcare provider; it's a catalyst for transformation. Here, lives are not just restored but revitalized, as individuals discover newfound strength, resilience, and joy in the journey toward wellness. With each success story and every milestone achieved, Nura reaffirms its mission to be a beacon of hope and healing in a world too often overshadowed by pain.In Conclusion:In a world where pain is all too prevalent, Nura Pain Clinics stands as a testament to the power of compassion, expertise, and innovation in the pursuit of healing. From its serene ambiance to its personalized approach, from its cutting-edge techniques to its timeless wisdom, every aspect of the clinic is crafted with one goal in mind: to empower individuals to live their lives to the fullest, free from the constraints of pain. As a pioneer in the field of physical therapy, Nura is not just transforming bodies; it's transforming lives, one step at a time.
Nura Pain Clinics: Redefining Pain Management with Compassion and ExpertiseIn a world where the specter of pain looms large for so many, Nura Pain Clinics emerges as a beacon of hope and healing, dedicated to transforming the landscape of pain management. Founded on the principles of compassion, expertise, and innovation, Nura is more than just a clinic; it's a sanctuary where individuals find solace, support, and solutions on their journey toward relief and recovery.A Sanctuary of Healing:Step into the tranquil embrace of Nura Pain Clinics, and you're immediately enveloped in an atmosphere of warmth and reassurance. The clinic's ambiance is carefully curated to soothe the senses, with soft lighting, calming colors, and the gentle murmur of flowing water creating a haven of tranquility amidst the chaos of everyday life. Here, amidst the hustle and bustle of modernity, individuals find respite from the burdens of pain, welcomed with open arms into a space where healing is not just a goal but a guiding principle.Expertise That Inspires Confidence:At the heart of Nura Pain Clinics lies a team of dedicated professionals, each a beacon of expertise and compassion in their respective fields. Led by renowned pain management specialists, the clinical staff at Nura brings together a wealth of knowledge, experience, and skill to bear on the complex challenges of pain. From board-certified physicians to highly trained nurse practitioners, physical therapists, and holistic wellness practitioners, every member of the Nura team is united by a singular purpose: to provide the highest standard of care with unwavering compassion and integrity.Comprehensive Care, Tailored Solutions:Pain is as diverse and multifaceted as the individuals who experience it, and at Nura Pain Clinics, the approach to treatment reflects this fundamental truth. Here, there are no one-size-fits-all solutions; instead, every patient receives a comprehensive evaluation and a personalized treatment plan tailored to their unique needs, goals, and circumstances. Whether managing acute pain, chronic conditions, or the complex interplay of physical and emotional distress, clients can expect compassionate care that addresses the root causes of pain while promoting holistic well-being.Innovative Techniques, Evidence-Based Practice:In the pursuit of pain relief, innovation is key, and Nura Pain Clinics stands at the forefront of the latest advancements in pain management. From cutting-edge procedures and minimally invasive interventions to evidence-based pharmacotherapy and integrative therapies, the clinic offers a comprehensive array of treatment options designed to alleviate pain, restore function, and improve quality of life. Yet, amidst this commitment to innovation, Nura remains grounded in the principles of evidence-based practice, ensuring that every treatment modality is rigorously evaluated for safety, efficacy, and long-term outcomes.
Nura Pain Clinics: Pioneering Physical Therapy for a Pain-Free TomorrowIn the bustling landscape of modern healthcare, where the pursuit of pain relief often feels like a labyrinthine journey, Nura Pain Clinics stands as a beacon of hope and healing. Nestled in the heart of urban vitality, with branches spanning across communities, Nura is not just a physical therapy clinic; it's a sanctuary where individuals rediscover the joy of movement and the freedom from chronic pain.A Holistic Haven:Step through the doors of Nura Pain Clinics, and you're immediately enveloped in an atmosphere of serenity and reassurance. The clinic's ambiance is meticulously curated to foster a sense of calm, with soft lighting, soothing colors, and the gentle hum of tranquil melodies floating through the air. From the moment you arrive, it's evident that this is not just a place of treatment but a haven for holistic healing.Expertise That Matters:At the core of Nura's ethos lies an unwavering commitment to excellence in care. Every member of the clinical team is not just highly skilled but deeply compassionate, embodying the belief that healing is as much about empathy as it is about expertise. Led by a cadre of distinguished physical therapists, each with a wealth of experience and a passion for innovation, Nura Pain Clinics sets the standard for quality care in the field of pain management.Tailored Solutions, Personalized Care:No two individuals are alike, and at Nura Pain Clinics, the approach to treatment reflects this fundamental truth. Here, there are no one-size-fits-all solutions; instead, every patient receives a bespoke treatment plan tailored to their unique needs, goals, and circumstances. Whether recovering from injury, managing a chronic condition, or seeking to optimize physical performance, clients can expect personalized care that honors their individual journey to wellness.Cutting-Edge Techniques, Timeless Wisdom:Innovation is the lifeblood of progress, and Nura Pain Clinics stands at the forefront of the latest advancements in physical therapy. From state-of-the-art equipment to cutting-edge techniques, the clinic embraces technology as a tool for empowerment, enhancing the efficacy of treatment while minimizing discomfort and downtime. Yet, amidst this commitment to innovation, Nura remains rooted in timeless principles of healing, drawing upon centuries-old practices and wisdom traditions to inform its approach.A Multidisciplinary Approach:True healing extends beyond the confines of a single discipline, recognizing the interconnectedness of body, mind, and spirit. At Nura Pain Clinics, this understanding is reflected in a multidisciplinary approach that integrates various modalities of care, from physical therapy and chiropractic care to acupuncture, massage therapy, and beyond. By harnessing the synergies between these diverse disciplines, Nura offers comprehensive solutions that address the root causes of pain and promote lasting vitality.Empowering Education:In the journey toward wellness, knowledge is power, and at Nura Pain Clinics, education is regarded as an essential component of healing. Patients are not mere recipients of care but active participants in their own health journey, empowered with the understanding and tools needed to make informed decisions and cultivate sustainable habits. Through workshops, seminars, and one-on-one consultations, Nura equips individuals with the insights and strategies they need to reclaim agency over their health and well-being.Community-Centric Care:Beyond the confines of its clinical walls, Nura Pain Clinics is deeply embedded in the fabric of its surrounding communities. Whether through outreach programs, partnerships with local organizations, or participation in community events, the clinic is committed to fostering wellness on a broader scale. By nurturing connections and building bridges within and beyond its geographical boundaries, Nura strives to create a ripple effect of health and healing that extends far beyond its immediate sphere of influence.A Legacy of Transformation:For those who have walked through its doors, Nura Pain Clinics is more than a healthcare provider; it's a catalyst for transformation. Here, lives are not just restored but revitalized, as individuals discover newfound strength, resilience, and joy in the journey toward wellness. With each success story and every milestone achieved, Nura reaffirms its mission to be a beacon of hope and healing in a world too often overshadowed by pain.In Conclusion:In a world where pain is all too prevalent, Nura Pain Clinics stands as a testament to the power of compassion, expertise, and innovation in the pursuit of healing. From its serene ambiance to its personalized approach, from its cutting-edge techniques to its timeless wisdom, every aspect of the clinic is crafted with one goal in mind: to empower individuals to live their lives to the fullest, free from the constraints of pain. As a pioneer in the field of physical therapy, Nura is not just transforming bodies; it's transforming lives, one step at a time.