Comprehensive Pain Management
(Formally known as Franklin Pain and Wellness and Warwick Pain)

Attleboro, MA(508) 236-8333
Franklin, MA(508) 541-0004
South Kingstown, RI (401) 234-9677
Warwick, RI(401) 352-0007

Franklin, MA • (508) 541-0004
Warwick, RI • (401) 352-0007
South Kingstown, RI • (401) 234-9677

South Kingstown Pain Center RI Blog

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Balloon Kyphoplasty Curbs Opioid Use in Vertebral Compression Fractures

Darren Kincaid - Friday, February 23, 2018
Comprehensive Pain Management - South Kingstown, RI

Patients suffer vertebral compression fractures when their bones become too fragile. VCF complications may include impaired gait, disability, reduced lung function, early satiety, future fracture risk and mortality. The National Osteoporosis Foundation reports a vertebral fracture occurs every 22 seconds globally, and about two-thirds of VCFs are initially asymptomatic and under-diagnosed.

Older women, especially, are at great risk of developing VCFs. A 2015, 12-year study compared hospitalizations for osteoporotic fractures in women 55 years and older to hospitalizations for other conditions. The study discovered 4.9 million hospitalizations for osteoporotic fractures in women, more than the hospitalizations for myocardial infarction, stroke or breast cancer.

Patients with VCFs have a variety of treatment options, including non-surgical management, balloon kyphoplasty (BKP) and vertebroplasty. Non-surgical management often involves bracing patients and prescribing opiods for pain management.

Non-surgical management in the elderly population poses a particularly challenging healing environment, because if you give them enough time, they will form fibrosis in the fracture, but if their bone quality is that bad, they have no innate ability to heal themselves. And adding narcotics into the mix presents a "recipe for disaster" for the elderly, as the medication will make them "loopy" and at risk of losing their balance.

Drug reliance can be a problem

Opioids play a major role in non-surgical management of VCFs, so many providers seek alternative treatment methods to combat the opioid epidemic sweeping the nation.

There must alternative forms of therapy for patients. And it is imperative these alternative treatment options catch the condition early. The addictive potential of opioids poses a critical reason for the importance of early detection of VCFs.

There are many benefits to treating early. A quick procedure with low morbidity and low risk that yields a high benefit of getting people out of the hospital, mobilized and off their narcotics quicker is a necessity.

That's where procedure-based pain management techniques, such as balloon kyphoplasty, come in.

How balloon kyphoplasty stacks up against non-surgical management

Balloon kyphoplasty is an augmentation procedure designed to stabilize the spine.

Balloon kyphoplasty is a minimally invasive procedure for the treatment of pathological fractures of the vertebral body due to osteoporosis, cancer or benign lesion. Cancer includes multiple myeloma and metastatic lesions, including those arising from breast or lung, or lymphoma. Benign lesions include hemangioma and giant cell tumor.

Surgeons mechanically treat a fracture by inserting and inflating a balloon to create an open cavity inside the bone for injecting bone cement. Surgeons insert a controlled amount of Kyphon bone cement into the cavity, which creates an internal cast to stabilize the fracture.

The reason doctors want to do more balloon kyphoplasty is because evidence shows patients have much better pain relief short- and long-term and rewduce the amount of opioid use. Pain is the number one reason people seek medical care, so we need a viable procedurebased option to treat pain.

Balloon Kyphoplasty is a minimally invasive procedure designed to repair spinal fractures. More than 15,000 physicians have undergone balloon kyphoplasty training worldwide and treated more than 1 million fractures with the procedure.

Pain relief has certainly been obsovered across numerous studies, finding statistically and clinically significant pain reductions from baseline observed early from week one that persisted through 12 months or 24 months.

For more information on Balloon Kyphoplasty, contact Comprehensive Pain Management in South Kingstown, RI.

Source: Becker Spine Review

Chronic Pain Management and the Workplace

Darren Kincaid - Thursday, February 15, 2018
Comprehensive Pain Management - Franklin, MA

When talking about chronic pain and the workplace you can find yourself engulfed in numbers—how many people are hurt in the work place, how many receive workers compensation, and a list of some of the most dangerous jobs.

But there is nothing about people who struggle as they try to hold down a job while dealing with the pain from an injury or illness.

Here are some statistics, numbers that may surprise many of you.

  • Pain is the number one cause of adult disability in the U.S.
  • Pain costs $294 billion annually in lost workdays, medical expenses, and other benefit costs.
  • Lost productive time from common pain conditions among active U.S. workers cost an estimated $61.2 billion annually, largely due to reduced performance while at work.
  • Thirteen percent of the total workforce experienced a loss in productive time during a two-week period due to a common pain condition, including headache, back pain, arthritis, and musculoskeletal pain.

The real question is how do people with pain manage to keep their jobs when pain seems to be their constant companion? For them, the responsibility of holding down a full-time job and keeping up with all the basic activities of daily life can feel insurmountable and eliminate any chance of having time to enjoy life.

Work is a big challenge for people with chronic pain. Some keep working at all costs—even at the expense of their health and relationships. Trying to find a balance between a job and taking care of yourself can be challenging. But the financial and emotional impact of losing a job because of chronic pain can be devastating.

Many people with chronic pain have trouble staying employed. Managing pain is a full-time job. Physical abilities can change unpredictably. One day you might be able to turn a certain way, or move your arm without pain and the next day you just can’t.

How Attitude Influences Disability

The disabilities that come with chronic pain affect us in different ways.

  • Some people are learning to manage their pain and wish to return to work.
  • Others know that life is different when living with pain and need to find a different job that is compatible with their more limited abilities.
  • Still others feel their pain totally disables them and will not consider any job, unable to even work from home.

Attitude is key to believing that fulfilling employment can be part of a life that includes chronic pain.

The American College of Occupational & Environmental Medicine’s (ACOEM) developed guidelines to prevent needless work disability. The main message of these guidelines is that work avoidance and job loss following injury, illness, or aging is largely preventable and not medically required.

The guidelines point out that a team approach by employers, doctors, therapists, insurers, and others is required to promptly help people keep life as normal as possible and get “right back in the saddle” to safe and medically appropriate work. Otherwise prolonged tenure in a passive “patient” role increases the risk of developing an “I can’t” self-concept, along with needless long-term withdrawal from work, social life, and a productive contribution to society.

Long-term worklessness is one of the greatest risks to health in our society. It is more dangerous than the most dangerous jobs in the construction industry, or working on an oil rig in the North Sea, and too often we not only fail to protect our patients from long-term worklessness, we sometimes actually push them into it, inadvertently.

Work provides people with financial security, a structure to their days, and a chance for physical activity. It offers community, social interaction, and a sense of purpose, contributing to one’s self-esteem.

Those without work in their lives are more likely to be sick, engage in risky behaviors such as excessive drinking, or fall into depression, and other emotional distress.

For more information on chronic pain management, contact Comprehensive Pain Management in South Kingstown, RI.

Source: Excerpts -

About Radiofrequency Ablation

Darren Kincaid - Thursday, February 08, 2018
Comprehensive Pain Management - Franklin, MA

Radiofrequency ablation (or RFA) is a procedure used to reduce pain. An electrical current produced by a radio wave is used to heat up a small area of nerve tissue, thereby decreasing pain signals from that specific area.

Which Conditions Are Treated With Radiofrequency Ablation?

RFA can be used to help patients with chronic (long-lasting) low-back and neck pain and pain related to the degeneration of joints from arthritis.

How Long Does Pain Relief From Radiofrequency Ablation Last?

The degree of pain relief varies, depending on the cause and location of the pain. Pain relief from RFA can last from six to 12 months and in some cases, relief can last for years. More than 70% of patients treated with RFA experience pain relief.

Is Radiofrequency Ablation Safe?

RFA has proven to be a safe and effective way to treat some forms of pain. It also is generally well-tolerated, with very few associated complications. There is a slight risk of infection and bleeding at the insertion site. Your doctor can advise you about your particular risk.

What Are the Side Effects of Radiofrequency Ablation?

The main side effect of RFA is some discomfort, including swelling and bruising at the site of the treatment, but this generally goes away after a few days.

Who Should Not Get Radiofrequency Ablation?

As with any medical procedure, RFA is not appropriate for everyone. For example, radiofrequency ablation is not recommended for people who have active infections or bleeding problems. Your doctor can tell you if you should not have RFA.

What Side Effects May I Have After Radiofrequency Ablation?

You may experience the following effects after RFA:

Leg numbness: If you have any leg numbness, walk only with assistance. This should only last a few hours and is due to the local anesthesia given during the procedure.

Mild back discomfort: This may occur when the local anesthetic wears off and usually lasts two or three days. Apply ice to the area the day of the procedure and moist heat the day after the procedure if the discomfort persists. You may also use your usual pain medications.

For more information on Radiofrequency Ablation contact Comprehensive Pain Management in South Kingstown, RI.