The Palm Beach Post

Easing pain without opioids?

Specialist­s are finding ways.

- By Steve Dorfman Palm Beach Post Staff Writer sdorfman@pbpost.com Twitter: @stevedorfm­anpbp

It’s no secret that Palm Beach County is among the nation’s areas most affected by the opioid crisis.

While there are many contributi­ng factors, the reason most people become addicted to, or overdose from opioids is pain —asin the need to relieve it.

To combat both opioid dependence and chronic pain, an increasing number of physicians are now specializi­ng in the growing field of interventi­onal pain management.

Interventi­onal pain management specialist­s — many of whom are anesthesio­logists — use nonnarcoti­c protocols to target the spots where patients are feeling pain, and then block the pain signals from traveling to the area.

This can be done in a variety of ways: injections, nerve blocks, topical and oral medication­s, and minimally invasive, outpatient surgical procedures.

Dr. Alejandro Tapia, an interventi­onal pain management specialist and head of recently opened Physician Partners of America Florida Pain Relief Group in Boynton Beach and Wellington, explained that “interventi­onal pain management prevents addiction to narcotic pain medication.”

Other forms of non- or minimally invasive pain relief protocols include plateletri­ch plasma (PRP) injections, laser therapy and different accupressu­re and massage techniques.

With PRP, a patient’s blood is drawn, spun through a special centrifuge machine that separates and concentrat­es platelets and growth factors, and is then injected directly into the painful area. Proponents believe that PRP helps speed the healing of injured or damaged tissue.

High-intensity laser therapy is also believed by some to promote soft-tissue healing. Laser treatments are totally noninvasiv­e and last anywhere from a few minutes to up to an hour.

A recently FDA-cleared device called the NIP Procedure (NIP standing for “noninvasiv­e pain”) uses a microchip device and tiny accupuntur­e needles placed strategica­lly behind the patient’s ear. The device’s technology transmits a flow of signals to the patient for as long as they are “wearing” the device (usually four or five days). Advocates claim that wearing the device is the equivalent of receiving around-the-clock acupunctur­e treatment.

For those suffering from chronic pain, these are just a few of the treatment options available that don’t include opioid medication.

 ??  ?? Alejandro Tapia
Alejandro Tapia

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