Orthopedic Medicine, Sports Medicine and Physical Therapy Services in Honolulu, Hawaii
As licensed physicians, the medical professionals at Portner Orthopedic Rehabilitation will often prescribe medications to help manage pain, diminish swelling and inflammation, help with sleeplessness, muscle spasm, depression, and so on. We try to use medications sparingly and only when necessary. We closely monitor medication and utilize risk management testing and screening protocols to ensure patients are good candidates and taking medication as prescribed.
Although helpful for symptom management, medication therapy is not a primary mode of treatment at our Hawaii orthopedic clinic. Any medications prescribed for your orthopedic problem are intended only to alleviate discomfort and other symptoms temporarily until a more permanent orthopedic solution is achieved.
Pulse Stimulation Treatment (PSTIM™) is an FDA approved pain treatment program.
PSTIM is a percutaneously placed microchip-controlled pulsed neurotransmitter. It provides a continuous flow of intermittent, low frequency electrical pulses to specific peripheral nerves with end locations in the ear relieving many types of acute and chronic pain and can be a great replacement for medication.
Nonsteroidal anti-inflammatory pain medications, or NSAIDs, are useful for reducing swelling, stiffness and redness that occur as a result of arthritis, bursitis, tendonitis and other orthopedic conditions. Depending on your needs, an over-the-counter anti-inflammatory like Ibuprofen® or Motrin® may be sufficient, or a prescription NSAID such as naproxen or Lodine® may be suggested. Anti-inflammatories also have the added benefit of minimizing pain and soreness. Steroidal anti-inflammatories like Prednisone® or a Medrol® Dosepak are far more powerful than the non-steroidal variety and are sometimes used to relieve more acute pain and swelling in the joints, back and neck.
Pain medication, as the name implies, is intended to reduce pain and discomfort in patients with pervasive orthopedic problems. Over-the-counter acetaminophen-based meds like Tylenol® may be sufficient for minor pain. The nonsteroidal anti-inflammatories mentioned above can also be used for their pain relieving properties. For major episodes of discomfort, your doctor may prescribe narcotic medication such as Tylenol with codeine, hydrocodone (e.g.Vicodin®) for overall pain reduction, or local anesthetics like Lidoderm®, analgesic balm and other medications for topical pain relief.
Muscle relaxants like Valium® and Flexeril® provide a sedative effect for comprehensive relaxation. Often used for lower back and neck pain, relaxants help control muscle spasms and are generally used only on a short-term basis.
Sleeping aids can be especially helpful in promoting a good night’s sleep in patients who are suffering from overbearing pain. Sleeping medication is commonly prescribed after invasive procedures to promote tranquility and healing.
Anti-convulsant (or anti-seizure) medications like Neurontin® work specifically to relieve nerve pain, effectively dulling the pain signals the nerves carry to the brain. Anti-convulsants are generally used on patients with nerve damage or degeneration.
When an orthopedic condition produces chronic pain, living day in and day out with a high degree of discomfort can initiate depression. In some cases, anti-depressant medication like Paxil® and Zoloft® can help patients reduce pain and cope with the constant presence of pain until a solution is found.