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The Challenge of Pain Relief
Pain is one of the most common symptoms in medicine, and its relief represents a challenge for any healthcare professional. Successfully reducing or eliminating it is a clear indicator of good clinical practice and quality care.
What Is Pain?
The term pain covers a wide spectrum of sensations—from mild discomfort, such as a prick, a bruise, or a minor burn, to complex conditions like phantom limb pain.
It is a subjective experience, unique to each individual. Only by putting ourselves in the patient’s shoes can we truly understand how intense and limiting it can be.
What Is the Pain Management Unit?
The Pain Management Unit is a specialized service that cares for patients with:
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Acute pain
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Postoperative pain
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Chronic pain
The team includes anesthesiologists and specialized nursing staff and often involves the support of other professionals such as rehabilitation specialists, psychologists, and physical therapists.
Our approach includes:
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Individualized assessment
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Personalized treatment plans tailored to each patient’s needs and circumstances
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Coordination with primary care and other specialties
Given the high prevalence of chronic pain, a biopsychosocial approach is essential—addressing biological, psychological, behavioral, social, and cultural factors—supported by a multidisciplinary team effort.
Conditions Treated
Some of the most common conditions managed in the Pain Management Unit include:
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Generalized pain syndromes
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Neuralgias (trigeminal, postherpetic, craniofacial)
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Primary headaches and musculoskeletal pain in the head and neck
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Low back pain (neuropathic, musculoskeletal, or psychogenic)
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Neuropathic pain in the limbs, groin, or perineal region
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Ischemic pain (arterial insufficiency)
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Psychogenic pain (head, chest, lumbar)
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Complex regional pain syndrome
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Refractory cancer pain
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Myofascial pain syndrome and other musculoskeletal conditions
Available Treatments
Interventional Techniques
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Epidural blocks: Administration of anesthetics, corticosteroids, opioids, or other medications into the epidural space.
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Peripheral nerve blocks: Injection along the path of an affected nerve.
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Intrathecal pumps: Continuous drug delivery into the cerebrospinal fluid.
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Spinal cord stimulators (“pain pacemakers”): Electrical impulses that block pain transmission.
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Radiofrequency therapy: Selective destruction of pain-transmitting nerve fibers.
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Biological treatments
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Ozone therapy
Other Advanced Treatments
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Iontophoresis: Transdermal drug delivery using electric current.
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Intravenous lidocaine infusion: For refractory neuropathic pain (e.g., fibromyalgia, neuralgias).
