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Making the decision to seek treatment is not easy. You will find our Admissions Specialists at LVRC to be compassionate, well-trained, and ready to help you. Please be assured that your interest in treatment for yourself or a loved one will be held in the strictest confidence by our staff. Our mission is to help you find the treatment best suited to your needs or the needs of your loved one. Whether or not you decide to enter one of the treatment programs at LVRC, our Admissions Specialists are willing and happy to help you. Call 1-(866) 639-0758 and speak with someone about your situation today.

What to Expect from Admissions to the Inpatient Pain Recovery Treatment Program

At LVRC we see clients with identifiable pain generators such as musculosketelat pain, fibromyalgia, complex regional pain syndrome, Crohn's Disease, headaches, back and neck pain with and without disc disease, residual post-surgical pain, and many other conditions associated with chronic pain.

There are two kinds of chronic pain clients who are typically referred to us:

1. Individuals who are taking opioids and have become tolerant to the effects of their medications, but are using the medications as prescribed and display little in the way of addictive behaviors. Clients like this will benefit from physical modalities and learning about their emotional responses to pain and how these responses increase suffering. Such clients will also benefit from withdrawal from opioids with a reduced pain level due to the decrease of Opioid-Induced Hyperalgesia.*
   
   In our pain recovery program, clients will have an opportunity to be in groups with others who have experienced similar types of suffering. Group support has proven invaluable in helping clients change their attitudes and behaviors with respect to their chronic pain. This is one of the reasons why we provide these services on an inpatient basis.




2. Individuals with serious pain generators who clearly are taking excessive amounts of opioid analgesics and often other addictive substances (bensodiazepines, sedative/hypnotics, including carisoprodol (Soma), stimulants, or alcohol) and who demonstrate typical addictive behaviors. Such behaviors include preoccupation with the drug, loss of control, inability to limit intake, compulsive use, and continued use despite significant harm to family, job, emotional well-being, and health. These clients may also be acquiring medications from multiple sources, both legal and illegal.
   
   We believe it is vital to explain the nature of our pain recovery treatment program with a client and his or her family prior to admission. We will send you a comprehensive overview of our program via email and we encourage the client and family to review these documents and ask any questions they may have prior to admission. A member of our medical staff will interview the prospective client by phone as part of a pre-admission pain assessment. We never tell a prospective client that we can take away his or her pain. We explain that the goals of our pain recovery program are to reduce pain and to improve function. It is also important to understand that we will not force anyone to identify as an addict.

Through the process of treatment, pain clients may ultimately find that their thoughts, feelings, emotions, and behaviors are similar to those of an addict. Though clients who fall within the first category above may be resistant to chemical dependency groups, assignments, and twelve-step meetings, these groups are mandatory and often address many relevant issues for these clients as well. We offer our pain clients a variety of ideas and interactive exercises to help them better understand their condition. We understand that this topic can often become a roadblock to recovery for some, so we strive to tailor each program in order to maximize the client's willing participation and reduce distractions.

In our experience, clients who have been dependent on opioid medications for years―particularly associated with a work-related injury―are often reluctant to give up the only thing in their lives that seems to help. The necessary educations efforts therefore start prior to admission to help the client and family understand the principles of Opioid-Induced Hyperalgesia and chronic withdrawal in clients on opioids. LVRC provides a community environment where some of the clients have had similar experiences and expectations. This enables a new client to compare and contrast his or her experience and allows them to positively project a future without the use of medications.

Disabled clients present a unique set of challenges in treatment. Often these clients are adversarial, angry, and involved in litigation. Our approach is even-handed—representing ourselves as partners with the workman's compensation company as we work to facilitate resolution of negative feelings, which―ironically―may actually be causing more pain. Individuals respond to rewards, and it is our clinical policy, through the use of well-utilized cognitive behavioral therapy techniques, to help the client re-frame his or her experience of pain and suffering. clients are rewarded for increased function by each and every staff member in the center. Very little attention is paid directly to the pain complaints. We record the client's report of pain three times per day using a traditional ten-point scale, as well as administer the Pain Outcome Profile** weekly.

The multidisciplinary treatment team will review the client's progress regularly and staff will report to the workman's compensation case manager. Our clinicians will set up treatment goals that are regularly reviewed in multidisciplinary staff meetings. Return to work may be one of the goals of the treatment plan, if feasible. We will address any fears or uncertainty about returning to work in coordination with the case manager. Discharge planning is crucial in the early stages of treatment, and our multidisciplinary treatment team will facilitate appropriate levels and referrals will be made to applicable service providers upon discharge. We will consult with the case manager about this process prior to completion.

Opioid-Induced Hyperalgesia occurs in a percentage of people taking opioids on a long-term basis. It refers to increased pain caused by opioid medications. The proper treatment of this condition is discontinuing opioid medications and treating residual pain with other modalities.

**For more information of the Pain Outcomes Profile, please visit .