At Las Vegas Recovery Center, our evidence-based inpatient Pain Recovery treatment program is grounded in helping clients establish the four points of balance by treating them physically, mentally, emotionally, and spiritually. The physical aspect of our Pain Recovery treatment program consists of multiple modalities including chiropractic care, physical therapy, acupuncture, massage, yoga, personal training, chi kung, Pilates, and nutrition. Last month we discussed how chiropractic care plays its role in creating balance and increasing function in our clients’ lives. This month, we would like to talk about physical therapy’s place in LVRC’s holistic approach to pain treatment.
In the article “Physical Therapy for Chronic Pain,” The International Association for the Study of Pain states:
Jette et al. identified reduction in patients’ pain reports and improvement in physical functioning as primary goals of physical therapy. Yet pain reduction, however desirable, may not always be feasible for patients with chronic pain. Management then aims to improve physical function and reduce disability. Assessment includes clinicians’ measurements of physical function and patients’ reports of disability.”
When clients come to Las Vegas Recovery Center, they are asked to complete a Pain Outcome Profile (POP), which is a series of questions that help our staff assess our clients’ pain by helping our clients explain their pain to us. Clients continue to complete these pain outcome reports on a weekly basis while in treatment and periodically after treatment, so that we may continue to monitor their progress. Clients’ pain levels are typically high when they arrive, and they have already tried other means for treating their pain such as surgery and medication–only to realize their medications were not viable as a long-term solution and that their surgeries, if any, had not improved their pain, in fact, they had often made it worse. Most of our clients have already become dependent and/or addicted to opiates, extending their suffering beyond physical pain.
Because of the way opiates work, individuals who take them for long periods of time become less active the longer they take them. These long periods of inactivity result in the deconditioning of these individuals–physically, psychologically, socially, and spiritually. The International Association for the Study of Pain states, “Activity is part of a normal, healthy, everyday life, and all cells of the body undergo mechanical deformation and metabolic adaptation in response to activity-evoked mechanical stress. Inactivity deprives tissues of this stimulation and can have generalized negative effects.”
We of Las Vegas Recovery Center’s Pain Recovery program reverse these negative effects through multiple modalities, including physical therapy. While our medical staff focuses on the medical withdrawal and detoxification of our clients, they also work collaboratively with physical therapist Scott Pensivy and other specialists, to develop individualized plans for our clients that ensure a safe level of treatment and optimized improvement in physical function through an increase in physical activities. We have a longstanding relationship with Scott Pensivy Orthopedic Rehabilitation Therapy Services (S.P.O.R.T.S.), which has proven to be extremely beneficial to our clients, as they treat our clients’ pain through the latest techniques. Pensivy explains:
“Time magazine has reported that the National Center of Health statistics cited that about seventy-six million Americans experience persistent unceasing torment of pain. We all need to do something about this epidemic. So, I put together a topical cream and technique based on the twenty years of experience and knowledge gained in my private practice to design an effective and safe way to tackle this epidemic.”
He continues, “this product and technique combine a 2,000 year old Chinese tradition with Rehab1000, a topical natural cream, to decrease pain. The active ingredient in Rehab1000 cream is capsicum, which decreases the neuropeptide, ‘substance P,’ which is associated with inflammatory processes and pain when an injury occurs. The PMT or Pensivy Method Technique includes the combination of the mechanical technique with the topical or chemical application of the cream, providing a powerful way to attack pain safely, effectively, and affordably. This technique continues to be proven with outcomes of patients that we have seen more than 50,000 in the last two years.”