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Pain Management and Migraine Relief

This blog has now been retired. We appreciate the wisdom and support Indie Cooper-Guzman, RN has brought to the WebMD community throughout the years. Get the latest information about chronic pain management at the Pain Management Health Center. Talk with others on the Chronic Pain message board.

Monday, February 12, 2007

Measuring Success
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How do you measure the success of a new medication, of a medical procedure, a new self-help skill? Well in order to measure success, you need to define it. In terms of healing, I would consider any signs of improvement as a sign of success. If you are able to move a joint more than you could before therapy, then I would consider that success.

When creating your definition of success, it is important to understand that success is not an all or nothing concept. There are varying degrees of success. If a medication decreases your pain from an 8 down to a 4 then I would consider that success. Now just because a person may have reached that level 4 in pain relief, they may not be considering their success complete and that is ok. There is at least some improvement and therefore - some success.

When going for a procedure or starting a new medication regimen, it is important to keep your definition of success flexible. You may be taking a new drug that requires a trial period in order to build a blood level before a full effect of that medication may be realized. It is important not to label that medication a failure because the wanted effect may not have been realized yet. You may receive an epidural steroid injection and you may continue to have some symptoms for a week or so. That doesn’t herald that procedure a failure by any means.

When you seek to determine the effectiveness of a procedure, ask yourself a few questions.
  • Have my pain levels decreased?
  • Have my other symptoms decreased?
  • Have I needed/used as much medication for symptom relief since the procedure?
  • Has my level of functioning improved?
  • Am I resting/sleeping better?
Answers to these questions can help you define your level of success and improvement from a procedure or a new med. So when you are asked by your doctor how you feel since you had a procedure, be able to answer these questions. And don’t be afraid to say you have noticed improvements and therefore a level of success!

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Posted by: Indie Cooper-Guzman, RN at 11:53 AM

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