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Displaced by the NSAID?????
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Displaced by the NSAID????? - April 19, 2001 10:42:00 AM
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mcap
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I am always hearing about powerful pain relievers in development. In the future it is possible that we will have much better pain relievers with fewer side effects.
This will be great for society but I often wonder about the negative impact on PT. Sure, I have always contended that PT shouldn't be about pain releif and I think rehab would still be beneficial. But doctors don't always think like that and I am not sure the public does either.
For them.....pain is the factor. And when it is gone..........will they still want to come to therapy?
Marc
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Re: Displaced by the NSAID????? - April 19, 2001 2:18:00 PM
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Andrew M. Ball, MS, PT
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From: Chapel Hill, NC, USA
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I'm a PT . . . and I'm not so sure that I would. If the pain is gone, why go to PT?
Isn't that why Chiropractors do so well?
Drew
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Re: Displaced by the NSAID????? - April 19, 2001 7:47:00 PM
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bradles70
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From: Gosford, NSW, Australia
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Isn't this why we shouldn't focus only on pain, and become better assessors of physical/functional capacity?
Brad Stevens
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Re: Displaced by the NSAID????? - April 25, 2001 5:49:00 AM
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Bandit
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From: Englewood, CO, USA
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Aside from blunt trauma, isn't most musculoskeletal pain a result of dysfunctional movement? And if pain relievers are "getting better", aren't they just getting better at masking such underlying pathologies? I'm sure that many people including some Doctors will always be interested in the better mask, but I think most will always understand that the pain reliever, no matter how good, is not the full resolution to the patient's problem.
SJBird5 - fantastic questions, and as a Physio student in Australia, I could tell you that most Australians would answer this question "I'd ring the physio... mate." Why is this? It is very interesting to experience the differences between the American's and the Australian's perspective of our profession. In Australia, if you have the sniffles, feel feverish, or have symptoms completely unassociated with muscles or joints, you go to see the Dr. If you have pain associated with movement, you see the physio.
Sports teams in the US have orthopedists assessing injuries and athletic trainers preventing injuries. Australian teams have the team physio. Hmmmm, which makes more sense? American teams will spend (or waste?) a lot of $$$ employing an overqualified person to do the job that a PT could do just as competently.
I'm opening a whole can of worms that's not worth getting into right now. I gues my main question is "How has Australian society developed such a different perspective of our profession than we have?" There are obviously too many factors to be able to cover them briefly. However, if some were identified, would it be possible to implement strategies that would be able to change our perspective in the long run?
Alan
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Re: Displaced by the NSAID????? - April 25, 2001 10:16:00 AM
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mcap
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Alan:
You raise excellent points. There are many reasons why physio is so different in Australia.
Off the top of my head I would guess that reimbursement is responsible for a lot of the situations within healthcare.
Second, and most importantly, healthcare in the US is physician dominated. No getting around that one. As a matter of fact, I know therapists that are subdordinate to a number of physicians that may have gone to medical school overseas with easier admissions standards that many PT schools.
Any other thoughts.......
mcap
Any other thoughts.....
mcap
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Re: Displaced by the NSAID????? - April 25, 2001 2:39:00 PM
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jma
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I think better pain killers would only contribute to later abuse. After all, if the pain can be kept away then why stop taking them? This is what causes the addiction. On top of that, if the condition gets worse, then one would ask for more or greater strength. The damage would only get worse. Its nice that pain killers are an asset to our profession. It becomes a greater asset when we can get people off them through our intervention.
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Re: Displaced by the NSAID????? - February 22, 2002 6:44:00 PM
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ConnieS
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[QUOTE]Originally posted by jma:
[B]I think better pain killers would only contribute to later abuse.
But the whole point of NSAIDs is that they're nonaddictive. I still can't believe the number of patients I treated for pain levels that I'm convinced I never would have dreamed of seeing a physician for, let alone a PT for a series of treatments for. There had to be a secondary motivation for their seeking treatment. Now if someone invents a drug that gets rid of that secondary motivating factor (the touch factor, the "green poultice factor"), pain-oriented PT will probably be much more limited.
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