In Search of the Best Pain Clinic in LA: Steering Clear of Pill Mills, I Have a Pill for That

By | February 25, 2012

I have a pill for that!

The best pain clinic in LA would always look for multi-dimensional treatment options. Many of the doctors who run pill mills would object to what I said in yesterday’s blog about the one-dimensional nature of the therapy that they offer. They would point to the large number of medications available for prescription. Unfortunately virtually all of the drugs used to treat chronic pain fall into one of four basic classes, opioids, antiepilectics, tricyclic antidepressants and SSRI/SNRI antidepressants and while they differ in terms of potency, duration of action and side effects, they are all working on a limited number of receptors. This is important, because if the patient has been able to tolerate a full therapeutic dose of one drug, but has not improved, it is very unlikely that they will respond to another member of the class. Therefore the large number of pills that are available are useful primarily for controlling side effects and the frequency with which the pills must be taken. We at Schlesinger Pain Centers are always looking for nonpharmacological treatment options to compliment the pills and injections that we use.


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