Managing Chronic Pain

Dr. Gaby Carter, Puyallup Wellness Center • July 1, 2020

Pain management begins with a conversation. Each person deserves their provider’s complete attention on this complicated issue. I am here to provide information for you to make an informed choice about how you proceed with your pain treatments.

While recently reading a medical journal about chronic pain, I stumbled upon this quote:

“An estimated 100 million Americans live with long-term pain. Since the 1990s, physicians’ go-to treatment for constant pain has been prescription opioids, such as oxycodone or hydrocodone. Though the evidence that opioids work for long-term pain is lacking, Americans get more prescriptions for them than the citizens of any other country in the world. The prescribing epidemic has led to a national crisis of opioid misuse, overdose, and death. Now, as policymakers and health care providers work to stem the tide of addiction and abuse, patients and some prescribers worry that the changes will take pain medications out of the hands of people who truly need them”.

I was floored and humbled when I read this. I know pain. I was in a medical pain management program for about 9 months back in the mid 2000s and remember well the vicious cycle of additional pharmaceuticals to treat the side effects of the pharmaceuticals I had already been taking.

I have been working with chronic pain since 2004 and have found so many alternative therapies that I incorporate into my practice of pain management.

Pain and People
We will never get rid of pain completely as it is an important source of information for how we live our lives. We can decrease pain and increase function.

After a 16-year career working in veterinary surgery and anesthesia, I decided to attend naturopathic medical school to combine my practical skills and formal education to focus on one patient population: humans. I have learned that there is a substantial difference between us and our dog and cat companions. We tend to feel pain on all four levels of our being: physical, mental, emotional, and spiritual. When people come into my clinic for a consultation for chronic pain, I am hopeful and optimistic that we can work to find the root cause of their discomfort. Naturopathic medicine provided training in addressing all our pain by emphasizing a team approach. There are many tools that I utilize in treating chronic pain.

Pharmaceutical Management / De-Prescribing
Therapeutic Injections: Trigger Point, Prolotherapy, Platelet Rich Plasma Vitamin / Mineral Optimization and Replacement
Dietary Guidance
Counseling / Homeopathy / Lifestyle
Adjustments
Physical Medicine including NMT
(Neuromuscular Therapy) adjustments, massage with pin and stretch technique and instructions for rehabilitative exercises.

The trigger point injections that I administer follow the simple principle that we are governed by – assist the body in doing what it does best. I use a combination of medications and supplements to enhance the body’s natural response to pain.

I have been working with patients for over 25 years and can offer a personal perspective in how to manage/treat pain holistically as I look at the whole person and craft individual treatment plans. Therapeutic injections are not for everyone and it would require a full evaluation and assessment to determine what is the best course of action in addressing your specific pain.

Health care is about working together to find individual solutions for complex problems. I offer free 15-minute consults to people who want to see if natural therapies are a good fit. I look forward to meeting and working with you soon.

Gaby Carter, ND, CVT is a Naturopathic Physician who focuses on treating the whole person by utilizing a variety of modalities including homeopathy, injection therapies, and nutritional counseling. She helps patients make lasting changes on their own terms. Dr. Carter attended National University of Natural Medicine after her career in veterinary surgery and anesthesia, and has advanced training in alternative pain management techniques and is a diabetic educator. For more information, visit her page at puyallupwellnesscenter.com or call 253.848.1055.

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