The approach to pain management depends on a formalized team approach. It's never assumed one person knows enough to guarantee the right answer for every patient every time. This more open-minded approach makes the patient the focus of interest.
Everyone is on the clock to see a given number of patients in the hour. So we go in, we pick up our prescription for Tramadol, and go home. Hence to know about tramadol read this article.
If the patient has been complaining of pain and there's no clear explanation for its cause or the most obvious treatments have already been tried without success, pain specialists will be called in. The new team then reviews the diagnosis and treatment to date. This is not to find fault or blame anyone for past failures.
Everyone wants to learn and avoid repeating mistakes. So the fresh pairs of eyes start again, question the initial assumptions, and look for alternate explanations for the current problems. If further tests will help this differential diagnosis, they are done. This may include further surgical procedures to collect biopsies or a wider range of scans to look for possible causes.
Only when the team is satisfied all treatment options for the underlying causes have been exhausted, do they move on to a formal pain management strategy. In other words, the first try for a full cure and, only if that proves impossible, do they accept the pain as a permanent feature of the patient's life and begin the process of managing that pain.
The team now excludes the physical specialists and brings in specialists in psychiatry, physical therapy, counseling, and Cognitive Behavioral Therapy (CBT). This recognizes the real nature of the problem. The patient must accept the reality of long-term pain but to get relief keep on taking tramadol.