Chronic Pain Management

What is Chronic Pain Management?

Chronic pain management doctors are tasked with helping relieve the pain you feel on a daily, monthly, or even yearly basis. Chronic pain is defined as pain that lasts more than 12 weeks. Unlike acute pain, which is experienced due to a trauma or disorder and alerts us to an injury. Chronic pain often persists for many months or longer.

There are many ways that chronic pain can be managed. From medications and procedures to diet and mental health, the spectrum is vast. Different pain management doctors in your area will have different specialties, variations, and beliefs in regard to managing chronic pain properly.

Conditions that cause chronic pain

There are various conditions responsible for causing pain over a long period of time in our patients. Here are some of the ones we see and hear about on a daily basis.


Tissue damage and scar tissue are some of the leading causes of chronic pain after an operation. These both can come as a result of surgeries. Nerve damage and wound inflammation can also come as by-products. It isn’t the surgery itself that causes pain after the fact, it is these conditions that come as a result that can cause pain as time goes on.

They are hard to control and caused by physical systems and organs.


Trauma to the systems of the body due to an accident can cause immense physical pain immediately as well as pain that lingers over time. The existence of many of the same issues that come as a result of surgery cause pain in this case. Things like nerve damage and scar tissue also many times come with a trauma to the body.

Neurological damage in the cause of a head trauma can cause chronic pain is known as psychogenic pain – a pain that isn’t caused by any physical damage, but that comes as a result of the mind interpreting pain and transmitting it to your body with seemingly no cause.


Cancer is an extremely broad term. Pain from cancer comes in many different forms. For example, back pain is known to be associated with lung cancer and bone pain is another pain that comes along with many forms. Many times, such as in the case of a mastectomy, there is nerve damage that causes pain long after the procedure. This is sometimes referred to as phantom limb pain.


People suffering from arthritis can experience pain acutely as well as chronically. Arthritis flaring up in the knees, for example, can cause intense acute pain but can also weaken the knee and prevent full range of movement for months or years after the flare-up. This following pain would be classified as chronic.

Brain Conditions

As we briefly touched upon in the trauma section, pain is not always caused by a physical injury or disability. Pain is known as psychogenic pain describes pains attributed to purely psychological factors. For example, patients sometimes claim that reliving painful moments from their past can cause a flare-up or worsen of physical pain.

Nerve Damage

Nerve damage can be caused by a variety of different ways. Many of them have been discussed above. Surgeries, traumas, and diseases can all cause nerve damage. Once nerves are damaged, they can go completely numb or cause intermittent pain symptoms. Treatment for chronic nerve pain ranges from over the counter treatments to prescription medications and sometimes further procedures.

Chronic Pain Treatment in Georgia

V. K. Puppala, M.D. sees patients from all over the state of Georgia in his office in Villa Rica as well as his other 4 locations. Patients from all over the Atlanta region seek his help.

Dr. Puppala is genuinely concerned about his patient’s general well-being and is known for treating all his patients with respect and compassion. Dr. Puppala takes a multidisciplinary approach by incorporating a number of minimally invasive interventional methods using practical restoration and effective medication management. Call 770-627-7246 or 770-MAP-PAIN today to make an appointment.

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Call 770-627-7246 or 770-MAP-PAIN to schedule an appointment today with Dr. Puppala at his practice in Lithia Springs, Georgia.