The MAP Program was developed by Lags Medical Centers as a way to effectively treat patients suffering from chronic pain conditions using minimal opioids.
This is accomplished by treating the underlying causes of a patients chronic pain rather than simply covering up the symptoms with opioids. MAP minimizes patient surgeries, as Lags believes that most surgery is medically unnecessary, often makes the patient worse, and should only be used as a last resort after minimally invasive options have been tried.
Three Primary Sources of Pain
The MAP Program treats the three primary sources of a patients pain:
- Pain caused by METABOLIC conditions such as Painful Neuropathy
- Pain caused by ANATOMICAL conditions
- Pain caused by PSYCHOLOGICAL conditions, such as depression, or substance abuse
Each new patient undergoing the MAP Program will be given a complete Metabolic, Anatomical and Phycological Assessment, including the following where appropriate.
- Metabolic Assessments: Diabetes Risk Assessment, Blood Panel, ENFD
- Anatomical Assessment: Physical Examination, EMG/Nerve Conduction Velocity Testing, Imaging such as X-rays, MRI’s, ultrasound, SDAF
- Psychological Assessment: Confirmatory Urine Tests, Opioid Misuse Screening, Clear
Once the contributing causes of a patients pain have been identified, a custom tailored treatment program will be initiated, and may include the following where appropriate.
Metabolic Treatments: Metabolic specific medications such as Trental or Topamax. Counseling in metabolic dietary supplements such as alpha-lipoic acid and L-citruline. Group nutrition and exercise classes that teach and encourage the patient to eat a healthy diet, engage in daily exercise, and maintain a healthy weight.
Anatomical Treatments: Nerve blocks, and guided injections utilizing fluoroscopy and ultrasound. Acupuncture and PRP Therapy. Intrathecal pain pump trials are also included as a treatment option of last resort if patient fails to respond to other treatments after an appropriate amount of time.
Psychological Treatments: Refer patient to mental health counseling, substance abuse counseling, and medication assisted treatment (MAT). Group mindful meditation classes.