Dr. John Gillick                  

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PAIN MANAGEMENT/

CONSULTATION

non-invasive –  non-narcotic

 


My Mission

My emphasis is on removal of the causes for pain as well as all the aggravators of the pain. 

Pain should not be treated as its own entity.  Rather, pain is symptom resulting form an accumulation of noxious stimuli that are not controlled.  It is inappropriate to focus on a symptom when the causes and the magnifiers of those causes go unaddressed.

My mission is to identify and remove all the sources and magnifiers of pain symptoms, particularly the simple, transparent, behavioral conditions that are infrequently identified or addressed.  When this is successfully accomplished, the pain syndrome is controlled, usually without medication. 

The focus is causation, all the factors.  The focus is only indirectly on the symptoms (pain).

My tools are: 1) A detailed history, of all anatomical and behavioral activities in the 24-hour day that contribute to the unwanted symptoms;  2) A physical evaluation to identify anatomical and behavior-induced musculoskeletal strains; 3) Review of records and previous response to medication, treatment remedies, stresses, and activities.

This service is for those wishing to identify, understand, and remove or diminish the factors that keep the pain symptoms alive.  I do not "treat"  pain as a separate entity.

The services are for those who want to get better with minimal or no medication.  They are for those who are frustrated or who are unresponsive to pharmacologic or surgical remedies.

For non-malignant main, my view of pain medication is as a short-term bridge until causations and magnifiers are contained.  This service is not for providing long-term palliative medication.  There are many excellent health care providers who provide those services.

This service is not for injection of solutions, cortisone, anesthetics, etc. excepting in a diagnostic capacity.  There are many excellent health care providers who provide those services.

This service employs targeted orthoses, braces, recommendations, physical medicine providers in order to make the pain sufferer independent of external, maintenance treatments.  Those seeking long-term physical maintenance may find many providers more than willing to provide those services.

There is no magic.  Some conditions will benefit from surgery, many not so.  Surgery is not always bad, but surgery "because there is nothing else" is inappropriate.  The opinions given will be quite candid.


Contact Information

Telephone
619-223-1652    
FAX
          619-223-5443
Postal Address
Ocean Beach Medical Office
1947 Cable Street,
San Diego, CA 92107-2807
Electronic Mail
drgillick@drgillick.com
 

 

Send mail to drgillick@simple-ergonomics.com with questions or comments about this web site.
Copyright © 2005 Dr. John Gillick
Last modified: 06/14/06