Clinicians
Finding the source of chronic pain can be tough.
The TPT approach helps clinicians administer precision-based, functional, and evidence-driven care. This page offers key insights and tools to help you accurately diagnose pain, apply targeted interventions, and improve patient outcomes — all while reducing opioid reliance and restoring function.
Treating All Causes of Pain
"Treating ALL the Causes of Pain" by Dr. Stephanie G. Vanterpool
How to Accurately Diagnose the CAUSE(s) of Pain
There can be multiple types and mechanisms of pain affecting the same location at the same time.
There is a multimodal approach to the causes of pain:
-
Physiologic
-
Anatomic
-
Functional
-
Psychosocial
The (S.CR.I.P.T.) History Template
The S.C.R.I.P.T. History Template is a simplified but generative tool for medical professionals to collect important information from their patients.
Story
-
Circumstances of Onset (acute, trauma, insidious, etc)
-
Details, Details, Details
S.
Current Symptoms
-
Pain location
-
Pain description
-
Range of Motion
-
Aggravating Factors
-
Alleviating factors
C.
Rx (Relevant Meds)
-
Anti-inflammatories
-
Muscle relaxers
-
Nerve pain medication
R.
Interventions
-
Previous injections to the area (what was injected, what type of injection was done?)
I.
Physical Therapy
-
Previous PT
-
Massage
-
Chiropractic
-
Other
P.
Tests
-
Imaging of the affected area (x-ray, CTscan, MRI)
-
NCS/EMG
T.
There is a multi-modal approach to both diagnosing and treating pain.
Medications
Muscle relaxers, nerve pain meds, anti-inflammatories.
Injections
These target the nerves, joints and muscles that cause your pain
Physical Therapy
Targets the physical function challenges that are slowing you down
Psychosocial Support for Mind & Emotions
Counseling and support for stress, worry, or sadness.
