The Importance of Accurate Diagnosis in Pain Management

Living with pain, especially when it becomes constant, can profoundly change a person’s life. Daily tasks become difficult, rest is interrupted, and many times, sufferers feel misunderstood. In the midst of this daily struggle, there is one key aspect that makes a difference.
difference between effective treatment and years of unnecessary suffering: an accurate diagnosis.
Although it may seem obvious, many people with chronic pain spend years consulting different specialists, having tests and trying treatments without finding real relief. This happens, in many cases, because the cause of the pain has not been correctly identified. Understanding what is causing it is the first, and probably the most important, step to being able to treat it properly.
Why is diagnosis so important?
Pain is not a disease in itself, but a symptom. It can be related to a myriad of conditions: muscle problems, joint problems, nerve problems, autoimmune diseases, injuries, infections, among many others. Without a clear diagnosis, it is very difficult to choose the right treatment. Imagine, for example, a person who feels constant pain in the back. This pain may be due to a muscle contracture, a herniated disc, an undetected fracture, an infection, or even an inflammatory disease. Each of these causes requires a completely different treatment. A correct diagnosis allows the medical team to know the exact origin of the pain, assess its severity, know whether it is a temporary or chronic condition, and establish a treatment plan with a greater chance of success. It also reduces the unnecessary use of medications, avoids invasive procedures and helps the patient better understand his or her situation.
How do you arrive at an accurate diagnosis?
To reach a proper diagnosis, the first and most important thing is the clinical history and examination of the patient. It is also necessary to know the personal and family history, as well as the treatments already tried and their effect.
In many cases, complementary studies such as blood tests, X-rays, magnetic resonance imaging, ultrasound or electromyograms are also requested. As their name suggests, they are COMPLEMENTARY. A pathology cannot be diagnosed exclusively by the test alone. The typical example is disc herniation. Its finding can mean the cause of a pain, or not, depending on whether it is compatible with the physical examination. Sometimes, the participation of different specialists is required since pain treatment is multidisciplinary. This helps to see the problem from different angles, avoiding erroneous or incomplete diagnoses.
Consequences of incorrect or late diagnosis
When the cause of pain is not correctly identified, there is a risk of falling into a dangerous cycle as it can lead to further perpetuation of pain: repeated tests, treatments that do not work, frustration, anxiety, and mistrust of healthcare professionals. This can lead to overuse of medications, especially powerful analgesics such as opioids, which in the long term can lead to serious side effects or misuse by the patient.
Accurate diagnosis is the foundation of good pain management. It allows treating the cause, not just the symptoms, and opens the door to more effective, safe and personalized treatments. It also helps patients regain control over their health, feel understood and have hope for improvement.
Living with pain should not be normal. If you are in pain, seek medical attention
specialized, be confident in your right to receive comprehensive care and don’t resign yourself to it. Science and medicine are advancing, and you deserve treatment that starts with the most important thing: knowing what is causing your pain and how it can actually be treated.
Dr. Enrique del Cojo
Medical Director MIVI Cáceres