Alerts

RegenESlim Appetite Control Capsules voluntarily recalled due to the presence of DMAA.

FDA warns consumers about caffeine powder. 

FDA advises consumers to stop using any supplement products labeled as OxyElite Pro or VERSA-1. Please see the following advisories: FDA -10/08/13, FDA - 10/11/13 and CDC - 10/08/13.

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Announcements

New article on reporting side effects of supplements
Just published in The New England Journal of Medicine: A recent article brings up dietary supplement issues you need to be aware of and discusses how dietary supplement side effects could be monitored better. A PDF of the April 3rd article is available free online.

3rd International Congress on Soldiers’ Physical Performance
August 18-21, 2014
The ICSPP delivers innovative scientific programming on soldiers’ physical performance with experts from around the world.

DMAA list updated for April 2014

Fueling Performance Photo Campaign
Share photos of how you fuel your performance and be featured on our Facebook page!

Dietary supplement module
Earn continuing education credits (if eligible) for this two-hour online module.

Operation LiveWell

Performance Triad

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HPRC's human performance optimization (HPO) website is for U.S. Warfighters, their families, and those in the field of HPO who support them. The goal is Total Force Fitness: Warfighters optimized to carry out their mission as safely and effectively as possible.

You are here: Home / Total Force Fitness / Pain Management / Frequently Asked Questions / How do the DoD and VHA treat pain?

Question

How do the DoD and VHA treat pain?

HPRC's Answer

The DoD and the VHA use a Stepped Careapproach to pain. That is, different treatments may be offered to you based on the type, length, and cause of pain. How your pain is treated is also affected by possible side effects and cost of treatments. The treatment/management of your pain will be specific to you, and it may involve more than one kind of treatment from more than one healthcare provider. These documents from the DoD’s Pain Management Task Force and VHA Directive 2009-053 provide additional information.

Below is a brief model of the Stepped Care approach to pain:

Step 1: Primary Care Team

Types of pain: Acute

Treatments: low-risk medication, physical/occupational therapies, self-care and mind-body techniques

Step 2: Pain Specialists

Types of Pain: Long-term acute, potentially chronic

Treatments: Step 1 treatments, plus injections, medication, minor surgeries

Step 3: Integrated Pain Team

Types of Pain: Chronic

Treatments: Steps 1 and 2 treatments, plus major surgeries, mental health care, medications