Military Pain Management
Pain Management for Military Members and Their Families
RIVER CITY SPORTS & SPINE
At River City Sports and Spine Specialists Military Pain Management is Personal to Us
Having been established in Columbus for two decades, we’ve been taking care of our Active-Duty Military and Veterans for a long time. We have witnessed seen first-hand the severe toll that chronic pain has on our service men and women. My father, JC Dawson is a Vietnam Veteran. I have personally seen the effects military service exhibits on soldiers and their families. My dad shared with me many stories of trauma and pain that he and his friends in the military experienced. What some of us don’t realize is that when you serve in the military, you experience unimaginable things that affect you indefinitely. You don’t have to be personally harmed to experience trauma.
This personal and unique experience allows us to direct care for our military service men and woman, active-duty and veterans in a manner befitting of the honor and dedication they provide for our country. It is truly an honor to provide medical care for the men and women who accept the call of protecting our country.
Pain is More Common and More Severe in Military and Veterans
While over a one-third of Americans suffer from chronic pain (IOM report 2011), a National Health Interview Survey published in 2016 revealed that almost two-third of veterans are in pain. Moreover, 30% more veterans than non-veterans suffer from severe pain (NHIS, 2016).
While over a one-third of Americans suffer from chronic pain (IOM report 2011), a National Health Interview Survey published in 2016 revealed that almost two-third of veterans are in pain. Moreover, 30% more veterans than non-veterans suffer from severe pain (NHIS, 2016).
Pain is More Complicated in Military and Veterans
Majority of active-duty members and veterans who suffer from acute or chronic pain have experienced physical or emotional trauma, many also suffer from PTSD (post-traumatic stress disorder) and TBI (traumatic brain injury). When a physical injury occurs in the presence of emotional trauma, the pain becomes more strongly imprinted in our nervous system and therefore harder to treat. Even when the physical injuries heal, the “memory of it” in our brains will make the pain continue as if the physical injury never healed.
How Do We Treat Pain in Military and Veterans

Treating chronic pain is no easy task and our military patients deserve the personalized and comprehensive care that they need. While some pain centers in the country understand the unique needs of veterans and military, unfortunately most don’t and instead, they provide the same approach as they do to their civilian patients.
What we focus on at River City is first and foremost establishing an accurate diagnosis of the cause of the pain. This is obvious, as you cannot truly address the root of the problem if you don’t accurately name it first. This part of the process is not as easy as it sounds, as often times, there are a lot of “incidental findings”, such as degenerative disc disease in the spine, which may seem to explain the pain but in reality, it doesn’t. We cannot be tricked by quick explanations and need to evaluate the patient’s symptoms in a comprehensive way before coming to conclusions.
Once we find out the causes of the pain, which in most cases are multiple, our goal is to address each one of them in a targeted way. We always want to make sure that the patient is connected with appropriate resources at Ft Benning or the VA as treating military and veteran patients is always a team effort.
In addition to that, what we uniquely offer at River City are all the standard pain management treatment modalities (such as pain injections, etc.) but also regenerative treatments (stem cells, PRP, etc.), advanced pain procedures (spinal cord stimulators, minimally invasive fusion, etc.) and a new approach to understanding how pain works.
We base some of our philosophy on the work of Dr. Sarno (a fellow physical medicine and rehabilitation and pain management physician) and others, who described the powerful connection between emotional and physical pain. What he described as Tension Myoneural Syndrome (TMS) is a way that our central (brain and spinal cord) and peripheral (nerves connected to muscles/ joints) nervous systems interact and create the sensation of pain that is beyond a response to tissue injury.
As physical medicine and rehabilitation specialists, our goal is to rehabilitate and restore damaged and painful tissues when possible. This is where regenerative medicine options serve us as additional tools for the right patients. Stem cells and platelet rich plasma are some of the options that we can offer, to use our own body’s healing mechanisms to restore function and strength.
References:
NCCIH. Veterans are in Pain According to Analysis of National Health Survey. 2016. Retrieved from: https://www.nccih.nih.gov/research/research-results/veterans-are-in-pain-according-to-analysis-of-national-health-survey
Institute of Medicine (US) Committee on Advancing Pain Research, Care, and Education. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. Washington (DC): National Academies Press (US); 2011. Available from: https://www.ncbi.nlm.nih.gov/books/NBK91497/ doi: 10.17226/13172
Nahin RL. Severe pain in veterans: the impact of age and sex, and comparisons to the general population. Journal of Pain. 2017;18(3):247-54.