A Look at Mental Health & Pain Management

The field of pain management has come a long way in recent years, thanks to dedicated researchers investigating alternative therapies beyond pain medication. One of the recent breakthroughs in this field has been that of mental health treatment adjunctive to medication. Recent studies have shown the effectiveness of incorporating mental health services into pain management protocols, demonstrating that these services can dramatically improve patient outcomes, according to Dr. Narinder Grewal

Mental Health Treatment in Pain Management

A study conducted by the University of Pittsburgh School of Medicine was the first of its kind to look at the role of psychological services as part of an overall pain management strategy. Until the study was conducted, the medical community was relatively unaware of the benefits of mental health in combatting chronic pain conditions. The study’s findings were presented to the American Academy of Pain Medicine annual meeting in 2018.

In the study, researchers used a wide variety of data collection techniques and analyzed data pools from electronic health records, patient surveys, and information from the Collaborative Health Outcomes Information Registry. Patients that had visited a pain psychologist on at least three occasions were compared to a large control group matched by pain duration and intensity along with demographic factors, but who didn’t access mental health professionals as part of their pain treatment. Data was collected over a 12-month study period.

Continue reading: https://health.usnews.com/doctors/narinder-grewal-381068

Findings of the University of Pittsburgh Study

In the study, patients that had utilized the services of a psychological counselor as part of pain management therapy reported significant improvements, not only in the shorter duration of pain symptoms but a decrease in intensity. Those patients also experienced substantial improvements in sleep quality, overall function, and mental health status. Psychologists working in the pain management field typically use one or more pain-focused treatment protocols, including:

  • Relaxation training and therapy
  • Cognitive-behavioral therapy
  • Coping skills training
  • Pain education
  • Acceptance and commitment training

The study pointed to several surprising factors. As compared to the control group of over 7600 patients, those patients utilizing psychological services in their pain treatments were more likely to be female, to have access to Medicaid insurance, and to be black or another minority. Those patients also had higher initial levels of pain, poor motor function, and higher levels of depression and/or anxiety. The study demonstrated that even these patients, facing significant struggles in their pain levels and related symptoms, could make substantial improvements in their outcomes with the intervention of mental health professionals.

Further study is warranted, but for now, the pain management community welcomes the findings of the University of Pittsburgh study. Many pain management clinics across the country have incorporated alternative treatment therapies such as flexibility training, yoga, and non-prescription pain relief protocols. Mental health treatment is a valuable and effective addition to the overall pain management strategy, helping to improve patients’ lives while reducing the dependence those patients may develop on potentially harmful opioid pain medications.

Contact Dr. Grewal 


Featured Story: Best Practices for Pain Management

As mentioned on Newswire, Narinder Grewal MD has emerged as a premier resource for the implementation of innovative pain management techniques. With extensive experience as a certified anesthesiologist, he is a legitimate source of reference for individuals seeking therapy. According to Narinder, patients can typically choose from several different methods of treatment including physical therapy, prescription medication, and noninvasive surgical procedures.

What are the benefits of each?

Dr. Grewal goes into further details about the many pros and cons of each technique. For the most part, his patients are diverse among their selection of pain treatment. Therapy has proven to be a prominent choice of individuals who suffer from physical ailments such as a nagging knee injury. Patients also often choose the rouse of surgical procedures which can sometimes be costly.

Looking for more?

To discover details about Dr. Grewal’s academic background and professional career, visit his website.

Narinder S. Grewal is a licensed medical practitioner who specializes in the field of anesthesiology. He currently operates his own practice out of Valencia, California. With a residency at Henry Mayo Newhall Memorial Hospital, he has become well-versed in the area of pain management. Dr. Grewal has over 40 years of first-hand experience in the medical sector. To learn more about his professional career, continue reading this blog.

Healthcare Information Technology: the Impact

Narinder Grewal MD

Healthcare has evolved so much over the years and with information technology being an important cog in the machine that healthcare is, it has changed drastically over the recent years. Using the power of information technology to drive healthcare forward has helped elevate the level of healthcare we receive today.

We all know that information technology has played an important role in healthcare especially in the recent past. It has changed the way healthcare is provided to people and has made it not only more efficient but also cheaper and more reliable. The impact of healthcare information technology is far and wide. Let’s delve a little deeper and see where exactly healthcare information technology has been the most impactful…

                                                      Continue reading..

History of Public Health

Narinder Grewal MD

Jonas Salk developed a vaccine against polio in 1955, reducing the number of U.S. cases from 58,000 in 1952 to just   5,000 in 1957.


In the History of Public Health, we will examine the historical experience of health and illness from a population perspective. This material seeks to reveal how the organization of societies facilitates or mitigates the production and transmission of disease. It also asks how do populations and groups of individuals go about securing their health? One key theme is the medical management of space in one form or another – from the public space of the environment through institutional spaces such as schools and workplaces to personal/individual body space. The progression of the lectures reflects this, working “inwards” from the environment to individuals.

The content provides a historical interpretation of how the theory and practice of public health in today’s world has come to be what it is. We will concentrate primarily on the modern world (i.e., 1750 onwards) and omit detailed examination of public health in antiquity and the middle ages, although these time periods will be alluded to frequently. A thematic rather than chronological structure will be adopted so that comparisons can be made across the centuries and between different parts of the globe.

Continue reading

A Brief History Of Health Spending Since 1965

Since last March when we began tracking national health expenditures (NHE) on a monthly basis, we have been wondering when the health spending share of GDP would hit the 18 percent threshold. The recent downward revision of historical GDP estimates has provided the answer – it already happened — back in the summer of 2009, around the time when the recession was declared officially over. (Altarum Institute Health Sector Economic Indicators Spending Brief). It has moved up and down a bit since and, as of June 2011, sits at 18.2 percent. When Medicare was created back in 1965, the share was a shade under 6 percent. In this blog, I trace the growth in the health spending share of GDP from 1965 to present and identify some important historical patterns including evidence of two significant bends in the curve…

If you are interested, You can continue reading here: http://healthaffairs.org/blog/2011/09/19/a-brief-history-of-health-spending-since-1965/