Chronic Pain Syndrome And Chronic Pain Management And Treatment – Part II

Arthritis

This is not only true for chronic soft tissue type pain but also is reported in conditions such as rheumatoid arthritis (20). Examples of chronic nociceptive pain include pain from cancer or arthritis. This phenomenon, allodynia, is common in chronic degenerative arthritis, low back pain, and severe irritable bowel syndrome and interstitial cystitis. Common types of chronic pain include back pain, headaches, arthritis, cancer pain, and neuropathic pain, which …

This workshop is somewhat focused on arthritis, but is general enough that anyone experiencing chronic pain will gain new skills to deal with their pain. Although sometimes there’s no explanation for chronic pain, it is often associated with a well-known, even common condition, such as arthritis, fibromyalgia or migraine. This can include severe arthritis pain, severe lower back pain, severe neuropathic pain, chronic migraine, etc. Cats can experience chronic pain due to a number of conditions including arthritis, joint malfunction and back pain. neck aches, knee arthritis, knee arthritis, knee arthritis, knee arthritis, arthritis, arthritis, numbness, headaches, joint pain, severe headache, chronic arthritis, body achesLymphangioleiomyomatosis …

Therapy

It is for this reason that physical therapy programs for chronic pain often provide training in home reconditioning exercises. Antidepressant therapy may be effective in relieving sleep complaints associated with chronic pain. Individuals treated at the Chronic Pain Centre work closely with an interdisciplinary team including psychology, physical therapy, occupational therapy, nursing and pharmacy. Intraspinal opioid therapy for chronic nonmalignant pain: Current practice and clinical guidelines. 2 Sufferers of chronic pain and chronic illnesses may benefit from counselling or therapy as part of their coping strategy. Opioid therapy for chronic nonmalignant pain. Patient chart for review of efficacy of therapy for chronic pain. Patient chart for initiation of therapy for chronic pain. Another fairly new type of therapy for chronic pain is magnetic stimulation. According to Dr.

Treatment

Comprehensive multidisciplinary treatment of chronic pain: a follow-up study of treated and non-treated groups. However, seldom do chronic pain patients with insomnia receive a behavioral treatment for insomnia. Money matters: A meta-analytic review of the association between financial compensation and the experience and treatment of chronic pain. Models of chronic pain management through denial are based on the proposition that chronic pain occurs as a consequence of compensation and inappropriate treatment. The treatment of psychological distress in patients with chronic neck pain after whiplash. Many people suffer with chronic pain, unaware that there are a variety of treatment options that can help them live more normal lives. If you have chronic pain, you should seek out information about these various treatment options. The treatment of chronic pediatric pain would benefit from the development and support of cooperative pediatric chronic pain research consortia. The good news is that safe and effective medical treatment for chronic pain is currently available. A major barrier to be overcome, however, is that chronic pain is often not viewed as a physical illness worthy of treatment.

This is the first of a two-part article on chronic pain and its treatment. Ideally the treatment of chronic pain would be to prescribe effective pain medications. When pain persists in spite of medical treatment, as is the case in chronic pain syndromes, the issues become even more complex. The acupoints illustrated throughout this article are without question some of my favorite for the successful treatment of chronic pain. And problems such as constipation, nausea and anxiety that may accompany chronic pain or its treatment can be effectively treated.

Management

One of the problems with chronic pain management is that the brain habituates to pain-killing drugs, requiring higher and higher doses. The interdisciplinary team at the Chronic Pain Centre is made up of health care professionals who have expertise in the management of chronic pain. For all these reasons, it is extremely important that all Anesthesiologists recognize the frequency, consequences and management challenges of chronic pain in this population. The management of chronic pain in older persons. For example, assessment and management of chronic pain in children should be a mandatory part of pediatric residency. Both feature a wide range of links, tips and pain management strategies that will be of benefit to sufferers of Chronic Pain.

There are a number of management strategies for chronic pain such as acupuncture, massage therapy and pain-killing medications. The management of chronic pain in older adults. The relative merit of systemic versus neuraxial opioid administration for chronic pain management was not addressed in the these guidelines. The Guidelines recognize that the management of chronic pain occurs within the broader context of health care, including psychosocial function and quality of life. Analyses of aggregate outcomes are essential to continuous quality improvement of chronic pain management in the clinical setting. In addition, research involving people with chronic pain has helped develop effective management approaches. Algorithm for the management of chronic pain. Management of chronic pain in children.

Care

A recent survey of primary care physicians (8) noted that only 15% enjoyed treating patients with chronic pain. The prevalence of borderline personality among primary care patients with chronic pain. care of yourself, chronic pain is different. Knowing what the causes are and being able to describe your symptoms to your health care team can help you manage chronic pain. To equip the qualified clinical practitioner with the necessary knowledge and skills to implement and run a primary care chronic pain control clinic. Tell the patient that chronic pain is a complicated problem and for successful rehabilitation, a team of health care providers is needed. Personal care plan for chronic pain. To raise awareness among the health care community, policy makers, and the public at large about issues of living with chronic pain. Family care Chronic pain, like chemical dependency, affects the entire family. Involvement in the program’s family groups increases understanding of chronic pain and addiction. Expert physician care is generally necessary to treat any pain that has become chronic.

Treat

Now, there’s a way to treat chronic pain without pills but with the simple push of a button. Reimbursement policies should reflect the multidisciplinary complexity and efforts required to assess and treat children with chronic pain. Try not to rely on sedative or hypnotic medications to treat the fear many chronic patients show of activity or fear of increased pain. Interventional techniques refer to procedures that are performed in an attempt to diagnose and treat chronic pain.

Research

Research has shown that the chance of people with chronic pain becoming addicted to pain-relieving drugs is extremely small. …my research with patients with chronic pain and other chronic illnesses in…enormous success. Targeted government and private funding for research in pediatric chronic pain should be augmented. Current research should soon yield ways of formulating and delivering NMDA receptor-blockers that will ease most chronic pain syndromes without causing such adverse effects. The research evidence is strongest for these patients regarding the risk factors for chronic pain. But for chronic pain, research has shown that they tend to make pain worse, causing the patient to need larger and larger doses. Of the little research done on chronic pain, researchers had previously focused on damaged nerve fibers as pain conduits.

System

With chronic pain, the pain signals keep firing up the nervous system for months, even years, either continually or as flare-ups. Recent animal studies have shown that remodeling within the central nervous system causes the physical pathogenesis of chronic pain. In chronic pain the nervous system may be sending a pain signal even though there is no ongoing tissue damage. Much of the identifiable findings in chronic pain patients will be referable to the peripheral nervous system.

Barefoot Training in the Martial Arts – No Shoes is Good News!

Most Students of the Martial Arts train barefoot when they are indoors. And, most martial art systems train 80-100% of the time between four walls and on a soft mat. So, for many, training without shoes isn’t much of a challenge.

In the Martial Science, we spend 80-100% of our time training outside. We still support the barefoot training philosophy and motivate students to do the same – even when training in the park.

Why should you go shoeless? Because wearing shoes just does not look cool with your uniform.

Okay, I do believe that shoes serve a purpose and some shoes do not look as ridiculous as a pair of over-cushioned running shoes (Tabi and Five Fingers for example).

I do however, prefer being without shoes. I love to run barefoot, hike, climb and generally just not wear shoes at all. In fact, I spend about 75% or more of my time without any shoes and prefer to stretch this into my sporting activities. I am not the only one.

* Abebe Bikila, Olympic marathoner, won the first of his consecutive gold medals without shoes.

Research barefoot running in Google and you will get a lot more hits on shoeless wonders like Abebe. For example, Michael Warburton published an online paper titled, “Barefoot Running.” Warburton points out that the extra weight of shoes is worse than a few pounds around the waist. Extra weight means more energy is spent. As part of your stride, weight on your feet must adjust to a constant increase and decrease of speed.

Research shows that two 10-ounce shoes will make you more than five percent less efficient. That is good to know – especially when you consider the micro-movements the body has to make to keep from suffering an ankle injury.

Internal, External and Spatial Awareness

Next let’s talk about proprioception and don’t worry if you haven’t heard that word before – neither has Microsoft.

Proprioception (pronounced PRO-pree-o-SEP-shÉ(TM)n), from Latin proprius, meaning “one’s own” and perception) is the sense of the relative position of neighboring parts of the body.

Let us associate the senses with Mind, Body and Spirit and break them into three categories (only for the sake of learning this concept):

01 External (sight, taste, smell, touch, hearing and balance) – Body

02 Internal (senses that help us to perceive pain) – Mind

03 Spatial (sense that shares feedback in relation to our world) – Spirit

Proprioception is a sense that helps us to verify where the limbs of our body are located in relation to each other and space around us. It also helps determine if we are moving at the correct speed or using the correct amount of force.

In the Martial Science – we consider Spirit to represent life-spirit and interaction with the living world around us; people, nature and animals.

We get feedback from the world around us in order to adjust and improve our lives. Well, your body needs to do the same thing in order to function properly.

If you did not have proprioception and I put a blind fold over your eyes, you would just fall over. The police test proprioception to see if someone has had too much to drink. This is because you lose this sense when you have had too much alcohol. That is why they ask you to walk on a straight line without looking at your feet. Without proprioception, we must look at our feet in order to walk.

If you watch a baby move his hands around trying to grab for something, you will notice that his hand movements stutter as they begin to learn how to develop hand and eye coordination. Every time that they reach for something new, they are creating new data and feedback to build on.

The skill to spin a sword or catch a Frisbee both require that you have a very specific SENSE of the exact positions of your limbs, your muscles and joints involved. The development of this skill has to reach level 4 of the natural learning process:

1 You are unaware of your incompetence (you don’t know you don’t know)

2 You are consciously incompetent (you know you don’t know)

3 You are consciously competent (you must think as you act)

4 You are unconsciously competent (you can act without thinking)

Let us assume that you are a martial artist that would like to have natural cat like reactions. Not only that, but you want good timing, and to be able to kick with deadly accuracy.

At first, you are going to be unaware of the fact that you cannot kick properly or with precision (1). Then you see someone kick the way you would like to and begin to understand that you do not currently have the skills you desire (2). With some training, you can kick a bag or target on command (3). Finally, with years of practice, you can kick without thinking. You react naturally (4).

This sense must reach autopilot so that you can then focus on other important areas of performance, such as contemplating alternative strategies, observing your environment or punching while kicking.

A more modern way to label proprioception is to call it movement intelligence. This is of course with the belief that proprioception is focused on feedback. When the body moves, information is sent to the brain for further investigation, calculation and adjustments.

There’s more to it than meets the eye and foot coordination.

Studies researching ankle injuries suggest that our reflexes play a bigger role in staying injury free. When you wear bigger shoes, you are not going to have as much development around the core areas of your foot and ankle. Shoes alone could be the cause of many ankle sprains, knee injuries and back pain.

Here is a quiz. Pain caused by ankle sprains has to do with:

A Strength

B Endurance

C Flexibility

D Balance

The correct answer is D – balance / proprioception.

Having a strong ankle, physical endurance or flexibility will not save you from an ankle sprain if you have not also developed the neuromuscular system to react naturally. Shoes just do not help us with this development as much going barefoot does. Imagine wearing a shoe on your hands.

Going barefoot helps to improve proprioception because you can feel more of your feet, develop more muscle memory and thus increase chances of reacting naturally. The more you can FEEL the better, as this will create more signals and thus more data. In the end, that = more balance.

It all happens so fast and on such a micro level that it is not something we can consciously adjust to in the now.

Since most martial artists already train barefoot, I am suggesting that you also do the same when you are in the park training, or lounging around the house. If you want improved kicks, you need to start from the ground up. The more often you kick and train barefoot – the better.

NOTE: You must train with shoes too if you expect to know how to move in a real life situation (we do not go barefoot in the mall). Balance is key – but before you put on the iron man suit – consider training what is inside it first.

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Sciatic Nerve Treatment – The Pineapple Treatment

Sciatic nerve pain is without a doubt one of the most irritating pains out there. At its best, it can limit your day to day activities. At it’s worst…well at it’s worst it will end your every day life all together. Just today I saw a man on the bus who opted to get off 3 blocks before his stop because the way he was sitting was causing him too much pain, (crowded buses lead to very open conversations).

There is great news for you sciatica patients who are looking for a natural alternative to the nasty pills and painful treatments you are probably being subjected to with your current doctor. The secret to sciatic nerve pain treatment is no harder than a trip to your grocery store.

Pineapples – the tasty way to sciatic nerve pain relief

It’s pretty unexpected, I will admit. But pineapples contain an amazing enzyme called Bromelain. This enzyme is very powerful, and very potent in treating sciatica. I am not saying eating this alone will heal you. Obviously sciatica is a powerful little beast and it needs an equally powerful treatment plan to kick it to the curb. What I am saying is that food is part of a powerful arsenal of natural methods you can use to tame your sciatic shrew. Of all the foods that you should be putting into your daily diet to treat sciatica (such as anti-inflammatory and potassium rich foods), pineapples are the fastest actors, and can actually take a chunk of the pain out of a flare. Unlike other foods, that you have to build up in your system before you can really feel an impact on your sciatica, bromelain wastes no time getting to work. You do have to eat a decent amount in order to feel a difference, but if you are willing to have a serving of pineapples in each of your meals the next time you have a flare, then you should be well on your way to sciatic nerve pain relief. 

It’s no secret that I think Sciatica stinks. If you are reading this, chances are you do too. The pain can be a debilitating monster of a beast. More often than not the doctor’s advice is painful, pricey, or altogether useless, (‘Alternate heat and ice?’ Sure am glad I wasted my latte money on that stellar piece of advice).

Migraines and Legs – Is Your Leg Length Difference Causing Your Migraine Headaches?

Migraines can be caused by having a short leg. According to a study by the US Army, approximately one out of ten people have an actual leg length difference.

Myofascial (muscle and soft tissue) pain experts Drs. Travell and Simons said that a leg length difference of 1/8 inch or more puts you at risk for pain and dysfunction. Why? Because your body does things automatically to try to correct or adapt or accommodate that difference such as tilt, twist or rotate. These positions can cause a migraine.

There are two types of “short legs.” Both can cause migraines.

One is an actual anatomical difference which could be caused by severe injury or polio or nature and is measurable on x-rays. It could be either the upper or the lower leg bone.

The other type is a functional leg length difference. That means the bones are all the same length but muscles in the body cause one hip to lift. Your hip bones can move independently of each other so it is possible to have one hip that is higher or more forward than the other.

People with a leg length difference often have migraines because walking with a tilt puts a lot of strain on the muscles at the base of the skull. It causes a rotation (slight turning) of the head. That can affect the nerves and blood vessels which play a part in migraines. Those people can have other pain, too, such as hip pain on the short leg side or low back pain pain or TMJ dysfunction.

What’s the fix?

Good news! There is a relatively easy fix so you don’t have to go through life “out of balance” and with migraines.

Anatomical short leg:

Lifting your entire foot on the short leg side enough to level your hips will go a long way in helping you feel better, have fewer migraines, and fewer problems with your neck and muscles.

This requires that you only wear certain shoes. They must have a solid, thick hard rubber sole. A shoemaker can split a firm rubber sole and add a layer of neoprene rubber to lift the short leg. This doesn’t work with air or gel type shoes.

Also, if you have a really skilled shoemaker or cobbler, he might be able to remove your whole sole and replace it with a new, thicker sole.

It may seem like a lot of work or you might not want to give up your stylish shoes but the benefits to your body are huge.

Functional short leg:

A skilled massage therapist can help relax and release the tight out-of-balance muscles that are pulling your bones out of neutral.

How do you know if you have a leg length difference?

Perhaps one pant leg is always longer than the other. That was the clue for my 91 year old client who had back pain and migraines for over 70 years. His doctors never looked for or told him he had a leg length difference but he told me, “My tailor always told me I did!” His anatomical leg length difference was about 2 inches.

Maybe when you look in the mirror you can see that one shoulder is higher than the other or that your head sits off the side instead of dead in the middle of your body. That’s a clue, too.

Or, as you look in the mirror, does your belt line always sit lower on the same side?

How do you know how much lift you need?

A doctor can take x-rays of your legs and hips and measure for you. Or, you can “guestimate” by placing notebooks or magazines under your short leg and adding or removing pages until you feel level and look level in the mirror. Many neuromuscular massage therapists are trained in measuring leg length differences also.

When you get rid of an actual leg length difference and stop the tilting and twisting that your body does to try to make corrections, you can have fewer migraines.

What else can I do?

There is a lot of information and misinformation about migraines. Doctors mostly look at trying to help you get rid of them rather than figure out where they come from. Here’s a clue: There are things your body likes and things it doesn’t like.

In addition to getting your hips level (which your body likes) you can take steps to relax the muscles around your head and neck (which your body also likes.) You can also do simple, gentle movements to help correct your posture and relax your back (which your body likes. too.).

There can be multiple causes for your migraines but the more causes you can get rid of, the less pain you will have.

PLEASE NOTE: Whenever you do movements for your neck, always do them carefully, slowly and thoughtfully. Pay close attention to what’s going on so you don’t aggravate your touchy neck and cause a migraine.

Chronic Pain Relief – Effective Treatments

There are many ways that chronic pain can occur. Some of these are due to an injury, or maybe an illness and some are due to age. Chronic pain can affect many parts of the body, but in most cases the back is what is affected. Chronic back pain relief is a must to find, because if it is not corrected, it can effect all parts of your life. You can be affected emotionally and depression can even set in. There is good news, because there are many ways to find chronic pain relief. There is a bit of trial and error to find the correct pain relief. You and your doctor and other health professionals can partner to keep chronic pain from destroying your life.

What You Should Do First

The first thing that you must do is contact your doctor. The doctor can determine where and why the chronic pain is occurring. Finding the cause of the pain is the first step in chronic pain relief.

Chronic Pain Relief – Using Medications

Sometimes the first option for chronic pain relief is treating it with medications. There are many different types of medications that can be used. Over the counter drugs such as acetaminophen and ibuprofen are effective when the pain flares up.The next step after this would be to try using prescription drugs. These medications include antidepressants, corticosteroids and muscle relaxants. These drugs will work sometimes in the short term for bringing chronic back pain relief under control, but there are serious side effects if they are used for long periods of time for chronic pain relief. Due to these side effects, it is a good idea to find other methods of pain relief wile reducing the frequency of the prescription drugs.

Chronic Pain Relief – Other Options

Rest is probably the first thing that you should do for a day or two after an injury. After this, physical activity is thought as a good chronic pain relief. Exercise will increase your flexibility and strength and improve muscle tone. Exercise is an important part of having a healthy life style long term and will bring pain relief. If you decide that you are going to start a physical exercise program to relieve chronic pain, make sure you consult your doctor. He may have you work with a physical therapist or maybe a personal trainer. Many people today are using physical trainers to guide them to the right exercises to relieve chronic pain. This will also prevent you from further injuring yourself.You can also employ some natural methods for chronic pain relief. These could be herbal treatments for relief of pain. Herbal relief from pain can be quite effective. There is also acupuncture for pain relief as well as massage therapy. Acupuncture for pain relief has been used effectively for many years. If you have never tried acupuncture for pain relief, maybe you should. After an injury that has caused chronic pain, your doctor may have you start physical therapy to bring strength and condition the injured area. Another natural pain relief method that you can do at home is hot and cold therapy. These can be an effective chronic pain relief treatment. What you do is switch between cold (ice) and then use hot packs to the affected area. These can be extremely effective method to relieve pain. Some people find that aromatherapy and biofeedback techniques help them to relax there muscle. These techniques also allow you to release tension. Both are effective at chronic pain relief. As you can see there are a variety of methods for chronic pain relief. Try each one to determine which will work best for you.For more information on this type of pain and others visit: Acupuncture for Pain Relief