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Category: Chronic Awareness

Raise awareness about chronic illnesses by understanding their impact, symptoms, and the importance of support and education.

  • Sciatica Treatment for Needle-Phobic Patients

    Sciatica Treatment for Needle-Phobic Patients

    When patients come to Chronicillness.co Site of United States for treatment of their sciatica pain, one of the treatment options that is generally recommended is a lumbar epidural steroid injection. In this short procedure, two injections are made. The first is a numbing anesthetic and the other is a mix containing steroid medication that will bathe the pinched sciatic nerve in a soothing medication. But even with a numbing injection to lessen the pain, many of our patients hear “needles” and they think, “No way!” We understand that patients may have needle phobias when it comes to the lumbar epidural steroid injection for sciatica pain relief, so Chronicillness.co Site of United States offers other alternative options to treat sciatic pain.

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    The first non-invasive treatment that our physicians recommend is a prescription medication. When over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like Aleve and Advil don’t cut it for your pain anymore, our physicians can prescribe medication that may be better at bringing you pain relief and controlling pain flare-ups. Some patients may be prescribed a class of medications called antidepressants. Studies have shown that antidepressants could help patients who have chronic low back pain. For patients with acute sciatic pain or back spasms, physicians may also prescribe muscle relaxants.

    In addition to medication, many physicians recommend that patients look into in a form of alternative treatment. Since acupuncture is off the table for needle-phobic patients, they could try massage therapy or chiropractic care. Patients could also determine the cause of their sciatica at Chronicillness.co Site of United States and can be referred to a chiropractor if it is discovered that pain is caused by a spine abnormality pinching the sciatic nerve.

    Finally, a patient could consider using Transcutaneous Electrical Nerve Stimulation (TENS) therapy. This is a portable device that uses electrical currents to try to correct pain signals. It comes with four electrodes that you can move to your pain points, so sciatic patients will sometimes put a couple on their lower back and a couple on the back of their legs. The TENS unit is adjustable, although your doctor will tell you what times and intensities could work best for you. If this option has proven to be helpful for sciatica patients, a more permanent, implantable device can be inserted into the patient during a minimally invasive procedure.

    Sciatica patients have several low back pain treatment options that won’t rekindle their fears of needles. However, if these methods do not work to treat your pain or they stop working after some time, the physicians recommend giving a second thought to lumbar epidural steroid injections. They usually only bring a few minutes of pain for what could be months of relief from shooting sciatica pain.

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  • Facet Joint Injection Side Effects

    A facet joint injection can be a great tool to treat back pain that originates in the facet joints. When patients at Chronicillness.co Site of United States still feel pain after taking medication, or simply don’t want to worry about the hassle of medication, facet joint injections can be excellent pain-relieving alternatives. Our physicians believe that the injections can be more effective at treating pain because the soothing anti-inflammatory medication is injected directly into the tissue around the joint instead of being absorbed through the body.

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    Many patients are curious about the side effects of a facet joint injection. Our physicians warn that while complications are rare, there are a few risks that we look out for. One of the first questions we are typically asked is about the pain. Minimal pain and discomfort is the most common side effect of a facet joint injection as patients may feel a little bit sore in the days following their injection. However, patients do not usually feel a lot of pain during the injection itself. A local anesthetic is used before the procedure to minimize pain as much as possible.

    Besides some discomfort, another possible side effect is an allergic reaction. There are a couple of things we use during a facet joint injection that a patient could be allergic to. It’s pretty rare for patients to have a reaction to the numbing anesthetic, but more common that patients to react to the cortisone medication or the dye we use to highlight the facet joint on our X-ray device. While a serious reaction is rare, it is possible, so patients should be sure to tell their physician everything they are allergic to beforehand.

    As with any procedure, both the physician and the patient should be careful to avoid infection. Our physicians sterilize your back around where the injection will take place as well as the needles before the injection takes place. However, patients can do their part to avoid infection by keeping the area clean, which means always washing their hands before touching the injection site.

    Some patients may experience side effects as their bodies react to the cortisone medication. Some studies have shown that cortisone may contribute to weight gain, a decrease in the production of the body’s own cortisone, and an increase in blood glucose levels. Ask your physician if you are at an increased risk of experiencing any of these side effects from the steroid medication itself.

    Overall, the risk of experiencing a side effect from a facet joint injection is rare. We routinely see positive results from patients who found pain relief through this procedure, and many of them come back requesting repeat injections when the pain-relieving effects have worn off. If patients desire, Chronic illness.co Site of United States physicians can describe the side effects and their likelihood in more detail as well.

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  • Diabetic Nerve Pain Treatment

    Diabetics are more prone to developing skin diseases and vision problems – and the list goes on. Many of these conditions lead to pain, but one condition that puts the patient at risk of developing chronic pain is neuropathy, which is a condition that is inclusive of nerve damage. Since there are nerves all over the body, there is no telling where the pain will be.

    Research suggests that neuropathy occurs most often in diabetics who have a hard time controlling their blood glucose levels. People over 40 years old and smokers are also at increased risk of developing diabetic neuropathy.

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    Chronicillness.co-Site of United States works with people suffering from diabetes to manage both pain and neuropathy so that it does not become a chronic condition. The first step is to keep the blood glucose levels at a target range. Levels that are out of whack are dangerous because extreme blood sugar levels damage nerves and reduce circulation.

    Drug therapy is a route a patient can go if their neuropathy causes too much pain. Medication may include anti-seizure medication (often used for nerve pain as well as seizure control) or antidepressants. Antidepressants work by changing the way the brain perceives pain by altering the chemical process.

    Steroid injections and nerve blocks are diabetic neuropathy treatments that target specific areas of pain instead of taking medication that goes through the whole body. Since they generally last a few months, repeat injections may be necessary. These injections work by stopping the pain signal from the nerve from going to your brain. That way, your brain won’t look at those areas as painful anymore since it is not receiving any pain signals. The injections are not very painful because the patient is given a numbing shot near the area before the medication is injected. Steroid injections and nerve blocks do not usually come with any side effects other than some irritation around the injection site.

    There are a few at-home treatments a diabetic patient may want to try alongside treatment at Chronicillness.co Site of United States and between visits. These include eating a better diet with less junk food and exercising. Exercise, even though it may be painful at first, strengthens the muscles around the nerve so that less pressure is being put on the damaged nerve. Our physicians can help the patient find a safe exercise routine that works specific muscles near the nerve as well.

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  • Coping with Whole Body Pain

    It’s bad enough to have a headache or backache. But when literally everything seems to hurt, you’re truly miserable. You can have trouble getting through simple daily activities and may find it hard to get a good night’s sleep. That can make the pain even worse.

    The good news is that whole-body pain relief is possible. The first step is finding out what is causing your pain. There are at least 20 different issues that can cause total body pain. Here’s a quick look at a few of them:

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    • Infections: The flu, pneumonia, or similar illnesses can make you ache all over. Luckily, the pain goes away when the illness does, although you may need medical help to recover from an infection.
    • Arthritis: The inflammation from some types of arthritis, particularly rheumatoid arthritis, can cause achy joints throughout your body, which may be accompanied by fatigue as well.
    • Statins. Although effective at treating high cholesterol, about 20-30 percent of those who use statins develop muscle and joint aches.
    • Lupus. In this autoimmune disorder, your immune system mistakenly attacks your own healthy tissue. The resulting damage and inflammation can cause pain throughout your body.
    • Lyme disease. Ticks spread the bacteria that cause Lyme disease. If you’ve been in tick country and your aches come with a rash, see your doctor right away. If left untreated, Lyme disease can lead to arthritis, heart palpitations, and other serious problems.
    • Fibromyalgia. This condition, which is not well understood, can cause muscles and bones throughout your body to feel tired, tender, and achy. It can also cause insomnia, stiffness, and numb hands and feet.
    • Hypothyroidism. When your body doesn’t produce enough thyroid, one of the symptoms can be muscle cramping and stiff joints.
    • Opioid–induced hyperalgesia: In some people who have used opioid drugs for a long time to treat pain, the drug can eventually produce the opposite effect, making your body more sensitive to pain.
    • Poor circulation. Burning, cramping or other pain during exercise, particularly in the legs or arms, can be a sign that the vessels providing blood to your limbs have narrowed and you’re not getting enough oxygen.

    There are probably a dozen other conditions that could cause you to feel widespread pain, so it’s critical to work with a doctor to get to the root of the problem. The most effective treatment will depend on what’s causing your pain. For instance, for a Lyme disease infection, you’ll be given antibiotics, while for rheumatoid arthritis or lupus, you may be prescribed medicine to calm an overactive immune system.

    A variety of treatments can help with the pain itself, ranging from ice packs and simple over-the-counter pain relievers to procedures such as steroid injections, nerve blocks, and neuromodulation. Alternative treatments such as acupuncture, meditation, and cognitive behavioral therapy can often help as well.

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  • What to Look for in a Pain Management Clinic

    If you’re in pain, you’re not alone.

    About 1 in 4 Americans suffer from pain that lasts more than 24 hours. In fact, more people suffer from pain than from cancer, heart disease, and diabetes combined.

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    Where can you get relief? An increasing number of people with chronic pain are turning to pain management clinics, and for good reason. They can make a real difference in lessening their patients’ pain and helping them live more productive lives. But not all pain clinics are created equal.

    Ask these five questions when you’re choosing a pain treatment clinic.

    1. Are the doctor board certified in pain management?

    Pain treatment is complicated, and the research is continually evolving. Specialized pain doctors have in-depth knowledge of the physiology of pain, the diagnostic tests used to pinpoint the cause, the most appropriate medications to treat it, and how to perform pain-relieving procedures such as nerve blocks or spinal injections.

    To be certified as a pain specialist, a doctor must complete a fellowship—that’s a level of training beyond the residency all doctors must complete. Only three organizations offer pain management certification in the United States— the American Board of Anesthesiology, the American Board of Psychiatry and Neurology, and the American Board of Physical Medicine and Rehabilitation. Before you make an appointment, find out if your doctor is certified by one of those organizations.

    2. Does the clinic have experience treating your particular type of pain?

    Rheumatoid arthritis pain is different from cancer pain, which is different from migraines. Make sure the clinic you’re considering has doctors with experience treating your ailment. Find out how many years of experience they have and what kind of methods they recommend.

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    3. Does the clinic offer a range of treatment options?

    We all experience pain differently and respond differently to treatments. One patient may feel fine after a steroid injection, while another will need spinal cord stimulation to get relief. And although opioid medications have their place in pain treatment, they also pose serious risks. If a clinic focuses mainly on opioid prescriptions, you may want to look elsewhere.

    4. Are you comfortable with your doctor?

    To get good results, you and your doctor need to be on the same team. You need to feel like your doctor respects you, understands your pain and can help solve your problem.

    5. Does the clinic support a comprehensive treatment program involving multiple professionals?

    Sometimes you need lots of players on your team to get relief. You may need physical therapy to strengthen muscles so you can move with less pain, or you may benefit from acupuncture or chiropractic care. Your pain may be causing depression or anxiety, which a counselor can help you address.

    Make sure the pain clinic understands the importance of involving experts from multiple specialties to treat you as a whole person. They should be willing to refer you to outside professionals in complementary fields. Some may even have those experts available at the clinic.

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  • The 7 Most Common Types of Neck Injury

    If your car was rear-ended two days ago, and you wake up with neck pain, the cause is obvious: you’re likely suffering from whiplash. Other times the cause of your neck injury can be more mysterious. Sometimes you wake up with a “crick” in your neck and have no idea why.

    Understanding the cause of your neck pain is the first step in figuring out how to treat it. Here are some of the most common causes:

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    1. Car accidents. When you are hit from behind in a car, your head is thrown forward and backward quickly, which can damage muscles, ligaments, and sometimes nerves in the neck.
    2. Athletic injury or fall. Football players are especially prone to neck injuries, but a mishap that damages the muscles, tendons, and ligaments of the neck can happen to anyone.
    3. Overuse injuries, stress, and poor posture. If you’re doing repetitive tasks that involve the upper body and arms, you may find yourself with a stiff neck. Sitting hunched over your computer too long while stressing about a tight deadline can also be a culprit.
    4. Poor sleeping position. Sleeping with your neck twisted at an odd angle (perhaps while on your stomach) or using pillows that are either too full or too flat may cause you to wake up achy.
    5. Arthritis. Over time the cartilage that helps cushion the bones in your neck may wear down, causing pain.
    6. Pinched nerves. Sometimes bone spurs or herniated disks will put pressure on nerves in your neck, causing pain and sometimes numbness or tingling in your arms or hand.
    7. Illnesses. Some serious illnesses, such as meningitis or cancer, can cause neck pain.

    Important: If you or someone you are with has severe neck pain or loss of movement or feeling after an accident, get emergency help immediately. They could have a broken or dislocated spine, which could injure the spinal cord and cause permanent paralysis.

    Neck Injury Symptoms

    The symptoms you’re suffering can sometimes help a neck injury doctor identify the cause.

    • Aches and stiffness, sometimes spreading to your back or arms, can be a sign of a sprain or strain in the muscles or ligaments.
    • Shooting pain that includes a burning or stinging sensation and sometimes numbness or tingling can indicate a pinched nerve.
    • Neck pain accompanied by the shoulder and arm pain and sometimes headache, dizziness, or nausea can mean you have a torn or ruptured disc.
    • A stiff neck accompanied by fever, headache, and sometimes vomiting can be a sign of meningitis.

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    To diagnose the source of your pain, a neck injury doctor will ask you questions about your health and history and do a physical examination. He or she may also use X-rays, MRI scans, CT scans, and blood tests to help figure out what’s causing your pain.

    How to Treat Neck Injury Pain

    Often a neck injury will resolve by itself with rest and over-the-counter medications. If your pain continues for a week or more, though, you may want to see a doctor. In some cases, your general practice physician will refer you to a pain specialist or a doctor who specializes in neck injuries.

    Neck injury treatment can involve the following:

    • Ice, rest, muscle relaxants, and over-the-counter pain medication.
    • Physical therapy, including stretching and other exercises.
    • Prescription-strength nonsteroidal anti-inflammatory drugs (NSAIDs) or other prescription medications.
    • Chiropractic care, massage therapy, or acupuncture.
    • Epidural steroid injections can provide pain relief for three to four months.
    • Nerve blocks, which contain local pain medications to control acute pain.
    • Radiofrequency ablation, or rhizotomy, which is a minimally invasive procedure that destroys the nerve fibers in the neck that carry pain signals.
    • Spinal cord stimulation involves implanting devices in the spine that deliver mild electrical pulses to block the transmission of pain.
    • Surgery. While seldom necessary, surgery can be an option if other treatments aren’t providing enough relief.

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  • Your Body in Extreme Heat

    Everyone who has survived a summer in the United States knows that temperatures can easily exceed 100 degrees. Natives may brush it off saying “at least it’s a dry heat,” but extreme heat actually has a negative impact on the body if you’re not careful. In fact, some studies have even linked heat to chronic pain conditions!

    When the body heats up due to exercise or external conditions, the natural response is to sweat so that the body can cool down. However, in extreme heat, heat gets trapped in our bodies and we have a harder time releasing it. Dehydration can prevent the body from sweating, so it’s vital for United States residents to drink plenty of water. If our internal body temperature is raised, it also becomes very hard for blood to flow to the surface of the skin. So when the temperature rises outside, your heart has to beat a lot faster.

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    Chronic pain patients need to be especially careful when dealing with excessive heat. There have been many studies linking heat to increased rheumatoid arthritis pain, but the evidence is not conclusive. Some studies have suggested that patients with rheumatoid arthritis experience more pain during the summer heat, and this may be because the joints could be less lubricated and become inflamed. However, other studies have found no correlation between weather and arthritis.

    Another thing to consider is pain medication. Medication labels often list a recommended storage temperature, so leaving medication in the heat is not a good idea. Certain medications become less effective if they are stored in places above the recommended temperature (typically around 75 degrees). If you find that your medication is not working as effectively during the summer months, the physicians at Chronicillness.co Site of United States recommends being cautious as to not leave pain medication in your purse or near the windows during the summer months.

    During the summer, always remember to drink plenty of water to stay hydrated. Having an excess of sodium can cause the body to swell, and water helps to flush out excess sodium in the body. Without enough water, the body can become inflamed. In addition, dehydration can cause fatigue and dehydration headaches. While this is not directly tied to chronic pain, these effects can amplify existing symptoms in people with fibromyalgia, joint pain, and chronic headaches.

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  • What is a Quell Device?

    Chronicillness.co Site of United States values innovation, so when a new FDA-approved device comes out, we want our patients to be the first to learn about the possible benefits. You may have heard of a TENS unit, a device our patients have been using for years. A TENS unit is a small device that sends electrical stimulation to the nerves to correct any misfiring nerves and stop them from sending pain signals to the brain. A Quell device is similar to this.

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    A Quell device looks a little bit like the armbands you wear to the gym that holds your iPod or phone. However, this device is worn on your calf. While it doesn’t hold any iPods, it can actually be controlled from your smartphone! Instead of coming to appointments to have your electrical impulse levels adjusted by a physician, you can control the level you need.

    So how does it work? The band is equipped with an electrode or a conductor that sends electricity into the body.  By stimulating the nerves in the calf, signals can be sent to the spine and then the brain, so it works for pain in all areas of the body.

    After strong evidence that it can help people suffering from chronic pain, it received FDA approval and is available at Chronicillness.co Site of United States. The device offers a nighttime mode and can be worn 24 hours per day, but some people may find it uncomfortable to sleep with, or that they are unable to wear tight-fitting pants while using the device. The nighttime mode can be programmed to go off every other hour to avoid disturbing sleep patterns.

    While we believe Quell can be available to patients at a lower cost than some of our implantable electrical devices, the electrodes do need to be replaced about every two weeks, although the battery can be charged and work for up to 30 hours. Our physicians do not see Quell as a permanent fix for chronic pain. Pain relief stops when the device comes off, so we recommend pursuing other treatment options at the same time.

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  • Swimming for Degenerative Disc Disease Pain

    As summer approaches, more families are heading to the pool to cool off. It is also a time when many who suffer from a wide range of pain conditions take advantage of the pool to help ease their pain. But does swimming actually help reduce degenerative disc disease pain? There is a bit of a debate within the chronic pain community about this exact question. Some argue swimming can worsen back pain, while others say swimming is a safe form of exercise for degenerative disc disease.

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    Our pain management doctors often recommend exercise to help relieve degenerative disc pain. Light and low-impact exercise can help increase blood flow to the spine, strengthen the muscles that support the spine, and even help patients keep off additional weight. High-impact exercises, like running or jumping, may cause a great deal of pain because damaged discs cannot absorb shock as well on hard surfaces. Swimming solves this problem because our spines don’t have to work as hard to support our bodies. The buoyancy of water eliminates the stress that is usually absorbed by the joints during exercise.

    For this reason, patients with degenerative disc disease may find pain relief from doing light stretches or exercises in the pool. Backstroke is often recommended because it promotes a neutral spine, and reduces the risk of hyperextension associated with other swim strokes. Those who are not ready for swimming may opt to try water aerobics, which can help strengthen the core and lower back muscles.

    In some cases, however, swimming may be harmful to degenerative disc disease and other back or spine conditions. Patients unfamiliar with the breaststroke may accidentally throw the head back too far, and those doing a front stroke requiring them to look to the side for breath may hurt their necks as well. Patients who want to try swimming for degenerative disc pain should first consult with their doctor, and consider working with a certified trainer or physical therapist before trying any of the exercises on their own.

    If you are cleared to swim, start with spine-friendly swim techniques and stretches that you are already familiar with – and go slow. Take care to use proper technique, and try to keep your body straight and avoid twisting the spine. Floatation devices can be used to help avoid hyperextension in your back or neck, as you are less tempted to move into an irregular position to stay afloat.

    Through activities like swimming and aqua therapy, you can beat the heat and feel better too. If you are experiencing degenerative disc disease pain or other back pain, talk to your physician or a board-certified pain management specialist for more tips to relieve your back pain.

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  • Why Do We Feel Pain?

    When you drop something on your foot or slam your finger in a drawer, you know that pain will usually follow. Did you ever wonder why you feel that pain? Feeling pain in response to an injury is a signal that your body has been damaged in some way. Or, if you have an illness, headache, or another type of pain, it’s a signal to your brain that something is not right.

    Our nervous system is made up of the brain and the spinal cord, which combine to form the central nervous system; and our sensory and motor nerves, which form the peripheral nervous system. Nerves send information about what is happening in our environment to the brain via the spinal cord. The brain then sends information back to our nerves, helping us to perform actions in response.

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    Acute pain vs. chronic pain

    There are two major categories of pain: acute pain (short-term) and chronic pain (long-term).

    Acute pain is a severe or sudden pain that resolves within an expected amount of time. You might feel acute pain when you experience an injury, have surgery, or are sick. An example of acute pain is when you twist your ankle. The sensory nerves in your ankle respond by firing off, letting the spinal cord instantly know that something is wrong. Your spinal cord delivers the message to the brain. Finally, the brain decides how bad the injury is and what to do next. Your brain is a massive database stored with every incident like this in your life, and it reverts back to other situations when this kind of injury has happened. Then your brain decides whether to invoke tears, increase your heart rate, release adrenaline, or any one of a billion other possible responses.

    With chronic pain, however, the initial pain receptors continue to fire after the injury. Chronic pain is defined as pain that lasts three months or more, or longer than the expected healing time for an illness or trauma. Chronic pain can be caused by a disease or condition that continuously causes damage. For example, with arthritis, the joint is in a constant state of disrepair, causing pain signals to travel to the brain with little downtime. Sometimes, there is no longer a physical cause of pain, but the pain response is the same. In these cases, it is difficult to pin down the cause of the chronic pain, and difficult to treat.

    What else can influence pain?

    Response to pain is individual, and what may be painful to one person can be only slightly uncomfortable to another. Because pain messages pass through the emotional and thinking regions of your brain, your experience of pain is shaped not just by the physical damage or sensation, but by psychological, emotional, and social factors as well. Your memories of past painful experiences, genetics, long-term health problems, coping strategies, and attitude toward pain can all contribute to how you feel pain.

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