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  • Electrical Pulses May Ease Lower Back Pain

    A new treatment that aims electrical pulses at irritated nerves around the spinal cord appears effective at relieving chronic lower back pain and sciatica, a preliminary study suggests.

    The minimally invasive procedure, called image-guided pulsed radiofrequency, eased lingering pain in 80 percent of 10 patients after a single 10-minute treatment. Ninety percent were able to avoid surgery.

    “Given the very low risk profile of this technique, patients suffering herniated disc and nerve root compression symptoms may undergo a safe and fast recovery, going back to normal activities within days,” said study author Dr. Alessandro Napoli, an interventional radiologist at Sapienza University in Rome, Italy.

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    “In fact,” he added, “one of the dramatic advantages of this technology is that we can perform it in a day-surgery setting, without anesthesia, and [patients] go home the same day.”

    Napoli’s study was scheduled for presentation Wednesday at the Radiological Society of North America’s annual meeting in Chicago. Studies presented at scientific conferences typically haven’t been peer-reviewed or published, and results are considered preliminary.

    About 8 in 10 people suffer from lower back pain at some point in their lives, according to study documents. This pain can be due to a herniated disc in the lower spine. Sciatica is radiating leg pain caused by a pinched nerve in the lower spine, which also may be due to a herniated disc.

    Also called a slipped or ruptured disc, a herniated disc occurs when the spongy material inside a spinal disc squeezes through its tough outer shell because of aging or injury. This material can press on surrounding nerves, causing pain and numbness or tingling in the legs, according to the American Academy of Orthopaedic Surgeons (AAOS).

    Conservative, nonsurgical approaches typically ease symptoms of a herniated disc over time, according to the AAOS. These treatments include rest, gentle exercise, pain relievers, anti-inflammatory drugs, cold or hot compresses, physical therapy and massage therapy.

    Learn More: Self-Care for Lower Back Pain

    However, about 20 percent of those with acute low back pain don’t find relief through these measures. That leads some to decide on surgery to remove disc material pressing on their spinal nerves. For these people, Napoli said, image-guided pulsed radiofrequency treatment may become a viable option if larger studies reinforce his findings.

    Napoli’s research included 80 people who had experienced at least three months of low back pain from a herniated disc that hadn’t responded to conservative treatments.

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    Image-guided pulsed radiofrequency treatment uses computed tomography—a CT scan—to help physicians insert a needle to the location of the herniated disc and surrounding nerves. A probe that’s inserted through the needle tip delivers pulsed radiofrequency energy to the area over a 10-minute period, resolving the herniation without touching the disc, Napoli explained.

    More than 80 percent of the 80 study participants were pain-free a year after a single treatment. Six people required a second treatment session.

    Pulsed radiofrequency has been widely used in pain medicine for other types of chronic pain, Napoli noted.

    He said the treatment works by “eliminating the inflammation process” in nerves surrounding the herniated disc, hindering painful muscle contractions. “The aim was to interrupt this cycle and give the body the chance to restore a natural healing,” he added.

    Dr. Scott Roberts, a physiatrist with Christiana Care Health System in Wilmington, Del., said the new findings showed “an impressive drop in pain and improvement in function.” However, he noted that the research didn’t include a control group for comparison with people not given the treatment.

    “With no control group, we don’t know how much of the improvement we’re seeing would have happened anyway,” Roberts said. “I was very encouraged by [the study] because its results are significant, but it’s far from conclusive without a control group.”

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  • How To Treat Cluster Headaches

    When treating chronic headaches, the first step is to identify what type of headache you have. Cluster headaches are characterized as a constant burning or piercing in the head usually behind the eye, and often strike in patterns, i.e., clusters. Because of the location of the headache, patients might experience red, puffy eyes that water or droop down. This type of headache is usually only felt on one side of the head and happens around the same time each day. Since they are one of the more severe types of headaches, they can sometimes be confused with migraines and even present some of the same symptoms including nausea.

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    Patients who experience cluster headaches may not realize they have a chronic condition because they often have frequent headaches, usually before bed, but then they go away for long periods of time. Patients can identify cluster periods if they notice that they have headaches at the same time each day for a few weeks to a few months.

    Even though there is no known treatment for cluster headaches, Chronic illness in the United States may be able to reduce the frequency of cluster headache attacks. One way is to give patients an oxygen mask. Oxygen regulation provides the patient with immediate access to 100% pure oxygen. This treatment is often recommended because of its fast-acting effects when treating a cluster headache. Also, patients cannot have an allergic reaction to oxygen like they might with some medications prescribed to help ease headache pain. To those not allergic, medications can be prescribed either orally or via injection to disrupt a cluster headache’s cycle.

    Finally, if headaches persist, your physician may talk to you about nerve blocks or deep brain stimulation to change the way pain signals are received. As a last resort, patients may opt for surgery to relieve pain. Chronicillness.co Site of United States usually only recommends surgical intervention if nerve pathways are damaged.

    If you experience cluster headaches, we encourage you to call our office and make an appointment. Until then, avoid any alcohol or cigarettes, as they are known triggers of these headaches. Our physicians also recommend eating a healthy diet and going to bed at the same time each night, as these habits have been known to reduce the frequency of cluster headaches.

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  • Pain Relief for Achy Joints

    Getting older certainly has its perks, but the reality is that aging can take its toll on many of us, despite our efforts to get out there and stay active—especially as the cold weather sets in.

    No, it wasn’t an exaggeration when your mother/father/grandmother or someone else rubbed their knee/elbow/back, winced and muttered, “I can feel a storm coming on.”

    Yes, there is evidence that shows a link between weather changes and chronic pain, especially joint pain and migraines. A 2007 Tufts University study showed that for every 10-degree drop in temperature, there was an incremental increase in arthritis pain. Low barometric pressure, low temperatures and precipitation can all increase pain. The theory is that these conditions increase swelling in the joint capsule, says the Arthritis Foundation.

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    It all adds up to giving your body an opportunity to heal itself by reducing its creation of pain-driving substances and stimulating mitochondria, the “energy packs” that drive cellular function and repair.

    Here are a few of the more common causes of joint pain and ways to ease your discomfort.

    1. Injury
    You slip and fall. Overdo it at the gym. Get rear-ended in your car. Sleep in the wrong position. Sit cramped on a plane for too many hours. Have poor posture. There are a zillion ways to injure your body, whether quite innocently and unknowingly from an everyday cause or overuse from repetitive motions over time.

    That pain can lead to stiffness, sleep disturbances, a burning sensation in your muscles, achiness or acute pain running from mild to severe.

    What to do to relieve muscle tension and soreness? Well, you can complain, call a doctor, take a pain reliever or rest—but don’t underestimate the power of massage in delivering a significant reduction in pain and soreness.

    2. Osteoarthritis
    This chronic condition of the joints is sometimes referred to as degenerative joint disease or “wear and tear” arthritis. It gets its name from the way it develops: cartilage, the cushion between our joints, breaks down over time and with use. What comes next? Pain, stiffness and swelling.

    If your knees, hips, lower back and neck hurt, you’re in good company with the 27 million other Americans who feel the pain. Also affected could be the small joints in your fingers and the bases of your big toe and thumb.

    Although physical activity might be the furthest thing from your mind when you’re feeling this way, it pays to be active. Studies show that simple exercise, like walking, can help manage or even reduce the pain from osteoarthritis. Weight management, stretching and anti-inflammatory medications can help, too, as can alternative approaches like massage, acupuncture and hydrotherapy.

    3. Bursitis
    We all have bursae—small sacs filled with fluid that cushion the bones, tendons and muscles near and around the joints of the shoulders, elbows and hips. When these become inflamed from repetitive movements, you’ve got bursitis, which can also affect the knees, heels and base of the big toe. Sometimes you can get bursitis from putting pressure on a joint for too long—like kneeling or leaning on your knees or elbows, for instance.

    The pain from bursitis can make you feel achy or stiff and can hurt when you move or press on the joint, which might also appear swollen or red.

    While you can’t prevent all types of bursitis, there are some things you can do to reduce the likelihood you’ll get it. If you do a lot of things that require kneeling, take stress off your knees by using a kneeling pad; warm up and stretch prior to strenuous activity; maintain a healthy weight to take stress off your joints and strengthen the muscles around them; use your knees, rather than your back, to lift heavy loads.

    Bursitis usually improves on its own, but you can help it along by resting, icing and taking a pain reliever. More aggressive treatment, if necessary, might include physical therapy, prescription medications and steroid injections.

    4. Gout
    This inflammatory form of arthritis affects about 4 percent of American adults.

    Many people think of gout as a “rich man’s disease,” a result of a lavish and expensive diet. That’s only a very small part of the picture. Most of the uric acid—actually about two-thirds of it—is produced naturally by your body. The rest comes from diet, in the form of purines, found in animal and plant foods. In fact, one of the great myths of gout is that it is caused by or can be controlled by diet. The reality of it is that gout is mainly a metabolic disease with genetic origins.

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    Gout occurs when there’s too much uric acid in your body and your kidneys can’t flush it out. It builds in the bloodstream and forms needle-like crystals in a joint. Those crystals, in turn, bring on sudden and severe attacks of pain, tenderness, redness and swelling. It commonly affects the big toe but can also occur in your feet, ankles, knees, hands and wrists. It can make the joint feel like it’s on fire. The pain can get so severe that even the weight of a sheet can be impossible to tolerate.

    Don’t think that you don’t have control over gout. You might not be able to change your genetics, but you can change factors like being overweight, which contributes to things like high blood pressure, high cholesterol and high blood sugar—all linked to gout.

    Experts say that although eating a low-purine diet won’t cure gout, it’s important to eat well and maintain a healthy weight. And, it’s wise to limit foods that increase uric acid levels, such as red meat, shellfish like shrimp and lobster, beer, liquor and high-fructose corn syrup.

    To help ease the pain from acute attacks and prevent future ones, gout is usually treated with medication like nonsteroidal anti-inflammatory drugs (aspirin, ibuprofen, naproxen and others), colchicine (a pain reliever used for gout pain) and corticosteroids (like prednisone).

    5. Lyme Disease
    Achy knees and Lyme disease often go together, and that’s because the bacteria transmitted by the tick bite can spread to your joints. This stiffness could also develop in your neck, hands and feet. Aside from joint pain, Lyme’s usual symptoms are fever, headache, fatigue and a skin rash characterized by a bulls-eye red circle that usually appears about seven days following the bite.

    Left untreated, Lyme can also spread to the heart and nervous system.

    Each year, approximately 30,000 people get bitten by a tick and develop Lyme disease. The first way to prevent it is to reduce your exposure by avoiding wooded and brush areas with high grass and leaf litter. Also, use insect and tick repellent, and inspect your body thoroughly for ticks after you’ve been outdoors. Putting your clothing in a hot dryer for 10 minutes can kill off any ticks that hitched a ride.

    Caught early, Lyme can be successfully treated with a variety of oral, and sometimes, intravenous antibiotics or penicillin.

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  • Difference Between Headaches and Migraines

    Approximately 37 million people in the United States suffer from migraines, and of these individuals, roughly 5 million experience at least one migraine a month. Physical pain on one or both sides of the head is usually considered a headache, but in some cases, pain that does or does not produce other symptoms could be classified as a migraine.

    Because both headaches and migraines cause mild to severe pain and discomfort, questions may surface among headache and migraine sufferers regarding the differences between the two. By definition, a headache is a pain that occurs in any area of the head, lasting anywhere from a few minutes to a few days. Headaches are also generally characterized by the type of pain they cause, which is often described as sharp, throbbing, or dull.

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    Migraines are similar to headaches in regard to the type of pain they produce (i.e. throbbing, pulsating, etc.), but this type of headache pain is typically more intense and located on one side of the head. In some instances, however, migraines will develop on both sides of the head. Migraines are generally different from typical headaches due to the visual and auditory disturbances that may accompany the pain, as well as nausea or vomiting. Migraines may also last from 4 to 72 hours long.

    Symptoms of Migraines vs. Headaches

    Symptoms vary from person to person, but according to the Migraine Research Foundation:

    • 85% of migraine sufferers experience throbbing, pulsing pain
    • 80% experience sensitivity to light
    • 76% experience sensitivity to sound
    • 73% feel nauseous

    Migraines may produce an aura before or during an attack. Auras are neurological symptoms that generate visual disturbances in the form of blind spots, colored spots, flashing lights, tunnel vision, zigzag lines, or temporary blindness. Other symptoms of aura may include numbness, tingling, weakness, dizziness, or feelings of spinning.

    Headaches, on the other hand, are not accompanied by aura but can range in intensity and type. Some of the most common headaches that may cause symptoms similar to migraines include: cluster headaches, sinus headaches, and tension headaches.

    Cluster Headaches

    Cluster headaches are appropriately named after the intense pain they cause in clusters or cyclical patterns. Pain may be described as burning, piercing, or constant, and like most headaches, pain is usually located on one side of the head, most commonly in a cluster behind one eye. This type of headache is considered one of the most painful and may be triggered by certain foods, hormonal changes, or stress. Avoid alcohol, nicotine, and nitroglycerin; a medication used to treat heart disease, as these may be possible triggers. Additionally, it’s important you maintain a regular sleep schedule. Researchers have found cluster headaches tend to develop with changes in sleep schedules.

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    Sinus Headaches

    Sinus headaches produce relatively moderate pains that are centrally located on the face, i.e. parts of the forehead, the bridge of the nose, and areas around the cheeks. As a result, symptoms may include facial swelling, fever, a runny nose, or ear pain. Patients may also experience a feeling of fullness in the ears. These headaches are usually associated with other sinus issues including allergies and sinus infections. Your risk of developing sinus headaches increases if you have a family history of migraines and headaches, or if you’re experiencing hormonal changes. Certain foods (caffeine, alcohol), odors, and inactivity may trigger a sinus headache.

    Tension Headaches

    Tension headaches may generate symptoms that closely resemble those of migraines but are usually different in intensity, type, and location. Symptoms of a tension headache include dull, aching head pain, pressure across the forehead and along the sides and back of your head, tenderness of the scalp, neck or shoulder pain, and chronic fatigue. Tension headaches are typically caused by stress, upper body tension, or muscle tenderness. Similar to cluster and sinus headaches, tension headaches may also be triggered by certain foods, odors, fatigue, or alcohol and caffeine consumption.

    Treatments for Migraines vs. Headaches

    Treatment may vary depending on the headache type or migraine. Additionally, a combination of medications or therapies may be considered for those suffering from symptoms such as nausea, vomiting, muscle pain, or irritability. It’s important patients see their doctor right away if symptoms have been present for more than a few weeks.

    Treatment options may include pain-relieving medications, preventative medications, or interventional pain management therapies such as occipital nerve blocks, Botox, or an innovative, minimally invasive surgical procedure called the Omega migraine procedure.

    The Omega migraine procedure is a surgical procedure based on neurostimulation that provides long-lasting pain relief for those suffering from chronic migraines. Patients who have not responded to conservative or interventional treatment options for at least six months may be considered a candidate for the procedure. A board-certified, interventional pain management specialist will perform an evaluation before moving forward with a trial procedure.

    During the trial period, a neurostimulator will be placed externally for several days to determine whether or not the patient will benefit from having a permanent device implanted. Patients will be encouraged to trigger their migraine as much as possible during this time to see if the implant works. Once the trial has been determined as successful and the patient is ready to receive their permanent device, physicians will implant small, undetectable wires under the skin surrounding the forehead. Once these wires are in place, they will be connected to a small, rechargeable battery, which will be implanted under the skin in the lower back or upper buttock region. The battery is designed to last up to ten years and will deliver gentle electrical pulses to prevent pain signals from reaching the brain. Talk to your pain management physician about how you may benefit from the Omega migraine procedure.

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  • Lady Gaga’s Fibromyalgia Puts Illness in the Spotlight

    Earlier this month, superstar Lady Gaga took to social media to announce that she has long struggled with fibromyalgia.

    The news has put the painful and poorly understood illness center stage.

    Just this week, the singer announced on Twitter that she’s postponing the European leg of her 2017 “Joanne” concert tour due to what she described as fibromyalgia-related “trauma and chronic pain.”

    Gaga hasn’t offered up details of her condition, although it comes just before a new TV documentary about the singer—set to premiere Friday on Netflix—that will reportedly highlight some of her health concerns.

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    But one thing is already clear: the disease does, at times, pull the rug out from under the performer’s best-laid plans.

    “The pain and disability seen in fibromyalgia is typically worse than almost any other chronic pain condition,” explained Dr. Daniel Clauw. He is a professor of anesthesiology, medicine/rheumatology and psychiatry at the University of Michigan.

    “[The pain] doesn’t just affect one area of the body you can avoid moving, and often is accompanied by severe fatigue, sleep, memory and other issues,” Clauw noted.

    Dr. Marco Loggia added that “it can be extremely debilitating.” Loggia is associate director of the Center for Integrative Pain NeuroImaging at Massachusetts General Hospital in Charlestown, Mass.

    “Most of the patients we encounter in our research studies are significantly impacted by the disorder,” Loggia noted, “which sometimes prevents them from having normal work and social lives.”

    Fibromyalgia was first recognized by the American Medical Association as a distinct disease back in 1987, and is “a relatively common chronic pain disorder,” Loggia said.

    How common? The National Fibromyalgia & Chronic Pain Association (NFMCPA) indicates that the illness affects up to 4 percent of the world’s population, and anywhere from 5 million to 10 million Americans. It is much more common among women, who account for 80 percent of patients. Although it can affect children, it is most often diagnosed during middle age.

    According to Loggia, the disorder is characterized “by persistent, widespread pain, fatigue, un-refreshing sleep, memory loss, poor concentration and other symptoms.”

    The NFMCPA adds that it can also give rise to sensitivity to light and sound, as well as to a degree of psychological distress in the form of anxiety and depression.

    But what exactly is it, and how does it develop?

    The picture is murky, with the U.S. National Institute of Arthritis and Musculoskeletal and Skin Diseases flatly acknowledging that “the causes of fibromyalgia are unknown.”

    But experts suggest that the disorder is likely driven by several factors, including exposure to a traumatic event (like a car crash) and/or exposure to repetitive injuries. Central nervous system disturbances may also play a role, as might a genetic predisposition to feel pain in reaction to stimuli that most people perceive as benign.

    Struggling to find more in-depth answers, Loggia noted that American and German researchers have recently identified a subset of fibromyalgia patients who appear to have abnormalities in some of their peripheral small nerve fibers.

    His own research suggests that some degree of brain inflammation may be at play, given that brain inflammation is common among chronic back pain sufferers and most fibromyalgia patients suffer from chronic back pain.

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    Unfortunately, Clauw cautioned that the failure to identify a clear cause for fibromyalgia has given rise to the myth “that it is not real.” That, he said, is decidedly not the case.

    Loggia agreed.

    “Traditionally, patients with fibromyalgia have been met with a great deal of skepticism, stigma and even condescension, including by many physicians that are supposed to take care of them,” Loggia said. “Even today, their pain is often dismissed as ‘all in their head,’ not real,” he added.

    “However, many studies—and particularly those using brain imaging techniques such as functional magnetic resonance imaging—have now provided substantial support to the notion that the excessive sensitivity to pain that these patients demonstrate is genuine. I think that it is time to stop dismissing these patients,” Loggia said.

    What these patients need now are “better drug and non-drug treatments,” Clauw said.

    “We’ve only begun to take this condition seriously from a research standpoint for about 20 to 30 years,” he noted, adding that there are no “really effective” drugs for fibromyalgia.

    Loggia said that means a lot of the focus has been placed on pain management, with patients turning to interventions such as painkillers (opioids) as well as yoga and cognitive behavioral therapy. “But these interventions are rarely ‘completely curative,’” he added.

    As for Lady Gaga, she likely faces a better prognosis than most. “That this was diagnosed when she was younger is good, because many people go years or decades undiagnosed,” Clauw said. “But she also almost certainly got better recognition and treatment for her condition given who she is. Others in similar medical—but different social—situations would struggle to even find a doctor to see them and take them seriously.”

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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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  • Sciatica Leg Pain: Can It Be Cured?

    If you’ve had sciatica leg pain, you know it can be miserable—shooting pain in your leg and sometimes tingling, weakness, or numbness.

    Sciatica pain starts when something in your body, often a herniated disk, is pressing on the sciatic nerve, which runs from the lower back down the back of your legs.

    The good news is that most people with sciatica start to feel better within a few weeks.  For some, though, the pain continues for a year or longer.

    Fortunately, there are many strategies you can try for sciatica leg pain relief.

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    Exercises: Building up the muscles that support your spine and stretching the leg muscles involved in sciatica leg pain can help. A physical therapist can make sure you’re doing the exercises correctly so that you get the most out of them and don’t hurt yourself. If you’re in too much pain for exercise, steroid injections may bring you enough relief to get started.

    Medication. Over-the-counter acetaminophen or nonsteroidal inflammatory drugs such as naproxen and ibuprofen are enough to get many people through the pain. Other patients may need muscle relaxants, antidepressants, or opiate pain relievers, although medications must be taken with care to avoid becoming dependent on them.

    Alternative therapies. Chiropractic treatment, acupuncture, and massage therapy are sometimes used either alone or in combination with other treatments to treat sciatica leg pain.

    Epidural steroid injections. Some patients are able to get relief lasting three to four months from steroid injections.

    Nerve blocks. Injection of nerve-numbing medication into the area that is the source of the pain may be recommended for some patients.

    Radiofrequency ablation. In this minimally invasive procedure, nerve fibers in the back that carry pain signals are destroyed to block the pain.

    Spinal cord stimulation. If other options aren’t working, your doctor may recommend spinal cord stimulation, in which a device that delivers mild electrical pulses is implanted near the spinal cord to block pain signals.

    Surgery. Most patients with sciatica will not need surgery, but it can be an option if disabling pain isn’t responding to other treatments.

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  • New Chronic Pain Treatments Help the Whole Person

    New Chronic Pain Treatments Help the Whole Person

    Women who live with chronic pain seek relief through all kinds of treatments, from acupuncture to physical therapy, medication to psychology.

    But in recent years, researchers have proven a multidisciplinary approach to chronic pain management can offer substantial and sustained pain relief.

    Even if you have explored multiple treatment modalities, you likely haven’t experienced a true multidisciplinary pain management program. That’s because they are few and far between. These complex team-driven programs require resources typically found only at large medical institutions. Some patients travel from far away to receive care because the potential life-changing effects are worth it.

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    What is a multidisciplinary pain management program?

    In a multidisciplinary approach, a team of clinicians collaborates to create custom treatment programs for each patient, using a variety of modalities. Patients often spend many days a week, sometimes for multiple weeks, in a program.

    “It’s more of a patient-centered, goal-oriented, holistic approach,” said Tim J. Lamer, MD, pain management specialist at Mayo Clinic and president of the American Academy of Pain Medicine. Lamer explained that multidisciplinary pain management is like a puzzle where every piece matters—and they all fit together.

    Institutions like the Shirley Ryan AbilityLab Pain Management Center in Chicago provide a model for multidisciplinary care, according to attending physician Shana Margolis, MD. There, most patients have previously tried one discipline at a time but not an approach that combines them all. The Shirley Ryan AbilityLab uses a biopsychosocial approach, meaning its team treats biological, psychological, and social drivers of pain, both as individual forces and as forces that intersect with one another.

    Multidisciplinary pain management programs may include:

    • Pain psychology: Teaching patients how mood affects pain and how pain affects mood, often using cognitive behavioral therapy. “When you’re in pain, it can make you more irritable, anxious, and depressed, which then can make it harder to manage your pain, and you can get stuck in a vicious cycle,” said Margolis.
    • Biofeedback therapy: Providing a variety of relaxation techniques that employ monitoring technology that gives patients instant feedback on their efforts.
    • Physical therapy: Including time spent on strengthening, range of motion, biomechanics, and pacing.
    • Occupational therapy: Focusing on ergonomics and improving a patient’s ability to perform everyday tasks with less pain.
    • Vocational therapy: Helping patients learn to reclaim their working life through a variety of strategies.
    • Art therapy: Using creativity to cope with pain, express emotions, and even reduce symptoms.
    • Interventional therapies: Employing techniques like nerve blocks, injections, or electrical stimulator devices to treat the neurological aspect of pain.
    • Physician and nurse monitoring: Ensuring patients are using medications properly, that comorbid conditions are also well-managed, and more.

    Margolis said a key aspect of a multidisciplinary approach is that the patient is at the center of the program, playing an active role in their own care, as opposed to simply receiving treatment. “We’re trying to give patients tools in their toolbox so they can learn to self-manage their pain,” she said.

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    Research shows results

    Lamer said most patients in a multidisciplinary approach experience improved function, mental health and management of pain in their busy lives. And there’s research to prove it, he said, including at least one study that followed patients for as long as 13 years who experienced long-term benefits.

    More research by Shirley Ryan Ability Lab Pain Management Center and the Department of Physical Medicine & Rehabilitation at the Northwestern University Feinberg School of Medicine in Chicago showed patients experienced improvement in pain, pain-related anxiety, ability to cope, and depression, among others.

    Margolis said that while many people can benefit from a multidisciplinary pain management approach, patients with widespread pain conditions like complex regional pain syndrome and fibromyalgia are likely to experience the greatest benefit. “Any kind of chronic pain condition that’s really affecting the patient’s lifestyle is where we excel,” she said. Emphasis on the mind-body connection and mindfulness plays a significant role in a patient’s success.

    Ready to take action?

    If you’re looking for a multidisciplinary pain management program, ask at your nearest large medical center. If there isn’t one in your immediate area, reach out to reputable programs and ask if they can recommend a provider in your area.

    The American Chronic Pain Association offers an extensive overview of pain management programs.

    The Alliance for Balanced Pain Management offers resources for patients seeking to understand their treatment options.

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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.
    • Opioidinduced 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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    Official Fibromyalgia Blogs

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  • Why I’m Talking About My Chronic Pain and Why You Should Too

    As a physical therapist, my job is to assist my patients to move better, get stronger, and most often to reduce their pain. This is an important, gratifying, and yet often challenging profession. This is in part due to my own daily chronic pain that is primarily in my low back and tailbone. I have been in some level of pain constantly for the past ten years.

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    While there are times that I share my experience with my patients, I usually smile, persevere and act as if everything is fine. I think many others with chronic pain can relate to this alternate persona—the brave mask so many chronic pain warriors put on daily.

    This is one of the tricky things about living with chronic pain. Most of the time I just want to feel normal. I want to go about my day-to-day tasks as if everything was not a monumental challenge and a huge energy expense. I want to pretend that my chronic pain has not affected my job satisfaction, my relationships and my feelings of self-worth.

    There are other times when I want to scream. I want to wear a sign across my chest that says, “Please be gentle with me, I have chronic pain.” I want everyone around me know what I’m going through, why I am the way I am. I want my struggles heard, to know that it’s not easy. It is not pity I seek, but rather compassionate recognition of the daily challenges of living with chronic pain.

    I’m often afraid to talk about my struggles with chronic pain. This would mean ripping up the mask––that brave face that I have worked so hard to maintain. My hope is that if I am true and open about my experiences more, a few people might feel less alone. A few people may push aside the fear of stigmatization and feel comfortable to be open and honest about what they are going through.

    Early in my clinical training, a patient taught me an important lesson. She told me to never tell someone, “I know how you feel.” Her statement took me aback, but her explanation has really stuck with me. It is true. I could never really know what someone is feeling. It is impossible to know just from their explanations, my own examination and my pre-conceived beliefs and education.

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    I cannot innately tell how past experiences have affected someone. I cannot exactly grasp the psychological impacts that their illness or pain has had on them. I do not know all other aspects of their life that this has affected. I can’t ever fully understand what someone else is going through, but I can listen. I can respect someone’s experience and I can do my best to validate their concerns. I can call on my past experiences of others discrediting my own feelings and I can work hard to not allow this to happen to another person—at least when they are working with me.

    I learned that opening up about my pain did lead to judgment from a few—one family member told someone that I write about my chronic pain, as a way to complain and vent. Many more have provided support and encouragement. I also learned that ignoring your pain and suffering in silence does not make it go away. I have found that by acknowledging my pain it encourages me to seek more treatment and work harder toward finding relief.

    Most importantly, talking about my pain has allowed me to maintain the healthy human connection that we all crave and need so badly in this life. It is so much easier to genuinely connect with the people in your life when you are raw and honest. It is never easy, but eventually you will have to take the mask off and let the person see the real you.

    I hope that you will find that by talking about your experiences with chronic pain and acknowledging its presence will lessen the power it has over your life. By ignoring my pain, I felt helpless. I let my chronic pain determine what kind of day I was going to have, how long a relationship could last, and how many hours I could stand to work in a week.

    While the process is ongoing, I am happy to be taking steps to regain control and be honest about my experiences. I am in far less discomfort than I used to be and now I have something even more important—the hope that one day I might actually be pain-free.

    https://fibromyalgia-6.creator-spring.com/
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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

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    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store