Tag: Fibromyalgia

An in-depth guide on Fibromyalgia, covering its symptoms, causes, treatments, and tips for managing this chronic condition effectively.

  • The surprising impact of chronic pain, on family and money

    The surprising impact of chronic pain, on family and money

    Chronic pain is the number one cause of disability in the U.S. According to the American Chronic Pain Association (ACPA), one in six people are living with chronic pain. The type of pain can vary with age. People in their 20s and 30s are most likely to suffer from headaches or chronic migraine. Adults in middle age tend to suffer from chronic back pain. The elderly often report pain as a result of arthritis or fracture. The percentage of people in each group does not change as the population ages, making chronic pain a fairly consistent condition. Whatever the demographic, however, the impact of chronic pain is skyrocketing, both on a person’s family life and money.

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    The monetary impact of chronic pain

    Estimates of the cost of pain can vary widely, depending on what is being measured. A 2003 report from The Journal of the American Medical Association (JAMA) put the annual monetary impact of chronic pain at $62.1 billion. A more recent Institute of Medicine (IOM) report in 2011, “Relieving Pain in America,” puts the economic cost of chronic pain at an estimated $560-635 billion annually.

    The JAMA study only counted loss of productivity and did not measure all types of pain, but focused only on headache and some musculoskeletal pain. The IOM estimate looked at all types of economic costs, including loss of productivity, use of medical services, and other financial impacts.

    The impact of chronic pain on your work life

    According to the results of a National Health and Wellness survey, individuals who suffer from osteoarthritis were less likely to be employed and highly likely to be on disability.  The costs of disability payments are spread among taxpayers, and were included in the IOM report as well.

    Missing work due to pain or being perceived as unemployable due to pain can be devastating financially to individual families and society as a whole. This perception can be difficult to change, as chronic pain is generally an “invisible” illness. Common misperceptions of those suffering chronic pain include the following.

    • They are unreliable: Because chronic pain sufferers have good days and bad days, employers may see this as a trait that could impact their productivity. In fact, chronic pain sufferers may be even more reliable. They know their jobs rest on doing what they say they will do, even in the face of pain.
    • They are less productive: Employers may view chronic pain sufferers as less able to perform the functions of their jobs due to pain. In fact, efficiency and effectiveness are the order of the day when chronic pain sufferers are feeling good. They can be even more productive than their coworkers.
    • They use pain as an excuse: Other workers may believe that chronic pain sufferers use their bad days as an excuse to get out of work. In fact, there is zero evidence of this as a characteristic of chronic pain sufferers. Indeed, most are ready and willing to move forward and take on responsibilities and work that gives them purpose and direction. Pain is a medical condition, not an excuse.

    Although there are moments when chronic pain can interfere with an individual’s ability to work, a team-based treatment plan can help. Individuals can develop coping strategies that allow them to continue to be productive. An important part of managing the impact of chronic pain is also understanding more about a person’s condition and utilizing creative scheduling to work around bad days.

    The social and family impact of chronic pain

    The impact of chronic pain is more than dollars and cents. Beyond the dollar signs, the cost of chronic pain is personal and rising. People with chronic pain are more likely to be depressed to the point of attempting suicide, and there are social costs as well. Christopher L. Edwards, phd, assistant professor of psychiatry at Duke University School of Medicine, writes:

    “The social costs are incalculable. How do you estimate the value of lost self-worth? How do you estimate the loss of family, friends, and a sense of accomplishment?”

    Approximately 100 million people in the U.S. live with chronic pain, but how many families are living through their pain with them? Caregivers of chronic pain patients experience many special challenges. People suffering from chronic pain may feel isolated and ostracized. Their families may not understand, and tensions in the home may compound the issue. The pressure can be extraordinary, and the impact of chronic pain in the family can be deeply felt. Here are just a few of the tasks and challenges the families of chronic pain patients face.

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    They are responsible for daily care

    For some patients, this may be driving to appointments and coordinating care. For others, this can be caring for the patient physically, including lifting and moving the family member from bed to bathroom to anywhere else they need to go. Other daily tasks can include shopping for and preparing meals that may be specifically tailored to the patient. It could also be reminding the patient to complete any exercises or activities.

    These tasks may be done lovingly, but both patient and caregiver can feel resentful and angry at times. The stress of these simple daily tasks can mount up and be overwhelming.  Often, the caregiver is also responsible for other family members, including children who may not understand why they have to wait or not get undivided attention.

    They are responsible for dealing with insurance and doctors

    Although the patient may be in closest communication with his or her doctor, often the caregiver is responsible for talking to insurance companies and coordinating care across a team of doctors. Advocating for a patient who may be unable to advocate for themselves at times is an important job. There is a tremendous amount of paperwork associated with a chronic illness, and the caregiver needs to be organized and thorough when analyzing benefits statements and bills.

    They are sometimes responsible for income

    There are chronic pain patients who are able to continue to work and contribute to the household income, but in many cases, the caregiver is also the breadwinner. Even if the pain patient is on disability, the family may need additional income, especially if there are children. Of all of the impacts of chronic pain in the family, this is arguably the most stressful one, affecting daily life in the most basic way. If the caregiver needs to drive the patient to appointments, the stress of missing work and income can be exacerbated.

    They are responsible for cheerleading, even when they don’t feel cheery

    Chronic pain patients can feel isolated, trapped in their pain. It can be difficult to see the beauty in life when simple movement is excruciating.

    Families of chronic pain patients experience this in another way in their sense of powerlessness. Those with a chronic pain in the family see a family member in pain and are unable to do anything concrete to relieve the pain. The only thing they can do is to be encouraging, patient, and kind. They can point out the things the family has to be grateful for, and they can look to the future. This can be a thankless task, and some days their family member in pain won’t want to hear any of it. The challenge is to be the cheerleader, even at the hardest times.

    What can you do?

    The impact of chronic pain cannot be overstated. It costs the U.S. billions of dollars each year. It’s also costly in terms of mental and social health, affecting families disproportionately. So how can all aspects of the cost of chronic pain be more effectively managed?

    1. Develop team-based treatment plans

    These can include not only prescription medication, if necessary, but also other holistic treatments. Having a team of healthcare providers that are able to utilize alternative treatments such as diet, meditation, and exercise can make all the difference in the successful management of chronic pain. Working with a pain specialist can help you accurately diagnose your pain and learn more about treatments that could work for you.

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    2. Educate employers on chronic pain and help them utilize telecommute options

    An employee who is having a bad day may not be able to get into the office, but may still be able to work on projects at home. Offering this as an option can help keep patients with chronic pain in stable employment, which will do wonders for their mental and emotional health. Productive employment is one way to keep the costs of chronic pain down. It also keeps patients off disability and in the working world.

    3. Involve families more in your treatment

    Families feel the impact of chronic pain on a daily basis, but they may not understand it completely. This lack of understanding can be isolating for the chronic pain sufferer. It can increase the social impact of pain. A strong, supportive family or group of close friends is crucial to managing the mental and emotional impact of pain. Get them involved by talking to them about what you’re feeling.

    4. Encourage your family to get the self-care they need

    The challenges when there is chronic pain in the family are so extreme that some research suggests that the caregivers risk becoming patients themselves. In a 2014 study, researchers at the Ohio State University Center for Clinical and Translational Science found that “high burden” caregivers, those tasked with care giving for 21 or more hours per week, were highly likely to develop chronic pain themselves.

    Researchers interviewed 46 informal (non-professional, generally family members) caregivers and asked them to complete questionnaires. Over four weeks, 94% of caregivers reported pain in at least one part of their body. Amy Darragh, occupational therapist and lead researcher had this to say about the results:

    “Almost all of the caregivers who participated in our study said they experience significant musculoskeletal discomfort related to care giving activities, and that this discomfort can interfere with their ability to provide care, work and participate in life activities.”

    The researchers found that professional caregivers experienced some of the same injuries. But, since they had access to training and tools to help them with patients, they were less likely to be injured or to have that injury become chronic. Many times those with chronic pain in the family have to dive in with little or no training. This includes the proper way to lift a patient or to complete repetitive daily tasks. These physical issues don’t even measure the potential for mental disorders such as depression or anxiety.

    Darragh and her team have received grants to develop protocols for family and non-professional caregivers. Until those protocols are in place and used widely, family caregivers need to be careful and monitor themselves for signs of stress or injury. Taking any classes that may be available through doctors or hospitals can be helpful. You can also stayed informed about groups or respite caregivers who may be able to help when needed.

    5. Work hard to increase awareness of healthy lifestyles and living for all people

    Chronic pain can be a condition that develops as a result of traumatic injury or accident. But, it can also be as a result of any other disorder or condition that could be prevented by making healthy choices. Eating well and exercising regularly is good medicine for everyone. Encouraging people to get active and stay that way can lower the chances of developing chronic pain. Further, by talking more about your chronic pain, it becomes more normal in the world. Keep up-to-date with blogs like this one, or any of our favorite chronic pain bloggers, to learn tips for reducing the impact of chronic pain on your life.

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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • Can Endorphins Ease Chronic Pain?

    This week at Chronicillness.co Site of the United States and the Pain Channel, we’ve been spending a lot of time focusing on the power of the mind to overcome pain in the midst of battle, along with how to prevent injuries in preparation for the Spartan Race. Today we want to bring some alternative medicine and perhaps unconventional chronic pain relief ideas. Today, it’s all about little chemical messengers called endorphins.

    What are Endorphins?

    Technically speaking, endorphins are peptides that function as neurotransmitters. Endorphins are released from the pituitary gland, also known as the hypophysis, located just at the base of the brain at the bottom of
    the hypothalamus.

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    (The pituitary gland helps to control the following: growth, blood pressure, childbirth, breast milk production, thyroid gland function, metabolism, water regulation in the body, and body temperature).

    Endorphins are produced and released by the pituitary gland during exercise, excitement, pain, laughter, and love. There are estimated to be at least 20 types of endorphins that can get distributed throughout the nervous
    system. Endorphins have the ability to block nerve cells from releasing more pain signals to the brain and can act literally like morphine and codeine.

    Can Endorphins Ease Chronic Pain?

    While there has not been an incredible amount of research conducted on the topic of releasing endorphins into the nervous system, many physicians believe there is a key in endorphins to help patients combat chronic pain, without the risk of opiate addiction. Some researchers believe that chronic pain patients have a lower-than-normal level of endorphins in their spinal fluid, which is why opiate drugs like morphine and codeine are prescribed. However, there is a fine line for physicians to follow when prescribing opiate drugs so that their patients don’t become addicted and/or their patient’s body becomes depleted of their natural opiates.

    According to the Mayo Clinic, exercise can help to manage chronic pain by releasing endorphins. As hard as it may be to imagine exercising when in pain, researchers say the release of endorphins will block pain signals and help to curb anxiety and depression. Both conditions can make chronic pain even harder to deal with.

    The clinic says exercise also helps build strength, improve flexibility, boost energy, enhance mood, protect the heart and blood vessels, improve quality of sleep and help the body maintain a healthy weight.

    There are many ways to release natural endorphins and opiates within our bodies, from exercise and diet to love and laughter. Pain also releases endorphins in spurts, allowing humans and animals great feats of strength and willpower when injured. Stress, unfortunately, in long periods of time has the opposite effect on endorphins, not allowing them to be released as often. This is yet another reason why pain doctors will always implore patients to reduce their stress levels, which can be done through exercise.

    If you want to learn more about conventional and unconventional chronic pain treatments, we have offices in valley wide including Mesa and North Scottsdale.

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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • Recent research that untangles pain

    Pain is an unavoidable fact of life, especially for those with a chronic pain condition. There are dozens of potential treatments for pain already, but researchers are always searching for a deeper understanding of pain to help them devise even better treatments.

    One group of researchers has found a way to cut off the communication of pain in the brain.

    At the University of Calgary’s Hotchkiss Brain Institute, neuroscientist Gerald Zamponi, phd, and his team have found a way to shut off pain signals. Calcium channels in the brain and peripheral nervous system are part of the line of communications to transmit pain signals. Because of this, calcium channels have been a focus of pain research for quite a while. Zamponi and his team have found that by interfering with a specific enzyme’s communication with the calcium channels, the nerve impulses are interrupted.

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    The researchers in this study are currently looking at more than 100,000 molecules. They’re trying to find one that will successfully stop the communication between the enzyme and the calcium channel, thereby stopping the pain signal. Two viable molecules have already been identified as painkillers in animals.

    If these researchers are able to isolate the correct molecule to create the same effect in humans, it could potentially be turned into a drug. A drug like this could provide a new pain-relief option for people who suffer from all sorts of pain conditions, such as arthritis or neuropathic pain.

    A better understanding of how different populations experience pain can help physicians manage their patients’ pain more effectively.

    A few factors that decrease an individual’s pain tolerance have been identified. These include:

    There are also a few odd factors that influence an individual’s ability to tolerate pain. For example, one study suggested that right-handed people were more tolerant of pain than left-handed people. Some research also suggests that natural redheads may be more sensitive to pain.

    Additionally, gender has an effect on pain sensations. More women report pain than men, and women are generally believed to be more sensitive to pain. It’s been assumed that women may be more tolerant of pain, as well, but a new study challenges this assumption.

    First it’s important to understand the difference between pain sensitivity and pain tolerance. Pain sensitivity refers to the pain threshold, or when an individual begins to perceive stimulation as painful. Pain tolerance is the level of pain an individual is able to tolerate.

    Researchers at Malaga University have found that there is no difference in pain tolerance between men and women. Rather, the characteristics of each individual determine his or her ability to tolerate pain. Resilience was identified as the most important factor in determining pain tolerance. People who are resilient are more likely to accept their pain. Accepting the pain, rather than focusing on it to the exclusion of everything else, allows individuals to focus on increasing their quality of life instead. Resilient people generally feel less pain, stay more active, and have a better overall mood.

    In addition to acceptance of pain and individual resilience, fear of pain was identified as a central variable in people’s pain experiences. People who are afraid of pain experience more anxiety and depression. This ties into the only difference identified between men’s and women’s pain experiences: in men, a fear of pain also related to a greater degree of pain.

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    Another study has identified several specific genes that affect an individual’s pain tolerance.

    A group of researchers looked at 2,721 people who have been diagnosed with chronic pain. Participants rated their pain perception on a scale that was divided into low, moderate, and high pain groups. Researchers then checked the participants for specific genes, COMT, DRD2, DRD1, and OPRK1, and found the following statistics:

    • DRD1 variant was 33% more prevalent among the low pain group than the high pain group
    • COMT variant was 25% more prevalent among the moderate pain group than the high pain group
    • OPRK1 variant was 19% more prevalent among the moderate pain group than the high pain group
    • DRD2 variant was 25% more common among the high pain group than the moderate pain group

    According to Tobore Onojjighofia, MD, MPH, with Proove Biosciences and a member of the American Academy of Neurology, this research could have two major benefits for pain patients. First, finding out if an individual possesses these particular gene variants could provide his or her physician with a way to evaluate his or her perception of pain. This could help physicians manage patients’ pain according to each individual’s pain tolerance. In addition to this, the identification of genes that influence pain perception could play a role in developing new, targeted pain therapies.

    New brain imaging has identified a brain abnormality that may explain the overly sensitive response to stimuli in people with fibromyalgia.

    Magnetic resonance imaging (MRI) scans provide detailed pictures of the body’s tissues. When an MRI scan is done on the brain, the result is series of images that allow physicians to visualize the anatomy of the brain. A functional MRI (fmri) maps the brain’s function by showing the amount of oxygen (and therefore the amount of oxygenated blood flow) in different areas of the brain. In other words, an MRI is similar to a very detailed snapshot, while an fmri is like a flipbook showing brain activity.

    A study published in Arthritis & Rheumatology used fmri to study brain response to stimuli among people with fibromyalgia. The fmri showed reduced activation of certain areas of the brain, namely the primary and secondary visual and auditory areas. There was also increased activation in the sensory integration regions.

    These brain function abnormalities are responsible for the often painful hypersensitivity experienced by people with fibromyalgia. In fact, the researchers in this study believe these abnormalities might be part of the pathology, or key components, of fibromyalgia. This is significant because research in this area might eventually offer new neuro stimulation targets for fibromyalgia treatment.

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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • An Overview of Over-The-Counter Medications

    Top 13 Truths About Over-The-Counter Medications for Fibromyalgia and Chronic Pain Relief

    Fibromyalgia and chronic pain are complex, life-altering conditions that affect millions of people worldwide. Characterized by widespread musculoskeletal pain, fatigue, and tenderness in specific areas, fibromyalgia often overlaps with other chronic conditions like arthritis, irritable bowel syndrome, and chronic fatigue syndrome. Managing this constellation of symptoms can be challenging and often requires a multifaceted approach. One of the most common starting points for individuals seeking relief is over-the-counter (OTC) medications.

    OTC medications are easily accessible and can offer immediate, though often temporary, symptom relief. While they are not a cure, they play a significant role in pain management strategies for many patients. This article explores the various OTC options available, their mechanisms, limitations, and the critical considerations individuals with fibromyalgia and chronic pain should keep in mind when using these products.


    Understanding the Role of OTC Medications in Chronic Pain Management

    Over-the-counter medications are those you can buy without a prescription. For individuals with fibromyalgia and chronic pain, these medications are often the first line of defense due to their availability and affordability. However, not all OTC drugs are suitable for long-term use or for addressing the wide spectrum of symptoms associated with fibromyalgia.

    Common symptoms like muscle stiffness, nerve pain, headaches, and inflammation might respond differently to various medications. Therefore, it’s essential to understand the different types of OTC drugs and how they function.


    Analgesics: Basic Pain Relievers for Mild to Moderate Pain

    Analgesics are perhaps the most widely used OTC drugs for fibromyalgia and general chronic pain. The two most common types include:

    • Acetaminophen (Tylenol): This medication reduces pain and fever but does not address inflammation. It’s often chosen for its relatively low risk of gastrointestinal side effects and is commonly used for muscle aches and generalized pain. However, long-term use or high doses can lead to liver damage.
    • Aspirin: While it provides pain relief and reduces inflammation, its frequent use may cause gastrointestinal irritation or bleeding. It may be less ideal for those with sensitive stomachs or bleeding disorders.

    Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): For Pain with Inflammation

    NSAIDs work by reducing inflammation and are particularly helpful when chronic pain is accompanied by swelling or stiffness.

    • Ibuprofen (Advil, Motrin) and Naproxen (Aleve): These are among the most common OTC NSAIDs. They are effective for joint pain, menstrual cramps, and muscle aches. However, prolonged use can lead to gastrointestinal issues, kidney strain, or increased cardiovascular risks, especially in older adults or those with pre-existing conditions.

    Patients with fibromyalgia may find limited benefit from NSAIDs since fibromyalgia pain is more related to nerve sensitivity than to inflammation. Nonetheless, if there is a coexisting condition such as arthritis, NSAIDs might offer meaningful relief.


    Topical Pain Relievers: Localized Treatment with Fewer Systemic Effects

    Topical pain medications are applied directly to the skin over the affected area. They are less likely to cause internal side effects and are useful for targeting specific areas of discomfort.

    • Menthol-based creams and gels: These create a cooling sensation that temporarily distracts from pain.
    • Capsaicin cream: Derived from chili peppers, capsaicin can dull nerve receptors over time. It may reduce localized nerve pain but can initially cause a burning feeling.
    • Lidocaine patches or creams: Lidocaine is a local anesthetic that numbs the application area and is particularly effective for sharp or shooting nerve pain.

    These products are particularly helpful for patients who experience tender points or muscle knots that do not respond well to oral medications.


    Sleep Aids and Muscle Relaxants: OTC Solutions for Secondary Symptoms

    People with fibromyalgia often struggle with sleep disturbances and muscle tightness, which can worsen pain. OTC options like:

    • Diphenhydramine (Benadryl, found in many sleep aids): While not a pain reliever, this antihistamine can help with sleep and is often used off-label. However, it may cause grogginess and cognitive cloudiness.
    • Magnesium supplements: While not officially a medication, some OTC magnesium products help with muscle relaxation and sleep quality. Research shows that magnesium deficiency may contribute to muscle pain and cramps.

    These options can offer temporary relief but are best used as part of a broader sleep hygiene and relaxation strategy.


    Risks and Limitations of OTC Medications

    While over-the-counter medications are convenient, they are not without risks. Long-term use can lead to dependency, reduced effectiveness, or harmful side effects.

    Key concerns include:

    • Liver damage from prolonged acetaminophen use
    • Stomach ulcers or bleeding due to NSAIDs
    • Kidney strain and blood pressure elevation with frequent NSAID use
    • Interactions with other medications including antidepressants, blood thinners, and supplements

    It’s crucial to follow dosage recommendations and consult with a healthcare provider before starting or continuing any OTC regimen.


    OTC Medications and Central Sensitization

    Fibromyalgia is associated with central sensitization, a condition where the nervous system becomes hyper-responsive to stimuli. Many OTC medications are not designed to address this neurological factor, which is why they may offer only partial relief. That’s also why other treatments such as physical therapy, cognitive behavioral therapy, and prescription medications are often combined with OTC products for a more effective approach.


    The Importance of an Individualized Pain Management Plan

    Every individual with fibromyalgia or chronic pain experiences symptoms differently. What works for one person may not work for another. Therefore, OTC medications should be one part of a comprehensive, personalized plan that includes lifestyle changes, dietary adjustments, physical activity, and professional care.

    Combining OTC medications with techniques like stretching, massage, or warm baths can enhance pain relief. Keeping a symptom journal to track triggers, effective remedies, and reactions to medications can also support more informed decisions.


    When to Move Beyond OTC Options

    If OTC medications are no longer effective or if symptoms worsen, it may be time to consider prescription treatments. These could include muscle relaxants, antidepressants, anticonvulsants, or even low-dose opioids under strict medical supervision. In some cases, non-medication strategies such as acupuncture or transcutaneous electrical nerve stimulation (TENS) can provide relief when drugs fail.


    Frequently Asked Questions

    1. Can OTC pain relievers cure fibromyalgia?
    No. These medications can manage some symptoms but do not address the root causes of fibromyalgia, which involves complex nerve sensitivity.

    2. Is it safe to take NSAIDs every day for chronic pain?
    Long-term daily use should be avoided unless approved by a healthcare provider due to the risk of gastrointestinal, kidney, and heart problems.

    3. Which is better for fibromyalgia: acetaminophen or ibuprofen?
    This depends on the individual. Acetaminophen may be safer for long-term use, while ibuprofen may help more if inflammation is present.

    4. Are topical treatments effective for fibromyalgia pain?
    They can be helpful for localized muscle pain and are a good alternative for those who cannot tolerate oral medications.

    5. What OTC medication helps most with fibromyalgia fatigue?
    There is no direct OTC treatment for fatigue, but improving sleep with antihistamines or supplements may indirectly reduce tiredness.

    6. Should I try magnesium supplements for fibromyalgia?
    Some people benefit from magnesium for muscle relaxation and sleep support, but consult your doctor before adding any supplement to your regimen.


    Conclusion Over-the-counter medications can provide meaningful relief for individuals managing fibromyalgia and chronic pain, but they are rarely a standalone solution. From basic analgesics and NSAIDs to topical creams and sleep aids, each option serves a specific role in symptom control. Understanding their capabilities and limitations is key to using them effectively and safely. Always approach pain management holistically and under the guidance of a healthcare professional to ensure the best possible outcomes.

    https://fibromyalgia-6.creator-spring.com/
    https://www.teepublic.com/stores/fibromyalgia-store

    Click Here to Visit the Store and find Much More….

    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • How we treat head pain

    How we treat head pain

    Nearly everyone will experience head pain at some point during their lives, but for some people, head pain can become chronic. Chronic migraines and headaches can range in severity from annoying to debilitating. Thankfully, a wide range of treatment options are available for head pain, providing lots of potential options to try when managing head pain.

    Oral medications are usually the first type of pain management attempted to treat head pain.

    The most common reason that people purchase over-the-counter pain medications is head pain. These medications are non-steroidal anti-inflammatory drugs (nsaids), like aspirin, acetaminophen, or ibuprofen. These over-the-counter pain medications often fall short when it comes to treating severe or chronic head pain. For instance, nsaids are considered most effective for people who suffer episodic migraines ten or less days per month.

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    For more severe types of head pain, a physician may prescribe an opioid, such as oxycodone. Anticonvulsant drugs are also sometimes effective when treating head pain. Different medications may be indicated depending on the type of head pain being experienced. Explain what type of pain you’re experiencing as clearly as possible to your physician so he or she can prescribe the right medication.

    Oral medications generally provide short-term, as-needed pain relief. Some injected medications can provide short-term pain relief, as well. Sumatriptan in oral form is commonly used to treat migraines, but subcutaneous (injected) sumatriptan is used to provide short-term relief from cluster headaches.

    Other types of injected medications can potentially provide medium-term pain relief, or pain relief that’s not permanent but could last for several weeks to months.

    Nerve block injections can act both as pain management and as a diagnostic tool for head pain.

    These types of injections deliver medications directly to the inflamed nerves causing head pain. The injections will typically include a local anesthetic to block pain. Corticosteroids might also be included to reduce inflammation.

    The exact location of the injection will depend on which nerves are causing the head pain. To relieve chronic migraine or cluster headaches, for example, a nerve block injection will be applied to the trigeminal or occipital nerves.

    The physician will determine which nerve location is most likely to provide relief. If the injection is delivered to the nerve that’s causing the head pain, relief can occur fairly quickly and may last for weeks or months. If the injection is delivered to the incorrect nerve, it will have very little effect. In this way, the injection can be used as a diagnostic tool to identify exactly which nerve or nerves are to blame for the head pain.

    Once the nerves causing the head pain have been identified, other types of treatments can be applied directly to the nerves.

    Radiofrequency ablation (RFA) can be used on nerves that have been identified as causing head pain, but it can also be used as a potential treatment for severe, persistent headaches that don’t respond to nerve block injections.

    During RFA, a local anesthetic is applied. Then thin probes are passed through the skin until they reach the targeted nerve or nerve group. The probes emit radiofrequency, or electrothermal impulses, on the nerve or nerve group. This selectively damages the nerve, causing the formation of a lesion, which blocks the pain signals that the nerve conducts.

    Another type of nerve therapy is spinal cord stimulation (SCS). During SCS, flexible, thin devices are implanted next to the spinal cord, close to the nerves causing the head pain. The devices are attached to external leads, which are attached to a control device that allows the patient to operate it. When the devices are activated, a mild electrical impulse is emitted. This impulse interrupts the pain signals being transmitted along the nerves. When head pain occurs, the patient can then control his or her own pain relief.

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    Alternative and complementary therapies, used in conjunction with traditional therapies, may be effective in controlling head pain, too.

    Acupuncture originated in traditional Chinese medicine. It involves the insertion of small, sterile needles into strategic places on the body. This is believed to cause the body to release endorphins, increase blood circulation, and reduce inflammation. Acupuncture can be effective when used in conjunction with other pain management techniques. In fact, for some people, acupuncture is more effective than traditional pain management therapies.

    Chiropractic manipulation might also be an effective treatment for head pain. It involves the application of targeted force to correct the body’s spinal alignment. Massage therapy, which focuses on the release of muscle tension and stress, can potentially reduce head pain as well, especially when the myofascial muscles are massaged.

    Another technique called biofeedback might be particularly effective at teaching patients how to control their own head pain. Readings are taken of brain activity, muscle tension, and galvanic skin response, all of which are impacted by headache triggers like stress. People with head pain can then study these measurements to understand the physiological effects linked to their headaches. This understanding can then be applied toward relaxation techniques to enhance control over the physiological effects linked to head pain.

    Keeping a pain diary can also enhance understanding of the triggers behind head pain, as well as make it easier for a physician to decipher exactly which type of head pain is being experienced and how best to treat it.

    To track head pain with a migraine or headache diary, take note of all the factors surrounding the head pain, such as:

    Although tracking all of this information won’t necessarily reduce head pain, it can shed light on what causes the pain. For instance, it might suddenly become clear that headaches worsen after drinking caffeine, or that migraines occur more frequently after a short night’s sleep. This clearer understanding of what can lead to or worsen head pain can allow you to avoid the things that trigger head pain.

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  • Cerebral Palsy and Multidisciplinary Pain Management

    Cerebral palsy affects an estimated 800,000 people in the U.S, and 3 out of every 1,000 children. It’s a condition that affects every aspect of the human body, from movement, and muscle tone to developmental brain abnormalities, vision and hearing problems, and seizures. According to the Centers for Disease Control, about 10,000 babies per year in the U.S. will develop cerebral palsy, and of these babies, many of them will need specialized physical therapy and pain management doctors throughout their lives.

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    What is Cerebral Palsy?

    Cerebral palsy (CP) is defined by the Mayo Clinic as a disorder of movement, muscle tone, or posture that is caused by injury or abnormal development in the immature brain, most often before birth. Cerebral actually refers to the brain while Palsy refers to the physical aspects of the condition. Though most cases of cerebral palsy develop before birth, CP can be the direct result of a traumatic brain injury at any point in life.

    Symptoms of CP occur in the first few years of life, or soon after a traumatic accident, and only worsen as time goes on. Although symptoms vary greatly, there is rarely a misdiagnosis issue with it comes to CP. The Cerebral or neurological symptoms can include difficulty with vision or hearing, seizures, abnormal pain perceptions, dental problems, and intellectual disabilities. On the Palsy, or physical, sides of things, symptoms include variations in muscle tone, ‘spastic’ or ‘rigid’ muscles, tremors, motor skill delays, favoring one side of the body, difficulty swallowing, difficulty with sucking or eating, delayed speech, and difficulty with precise motions.

    While there are many types of cerebral palsy, the most common is Spastic CP which includes rigid, tight, and spastic muscles, muscles only functioning properly on one side of the body, or severe muscle and movement difficulties so that a wheelchair is required. Other forms of cerebral palsy include Athetoid Dyskinetic, Ataxic, Hypotonic, Congenital, or Erb’s CP.

    What Causes Cerebral Palsy?

    The exact cause of many cases of cerebral palsy can be hard to pinpoint. If CP occurs in an adult, it’s easier to see that a traumatic event or accident has occurred to damage the brain, but before birth, it’s hard for physicians to determine the exact cause of CP.

    Cerebral Palsy is not one disease with a single origin, like chicken pox or measles. It is a group of disorders that are related but probably stem from a number of different causes. When physicians diagnose Cerebral Palsy in an individual child, they look at risk factors, the symptoms, the mother’s and child’s medical history, and the onset of the disorder.

    There are, however, common factors that may lead to the type of brain development issues that can cause CP. These predictors include drugs and alcohol, infection such as rubella, toxoplasmosis, syphilis, or chickenpox, exposure to toxins such as methyl mercury, thyroid problems, lack of oxygen or blood supply, or premature birth.

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    Pain Management for Cerebral Palsy

    Pain management doctors who specialize in pediatrics and special needs have supreme knowledge of the intricacies of cerebral palsy. With this condition comes a different reaction to pain, a different understanding of pain, and pain doctors must be able to communicate to parents and children the aspects of treatment.

    Children with CP understand pain differently than children with normal brain function and physical movement.  Many times, this condition brings with is an extremely sensitive pain threshold. Pain is experienced in a different ways and on different levels, so a pediatric pain doctor must use specific pain assessment to determine exactly where the child’s pain is coming from.

    Children with CP often have prolonged experiences of pain that can keep them in and out of the pain doctor’s office throughout their lives. Nerves and tendons become easily injured to the ‘spastic’ and ‘rigid’ nature of muscles, as well as spasms and seizures that can add extreme pressure to different areas of the body. Joints become easily inflamed and patterns of wear and tear appear quite frequently in areas that are repeatedly spasming.

    Spasticity Pain

    When muscles are tight for great lengths of time, or when the brain cannot control those muscles, spasticity occurs. Spasticity is an imbalance of signals from the central nervous system to the muscles, according to WebMD, and the most common symptom of cerebral palsy. Because the muscles are hard at work at all times of the day and night, there is a great deal of pain associated with spasticity.

    Spinal Pain

    Another form of pain that is quite common to those living with CP is chronic back pain. Because of the many spinal deformities (scoliosis, kyphosis, lordosis) associated with cerebral palsy, upper and lower back pain is seen in many patients. These spinal deformities can make sitting, standing, and walking incredibly uncomfortable and even painful.

    CP Pain Management

    Pain doctors most commonly refer to physical therapists, behavioral therapists, prescription medications, and a neurologist when treating patients with cerebral palsy. By using a multidisciplinary team of medical experts, a pain doctor can treat all aspects of the child’s condition.

    A physician, such as a pediatrician, pediatric neurologist, or pediatric physiatrist, who is trained to help developmentally disabled children. This doctor, who often acts as the leader of the treatment team, integrates the professional advice of all team members into a comprehensive treatment plan, makes sure the plan is implemented properly and follows the child’s progress over a number of years.  – The National Institute of Neurological Disorders and Stroke.

    For more information on cerebral palsy and pain management, contact us today.

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  • Chiropractic care during pregnancy

    The miracle of life, the anticipation of a beautiful baby, and that expectant-mother glow may make pregnancy a magical time of life, but it’s not all a bed of roses. There’s morning sickness, acne, swollen feet, fatigue, and all sorts of aches and pains to deal with. Your physician may be able to help with morning sickness, and a few well-deserved spa days and afternoon naps could help with acne and fatigue. For the sore back that comes from pregnancy, some chiropractic care might help you immensely.

    Chiropractic care while pregnant, if performed by a full-licensed chiropractor, is completely safe.

    There are no known contraindications to chiropractic care during pregnancy. In fact, chiropractors are trained to safely and effectively treat pregnant women. In fact, some researchers suggest that musculoskeletal pain management, such as chiropractic care, ought to become a standard part of obstetric care. Specialized techniques are used to avoid putting unnecessary pressure on the abdomen. Also, specialized tables or equipment might be used. These are also to avoid putting undue pressure on the abdomen.

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    However, few women receive the chiropractic care they need during pregnancy. One study found that 80% of women reported going without treatment for musculoskeletal pain during pregnancy. Also, pain in the first pregnancy has been linked to pain during subsequent pregnancies, so undergoing chiropractic treatment sooner rather than later might have seriously lasting benefits.

    The back aches, leg pain, and loss of balance during pregnancy can be minimized by chiropractic care.

    In preparation for birth, the ligaments in the pelvis lose their rigidity, which can lead to the pelvis becoming unstable. The growing uterus can push and pull the parts of the pelvis and hips into different positions. These changes can both affect pelvic balance and cause low back pain. In fact, thebump.com, a website devoted to all pregnancy-related topics, states:

    “Not only is it safe to visit a chiropractor during your pregnancy, it’s also highly beneficial… Getting regularly adjusted while pregnant is a great way to relieve the added stress on your spine that comes along with the weight gain.”

    In addition to helping you control low back pain, chiropractic adjustment during pregnancy can prevent sciatica. Sciatica is the inflammation of the sciatic nerve, which runs from the lower back down the back of the legs and to the feet. When this nerve is inflamed or damaged, it causes radiating or shooting pain down the buttock, the back of the leg, and potentially all the way to the foot.

    Some medications that could help with the back and leg pain of pregnancy may be contraindicated during pregnancy. Your physician or OB/GYN should be able to provide medications that are completely safe to take while pregnant, but chiropractic care is a great drug-free pain management option for expectant mothers who prefer to use as few medications as possible. It’s still a good idea to discuss pain, medications, and chiropractic care with your physician or OB/GYN, though.

    Chiropractic care while pregnant might also facilitate better-quality sleep.

    Getting enough sleep is vitally important all the time, including during pregnancy. This is largely because once that new baby comes home, sleep will become a rare thing. However, sleep is important for other reasons, too. Researchers at University of California San Francisco (UCSF) compared the amount of sleep women got late in their pregnancies with their labor times and types of birth. It was found that women who got less than six hours of sleep per night during their final month of pregnancy averaged 29 hours of labor, compared to an average of 17.7 hours of labor for women who slept seven or more hours per night.

    Additionally, it was found that compared to women who reported poor sleep two or less nights per week about three weeks before delivery, women who reported poor sleep three to four nights per week were 4.2 times as likely to need a cesarean delivery. Women who reported poor sleep five or more nights per week were 5.3 times as likely to need a cesarean delivery.

    This means that it’s important to take the time to get a good night’s rest as often as possible while pregnant. If your back hurts, it’s hard to sleep; research has even shown that a pregnant woman’s quality of sleep is closely related to back pain. By undergoing chiropractic care during pregnancy, you can improve your sleep and, by extension, perhaps make sure that your labor experience is a little easier.

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    There are additional ways that chiropractic care during pregnancy can help you have an easier birth.

    When a baby is breech, it’s positioned to come out feet- or bottom-first. The delivery for a breech baby has a higher risk of complications, and most medical professionals recommend a cesarean delivery rather than a vaginal birth. Several options exist to encourage the baby to move into a cephalic (or head-first) position before delivery, and one of these is the Webster Technique. This is a chiropractic adjustment that’s used to encourage the baby to move into the head-first position by correcting the musculoskeletal causes of intrauterine contracture.

    In 2002, the Journal of Manipulative and Physiological Therapeutics published the results of a survey about the effectiveness of the Webster Technique. Chiropractors using the Webster Technique reported an 82% success rate at encouraging the baby to move into a cephalic position. This technique has the added benefit of being medication free, unlike some of the other potential ways to encourage a breech baby to move into a cephalic position.

    Chiropractic care while pregnant might also shorten labor time. Women who received chiropractic care during their first pregnancy will experience a labor time that is, on average, 25% shorter. During subsequent pregnancies with chiropractic care, the time spent in labor is reduced by 31% on average.

    There are several ways to find a chiropractor who can provide care during your pregnancy.

    Your OB/GYN or primary care physician might be able to provide recommendations. A local phone book or a quick online search might also yield results. While all chiropractors are trained to provide care to pregnant women, it’s always a good bet to find someone with experience treating pregnant women. Because of this, consider calling a few different chiropractic offices and enquiring about the practitioners’ experience with pregnant women.

    Additionally, online databases provide a quick, easy way to find chiropractors with specific specialties. The American Chiropractic Association (ACA), for instance, includes a host of specialty options in its search criteria, including obstetrics and the Webster Technique. The International Chiropractic Pediatric Association (ICPA) specializes in providing information about chiropractic care for children, but they also have a search available for Webster Certified Chiropractors.

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  • The Flu Shot and Chronic Conditions

    To get the flu shot, or not to get the flu shot; is the question that many chronic pain patients must answer at this time of year. For individuals living with chronic conditions such as fibromyalgia, neuropathy, arthritis, or RSD, getting the flu shot can be a tough call. Unfortunately, there isn’t a lot of research for United States pain specialists to base an answer. In most cases, the answer is based on patient experiences, pain, and chronic condition.

    For the most part, pain specialists will recommend the flu vaccine for patients who have had the vaccination before and have tolerated them well, and for patients who have a serious chronic illness such as emphysema, diabetes, or a heart condition in addition to chronic pain.

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    Another aspect to consider is how much exposure you normally have to the flu virus. Are you a schoolteacher? A health care provider? Hold a job or have responsibilities that often take you out of the house during flu season?

    What’s Better? The Flu or Chronic Pain

    In some cases, patients who live with chronic conditions such as fibromyalgia and RSD feel a bit more “normal” when they have the flu. Some pain specialists believe this is because the flu virus stimulates the immune system, which can naturally improve how the immune system tolerates other conditions, such as the ones that cause chronic pain.

    Influenza

    Influenza, while it can strike at any time of the year, is most prevalent in the winter months and the reason for this is likely because people spend more time indoors in closer contact with other individuals. Add to that that there are two different flu seasons – one in each hemisphere, the northern and the southern – and you’re looking at breakouts twice a year. Because the strains mutate easily and often, the vaccine that was offered a year ago – sometimes even six months ago – isn’t the same strain that individuals are getting vaccinated for today. While getting a flu shot isn’t necessarily a guarantee that you won’t get stricken with the flu it is the only effective way to prevent the flu that is available today. You’ve probably heard the stories of people who get a flu shot then get the flu regardless – the reason for this is because of its ability to mutate.

    The World Health Organization decides on the strains of flu vaccine that will be offered based on the most prevalent strains found to be infecting people in recent months. The virus given in the flu shot is a strain of dead viruses and following the injection, your body will develop antibodies to the flu without developing the symptoms of the flu. The vaccine is recommended for the very old, the very young, and those who have compromised immune systems.

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  • Does a pain diary work

    It has long been a common recommendation that chronic patients maintain a pain diary. The idea behind a pain diary is simple. Using either an electronic device or a paper journal, pain patients keep track of:

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    The theory behind the recommendation is that doctors and patients can gain a better understanding of certain chronic pain syndromes than they might with simple patient reporting at a visit. Keeping track of pain levels allows a patient to give a more accurate reporting than trying to remember them on the day of the visit, especially if the patient is feeling particularly good or bad on the day they see the doctor. In theory, this allows doctors and patients to identify triggers and potentially avert painful episodes by changing behaviors.

    But there is evidence that pain diaries might actually be making pain worse.

    A small-scale study by the University of Alberta Faculty of Medicine & Dentistry found that keeping a pain diary actually lengthened the time of recovery for study participants who were recovering from lower back sprains. For four weeks, 58 patients in the study were divided into two equal groups, one of which was asked to keep a pain diary, documenting pain levels, and one of which did not. When patients were re-assessed at the four-month mark, the differences in the two groups were clear.

    Robert Ferrari, a clinical professor in the Faculty of Medicine & Dentistry’s Department of Medicine and a practicing physician in several Edmonton medical clinics explains the results:

    “What we found is that the group who kept the pain diary — even though we didn’t ask them to keep an extensive diary, and even though many of them didn’t keep a complete diary — had a much worse outcome. The self-reported recovery rates were 52% in the group that kept a pain diary and 79% recovery at three months in the group that did not keep a pain diary. That’s a fairly profound effect. There aren’t many things we do to patients in terms of treatment that affect the recovery for a group by 25%.”

    These results are mirrored in study by Luis F. Buenaver, phd, an assistant professor of psychiatry and behavioral sciences at the Johns Hopkins University School of Medicine. This study included 214 patients suffering from jaw and face pain due to temporomandibular joint disorder (TMJ). This condition can be acute or long-term but is very painful and can lead to sleep disturbances and other painful issues in the neck and upper back.

    Buenaver and his colleagues examined each patient and then distributed questionnaires to ascertain participants’ pain levels, quality of sleep, and emotional response to pain. They were trying to see if patients tended to dwell on pain or exaggerate it. Those patients who did dwell on the pain were unable to shift their focus away from it when winding down for sleep, their pain was rated as much more severe, and patients’ sleep was more disturbed than those patients who did not focus on their pain.

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    So why do pain specialists continue to recommend keeping a pain diary when it seems as if it may make pain worse?

    A pain diary can be a remarkable communication tool for you and your doctor. If you are living with chronic pain that has yet to be diagnosed, keeping a pain diary can help identify triggers or things that make pain worse. Keeping a pain diary can also identify times of day that pain is most prevalent, and it may be helpful in seeking reasonable work accommodations under the Americans with Disabilities Act (ADA).

    There are many different ways to keep a pain diary. One of the easiest seems to be using apps for tracking chronic pain, widely available for free or a nominal fee for both iphones and Android operating systems. If you choose to keep a pain diary and want to make it positive and forward-thinking, try these four tips:

    1. Add gratitude: Make a list of five things you are grateful for at the end of every day.
    2. Don’t make pain the focus: Think of it more as a daily journal. When pain symptoms are tracked or specifics are added, circle them or highlight in another color for easy reference, but focus more on telling the whole story of the day.
    3. Think outside of the page: Frida Kahlo, a painter who lived her entire life in excruciating pain, often painted her experiences while lying down. Your pain diary doesn’t have to be just words. You can illustrate your day or create a collage. Add photographs or bits of flotsam from your day (e.g., a key you found on a walk, a ticket stub from a movie, or a note from your child).
    4. Make it totally you: You are not your chronic pain. Yes, pain is part of your daily experience, but it does not make up the entire person you are. Use your pain diary as a way to explore your inner self, not just document an experience from one to ten.

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  • Insight Into Chronic Pain

    As far as subjective experiences go, pain can rank at the very top of the list. Pain is something that is as an individual to a person as a fingerprint, and each person experiences pain – even the same pain – differently. At Chronicillness.co Site of United States, our double board-certified pain management doctors empathize with the fact that pain is a profoundly different experience for everyone.

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    One of the main questions pain patients will have is, “how do I know if my pain is chronic?” There are two types of pain, acute pain, and chronic pain. Acute pain is pain that heals within the expected time, such as pain from a sprain or break that heals and lessens over time. Chronic pain can be understood as pain that has lasted longer than the expected time of healing, or pain that has lasted three months or more. Another facet of chronic pain is pain that interferes with the patient’s quality of life, work, school, or other activities. If this is the case, the patient’s pain can therefore be considered chronic, and the pain doctors at Chronicillness.co Site can then implement a treatment plan.

    At Chronicillness.co Site of United States, our pain specialists are committed to providing a multi-disciplinary approach to pain management. This is extremely beneficial for pain patients, especially because of how individualized pain can be. Two patients experiencing the same condition can suffer from completely different symptoms and the severity of those symptoms. Because of this, a multi-disciplinary approach can provide patients with multiple options in pain care. For example, one patient with fibromyalgia may see a significant decrease in her symptoms with a combination of physical therapy and acupuncture, while another patient with fibromyalgia sees the best results from massage therapy and joint injections.

    Though the most common chronic pain condition is low back pain, the pain management specialists at Chronicillness.co Site of United States can treat painful symptoms associated with arthritis, osteoporosis, fibromyalgia, knee pain, neck pain, plantar fasciitis, pelvic pain, tennis elbow, migraines, and other painful conditions.

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