Everyday pain management ideas

Two recent studies have brought a not-so-novel concept into the limelight-the concept being that people who present with knee pain often develop pain in other parts of their bodies.  These studies, known as the Multicenter Osteoarthritis Study ( MOST ) and the Osteoarthritis Initiative ( OAI ), were assessed by a Clinical Epidemiology Team as Boston University School of Medicine in an effort to find preventive strategies to combat this trend. The authors suggest that knee pain may cause individuals to alter their gait in an effort to compensate for their discomfort. In doing so, the alignment of other body joints is altered, and this may be the cause of secondary joint pain, especially hips and ankles. The authors go on to say that the pain in these secondary sites is not necessarily osteoarthritis--perhaps bursitis or some other injury. Osteoarthritis is a result of wear and tear in the joints.  We may not be able to completely eliminate osteoarthritis from occurr...

It's long been established that many folks with chronic pain suffer from depression.  This is largely due to the limitations on activity, the constant discomfort, the isolation, and loss of independence suffered by this population. It's not unusual for a chronic pain patient to be prescribed an antidepressant. But there are other ways to battle the blues.  Introduced at this year's American Psychiatric Association,  a "brain food scale" rates nutrients and foods in their ability to help people to battle depression and perhaps dementia as well. According to Dr. Drew Ramsey, who presented on the topic, data suggests that foods have a very critical role to play in brain health. Plant based foods rate vary highly in this ability, according to the newly described Brain Essential Nutrients Scale (BEN).  Leafy green vegetables are high on the list, but also included are game meats, organ meats, nuts, clams and other bivalves, and fish such as salmon. According ...

Lately I've seen a lot of television spots for prescription medications...for products that treat diabetes, psoriasis, and of course, chronic pain. While think it's generally good for patients to know about pharmaceutical options available to them, sometimes I wonder if patients consider all the pros and cons of each medication before visiting their doctors asking for prescriptions for this or that. Case in point--one product I see quite often is a prescription product known as Lyrica®. The generic name is pregabalin and it's indicated for chronic pain. The general mechanism of action for this drug is that it dampens the nervous impulses (including pain signals from body to brain) as they travel along the neurons in the human bodies.  While this drug is categorized as a controlled substance, it's not really habit forming and does not pose risk of addiction like the opioids do. This product is widely used and does offer some relief to patients...but there are new ...

The topic for today is NSAIDS.  I hope you know what this acronym stands for, and I hope you know even more about the topic after you read this post! First off, NSAID is an acronym that stands for Non Steroidal Anti-Inflammatory Drug.  This class of drugs has flooded the marketplace in the last twenty or thirty years.  If you don't know the term NSAID, you might be aware of some of the brand or generic names of these drugs, including Aleve®, Naprosyn®, Motrin®, naproxen, and ibuprofen.  But there are many more. These drugs are very effective at reducing fever, pain and inflammation.  But there is more to the story... I came across a survey in recent news...in a poster session at the recent PAINWEEK conference in Las Vegas, authors cited survey results that were truly shocking.  Forty-seven percent of a responders to a small online survey did not know what an NSAID was, including forty percent of responders who reported that they had taken pain med...

Most of us know someone who has osteoarthritis, if we don't have it ourselves.  Joint replacement surgery is a pretty common remedy when the joint becomes severely damaged and the patient is in a lot of pain.  With risk of complications from such a surgery, perhaps an alternative treatment should be tried first. One such remedy is the injection of a synthetic version of collagen(e.g. Synvisc®) into the affected joint.  This procedure restores the cushioning to a joint that has degenerated over the years. It can diminish the pain substantially and help put off joint replacement surgery for months to years.  The biggest drawback is that these products are expensive.   GoodRX , a web site that can be used to estimate the cost of medications, estimates the cost of these products to be over $1,000 each. Here's another example--and I am not sure how widely accepted this protocol has become since study authors introduced it in November 2015.  Are you r...

In the modern era of pain management, it has become of utmost importance to pinpoint the source of pain. This really offers someone who is experiencing pain the best hope of a speedy, permanent resolution to their discomfort.  If pain medications are ordered, they may be effective, but will only cover up the pain instead of fixing it. This process can be very frustrating. It's not unusual for someone to have pain but no source can be identified. But it's really better to be relentless in the search.  Here's a story that sort of illustrates my point: Mrs. A. is a healthy woman in her later 50s. She lives in the country and raises chickens...she always has fresh eggs on hand!  She has never smoked and does not really consume alcohol too often.  She is a regular exerciser and loves to garden. She has been happily married for almost forty years. One day Mrs. A. notices some shoulder pain so she visits her local ER. The physician there tells her that she probabl...

In the wake of opioid and heroin addiction, you may be hearing more about patient/provider agreements when it's determined that opioid therapy is in the patient's best interest.  Today's post will provide you with a brief overview of what a patient/provider agreement is, and what you might see in one if opioid therapy is in your future A patient/provider agreement is simply a contract that these two parties make with each other at the onset of treatment.  This type of contract spells out in detail all of the responsibilities of the health care provider as well as those of the patient.  The contract also spells out what will happen if the terms of the contract are violated by either party. What are some of the things you might see in a patient/provider agreement? Each provider may be a little bit different, but in general you can expect to see at least some of the following: Patient Responsibilities: Patient agrees to take medication only as prescribed. Pat...