Author: Thomas Cohn, MD

Why Exercise Is So Helpful In The Fight Against Chronic Pain

/ Thomas Cohn, MD

when exerciseExercise is beneficial for your whole body, but it can also be extremely helpful if you are working to overcome a chronic pain condition. That’s not to say that you’ll be able to cure your chronic pain condition simply by going for a run, but exercise offers a number of specific benefits that can help you manage your pain issue and gain more control over symptoms.

In today’s blog, we explain why you should consider exercising more if you are trying to overcome a chronic pain condition.

Exercise Benefits For Chronic Pain

As we say on the blog all the time, chronic pain is highly unique to the individual, so you may not experience all of the benefits of exercise as significantly as others. That said, exercise is almost always recommended as part of a comprehensive treatment plan because of all the ways it can work to control your chronic pain issue. Here’s how exercise can help.

Muscle Conditioning – Sometimes our chronic pain issue is caused by muscle weakness, especially if muscles can no longer adequately support certain areas that are under stress. For example, a weak core can contribute to inflammation in the spine, leading to irregular or chronic back discomfort. Exercise helps to strengthen muscles so that they can handle the stress you throw at them and continue to provide the necessary support to nearby structures.

Pain Sensitivity Reduction – Studies have found that exercise can alter how the brain responds to pain by promoting the release of analgesics, which are natural painkillers made by the body. This naturally helps to reduce our sensitivity to pain.

Sleep Improvements – When you are active and burning energy during the day, it’s easier to fall asleep and stay asleep at night. Getting quality sleep can aid in pain sensitivity and ensure that we wake up ready to attack the day with more exercise and activity.

Inflammation Reduction – The stress of activity can lead to short-term inflammation as your body handles the physical stress of exercise, but exercise can also lead to an increase in anti-inflammatory cytokines produced by your immune system that calm inflammation and promote tissue repair. This helps to reduce inflammation in the long-term.

Mood/Anxiety/Depression Improvements – Exercise can trigger the release of feel good hormones in your brain called endorphins, which can improve your mood and decrease your risk of mental health issues like anxiety and depression. Since chronic pain treatment involves more than just treating physical pain, it’s important that we understand how exercise can help to alleviate chronic pain by improving our mental and emotional well-being.

Weight Management – Finally, regular exercise also make it easier for a person to maintain or work towards an ideal weight. When you’re heavier, your body has to handle more stress with each step you take, and that added pressure can lead to joint deterioration or increased inflammation, both of which can exacerbate a chronic pain condition. Managing your weight can certainly have a positive effect on your chronic pain treatment, and exercise can be the catalyst for that weight loss.

For more information on how exercise can help you overcome a chronic pain condition, or to talk to a specialist about setting up an exercise routine that works for you, reach out to Dr. Cohn and his team today at (952) 738-4580.

Combat Chronic Neck Pain With These Five Lifestyle Tweaks

/ Thomas Cohn, MD

neckChronic neck pain can certainly be the result of an acute injury, but for many Americans dealing with recurrent neck pain, some lifestyle factors are significant contributors to their chronic discomfort. Fortunately, if we can identify these habits and make a few simple tweaks to our daily life, we can usually experience some significant pain relief.

In today’s blog, we take a closer look at a few lifestyle tweaks you can make to help reduce or alleviate your chronic neck pain.

Daily Adjustments For Neck Pain

Chronic neck pain is unique to the individual, so it’s important to realize that what might work for one person may not work for another. If you want the best chance at reducing or eliminating your chronic neck pain, sync up with a pain management specialist like Dr. Cohn who can view your neck in person and provide some personalized recommendations. That said, if you want to try a couple of these lifestyle tweaks first to see how your neck pain responds, you may just find that your neck discomfort begins to feel a little better.

1. Limit Phone/Computer Use – It’s not uncommon to spend hours each day on a smartphone or computer, and oftentimes we lean our head forward when using these devices. This shifts our cervical spine out of a healthy position and increases the amount of stress the head places on the top portion of your spine. You can mind your posture, but oftentimes it’s easier to just work to reduce the amount of time you spend on these devices.

2. Posture Improvement – Phone and computer use isn’t the only time we tend to have poor posture throughout the day. Anytime we’re sitting or standing, our spine can shift out of a natural alignment if we lean forward or sink down in a chair. Strive to conduct posture awareness checks throughout the day and adjust your position so that your head is directly over your shoulders, limiting the strain on your cervical spine.

3. 5-Minute Stretches – Oftentimes our chronic neck pain is the result of static stress on muscles and soft tissues in the neck and upper shoulder region. You can work to counter this stress by gently stretching your neck for a couple of minutes a few times each day. If you’re watching television or taking a phone call, multitask and do some simple neck stretches that change how stress is dispersed on the area.

4. Invest In A Quality Pillow – Your neck spends roughly a third of its day resting on a pillow, so you need to make sure that the area is adequately supported at night. If it’s been a while since you bought a new pillow, or your current pillow has seen better days, consider buying a pillow that can better support your neck. Options that are too thin or overly stuffed will not keep your neck in the right alignment, so don’t just look for the fluffiest option!

5. Move More – Finally, make it a point to be more active throughout the day and break up extended seated periods. As we talked about in the stretching point, your neck is constantly helping to support the weight of your neck, so when you’re not mobile, stress is dispersed consistently across the same muscle groups. Over time, this static stress can lead to muscle fatigue or discomfort. Moving more often helps to relieve this static stress and changes how stress is dispersed throughout your neck, giving certain areas a reprieve. Being more active is also helpful for your whole body health, so make it a point to be more active!

If you can keep these tips in mind and you trust your in-person care to Dr. Cohn and his team, we’re confident you can successfully fight back against chronic neck pain. For more information, or for help with a different pain issue, give Dr. Cohn and his team a call today at (952) 738-4580.

What Is Scrambler Therapy For Chronic Pain?

/ Thomas Cohn, MD

scrambler therapyWe always have our ear to the ground when it comes to learning about new potential forms of treatment for chronic pain, and one such treatment that is making waves in the pain care community is called scrambler therapy. But what is scrambler therapy, and could it really help you get control over your chronic pain condition? We take a closer look at the treatment in today’s blog.

Scrambler Therapy

Non-opioid treatments to combat chronic pain is a multi-billion dollar industry for any company that can come up with an effective solution to the problem of chronic pain. And while transcutaneous electrical nerve stimulation (TENS) has seen some progress by using electrodes to deliver electrical stimulation and painful nerves, it’s still not a perfect system. Scrambler therapy looks to improve on the TENS unit by using electricity in a slightly different manner.

With scrambler therapy, a doctor delivers electrical stimulation via electrodes to areas surrounding the source of chronic pain. In a review of 381 randomized trials, the technique was found to offer significant relief in over 80 percent of patients.

“Scrambler therapy is the most exciting development I have seen in years – it’s effective, it’s noninvasive, it reduces opioid use substantially and it can be permanent,” said study lead author Dr. Thomas Smith, professor of oncology and medicine at the Johns Hopkins University School of Medicine.

Scrambler therapy works by targeting the nerve endings of damaged nerves and replacing them with nerve signals from nearby nerves, effectively “scrambling” the nerve relay information that reaches the brain. By scrambling this established signal transmission, researchers can reduce or even eliminate pain relays along this neural route.

“If you can block the ascending pain impulses and enhance the inhibitory system, you can potentially reset the brain so it doesn’t feel chronic pain nearly as badly,” said Dr. Smith. “It’s like pressing Control-Alt-Delete about a billion times.”

In the review, patients were subjected to between three and 12 half-hour scrambling sessions, with over 80 percent of patients reporting substantial pain relief. Additional research is needed to really understand the best ways to harness the therapy technique and isolate which patients it may be most beneficial for, but it’s certainly encouraging information. It’s not a technique that Dr. Cohn and his team currently offer, but if it continues to show promise within the pain care community, we’re always looking to expand our ability to effectively treat our patients, so it could certainly be an option down the road.

In the meantime, if you’re looking for a physician who will give you the individual attention you need to overcome a chronic pain condition, pick up the phone and give Dr. Cohn and his team a call today at (952) 738-4580.

Treating The Four Most Common Types Of Headaches

/ Thomas Cohn, MD

headachesA headache can ruin your whole day, which is why it’s important to prevent headaches from developing and take some steps to treat them when you feel one coming on. However, not all headaches are the same, and you need to really understand what type of headache you are dealing with in order to pursue the optimal treatment. In today’s blog, we take a closer look at four of the most common types of headaches and how each is treated.

Common Types Of Headaches

There are more than four types of headaches, but these four tend to be much more common, which is why we are putting them under the spotlight:

Migraine – A migraine is the most common type of headache, and there are many different subsets of migraines. A migraine typically involves pain or a throbbing sensation on one side of the head or face. A number of different issues can contribute to or directly cause a migraine headache, including dehydration, stress, hormonal changes, lack of sleep or sensory triggers like flashing lights or loud sounds. Treatment involves pinpointing the underlying cause of the migraine and working to target the issue. For example, improving your sleep habits, finding healthy outlets for stress and staying hydrated can all help to prevent and treat a migraine attack.

Tension Headache – A tension headache is likely the next most common type of headache, causing discomfort in the back of your head, temples and forehead. As the name implies, they are oftentimes the result of muscle tension or excessive strain on muscles that support your head and neck. Oftentimes they can develop as a result of poor posture and an unhealthy diet that doesn’t supply your body with nutrients that help muscles function property. Simple tweaks to your diet and really focusing on improving your posture can help to keep tension headaches at bay.

Cluster Headache – A cluster headache usually involves pain or discomfort on one side of the head, oftentimes in the eye region. Researchers believe they develop as a result of your body’s sudden release of histamine or serotonin, which means foods, allergens or sensory triggers can all lead to a cluster headache. Although they tend to be shorter in nature compared to migraine and tension headaches, they can still pack a punch. Avoiding allergens and potential triggers are a helpful step, and your doctor may talk to you about certain medications to help relieve a cluster headache should one develop.

Hypnic Headache – The final headache we’ll spotlight is called a hypnic headache, and it is a primary type of headache that typically occurs during sleep, which can make getting prolonged restful sleep difficult. They tend to occur in older individuals, and while their exact cause is unknown, researchers believe that brain activity and nerve relays during the REM cycle play a role in their onset. Interestingly, caffeine is oftentimes a recommended treatment, but if this also keeps you from falling asleep and staying asleep, your doctor may see if melatonin or similar medication can help you find relief.

If you need help overcoming chronic or infrequent headaches, or if you believe that your underlying pain condition is contributing to your headaches, reach out to Dr. Cohn and his team today at (952) 738-4580 for assistance.

Empathy Can Help Reduce Chronic Pain Sensations

/ Thomas Cohn, MD

empathyWe always recommend that you surround yourself with a support system that is empathetic to your chronic pain condition, but new research shows that empathy can actually help to decrease pain sensations.

According to research published in the Proceedings of the National Academy of Sciences, researchers found that patients exposed to empathetic remarks from a physician experienced decreased levels of pain compared to a control group when exposed to the same stimuli.

For the study, researchers used a functional MRI to scan the brains of 20 patients living with chronic pain. During the scans, patients were exposed to stimuli on their legs that ranged from painless to moderately painful, and patients recorded their perceived pain intensity using a standard pain scale. 10 of the patients were subjected to the painful stimuli while alone, while the other 10 were exposed to the stimuli while in the presence of a physician. Of the 10 that were exposed while with a physician, half of those patients had spoke to the physician before the evaluation, while the other five had not had any prior interaction with the physician in the room.

Empathy And Chronic Pain Intensity

After looking at the responses, researchers found some interesting data points. According to the study:

  • Patients who were alone during the testing reported greater pain sensations than those who were in the presence of a physician.
  • Patients who had already spoken with the physician in the room felt that the physician was empathetic and understood their pain, and physicians were better able to estimate the pain their patients experienced.

During the functional MRI, researchers noted that there was greater activity in certain areas of the brain that react to pain in the patients who had previous spoken to a physician. They believe this brain activity shows the real-world impact of having an empathetic doctor in your corner when dealing with chronic pain.

While there will certainly be more studies on how empathy and other traits can impact the chronic pain experience, this study highlights how chronic pain can be harder to overcome if you believe you are battling the issue by yourself. Chronic pain is certainly an individualized and oftentimes isolating experience, but you need to surround yourself with friends, family and physicians who believe you and want to help your condition improve.

Now more than ever, it is important to empathize with our patients and show them that we care, and that can be difficult when physicians are tasked with seeing as many patients as possible each day. In order to empathize with the patient and show them that you really care, you need to give them the time of day they deserve, and many hospitals would be smart to remember that the quality of care is much more important than the quantity of care. We always strive to empathize with out patients because we know first hand just how debilitating and frustrating a chronic pain condition can be.

So if you feel like just another patient to your care provider, look elsewhere for care. Dr. Cohn will give you the time and attention you deserve, and you may notice that this attention has positive implications for your chronic pain condition. For more information, or to set up an appointment with Dr. Cohn, give his office a call today at (952) 738-4580.