acute pain

Why Early Treatment Is Important For Chronic Pain Patients

/ Thomas Cohn, MD

pain treatingEarly intervention is key for almost all medical conditions, but it’s even more important for certain issues. While cancer may be the most obvious condition that benefits from early treatment, so too does chronic pain. In today’s blog, we explain why early treatment can be so beneficial for patients dealing with chronic pain.

Chronic Pain And Early Intervention

If you’re dealing with chronic pain, don’t just grit your teeth and hope that the condition gets better on its own. Instead, connect with a pain specialist like Dr. Cohn sooner rather than later. Here’s why it’s so important to treat your chronic condition in its infancy.

It Oftentimes Gets Worse – Your pain condition may not be all that uncomfortable at the outset, and you may think that it’s not bothersome enough to warrant professional attention. The problem is that continuing to do the same things that led to its onset in the first place means that the condition will likely only continue to get worse. Mild discomfort will become moderate pain and moderate pain can eventually become severe and debilitating. Stop small problems before they snowball.

Easier To Treat At The Outset – Chronic pain treatment also tends to be more effective when it’s in its infancy. Smaller problems are easier to treat than severe conditions, so by putting off treatment, you’re also decreasing the likelihood that you’ll experience complete pain relief.

It Takes A Toll – Chronic pain takes a significant toll on your physical, mental and emotional health, and it can have negative consequences for all of these aspects if left untreated for long enough. Chronic pain conditions have been linked to an increased risk of mood disorders and mental health issues like anxiety or depression, so the longer you put off treatment, the greater your risk of related health problems.

Treatment Is Easier Than You Think – One thing we oftentimes hear from patients is that treatment was easier than they imagined and they wish they would have sought us out sooner. That’s not saying that treating your pain will be as simple as taking a pill once a day, but you may find major improvements to your condition and overall health by doing some simple things like tweaking your diet and doing 15 minutes of physical therapy exercises each day.

If you’re ready to take the first step in treating your chronic pain condition, don’t wait any longer. Pick up the phone and give Dr. Cohn and his team a call today at (952) 738-4580.

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.

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.

6 Tips For Controlling Pain After Surgery

/ Thomas Cohn, MD

chronic painSurgery can be just what you need to overcome a painful and debilitating condition, but odds are you won’t experience that relief overnight. In fact, it’s common to experience pain and discomfort for a short period of time after the operation as your body works to adapt to the trauma of surgery. You can take solace in knowing that this post-surgical discomfort will fade, but life can be a little more comfortable if you work to control your post-op pain.

In today’s blog, we share six tips for controlling pain after surgery.

Managing Pain After An Operation

Here’s a look at six ways that you can work to control and decrease post-surgical discomfort.

1. Prehab – You don’t have to wait until after your surgery is complete to start working to become physically stronger. The stronger you are prior to surgery, the stronger you will be after your operation, and that can help to support joints and other structures that have been addressed during surgery. Ask your doctor for some exercises that you can perform before your operation.

2. Medication Management – Odds are you are going to be given some medications to help manage discomfort following your operation, but you need to take them in a specific manner in order for them to be most effective. Your care team will provide you with dosage instructions, but make sure that you understand how you are expected to handle your medications before you discharge or leave the pharmacy. Taking medications outside of your dosage instructions can lead to a number of issues, so if you have questions or are running into any issues, reach out to your care team.

3. Early Movement – You should always follow the specific recovery instructions of your treating physician, but don’t be surprised if they recommend early movement and activity. Odds are you won’t be told to stay in bed for weeks while your body recovers, because your body needs movement and controlled stress to improve circulation and become stronger. If allowed by your surgeon, make sure that you are up and moving as soon as it is allowed to help jump start the recovery process and limit pain or discomfort.

4. Physical Therapy –  In many instances, physical therapy will be the most effective treatment following an operation in terms of pain control and functional improvement. PT will help your structures become stronger, mobile and more stable, all of which help to control pain. Make sure that you are doing your PT exercises as directed and you never skip an appointment during your recovery.

5. Mind Your Mental Health – It’s easy to focus on your physical condition after surgery, but don’t overlook your mental and emotional health, because they are closely tied to your pain levels. Anxiety and depression can intensify pain sensations and our perception of pain, so make sure that you are caring for your mental health after an operation. Get outside, talk with friends or family and partake in activities that are energizing to your physical and mental health.

6. Connect With A Pain Specialist – If you are dealing with lingering pain or you just want to have some additional assistance managing a pain condition following your operation, connect with a specialist like Dr. Cohn. Pain is highly unique to the individual, but we will work hard to help find personalized ways to help you overcome your pain and improve your overall physical function. For more information, or for help with a different pain issue, reach out to Dr. Cohn’s office today at (952) 738-4580.

New Findings On Why Poor Sleep May Lead To Chronic Pain

/ Thomas Cohn, MD

sleepA new study involving mice may have provided some more insights into why poor sleep and chronic pain may be linked.

According to the study, nerve injuries may cause certain brain cells to act excitedly during sleep, and this sudden excitement may lead to chronic pain onset. On a positive note, researchers say that stopping this hyperactivity during sleep could help provide significant pain relief

As we’ve talked about on the blog in the past, sleep disorders and chronic pain are closely related, but the exact nature of why certain sleep problems increase the risk of different types of chronic pain is not well understood. We’ve talked about how it can be hard to break out of the sleep-pain cycle, which theorizes that chronic pain makes it hard to fall asleep and stay asleep, and poor sleep quality can intensify pain sensations, but this recent study wanted to learn more about the exact connection between the two.

Sleep And Chronic Pain

For the study, researchers honed in on neuropathic pain, which is pain that derives from an injury or disease in the nerves that relays sensory information from the body to the brain. Researchers studied mice with injuries in one of the sciatic nerves, the large nerve that branches from the spinal cord through the hind legs. The team analyzed brain activity in the mice both before and after the sciatic nerve injury in order to see how the brain responded to this new pain. The team found that there were significant changes after the injury in the wrinkled cerebral cortex, which is the area that receives and stores sensory data from the hind legs. Moreover, certain brain cells became progressively more active in the weeks after the injury as the mice’s pain became chronic.

Perhaps most interestingly, this brain cell activity peaked during non-rapid eye movement sleep (NREM), which is when deep sleep occurs. Researchers said these neurons became hyperactive during NREM sleep as a result of an issue with the anterior nucleus basalis, a cluster of neurons located deep in the front of the brain. Researchers noted that the activity of the anterior nucleus basalis also increased after the nerve injury, and this triggered the cells to send a chemical response to the cerebral cortex. As a result of this chain reaction, the previously mentioned brain cells shifted into overdrive during NREM sleep.

This increase in brain activity was linked to an increase in pain sensitivity in mice, as researchers stated that once-painless stimuli suddenly became painful. In follow up experiments, researchers were able to relieve this pain by blocking cell hyperactivity along certain neural pathways during NREM sleep.

“Inhibition of this pathway during NREM sleep, but not wakefulness, corrects neuronal hyperactivation and alleviates pain,” the researchers concluded.

So while the study only examined mice, it does provide insights into how neural action during sleep can lead to increased pain during wake periods, and researchers are hoping that some of the findings would be similar in a human population. Future studies are sure to follow, and hopefully we continue to learn more about the connection between poor sleep and chronic pain onset.

For now, do what you can to prioritize healthy sleep if you have a chronic pain condition. Avoid caffeine late in the day, get regular exercise, go to bed around the same time each night and keep electronics out of the bedroom so that you have an ideal sleep environment. You may not be able to control what happens during NREM sleep, but you can work to break out of the sleep-pain cycle by making it easier for your body to fall asleep and stay asleep.

If you’re dealing with sleep issues as a result of your chronic pain condition, or you want help with a different pain issue, reach out to Dr. Cohn and his team today.