What Women Want – A Pain Care Provider Who Believes Them

September 2, 2021 / Thomas Cohn, MD

Chronic pain can be an extremely challenging to overcome, and that sentiment rings even truer when patients don’t feel like they are being heard by their treating physician. And according to recent statistics, oftentimes it is women that feel like their voices aren’t being heard in their quest to effectively treat their chronic pain.

Several studies have used a mechanism called GREP, which stands for Gender Role Expectation of Pain measure, to better understand some of the discrepancies that women face when attempting to have their pain treated. Some of the studies on GREP have found that women are viewed as being more likely to report pain, faster to report pain and more sensitive to report pain, and that can have a negative effect in how they are treated by their physician and the healthcare community in general.

Some other common complaints about how men and women are viewed when it comes to pain care include:

Women complain more than men
Women are not accurate reporters of their pain
Men are more stoic than women, so when they complain of pain, “it’s real”
Women are better able to tolerate pain than men
Women are seen as more sensitive or dramatic, so their pain is more likely to be viewed as an overreaction than a debilitating reality

All of these ideas work against women in their quest to treat their chronic pain condition, and these implicit biases can be present in pain care providers who generalize chronic pain.

Being Heard By Your Pain Care Specialist

That’s why it’s so important to find a pain care specialist who will really take the time to get to the bottom of your pain, to listen to your concerns and to work with you to develop an individualized care plan and see it through. We do that with every patient that comes into our office, and while it takes a little more time and effort, we know that part of the battle when it comes to chronic pain is simply being listened to.

Pain is so complex and unique that it requires an individualized approach for every patient. Any doctor that simply rushes to prescribe opioids may only be putting a Band-Aid on the problem. That may provide some short-term relief, but it won’t do anything to cure the issue on a larger scale. We know that this process is time consuming and may require us to adapt and overcome new challenges, but we’ve seen it work firsthand, and that’s what we want to offer all of our patients.

So if you feel like your concerns aren’t being heard, or if you feel like your doctor isn’t really taking your input to heart, maybe it’s time that you find a specialist who puts you first. Dr. Cohn and his team have been doing that for patients for decades, and we’d love to add your name to the growing list of patients who have found chronic pain relief with our assistance. For more information, contact our clinic today.

Why The Right Chronic Pain Specialist Makes All The Difference

June 16, 2021 / Thomas Cohn, MD

Chronic pain is a condition that affects tens of millions of people worldwide, and it’s one of the most difficult conditions to treat because of its complexity. In order to give yourself the best chance to reduce symptoms or successfully treat the underlying issues, you need a couple of things.

Not only do you need a positive mindset and a strong work ethic to follow through on your treatment recommendations, but you also need the right chronic pain specialist. In today’s blog, we explain why having the right chronic pain specialist by your side will make all the difference in your treatment for a pain condition.

Why You Need A Pain Doctor Who Cares

Finding a pain specialist who truly understands what you’re going through can make a world of difference. For starters, they’ll work to create a full work-up and a comprehensive diagnosis. Oftentimes a chronic pain condition is more than just a physical condition, so it’s important to have a specialist who can see how you’re being physically, mentally, emotionally and socially affected by the condition. Treatment will need to be multi-faceted in order to achieve best results and care for all aspects of your condition, so you’ll want a specialist who is willing to go the extra mile to understand all aspects of your pain.

You also need to find a pain specialist who wants to treat the underlying condition that’s causing your chronic pain, not just someone who works to mitigate symptoms. We understand that reducing symptoms can make life more bearable, but it’s kind of like putting a band-aid on a bullet wound. It won’t provide any long-term relief, and it may actually make it harder to treat your condition in the future if it continues to worsen or you begin to build up a tolerance to painkillers. It’s easy to prescribe opioids for a chronic pain condition. It’s hard to find the right active solutions. Find a doctor who is willing to do the hard work, because you’ll be better off for it.

A doctor who truly cares about your needs will also be a good listener and willing to adjust their recommendations based on your progress or lack thereof. Some doctors believe that their original diagnosis and treatment are best, even in the face of poor results. You need a doctor who is willing to listen to your concerns and pivot to new treatment options if something isn’t working. It sounds simple, but it’s not something you’ll find at every clinic.

Finally, it’s important to find a doctor who specializes in chronic pain care because they will have a wealth of experience dealing with the complex issues presented by your condition. While no two cases are ever the same, having extensive background with difficult-to-treat pain conditions can help you get a leg up on what’s bothering you. Some doctors do everything they can to help, but they simply lack the depth of experience to provide you with the level of care you need. A pain management specialist can give you that expert level of care that can make all the difference with your treatment.

If you’re looking for a provider who can check all of the above boxes, look no further than Dr. Cohn. He’ll do everything in his power to provide you with the individualized care you need to overcome your chronic pain condition. He’s done it for countless patients in the past, and he can do the same for you. For more information, or for help with your chronic pain issue, reach out to his office today.

Five Alternatives To Opioids For Chronic Pain Management

June 10, 2021 / Thomas Cohn, MD

Opioids are a hot-button issue in the chronic pain community, and rightfully so. They can absolutely play a vital role in helping someone overcome a chronic pain condition, but they are also much riskier than other treatments that don’t carry a likelihood of overdose and dependency. We’ve seen firsthand how opioids can be a perfect compliment to a chronic pain management program, but we also want to give patients an opportunity to avoid painkillers if they so choose as part of their recovery plan. In today’s blog, we showcase five alternatives to opioids for chronic pain management.

Non-Opioid Treatments For Chronic Pain

Here’s a look at five non-opioid treatment options that may be recommended alongside or in lieu of a painkiller prescription.

1. Exercise – Exercise can work wonders for a chronic pain condition, but we understand how exercise can be hard to come by if you’re dealing with chronic pain. Find an exercise program that works for you, and know that any exercise is beneficial. You don’t need to run a marathon or spend two hours in the gym in order to do right by your body. Walking, swimming or cycling can all be beneficial forms of exercise that are not as hard on your body as some other forms.

2. Physical Therapy – Another way to condition and strengthen your body if you’re dealing with chronic pain is through a physical therapy program. Physical therapy involves targeted exercises and stretches developed by a professional who understands your unique situation and needs. This method can actually be more effective than general exercise because it focuses on weak points and specific body parts in need of attention.

3. Behavioral Health Intervention – Behavioral health intervention (BHI) helps to combat chronic pain by training the brain to change how it interprets sensory signals. The brain can become overwhelmed by sensory signals and misinterpret signals as pain sensations. A specialist can help to drown out these misfiring sensory signals or decrease their intensity through a variety of mindfulness-based techniques.

4. Sleep Improvements – While sleep alone won’t likely cure your chronic pain, regularly getting eight hours of uninterrupted sleep can do wonders for the expression of your chronic pain condition. Sleep is a restorative time period for the body where toxins are removed from key areas of our body and it can recover from the stresses of the day. Poor sleep can intensify pain signals and make it less likely that you’ll commit to the physical activities required to truly help fight your chronic pain condition. Improving your sleep quality is a key component to a comprehensive pain treatment plan.

5. TENs Unit – A TENs unit stands for transcutaneous electrical nerve stimulation, and it uses low doses of electricity to drown out and block sensory signals that are being interpreted as pain by the brain. Chronic back pain and muscle pain are two types of chronic injuries that tend to respond well to a TENs unit. A pain management specialist can take a look at your condition and determine if a TENs unit is something that could be appropriate for your situation.

So if you want to try to control and treat your chronic pain condition without the assistance of opioids, consider one of more of the treatments on this list. Better yet, connect with Dr. Cohn and his pain management team to develop a comprehensive solution suited to your individual needs. For more information, contact him today!

New Chronic Pain Care Guidelines Recommend Ditching Medication

April 8, 2021 / Thomas Cohn, MD

The National Institute for Health and Care Excellence (NICE) recently released some updated guidelines for how pain practitioners should help their patients deal with their chronic pain condition. The most notable suggestion is that NICE is advising doctors to avoid prescribing pain medication for a pain condition and instead believes they should recommend exercise or psychological therapy for the most effective treatment. For chronic pain sufferers who rely on pain medication as part of this treatment process, the news may cause anxiety and fear over whether or not they’ll have their access to these medications restricted.

We’re here to let you know that while these recommendations certainly have merit, no physician worth his salt is going to take medications away from someone who is using them responsibly and progressing in their rehab. In today’s blog, we take a closer look at the recommendations and explain how they’ll likely be implemented going forward.

Exercise Over Medication

If we just look at the headline and start to draw conclusions from there, it’s easy to get worked up over the latest recommendations. We’re here to help calm your fears and explain that although the recommendations are rooted in sound science, applying them unilaterally to a condition so unique as chronic pain is a terrible idea. Pain is unique to the individual, which is why there is no one-size-fits-all treatment for chronic pain. Even when two people are suffering from the same diagnosis, their treatment regimens may be different. That’s why we can’t just say that medications should never be used for effective pain care.

Nobody is saying that all you need to do to rid yourself of your chronic pain condition is to lace up your running shoes and go for a jog, but as we’ve talked about on the blog in the past, there is extensive research behind the idea that exercise and movement can be a key factor in helping fight back against a chronic pain condition. Exercise is an active solution that improves muscles, helps to control inflammation and works to stabilize joints that could be contributing to your pain issue. Medications, on the other hand, are a passive treatment that work to mask pain instead of treating the underlying issue. Medications alone will not cure your pain condition, but exercise and strength training or psychological therapy could.

With that said, painkillers and active treatment modalities can absolutely compliment one another, and this is when we’re all for prescribing medication to patients. If medication can make it easier for you to follow through on a physical therapy routine or to stick to your exercise program, then we’ll gladly walk you through a responsible painkiller management plan. We want to give patients all the tools they need to take control of their pain condition, and pain medications can certainly be part of that equation, so long as the patient is educated on their purpose and continues to prove that they can use the medication responsibly.

So in spite of the new recommendations, know that your pain physician will only recommend tapering off your medications if they aren’t actually promoting your recovery. If they aren’t doing any good and are putting you at a heightened risk for dependency or overdose, any good physician will adjust treatment to find a more effective method.

If you have been unable to find an effective solution for your pain, or you just want to talk to a physician who will take the time to get to know you and your diagnosis to provide the best level of care, reach out to Dr. Cohn’s office today.

How Is Chronic Pain Diagnosed?

March 18, 2021 / Thomas Cohn, MD

If you head to the doctor with the suspicion that you broke your arm, it’s pretty easy to test your hypothesis with an imaging test. An X-ray will tell you all you need to know about your arm, and it will pave the way for a treatment plan. However, not all medical conditions can be so easily diagnosed with the assistance of an imaging test. Others, like chronic pain, often require a variety of different diagnostic efforts to come up with an accurate conclusion. In today’s blog, we take a closer look at the different methods used to diagnose chronic pain.

Diagnosing Chronic Pain

Every chronic pain situation is different, so there is no one-size-fits-all method for diagnosing the problem. Instead, a combination of methods are used and studied in connection with one another to form a diagnosis. Here’s a look at some of those diagnostic methods:

Imaging Tests – Imaging tests may not be as effective for chronic pain as they are for broken bones, but we can still learn a lot from them. They may not be able to always tell us what’s wrong, but they can help doctors rule out potential problems. A physician can use an imaging test to rule out fractures or disc herniation, and sometimes more detailed images can help determine if an inflammatory chronic pain condition is the likely culprit.

Patient Discussion – Talking with the patient is also a very helpful form of developing a diagnosis. We’ll want to know where pain resides, what makes it worse, what makes it better and what types of symptoms you’re experiencing. Be as detailed as possible, because all of this helps a physician make a comprehensive diagnosis.

Functional Testing – Sometimes your doctor will ask you to perform a few movement exercises to see if it triggers a flare up or brings relief. Seeing your body in motion and how it responds to action can tell a physician a great deal about the muscles and soft tissues in your body. Trust that they know what they’re doing when they ask you to perform a few stretches or exercises.

Psychological Exams – As we’ve discussed on the blog in the past, oftentimes there is a significant psychological component to physical pain. Your doctor isn’t trying to determine if you’re crazy by diving into your mental health, they are trying to understand the full scope of the condition and how psychological-based interventions could provide physical pain relief. Questionnaires or neurological exams are common for complex chronic pain conditions.

Bloodwork – Testing a blood sample is another way to determine what’s going on in your body. A blood test can look for the presence of an infection, overproduction of certain blood cells or other biomarkers tat could help pinpoint what’s causing discomfort in your body.

Used together with one another, a good pain management specialist can connect the findings collected through the above techniques and come up with an accurate diagnosis for your individual condition. To see this plan put into action, reach out to Dr. Cohn’s office today.