Five Things Untreated Chronic Pain Can Do To A Person

September 2, 2022 / Thomas Cohn, MD

Chronic pain certainly isn’t fun to live with, but some people think that if they can grit their teeth and bear it, that’s the worst they’ll have to deal with. Unfortunately, chronic pain can impact us in other ways that aren’t so obvious, and it can lead to a number of other problems if the pain condition isn’t carefully treated. In today’s blog, we explore some of the ways that untreated chronic pain can affect a person.

How Untreated Chronic Pain Can Affect A Person

There are countless ways that untreated chronic pain can affect a person, but here’s a look at five major issues that can develop if you don’t confront your condition head on:

1. Depression – Chronic pain and depression have been closely linked. Pain can have a significant impact on the brain, and if it goes on long enough, it can actually lead to depression and depressive symptoms. It can also be hard to recognize depression when you’re simultaneously dealing with an unresolved pain condition. These two conditions can be cyclical in nature, and it can be hard to break free from the cycle.

2. Anxiety – Untreated chronic pain can also leave you feeling more anxious. If you’re constantly worried about whether you’ll have a flareup or if chronic pain is going to force you to cancel plans, you can begin to develop anxiety. Eventually, even though anxiety is rooted in your chronic pain condition, it can spill over into all aspects of your life and compound the problem. Fortunately, targeting the chronic pain condition oftentimes helps to resolve these feelings of anxiousness.

3. Heightened Pain Perception – Some people think that ignoring chronic pain sensations can help them build a greater pain tolerance, but oftentimes you’re actually training your brain to do the opposite. If your brain is constantly interpreting pain signals, and you’re not doing anything to help calm these signals, your brain can become hyper-aware of these nerve sensations and either become oversensitive to pain signals or start misinterpreting nerve relays as pain signals. You may actually become more sensitive to pain signals by trying to ignore them.

4. Stress – You may also find yourself more easily stressed when living with untreated chronic pain. Every activity becomes more stressful when you’re attempting to do it while in pain. Work becomes more stressful. Family life becomes more stressful. Even activities that are supposed to be enjoyable become more stressful when pain is present.

5. Irritable – Finally, you may not notice it, but your friends and family members may have noticed that you seem to have become more irritable as a result of your untreated chronic pain condition. Again, pain can have a severe impact on our mental health, and we may not even realize it’s happening. If you notice that you’re becoming quicker to anger or you’re more irritable, know that it’s not just because you’re getting older, it’s because you’re dealing with untreated chronic pain.

The good news is that by treating chronic pain, you can work to address all of the issues listed above. If you want to take the first step in overcoming your chronic pain condition and any side effects it’s causing, reach out to Dr. Cohn and his team today at (952) 738-4580.

Don’t Feel Guilty About Your Chronic Pain Condition

August 23, 2022 / Thomas Cohn, MD

guilty Roughly 1 in 5 people deal with chronic pain on a regular basis, and a significant amount of them feel guilty about their diagnosis. There is absolutely no reason you should feel guilty about your chronic pain condition, but the fact of the matter is that we talk about overcoming the stigma or guilt associated with a chronic pain condition with patients all the time.

So many people feel guilty about fighting a daily battle with chronic pain, but why do they feel this way, and what can we do to overcome these feelings? We try to answer those questions in today’s blog.

Why Do We Feel Guilty About Chronic Pain?

A recent study published in the British Journal of Health Psychology decided to take a closer look at the subject of guilt among chronic pain patients. You can take a closer look at the full study here, but we’ll jump to some of the takeaways. First, the team identified three main reasons why chronic pain patients felt guilty about their battle with chronic pain. They are:

1. Others assume that a patient’s pain condition is not legitimate – Oftentimes even after an official diagnosis, patients in the study faced questions about the legitimacy of their condition.

2. Others assuming that the patient is not managing their condition well – Some people felt like they were letting their doctor or their family down if they were not making progress in treatment.

3. Assumptions regarding how one’s actions affect others in terms of the person’s inability work or fulfill social roles – In other words, patients felt like others may view them as less of a co-worker or parent because their pain can sometimes affect their ability to perform certain duties within these roles.

When you look at those three reasons, we spot an interesting trend. Chronic pain patients are feeling guilty about how they come off to other people, like their friends, family, caregivers and doctors. How they feel they are being perceived by others is what’s driving these feelings, and that’s unfair.

So what can we do about feeling guilty about chronic pain? While it’s easier said than done, stop focusing on what other people think. The best way to do that is to focus on yourself. If you know that you are doing every thing you can to treat your chronic pain condition, than the opinions of others should feel less important. You know that you are trying your best, so those comments and suggestions shouldn’t get under your skin. And if they do, you can simply let them know everything that you are trying to get the condition under control.

Again, we know that it’s easier said than done to say “Don’t let what other people think bother you,” but if you’re truly giving it your best effort, it should be easier to shake off any feelings of guilt because you know that you’re doing all you can. You can only control your actions, so if you’re doing what you can, the thoughts and opinions of others shouldn’t hold much water. Trust yourself, commit to your rehab, and know that you should be feeling pride about your work ethic, not shame over other people’s misconceptions.

As always, if you have questions or concerns about managing your chronic pain condition, reach out to Dr. Cohn. He’ll treat you with respect and explain how to manage some of the psychological effects of chronic pain. For more information, give our team a call today at (952) 738-4580.

What Is Chronic Pain Spoon Theory?

July 28, 2022 / Thomas Cohn, MD

If you’re a chronic pain sufferer or you know someone battling a chronic pain condition, you may have heard about spoon theory or the phrase “counting your spoons.” Spoon theory is widely accepted in the chronic pain community as a way to help others understand and empathize with how a chronic condition can affect a person. In today’s blog, we take a closer look at spoon theory and how it applies to the chronic pain community.

Counting Your Spoons

Spoon theory is the idea that a person with chronic pain has a certain number of spoons that they start out with every morning. Each spoon represents the energy required to complete a certain task, and some tasks require more spoons than others. For example, because of your chronic pain condition, you may only start the day with a few spoons. One spoon may represent the energy it takes to get ready in the morning, a trip to the doctor may take a couple of spoons, and by the time a person gets home at the end of the day, they may have no more spoons left for other pursuits.

Oftentimes someone explaining spoon theory has physical spoons in their hands that they dole out based on the activities that each day presents. This way, you can actually see where your energy is being applied, and it makes sense to others how you may not have the energy or ability to follow through on certain activities, because you’re simply out of spoons.

But spoon theory isn’t just helpful in explaining to others how a chronic pain condition can drain your energy, it can also make it easier for a chronic pain sufferer to plan their day accordingly. Of course, you may not know how many “spoons” you will start the day with, but if you start to get in the habit of understanding the toll certain activities have on your body and your mind, you cans find ways to get more done each day. You can avoid wasting spoons on non-critical pursuits, or better yet, you can look to find ways to increase your spoon count. For example, while daily exercise may require some spoons each day, if this type of beneficial physical activity can keep symptoms at bay, help you destress and increase your energy levels, you may find that you have more spoons to start with every day.

Spoon theory is really about prioritization, and that can be extremely beneficial when it comes to chronic pain treatment. You need to prioritize the activities and choices that will help you overcome your chronic pain condition. Conversely, if you spend your spoons on things that help treat your chronic pain condition, or worse, actively sabotage your long-term prospects, you can find yourself with fewer spoons each day.

If you’re interested in taking small steps to find more spoons each day and work to overcome your chronic pain condition, reach out to Dr. Cohn and his team today. We understand that chronic pain is different for every person and that unique solutions are often required, but we’re confident we can find ways for you to fight back against your pain. Give our team a call today at (952) 738-4580 and soon your spoon count may be on the rise!

Tips For Managing Chronic Back Pain If You Have A Desk Job

July 20, 2022 / Thomas Cohn, MD

Millions of Americans work desk jobs or in a position where they are very sedentary for an extended part of their day. If you sit for eight hours a day, five days a week, it’s not uncommon to develop back discomfort or even chronic back pain. However, if you are a little proactive in how you approach your job and life outside the office, you can work to reduce or completely alleviate your back pain. In today’s blog, we share some tips for reducing lower back discomfort if you work a desk job.

Combating Back Pain If You Work A Desk Job

You don’t need to completely overhaul your life to combat back pain if you work a sedentary job, you just have to make a few tweaks to your daily routine, and odds are you’ll notice a big improvement in your symptoms. Here’s a look at some of the ways to help reduce back pain if you’re stuck at a desk for an extended period each day.

1. Break Up Long Seated Periods – When you’re seated for a long time, your spine is holding static stress, oftentimes in the lumbar spine. This may not feel all that strenuous in the moment, but over time it will break down structures and contribute to continued pain. Try to get up and move for a couple minutes at least once an hour. Even if that’s just walking to the end of the hall and back or to refill your water bottle in the break room.

2. Stand – Standing will help to take pressure off your lumbar spine and better disperse the stress of gravity and your body weight. See if you company will invest in a sit-to-stand workstation, or find ways to incorporate more standing in your day. Take that conference call on your feet!

3. Exercise – When you’re not in the office, commit some time to an exercise routine. Make sure that these exercises don’t overlook your core, because core stability helps to support your spine. Don’t just focus on your arms and your legs, do some core strengthening exercises, and you back will become stronger and better able to handle stress.

4. Mind Your Diet – A poor diet can be pro-inflammatory, whereas a healthy diet can help to calm inflammation that could be compressing areas in your spine. Plan ahead so that you have healthy meals at the office and you don’t fall in the habit of grabbing fast food because you’re ill-prepared.

5. Posture Checks – Poor posture can also put additional stress on your lumbar or cervical spine, so if you are going to be seated for an extended period, make sure that you have ideal posture. Regularly check your posture to make sure that you’re sitting up straight, with your head directly above your shoulders. Make corrections any time you notice that you’re out of alignment.

6. Connect With A Specialist – If you’re still dealing with chronic back pain even after pursuing some of these techniques, connect with a specialist like Dr. Cohn. He can get to the bottom of your spine pain and suggest additional conservative techniques to help manage discomfort. If more hands-on care is needed, he can provide pain-relieving injections or perform a minimally invasive procedure to put an end to your pain.

For more information, or to talk to a specialist about your back discomfort, reach out to Dr. Cohn’s office today at (952) 738-4580.

New Research Dividing Physicians Over NSAIDs For Chronic Pain

May 13, 2022 / Thomas Cohn, MD

NSAIDs When you suffer an injury, it causes an inflammatory reaction inside the body, and if the problem isn’t treated correctly, this inflammation can linger. The prevailing understanding when it comes to chronic pain is that it is caused by chronic inflammation, which is why many specialists try to prevent the problem by working to control inflammation. Anti-inflammatory medication like Ibuprofen has been a common recommendation for decades as a way to effectively manage inflammation and work to reduce the risk of it becoming chronic.

However, new research seems to suggest that attempting to drown out this inflammation with anti-inflammatory medications before it gets out of control may not be providing the benefits we assume it does. In fact, they believe short-term use of these Non Steroidal Anti-Inflammatory Drugs (NSAIDs) may actually increase your risk of chronic pain in the long term, and that claim is dividing the medical world.

Ibuprofen And Chronic Pain

The new research suggests that the initial inflammation that develops after an injury may be necessary for the body to make a full recovery. If this suggestion is true, it could shatter the decades-old standard of treating pain with aspirin, ibuprofen or IV steroids at the hospital. By drowning out this necessary initial inflammation, researchers suggest NSAIDs may actually be putting patients at a greater risk for developing chronic pain.

“For many decades it’s been standard medical practice to treat pain with anti-inflammatory drugs. But we found that this short-term fix could lead to longer-term problems,” says Jeffrey Mogil, a Professor in the Department of Psychology at McGill University and E. P. Taylor Chair in Pain Studies. “Neutrophils dominate the early stages of inflammation and set the stage for repair of tissue damage. Inflammation occurs for a reason, and it looks like it’s dangerous to interfere with it.”

Now, it’s worth noting that not everyone agrees with the research, at least not without additional evidence. The paper was rejected from the New England Journal of Medicine after one reviewer wrote that he would not “overturn decades of medical practice,” until additional convincing evidence was presented.

Even if the findings are true, as we’ve said countless times on our blog in the past, it may only hold true for a subset of patients because chronic pain is so unique to the individual, and what works for one patient may not work for others. For example, the shock and inflammatory response of an ankle sprain and a surgery vary greatly, and assuming this research applies unilaterally to both of these groups could lead people down the wrong treatment path.

So while the jury is still out on whether or not NSAIDs may be having some unintended consequences for our ability to help pain resolve, the good news is more research is being poured into how to best handle chronic pain, and that’s a great thing. The more we learn, the better we can help each patient.

If you need help with a chronic pain issue, reach out to Dr. Cohn’s office today at (952) 738-4580.