chronic pain

How To Win Out Over Chronic Back Pain

/ Thomas Cohn, MD

chronic back painChronic back pain affects tens of millions of Americans on a regular basis, and it’s one of the most common conditions that we help treat. Because the spine is complex and pain is so individualized, figuring out the best way to treat the issue can be difficult. In today’s blog, we take a closer look at some of the best things you can do to help reduce or eliminate your chronic back pain.

Tips For Treating Chronic Back Pain

There’s no perfect playbook for treating chronic back pain, but we’re confident that if you pursue a few of the below tips that you’ll have a good chance of making some headway.

Visit A Specialist – Now is not the time to turn to the internet or your general practitioner for answers about your back pain. It’s been going on for far too long, and now is the time to visit a chronic pain specialist like Dr. Cohn. A specialist will have a wealth of experience in all aspects of your chronic pain condition, and they’ll be better versed to provide you with an accurate diagnosis that will lead into a comprehensive treatment plan.

Adjust Your Diet – Eating an extra helping of vegetables won’t miraculously cure your back pain, but improving your dietary intake can help your back get the healthy vitamins and nutrients it needs to perform optimally. A healthy diet can also help you lose some weight, which will take some stress off your spine and can help to curb your symptoms. Diet adjustments can be a key part of reducing your chronic back pain.

Exercise – Exercise is one of the best and easiest things we can do for our spine health and our total body wellness. Regular exercise improves blood flow and strengthens key structures so that they are better able to handle the physical stress we put on our bodies. Combine exercise with the above point and you can shed some weight and take pressure off your spine. Strive to get 30-45 minutes of moderate-intensity exercise 4-5 times a week to help strengthen your spine.

Physical Therapy – Along a similar vein, physical therapy is one of the most commonly prescribed treatment techniques for a range of chronic back pain conditions. PT will specifically target underdeveloped muscle groups or work to stabilize key structures, so the benefits are directly tied to the affected area. You just need to make sure you are consistent about following through with your exercises.

Mental Health Improvements – Finally, as we’ve talked about on the blog in the past, a chronic pain condition is rarely just a physical issue. Being in constant pain for an extended period of time can do a lot of damage to your mental health, which is why treatment also needs to focus on your mental health. Your chronic pain specialist can help explain how stress, anxiety and the effects of your chronic pain condition are impacting your mental health, and they can work to develop an individualized care program for it. Do some things that challenge and exercise your mind each day just like you are for your physical health.

For more information, or for help with your chronic back pain condition, reach out to Dr. Cohn’s office today.

What To Do When Chronic Pain Gets Worse

/ Thomas Cohn, MD

chronic pain worseWe all hope that if we stick to a treatment plan that eventually our underlying health condition will resolve, but unfortunately that’s not always the case. At a minimum, we hope that treatment keeps symptoms from worsening, but sometimes it seems that no matter what we do, pain only gets worse. So what should you do if you find yourself facing a worsening chronic pain condition? That’s the focus of today’s blog.

When Chronic Pain Worsens

Every pain patient is different, so what works for one patient may not work for all. That being said, we’re confident that if you try a few of these tips, you’ll see some progress.

1. Don’t Give In – The first thing you need to do is not give in to pain. It can be easy to want to curl up in a ball and lay in bed all day, and while that may provide a modicum of short-term relief, it won’t do anything to put an end to your chronic pain on a long-term basis. It’s not easy, but you need to remain mentally, physically and emotionally strong in the face of a chronic pain condition. Mental health and physical pain expression are intertwined, so when you can’t control your physical pain, it’s important to try and stay on top of your mental health.

2. Talk To Your Doctor – If you haven’t been to a pain care specialist yet, now is the time to book an appointment and get an official diagnosis. If you already have a pain care provider, now is the time to connect with them and let them know your pain is getting worse and that your treatment isn’t working. During this appointment, it’s very important to be open and honest about your pain and your current treatment regimen. We’d rather you tell us that you haven’t been attending physical therapy instead of telling us that you have been going when you haven’t, because then we have an incomplete picture of your current treatment. Reach out to your doctor, be honest and see if changing your current treatment regimen may be in your best interest.

3. Double Down On The Good Stuff – Two aspects of your life that can typically help with your chronic pain condition that you have large control over are your diet and exercise routine. There are a lot of things you can’t control with chronic pain, but you can control what you put in your body and how much activity it gets. When everything else is going wrong, double down on these efforts. Make sure you’re getting daily exercise and plenty of healthy vitamins and nutrients from your food sources.

4. Work To Limit Stress – Outside sources of stress can actually make your physical pain worse, so work on eliminating stress in your life. Obviously this is easier said than done, but take a step back and really look at what’s causing stress and anxiety other than your pain condition. Some of these factors may be pivotal parts of your life, like your job or your family, but that just means you need to find new ways to manage these stressors. Exercise and taking time for yourself each day can help to reduce stress.

If you do all of these things, odds are you’ll be able to start successfully fighting back against your chronic pain condition. But if you want more hands-on help, reach out to Dr. Cohn’s office today.

5 Ways to Work Ergonomically

/ Thomas Cohn, MD

working homeThe following is a guest blog by freelance writer Jessica Boyle.

Desk workers are more prone to chronic pain due to long hours of working in one position — especially if you’re in an environment with poor ergonomics. While it seems harmless, poor ergonomics can inevitably cause multiple health problems, including aching in the neck, lower back, and shoulders. Fortunately, there are many ways to personally manage your own chronic pain, and one thing that can provide immediate relief is creating a more ergonomic workspace.

That being said, here are a few ways you can work ergonomically:

Customize your desk and monitor – The default setup of your desk may not be the most ergonomic, so don’t be afraid to adjust a few things to ensure you’re not physically straining yourself. For one, make sure that your mouse and keyboard are positioned in such a way that your wrists are straight and your shoulders are relaxed while working. Your monitor should be directly in front of you, with the top of the screen at eye level. Additionally, you may want to get a laptop stand or a monitor arm if you’re using a desktop computer. To minimize clutter, get a desk organizer that can keep your essentials in one place.

Switch between sitting and standing – Aside from the aforementioned body aches, sitting for too long has even more dangers — such as increased risk of heart disease, high blood pressure, and stroke. You may think getting up to go to the bathroom or get water is enough, but you need more movement to compensate for all that sitting. In this regard, a standing desk can help you combat those negative side effects. It gives you some physical activity even when you’re just standing in front of your computer. Plus, it reduces back pain and lowers risk of type 2 diabetes, obesity, and heart disease.

Support your posture and back – The best seated posture is similar to sitting in the driver’s seat of a car: slightly leaning back, but ensuring that your screen is still at eye level. If your chair doesn’t have lumbar support, you can place a rolled up towel or a lumbar support pillow to ease pressure on your lower back. Moreover, check that the back of your knees aren’t touching the seat — as this could lead to swelling feet and ankles due to reduced blood flow.

Use ergonomic accessories – As its name suggests, these are accessories that help reduce the strain on your body — similar to ergonomic furniture. A few examples are split keyboards that let you type in a more natural posture, a mouse with a curve that’s easy to hold, and an anti-glare screen that helps reduce eye fatigue. All these little tools can make a huge difference to your productivity and overall wellness.

Take breaks to move – The above points can only help so much. It’s important that you still make an effort to take breaks to stretch your body, so you can relieve some pressure and get a mental breather as well. If you’re pressed for time, you can do stretches right there at your desk. But as much as possible, make time to get away from your desk — whether you’re just going for a quick walk or a 30-minute workout. Incorporating movement during your work day promotes circulation, keeps you awake, and activates your muscles. A recipe for better quality of work indeed.

New Chronic Pain Care Guidelines Recommend Ditching Medication

/ Thomas Cohn, MD

painkillersThe 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.

Can You Fool Your Brain Into Chronic Pain Relief?

/ Thomas Cohn, MD

brain pain foolHappy April Fool’s Day! We thought we’d try to keep on topic by talking about how you can “fool” your brain into helping you overcome your chronic pain condition. So even though we’re sharing this on a day reserved for tricks and pranks, know that this is actually a real idea with real science behind it!

Your brain helps dictate how pain is perceived in your body, but it also performs countless other tasks, so if we can take its attention off our pain, we may be able to help drown out some of those pain signals that are causing discomfort. That’s why we always preach on this blog that chronic pain is both a physical and mental task. Your brain needs to heal and help fuel recovery just like the area of your body that’s causing pain. And you can help do that by distracting it.

Now, that’s not to say that every time a flare up develops that you should just go for a run or work on a crossword puzzle to help distract your brain, but engaging your brain has been scientifically proven to help reduce pain sensations. Find outlets that really engage your mind, and odds are you may notice that you’re not noticing your pain as much. Bonus points if it’s an active activity, because exercise and movement can also help drive home physical recovery.

Setting Expectations

Your brain is also in control of setting expectations for things, including pain. If a nurse says a shot is going to hurt, all of a sudden your brain starts to anticipate this pain and it could actually lead to you being more perceptive to pain, which isn’t a good thing. Conversely, it’s why it may take a second longer to realize you’re in pain if you accidentally have the sink running too hot when you go to wash your hands. It’s still going to be painful, but the expectation wasn’t there, and that plays an interesting role in how you perceive pain.

Expectation setting is very important in how you manage your chronic pain condition. It’s why we always preach that you work towards a good head space and focus on the positives instead of the negatives. If you wake up every day expecting chronic pain to dictate your life, you may actually be more perceptive to this pain. It can be a self-defeating cycle, but if you’re aware of how your expectations affect your perception of pain, you can fool your brain into making chronic pain less of a problem.

This is easier said than done, and oftentimes it’s easier to do with a pain management specialist by your side. We can talk over your concerns, your goals and the biggest challenges chronic pain is causing in your life. Then, we’ll work on how to focus on the positives and your goals instead of the negatives and your shortcomings. This individualized assessment can help you get to a great mindset to tackle any challenges your chronic pain condition throws your way.

So if you are dealing with a chronic pain condition and you want help tackling either the mental or physical side of the problem, reach out to Dr. Cohn’s office to see what we can do for you.