How To Safely Stop Medications

stopping medicationsHaving ongoing problems with pain often involves being on medication, and most of us are not thrilled with being on daily medication. Nothing is completely risk free, but most medications used for pain are relatively safe, although problems with side effects, intolerance and allergies are always a concern. Beyond the risks of opioids, most other medications can be managed in a straightforward manner.  If the treatments are helpful, then it is easier to determine its value in management. The problem we all have is when one is not sure if a medication is working.

The use of medications to control pain is often difficult. A lot of time, pain problems require multiple approaches to control symptoms. The effectiveness of a medication may be subtle, allowing a higher level of activity prior to having pain. Sometimes the effectiveness is noted when doses of medication are missed. Often the cocktail of medications are used to avoid the need for opioids. Once on medications, most of us wonder if they are actually working. Furthermore, all medications seem to be overly expensive.

Safely Stopping Medications

Stopping medications and simplifying treatment is often a good thing. To be successful in removing medications, one needs to be doing other things to keep the body healthy. The range of must-do activities begins with a good exercise program that includes stretching, strengthening and conditioning. One must be treating the whole body and that includes improving your diet, sleep and mental health. Living a healthy lifestyle improves the health of the body, and often can successfully replace the need for medication. Without improved lifestyle, it is less likely that one would be successful at eliminating medications.

Once a person is ready to start removing medications, the next challenge is choosing the medications to eliminate from treatment. Sometimes it is clear that a medication has little effect since missed doses have not changed pain levels. Tapering off certain medications is necessary to prevent difficulties, so discuss stopping it with your practitioner. If it is not clear where to start, often eliminating the most addictive and those drugs with the worst side effects are a good choice. The next target is ones that are least affordable. Lastly, slowly remove the rest of the medications. It is better to go slowly since one is probably going to do better with a slow change and be more successful with drug elimination.

Simplifying medication regimens and eliminating drugs that are not effective from a management program is a good thing. The healthier the lifestyle, the easier it should be to reduce medication usage. Pain is a difficult problem to manage, but a comprehensive exercise program, a healthy diet with fresh food (versus fatty fast food and lots of carbohydrates), relaxation, good mental health and good sleep all improve pain management.  Pain effects the whole body and treatment should include the whole person.

Chronic Pain and the Summer Heat

summer heatAlthough summer doesn’t officially start for a few more weeks, the temperatures have certainly been feeling like it’s mid-July of late. Summer can be a great time to spend outdoors with friends and family, but it can also present unique challenges for individuals with chronic pain.

Below, we take a closer look at how you can make it through the warm summer months with your chronic pain under control.

Summer and Chronic Pain

Keep these tips in mind to keep chronic pain flareups at bay this summer.

1. Beat the Heat – Try to find shade or other ways to keep cool this summer. Warmer temperatures can lead to an expansion of blood vessels and swelling of our hands and fingers, which can contribute to pain if you’re also dealing with joint inflammation. Whether it involves swimming in the lake or heading to eat in an air conditioned restaurant, find ways to break up long stretches in the summer heat.

2. Sleeping Situation – Warmer temps can also make it harder for people to fall asleep and stay asleep, and you know how problematic this can be if you have chronic pain. Strive to make the bedroom an ideal habitat for sleeping. Turn off devices like the television or iPad, try to go to bed at a regular time, and keep the room cooler if possible, either with air conditioning or a box fan. This will help you achieve long periods of restful sleep.

3. Avoid Overdoing It – Don’t bite off more than you can chew when it comes to summer activities. If you overdo it one day, you’re going to be paying for it for the next couple of days. Know your limits and don’t be afraid to say “no” when it comes to making plans or partaking in certain activities. You know your body best, so avoid overdoing it when possible.

4. Hydration – Another thing to keep in mind this summer is to make sure you’re getting plenty of fluids. Staying hydrated helps joints and blood vessels work optimally, which can help keep you pain free or headache free. Plan ahead so you’re never without a hydration source if you’re going to be out in the sun for a while.

5. Talk With A Specialist – Finally, it’s a good idea to set up a consultation with a pain specialist. They’ll be able to talk about individual challenges that you may face this season and how best to prevent pain from becoming a problem. Whether you need another round of pain injections or want to tweak some therapy exercises, it’s a good idea to circle back with your pain care provider before the summer season gets into full swing.

For more information, or to talk to Dr. Cohn about any issues you may be having, reach out to his clinic today.

Psychological Interventions Could Help Chronic Pain Patients

psychological treatmentNew research published in JAMA Internal Medicine found that patients with noncancer chronic pain can benefit from psychological interventions, which can help to reduce perceived pain levels.

Dr. Bahar Niknejad and colleagues at the Department of Medicine at Eastern Virginia Medical School conducted a systematic review and meta-analysis of the effectiveness of psychological therapies for noncancerous chronic pain. The main factor they wanted to analyze was psychological therapy’s role in managing pain intensity, but they also examined how it influenced pain interference, depressive symptoms, anxiety, negative thoughts, self-efficacy for pain management, physical function and overall health.

The meta-analysis looked at 22 studies involving more than 2,600 individuals, and after looking at the data, researchers concluded that psychological therapies were associated with small decreases in pain intensity, pain interference, depressive symptoms, anxiety and negative thoughts, while there were small increases for self-efficacy, physical function and overall health.

“Psychological interventions for the treatment of chronic pain in older adults have small benefits, including reducing pain and catastrophizing beliefs and improving pain self-efficacy for managing pain,” the authors reported. “These results were strongest when delivered using group-based approaches. Research is needed to develop and test strategies that enhance the efficacy of psychological approaches and sustainability of treatment effects among older adults with chronic pain.”

Types of Psychological Treatments To Chronic Pain

Psychological treatments of chronic pain center around the idea that if we understand our pain and why it’s happening, then we can learn to control or better cope with flare ups. Knowing this, here’s a look at some of the more popular psychological treatments for chronic pain:

  • Patient education about the condition.
  • Biofeedback (A technique where patients learn to interpret feedback regarding certain physiological functions).
  • Relaxation Training.
  • Operant Conditioning.
  • Cognitive-Based Approaches.
  • Acceptance-Based Approaches.
  • Expectation Management.
  • Emotional Stress Management.

By helping the patient find new psychological strategies to control or better cope with their pain, people often feel more in control of their symptoms, which in turn can decrease the perception of pain. If you are suffering from chronic pain, talk to your doctor about psychological approaches to best manage your condition. Reach out to Dr. Cohn for more information.

Chronic Pain Can Be A Mother

chronic pain planMother’s Day has come and gone, and hopefully you were able to celebrate the day with your family. However, for countless Americans, just getting out of bed each day is a struggle due to their chronic pain condition.

There is no one size fits all way to handle chronic pain, but that doesn’t mean you should just sit back and hope it gets better on its own. Instead, take an active role in managing your condition. Today, we share five things you can do to help take back control over your pain condition.

Taking Back Your Life From A Pain Condition

Here are five things you can do to take an active role in managing your pain condition.

1. Eat Well – Eating a healthy diet is probably the easiest thing to control thing on this list. Even if pain makes it difficult to move around, you can still make some good dietary choices. Make it a habit of getting plenty of fruits and vegetables each day, and rely on lean proteins instead of fats and oils. On your good days, do some healthy meal prep so you can have some easy to reheat options later in the week when cooking may feel like a chore. Eating healthy helps you maintain a healthy weight, which can help take stress off painful structures.

2. Exercise – Find time to work in some daily exercise, even if that just involves walking around the block. Exercise has physical and psychological benefits, and it can also work to calm inflammation that may be contributing to your pain condition. Ask your pain care provider about exercise routines that you can perform that will help calm your pain. Try to find time to get out and exercise for 30 minutes at least 4-5 times a week. Your mind and body will thank you for it.

3. Progress Journal – It can be difficult to see just how far we’ve come after an injury or with a pain condition, so some patients find it helpful to keep a progress journal. This allows you to see how your therapy is progressing over time, and it also allows you to keep track of your diet and exercise. Being able to tangibly look back and see the progress you’ve made is a great psychological way to keep your recovery on track.

4. Be Open About Your Condition – By this, we don’t mean that you need to share the gory details or tell everyone you meet how much pain you’re in. Instead, we mean that you should be open and honest with your friends and family about your condition and the limitations it presents. If you’ve been living with a chronic pain condition for some time, odds are you’ve had to miss some events or cancel plans at the last minute due to pain. From an outsider’s perspective, it can be tough to comprehend why you can’t just “buck up” or why your ideal night is at home in comfortable clothes watching a cheesy movie with friends.

Let those close to you know that you want to be involved with their lives, but pain makes that hard, and it’s nothing personal if you have to cancel last minute. Also, reach out to them on your good days. If they’re always asking you to do things and you’re turning them down because of pain, they may stop asking. But, if you’re open about your condition and make an effort to be a good friend and family member, they’ll understand and your relationship will thrive.

5. Talk To A Pain Specialist – Finally, make it a point to see a pain specialist for your condition. A primary care doctor is unlikely to have all the tools needed to give you the best course of treatment. Instead, seek out a pain management specialist who has a deep knowledge of the intricacies of pain. We’ve been helping people find treatment techniques that are tailored to their individual needs, and we can do the same for you. Contact our office today for more information.

Treating Daily Headaches With Botox Injections

Chronic headaches are an unfortunate reality for many people. These tension headaches can be triggered by a number of different issues, from muscle problems to daily stress and everything in between. There are a number of different ways to treat headaches, and your pain specialist will work to find a solution that works for you.

From changing your diet,  getting more exercise or working to reduce stress in your daily life, there are a number of ways you can work to prevent the onset of migraines. Medications are another way to control headaches, but what if none of those treatments work, or you don’t want to take medication? Is there another treatment option you can try?

There is, in fact, another option through which many migraine sufferers have found relief. That treatment involves botox injections in the forehead. These are the same injections that some people using to get rid of wrinkles or laugh lines on their face. Dr. Cohn is very familiar with the injections and has administered them on a number of satisfied patients. In fact, he recently partnered with CDI to help provide some more information about Botox injections for migraines. Check out the video below to learn more about the procedure.

So if you or someone you know suffers from chronic headaches or migraines and hasn’t been able to find a solution, consider reaching out to Dr. Cohn’s office. He can go into further detail about the procedure and see if you would be an ideal candidate. To learn more about botox injections for migraine relief, contact Dr. Cohn at (320) 299-4633.