Common Misconceptions About Chronic Pain And Treatment

October 7, 2022 / Thomas Cohn, MD

Whether it’s because we read some bad information online or received some less-than-stellar advice from a relative, it’s easy to accidentally form some misconceptions about chronic pain or your pain condition. Unfortunately, these misconceptions can make it harder for patients to find relief because they are pursuing ineffective methods or don’t understand the best way to treat their condition.

In today’s blog, we take a closer look at some of the common misconceptions about chronic pain care, and we shed a light on some helpful truths.

Chronic Pain Misconceptions

Here’s a closer look at some of the common misconceptions we hear about pain and the pain care process, and why these statements simply don’t hold water.

There’s Nothing That Can Be Done For Me – We understand that chronic pain can be extremely frustrating to deal with on a daily or regular basis, but don’t let pain allow you to think that there’s nothing that can be done to help. We’re not saying that there is always a solution to completely rid you of your pain, but we are confident that we can help you find a treatment that makes things at least a little better. Whether that’s through symptom control or teaching patients how to alleviate stress and other chronic pain triggers, we know that we’ll be able to help you. Don’t assume that there’s nothing that can be done for your pain, because that’s simply not true.

Activity Makes Things Worse – We don’t want to paint with too broad a brush, but activity almost always helps to treat a chronic pain condition when performed in the right manner. We’re not saying you should get off the couch and run a marathon tomorrow if you have chronic knee pain, but getting active will serve to make structures stronger and better able to handle stress. This can help to calm inflammatory responses that are trigger chronic pain sensations. We understand that movement might be painful, but controlled activity that is matched to your current abilities and goals will almost always be best for you in the long run. Don’t become sedentary simply because movement is uncomfortable, because that can make problems worse.

Opioids Are My Best Treatment Option – As we’ve said countless times on this blog in the past, opioids can absolutely play an integral role in your treatment plan, but they are never meant to be a best option or a stand-alone option. Opioids can help to treat some of the most painful symptoms, but while pain is at bay you need to be pursuing actions like physical therapy and exercise that help to treat the underlying problem. Don’t assume that opioids are your only option or that they’ll be a long-term option, because they work best as a short-term compliment to a comprehensive treatment plan.

It’s All In Your Head – An unfortunate reality for many chronic pain sufferers is having to deal with people who think they are making their pain up or that it’s “all in your head.” We know that this isn’t true. Don’t let uninformed individuals guide your actions or cause you to doubt yourself. Pain is real to you, and that’s what matters.

Pain Is One-Dimensional – Finally, much of the focus of chronic pain and even chronic pain treatment is on the physical. However, chronic pain is much more complex than that. Chronic pain affects us physically, mentally and emotionally, and it needs to be treated as such. You need to connect with a provider who understands the total impact that chronic pain has on a person so that they can move forward with a multi-dimensional approach to treat the mental and physical aspects of the condition. Chronic pain is so much more than just physical pain.

To connect with a provider who understands how chronic pain conditions and care can get misconstrued, reach out to Dr. Cohn. He knows the obstacles that chronic pain patients face when searching for the right treatment, and he can help guide you to the right solution. For more information, or for help with a different pain problem, contact his office today at (952) 738-4580.

How Effective Are Nerve Blocks For Chronic Pain?

September 7, 2022 / Thomas Cohn, MD

When a nerve is misfiring or being regularly irritated, it can end up causing chronic pain. When this happens, you need to sync up with a chronic pain specialist and figure out the best method for treatment. For some patients who have failed to find success through other conservative means, a nerve block could prove to be a very effective treatment.

In today’s blog, we take a closer look at how nerve blocks can be used in a comprehensive pain treatment plan.

What Is A Nerve Block?

A nerve block, as the name implies, is a type of treatment that helps to block out a painful nerve signal. You may be more familiar with nerve blocks than you think, as an epidural injection that a pregnant woman may receive during labor is likely the most commonly known type of nerve block.

In order to administer a nerve block, your pain management specialist will need a few different tools, including a needle and some specific guidance technology. A fluoroscope, ultrasound or CT scan can help to ensure that the needle is positioned perfectly in order to administer the solution to the problematic area. Once in position, the doctor will inject a solution that typically includes pain-relieving or anti-inflammatory drugs to help calm the irritated nerve.

Some conditions that may be managed with nerve blocks include:

Chronic pain
Arthritis
Complex Regional Pain Syndrome
Post-Surgical Pain
Headaches
Sciatica/Back Pain

Are Nerve Blocks Effective?

Yes and no. Nerve blocks are typically extremely effective at treating nerve pain in the short-term. Most patients feel much better before they leave the clinic, but these nerve blocks aren’t really considered a stand-alone, long-term option. Eventually the drugs will wear off, so it’s very important that you use this time to take some positive steps to help control your condition.

For example, if physical therapy or exercise is too challenging or painful prior to the nerve block, make sure you pursue these options if the nerve block makes movement more comfortable. We always say that nerve blocks should be part of a comprehensive treatment plan. Used in combination with other treatments like physical therapy, stretching, exercise, mindfulness, dietary adjustments and weight loss, you can certainly help to take back control from your chronic condition. The nerve block won’t do it alone, but it can help to make other treatments more effective, which is its real benefit.

So if you are interested in learning more about nerve blocks, or you’re wondering if a nerve block could help you better pursue other active treatments for your current health condition, reach out to Dr. Cohn and his team. We’d be more than happy to answer any questions you have or develop an individualized care plan for your needs. For more information, give our team a call today at (952) 738-4580.

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.

Music Can Help Ease Chronic Pain, So Long As We Can Pick The Song

August 17, 2022 / Thomas Cohn, MD

As we’ve talked about on the blog in the past, previous studies have found that the arts can help certain patients better manage their chronic pain condition. Recently, a group of researchers took things one step further when the tested how music could impact someone’s perception of pain. They found that music can help to drown out pain signals, especially when the listener believed they had control over what song they were listening to.

Music And Pain Management

To improve our understanding of how pain levels can being affected by music, researchers asked 286 adults experiencing real-world chronic pain to rate their pain both before and after listening to a music track. The music was specially designed in two different versions with varying complexities, and participants were randomly assigned to hear either the low- or high-complexity versions. Some participants were also randomly selected to be given the impression that they had control over the music qualities in the song, although the same version was played regardless of their selection.

After tracking reported pain levels before and after listening to the musical track, researchers found that participants who felt that they had control over the music experienced greater relief in the intensity of their pain compared to participants who were not given such an impression. Moreover, participants who stated that they actively engage with music in their everyday life experienced even greater pain-relief benefits from having a perceived sense of control over the song they heard. No connection between music complexity and pain relief was found.

The findings suggest that the ability to control what we listen to – or at least the appearance of such control – is important for optimizing music’s pain-reveling potential.

“Now we know that the act of choosing music is an important part of the wellbeing benefits that we see from music listening,” the study authors concluded. “It’s likely that people listen more closely, or more carefully when they choose the music themselves.”

So while it’s unlikely that your pain specialist will prescribe a healthy dose of time with your iPod at your next appointment, there does seem to be some merit to helping to drown out pain sensations by connecting with music of your choice. Consider pairing other active pain management treatments like physical therapy or exercise with some of your favorite songs, and you may notice an even bigger reduction in your pain perception.

And as always, if you want help with a new or ongoing pain problem, reach out to Dr. Cohn and his team today at (952) 738-4580.