study

Walking Can Significantly Reduce Chronic Knee Pain Risk

/ Thomas Cohn, MD

knee painJoint issues are a common source of pain for millions of Americans, and oftentimes it’s the knee joints where this degeneration and discomfort is most obvious. Knee pain can make every step a burden, which is why preventing knee joint deterioration is key. According to a new study, you may be able to do just that by taking a few more steps each day.

According to a new study by researchers at the Baylor College of Medicine, walking may be a powerful way to prevent and treat osteoarthritis of the knee. For the study, researchers tracked more than 1,200 individuals aged 50 or older with knee osteoarthritis, the most common form of arthritis. Participants self-reported their walking habits and frequency, which helped researchers classify 73 percent of the group as walkers and 27 percent as non-walkers.

Walking And The Impact On Your Knees

After looking closer at the medical data between the two groups, researchers found that those who walked for exercise had a 40 percent decrease in the likelihood of experiencing frequent knee pain. X-rays were also used to assess for the progression and severity of osteoarthritis in the knees, and these images showed that walkers were less likely to experience medial joint space narrowing, which is one way to measure arthritis progression. Researchers concluded that going for regular walks could help to both control knee pain and slow to further osteoarthritis degeneration.

“These findings are particularly useful for people who have radiographic evidence of osteoarthritis but don’t have pain every day in their knees,” said first author of the paper Dr. Grace Hsiao-Wei Lo. “This study supports the possibility that walking for exercise can help to prevent the onset of daily knee pain. It might also slow down the worsening of damage inside the joint from osteoarthritis.”

Walking is such a simple act that can be performed almost anywhere, and it’s not overly stressful on the body. While it may not be able to cure you of your arthritis, it can help to maintain function in your knee, aid in pain control and slow continued arthritis progression, all of which are important for your quality of life.

So if you’re dealing with chronic knee pain, know that you don’t need to pursue an intense workout at the gym to help combat your symptoms and make your knee healthier for tomorrow. Simply lace up your walking shoes and walk for 30-45 minutes a day! And if you’re still looking for help overcoming a chronic pain issue, make sure you reach out to Dr. Cohn and his team. For more information, or for help with a different pain management issue, give our team a call today at (952) 738-4580.

Optimism Grows For The Daith Piercing To Treat Migraine Headaches

/ Thomas Cohn, MD

If you’ve been following our blog for a while, you’re probably familiar with our thoughts on the Daith piercing for migraine relief. We’ve written numbers blogs on the topic, and we’ve even helped to spread the word on research studies that are attempting to help us better understand the connection between vagus nerve stimulation and migraine relief.

We even connected with Dr. Chris Blatchley, who is leading research over in the United Kingdom in order to learn more about the condition. Recently, his research was published in The London Times, and while the digital article is hidden behind a paywall, you can read the story in the picture below or click here for a larger version.

 

What’s Next For Daith?

Dr. Blatchley recently reached out and wanted to share some exciting news about what’s in store for Daith piercing research in the near future. They are currently in the process of conducting a 12-month study on 1,000 patients who have underwent the Daith piercing to see how their migraine symptoms are affected over the next year. In 2023, they plan to use brain scans to better understand the immediate effects of the Medical Daith on brain activity.

What we like most about the article and the research is that they are really working hard to take the perceived “randomness” out of the equation. It’s not enough to simply get a piercing in the daith and hope that it provides relief. Dr. Blatchley has created the “Medi-Daith” technique, which helps piercers find the right location for the piercing. The plan isn’t to hit the vagus nerve with the piercing, but instead get close enough to stimulate the area. Being very deliberate about the location of the piercing can really help ensure that trial data is more accurate.

As we’ve said on the blog in the past and as we’ll echo now, while there does seem to be a correlation between vagus nerve stimulation and migraine relief, we’re still waiting on that concrete proof that provides a better understanding between the connection. We’ve always recommended the technique as a low-cost option for patients who have exhausted other treatments and failed to find relief. That said, it appears that there is growing optimism that the piercing can be beneficial for migraine sufferers.

We’ll follow the new research closely, and we’d be happy to answer any questions you might have if you’re struggling with migraines. We have written a number of blogs with helpful information, and if you’re considering pursuing a daith piercing, make sure that you connect with a piercer that understands the daith procedure and how to complete the procedure to stimulate the vagus nerve.

For more information, or for help with migraines or a chronic pain issue, reach out to Dr. Cohn and his team today at (952) 738-4580.

The Benefits And Drawbacks Of Online Chronic Pain Support Groups

/ Thomas Cohn, MD

online support groupThe advent of the internet has made it easier for people to connect with one another from all over the world. This is especially helpful in the pain management community. Many people may not know anyone else in their immediate circle dealing with a specific type of chronic pain condition, but they can connect with hundreds or thousands of individuals who are going through the same issue they are dealing with when they find a support group dedicated to that condition.

At the same time, support groups aren’t a perfect solution for your chronic pain issue either, and they can actually make it harder to overcome your pain if you’re not careful. In today’s blog, we take a closer look at some of the benefits and drawbacks of online support groups for chronic pain.

Benefits Of Online Pain Support Groups

We’ve recommended online support groups to patients in the past, and they have the potential to be a perfect complement to your comprehensive treatment plan. For starters, there is a huge psychological weight that can be lifted off your shoulders when you know that you’re not going through your issue alone. There are so many others out there dealing with similar issues, and you can share ideas and stories with one another to feel less isolated by your chronic pain condition.

In fact, in a study about chronic fatigue syndrome and fibromyalgia, the most frequently mentioned benefit of an online support group was illness legitimization (67.8%). Two other benefits that were frequently mentioned were finding out new information (66.4%) and feeling understood by others (62.2%). Clearly sharing ideas and connecting with others was helpful for those dealing with an isolating condition.

Drawbacks For Online Support Groups

The same study also looked at some potential drawbacks associated with these pain groups, and they found some interesting results. Most notably, active members of the pain care group reported greater symptom severity and less illness improvement than inactive members or dropouts. Now, there’s many possible reasons for this result. Inactive individuals or dropouts may not lean on the group as much because their pain wasn’t as severe, so they may be more likely to find a solution that leads them to no longer need the group.

However, there’s also the hypothesis that over-dependence and heavy involvement in an online support group can negatively affect how you approach your pain condition. One of the most frequently reported reasons for dropping out of the group was too much negative talk or complaining (33.3%). If all you read about your condition is how horrible it is, how doctors are working against you and how there’s no hope for the future, those thoughts can make it harder for you to find the right treatment plan. You may be more likely to avoid the solutions you need simply because of misinformation and pain catastrophizing that can take place in these groups.

A number of these groups can connect you with wonderful people who truly want to help you find a solution to your pain, but like any online group, they can also be full of people who are angry at the world and use the group to spread their misery to others. Whether intentional or not, it’s important that you don’t allow yourself to focus on these negative comments and know that it will do nothing to actually help you overcome your condition.

We’d be happy to point you in the direction of some in-person or online groups where you can connect with others in the midst of their own personal pain battle. You don’t have to go through it alone, and you can also fight your battle with a pain management specialist by your side. For help with your pain condition, or for answers to your questions, reach out to Dr. Cohn and his team today.

What Women Want – A Pain Care Provider Who Believes Them

/ Thomas Cohn, MD

chronic pain womenChronic 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.

Western Diet May Be Making Chronic Pain Symptoms Worse

/ Thomas Cohn, MD

western dietMore than one in five adults in the US is living with chronic pain, and a new study suggests that our diet may play a big role in the expression of this pain. Conversely, making improvements in what we eat could help to lessen the impact that chronic pain has on our daily lives.

According to a recent study published in Nature Metabolism, Western-style diets, which are typically rich in omega-6 polyunstaturated fatty acids (PUFAs), may be linked to an increased risk of chronic pain. PUFAs, are common in foods like cured meats, processed snacks and fast food, which are oftentimes far too common in a Western diet. Moreover, the effects they have may be amplified in patients with comorbidities, like diabetes, high blood pressure and obesity.

Western Diet and Chronic Pain

Researchers looked at the effects of the Western-style diet on both mice and humans, and they found a connection between an increased presence of PUFAs and a higher likelihood of chronic pain symptom expression. For example, in patients with type 2 diabetes, researchers found that those with the greatest pain and those who were most likely to take pain medication to help calm symptoms had the highest levels of omega-6 fatty acids in their skin.

However, researchers were also encouraged by what these findings may mean for the average chronic pain sufferer. They found that both inflammation- and neuropathy-related pain may be improved through dietary modifications and healthy lifestyle changes. Additionally, certain medications could help to block the release of PUFAs into the bloodstream, further helping to relieve symptoms.

The good news is that we’re gaining more information each and every day on how different lifestyle factors can treat or exacerbate our chronic pain condition, and this study shows just how important it is to be cognizant of what we put in our bodies, especially if we’re overweight or dealing with diabetes. Diet and exercise are two controllable aspects of everyday life that have a major impact on how our body processes and expresses pain. Changing your diet likely won’t completely solve your chronic pain issue on its own, but if you pair it with exercise and you take care of your mental and emotional health, all signs point to you being able to better control or even cure your chronic pain condition.

It’s not going to be easy, which is why we’re here to help. If you want to get more information about your chronic pain condition, or if you want assistance altering your diet so that it helps relieve instead of contribute to your chronic pain condition, reach out to Dr. Cohn and his team of chronic pain specialists today. No two chronic pain conditions are the same, and we’ll give you the individualized attention to help solve your chronic pain problem. For more information or to get started on your chronic pain treatment journey, click here to learn how to get in contact with Dr. Cohn’s office.