Pain affects up to 80 percent of the population at some point in their life for at least a short time, and across the world, 40 percent of the population suffers from chronic pain. The financial impact of pain is in the billions of dollars a year, and is thought to be more costly than all other diseases combined. However, the amount of money spent on research to treat pain is less than 5 percent of all the dollars spent on health research.Changing the face of pain is left to a very small group of medical providers who work in this tough field.
Pain practitioners are found in many medical professions, from dentistry and acupuncture to traditional medical physicians. Research is often left to those who are treating patients daily, and there are very few dedicated to spending most of their time performing ground-level analysis of causes of pain and associated conditions.
Unfortunately, some of the best clinicians who treat pain are so busy managing the many patients who need their services that they do not have the time to transform their knowledge into meaningful studies to pass on to the rest of the world. Most of us would love to have a dedicated staff to transform our ideas into meaningful studies to develop better systems to treat complex pain problems, but no one is providing money for this work.
Pain is a complex problem that affects both psychological andphysical aspects of our lives. It is a billion dollar problem and virtually no money is being spent on research. This is why Pain Awareness Month is so important, so we can help bring the problem to the forefront andbring more dollars to research and treat of this prolific problem.
Having chronic pain is tough both physically and emotionally. Pain at times seems to control your life. In reality, one needs to become the captain of the ship and take control of your pain and your life. Everyone has problems in life, but if you deal with pain, you need to learn how to manage it and move forward with life. Do not wallow in pity and do not expect others to suffer with you. Taking control of your life involves managing your pain and your emotional status. It also means not using pain as an excuse for doing nothing in your life.
Pain is complex. Once it is chronic, it may be functioning independent from the original cause. It also may be due to constant stimulation of the pain sensors in the body and develop into a central sensitization type of pain status. Over time, the brain may become overly stimulated by pain reception, and in a practical sense, a short circuit develops in pain reception and the brain is overwhelmed by the pain signals.
The Brain and Pain
One of the main functions of the brain is to perceive and interpret all the signals it is receiving. There are conscious and subconscious levels on which the brain translates signals. Some sensory impulses are translated on a reflex level without significant interpretation, while others have extensive cognitive and emotional components. A person has tremendous cognitive control over many aspects of brain function, including the power to modify the meaning of pain signals. The brain can choose to ignore pain signals, especially when they are the chronic background pain signals.
The brain perceives unpleasant sensations in the body. The perception of direct pain signals from painful sensory stimulation can be considered as primary suffering. Overlaid upon this are the feelings, emotions and memories associated with the pain. The feelings associated with pain lead to anxiety, stress, depression and are the secondary suffering felt by a person. Over time, the primary suffering may be minimal and the secondary suffering becomes the major component of pain.
Anxiety and Stress
After years of practice and noticing that pain seems to never improve in the patients who have high anxiety, stress and depression, science has actually helped explain the problem. Using special functional MRI scans of the brain, a psychologically normal person with acute pain has only a couple areas in the brain that enhance. A stressed, depressed and anxious person with pain will have multiple areas of enhancement and abnormalities on a functional MRI scan. Other studies have also shown a normal person exposed to pain can endure much more stimuli, and those who are already stressed have a much lower threshold to similar stimuli. Thus, anxiety, stress and depression have a very negative impact on pain control.
The next level of research that has been done has been focused on treating the anxiety, stress, emotions and depression in the pain patient. A variety of techniques have been used to decouple suffering and treat these components of pain. Techniques have included mindfulness, hypnosis, cognitive behavioral therapy and medications. When the emotional secondary suffering has been treated, often the physical perceived pain can almost be eliminated.
Different people will respond to a variety of techniques. Most people who have chronic pain do have emotional suffering components to their pain. Treating the emotional suffering often becomes more important to solving pain control issues as time passes than finding traditional medical interventions. Further, most people are in denial of any emotional components of pain. However, when the patient is withdrawing from activities of life, it is evident to everyone around the pain patient that there are components of emotional suffering.
When pain becomes an excuse not do something, and one starts withdrawing from life, you are emotionally suffering. Stop asking for pity. At this point, you need to find your solution to your psychological problems and get help to solve them. Solve the psychological issues, and it is amazing how much better the chronic pain issues become. The patients who have a healthy psychological status function and move forward in life. These are also the people who do not make excuses for themselves and have very little dependence on addictive substances. If the stress of life is affecting pain, then get help and find the solution that helps you treat and eliminate the negative behaviors in your life. Stop making excuses and start moving forward in treating the right problems, your stress, anxiety, and emotional well-being.
Minnesota officials are considering adding chronic pain to the list of approved conditions for the state’s medical marijuana program.
Meetings about adding intractable pain to the list of approved conditions for medical marijuana began two weeks ago, but so far officials aren’t any closer to a decision. Should state officials add chronic pain to the approved list, chronic pain sufferers would be able to begin purchasing medical marijuana next summer.
Officials are a little leery about adding the chronic condition to the list for a few reasons:
How many would apply? – State officials say they are unsure how many chronic pain sufferers would apply for medical marijuana, and they don’t know if their suppliers would be able to meet the increased demand. Early estimates said it could eventually triple or quadruple the 5,000 patients they currently expect to apply.
Defining chronic pain – Many people deal with pain, but how would chronic pain be defined under the program? One insider suggested that chronic pain would be defined as pain for which “no relief or cure of the cause of the pain is possible,” though the definition could be open to interpretation.
How will doctors respond? – According to the advisory panel tasked with deciding on whether or not chronic pain will be added to the list of approved conditions, some doctors and clinics are leery about sending their patients to buy medical marijuana. There are so many compounds in marijuana, and we don’t have extensive knowledge of how all those compounds will interact with different types of chronic pain.
Decision Time
According to reports, the decision to add chronic pain to the list of approved conditions falls with Department of Health Commissioner Ed Ehlinger and his advisory panel. The panel is comprised of medical professionals and health experts who will help Ehlinger make a decision by the end of the year.
Additionally, the Minnesota legislature can expand Ehlinger’s decision should they feel it’s too strict, or they can place more restrictions on the program should they feel it’s too interpretive.
September is Pain Awareness Month, and as the name implies, the goal of the month is to help raise awareness and spread the word about chronic pain. As we’ve stated before, more than 100 million Americans suffer from chronic pain. We want to help share their stories and explain what they go through on a regular basis, so here’s more information about one of the leading causes of disability in America.
Chronic Pain Problems
Chronic pain can affect any part of your body. Below is a closer look at some areas that are commonly affected by chronic pain, and some of the symptoms that accompany those painful areas.
Chronic Arthritis – Arthritis pain is caused by inflammation in your joints, and millions of Americans suffer from chronic arthritis in their fingers, knees and toes. Most people associate arthritis pain with older individuals, but nearly 300,000 children suffer from juvenile rheumatoid arthritis.
Chronic Headaches – Headaches and migraines are another chronic condition that can make it hard to go about your daily routine. Crippling or shooting pain in your head can be caused by a chemical imbalance or a poor diet. If exercise and diet modifications don’t stop the headaches, pain injections or other treatment options can provide temporary relief.
Chronic Back Pain – Chronic back pain is probably the condition I treat most at my clinic. Whether chronic pain develops from overuse or acute injury, it can make life extremely painful for the patient. Luckily, modern medicine continues to improve how we diagnose and treat back injuries. Through physical therapy, injections or even surgery, most people find some sort of pain relief.
Chronic Leg Pain – Chronic leg pain typically occurs when there is an issue with nerves in your legs and feet. Nerve issues in your leg can cause shooting pain in your legs and spine. Again, physical therapy and injections can help treat the issue, as well as surgery to remove the damaged nerves.
Chronic Neck Pain – Chronic neck pain typically sets in after an acute injury, like whiplash from a car accident or a sports injury. Neck pain can make it extremely painful to turn your head or preform routine activities. Treatment of whiplash typically involves rest, physical therapy, injections and strengthening exercises.
If you or someone you know deals with chronic pain on a regular basis, encourage them to seek out professional help. You shouldn’t have to live life in pain, so speak to a pain specialist today.
A recent study in Medicine and Science in Sports and Exercise points out whether we are reliable in reporting our exercise. The answer is that most of us tend to over report our activity level. When using an objective measure of activity, such as a monitoring device of steps and pulse, the record is much more accurate. The best way to keep healthy and reduce pain is to stick to a regular exercise routine. If you are not being accountable, the activity is usually not being done. Very few people have the self-discipline to be consistent with exercise on their own.
Up until recently, the best way to be accountable is to have an exercise partner. Whether it be a yoga classmate or a running partner, if you had to meet someone else, it was much harder to skip the exercise.
Currently, the electronic age can become out partner, as most people now own a smartphone. Both the Android and the Apple phones have fitness apps built into the phone and have electronics that can monitor motion. As long as one has the phone in hand (or pocket), the phone will record your steps. Most people should be aiming at obtaining at least 10,000 steps a day to maintain general cardiac aerobic fitness.
Fitness Trackers and Exercise
A fitness tracker, such as a Fitbit, Vivofit (by Garmin) or Jawbone can be of great benefit. There are now multiple brands of trackers, those at about $100 dollars tend to monitor:
Steps
Distance
Calories burned
Steps climbed
Sleep patterns
The more expensive ones will add in heart rate monitoring, sometimes blood oxygen levels, and may connect to smartphone notifications. All the fitness trackers have apps that chart your daily, weekly and monthly statistics. Keeping a record of your activity tends to make one more responsible toward meeting fitness goals.
The importance of maintaining physical activity is very evident in the pain patient. My patients who are the most active have the best control of their symptoms and tend to use the least amount of drugs and other interventions. For myself, the fitness tracker keeps me more active, maintaining my aerobic conditioning goals. The more intense aerobic exercise, even for just 15 minutes every day, definitely increases my endorphins (the body’s own pain killers) and decreases my back and leg pain. Without the tracker, I know I would be lazy, and definitely would think I am doing more activity than I actually perform.
Aerobic activity does need to be combined with strengthening and stretching for most pain patients. The areas that are causing pain often need more physical muscle support to prevent symptoms, and strengthening and keeping these muscles healthy is another priority.
Pain affects up to 80 percent of the population at some point in their life for at least a short time, and across the world, 40 percent of the population suffers from chronic pain. The financial impact of pain is in the billions of dollars a year, and is thought to be more costly than all other diseases combined. However, the amount of money spent on research to treat pain is less than 5 percent of all the dollars spent on health research. Changing the face of pain is left to a very small group of medical providers who work in this tough field. 
Having chronic pain is tough both physically and emotionally. Pain at times seems to control your life. In reality, one needs to become the captain of the ship and take control of your pain and your life. Everyone has problems in life, but if you deal with pain, you need to learn how to manage it and move forward with life. Do not wallow in pity and do not expect others to suffer with you. Taking control of your life involves managing your pain and your emotional status. It also means not using pain as an excuse for doing nothing in your life.
