Diversification Key To Effective Chronic Pain Management

February 22, 2024 / Thomas Cohn, MD

They say that you should be wary about putting all your eggs in one basket, and oftentimes that sentiment holds true when it comes to managing chronic pain. It’s wonderful that you are taking proactive steps to fight back against chronic pain, but rarely will you find that pursuing only one treatment method is the most effective. We almost always recommend a combination of treatments to our patients because we’ve found that common treatments are oftentimes complimentary of one another. In today’s blog, we explain why treatment diversification oftentimes yields the best results.

Pursuing Multiple Chronic Pain Treatments

Working to treat your chronic pain on multiple fronts oftentimes helps you win more small battles on a regular basis. One active treatment is great, but multiple treatments can build on one another, fueling even better results.

Let’s give an example of how multiple chronic pain treatments can build on one another. We typically say that exercise or physical therapy is one of the best treatments for chronic pain. Physical activity strengthens supportive structures and reduces the overall impact of stress on your body. When your body can better handle the stress you put on it, it’s less likely to succumb to a chronic pain flare up. Exercise also has a number of related benefits for our health, like improving circulation and regulating our gut health. If you’re only going to pursue one treatment for chronic pain, usually exercise or physical therapy is the best option.

However, you can enhance the benefits of your exercise program by pursuing some complementary treatment techniques. Here’s a look at some additional techniques and how they can make exercise more effective.

Sleep – Improving your sleep quality can help your muscles recover from the physical stress of the day and ensure your body can effectively remove waste products that are produced as a byproduct of exercise.

Diet – A healthy diet can give your body the nutrients it needs to fuel exercise and bodily functions like bone production or cell replication. Exercise can improve your circulation, and improved circulation makes it easier for your blood to deliver the nutrients from your diet to the areas that need it most.

Ice/Heat – The use of ice packs or heating pads can help to regulate the movement of fluid in your body as they have a physical impact on the size of your blood vessels. Effective icing or heating can help you manage inflammation that can occur as a result of physical activity, helping you recover faster so that you can pursue physical activity again in the neat future.

Anti-Inflammatory Medications – Similarly, anti-inflammatory medications and pain relievers can help quell discomfort that may be preventing you from exercising or prolonging your recovery period after exercise.

Hydration – Staying hydrated makes it easier for your muscles to work properly during exercise. Dehydrated muscles are more likely to cramp or spasm, so staying hydrated can help to prevent some potential physical issues during exercise.

As you can see, a number of additional chronic pain treatments can serve to make other treatments more effective, so don’t pigeonhole yourself when it comes to chronic pain management. If you want help developing the right complementary treatment plan for your needs, reach out to Dr. Cohn and his team today at (952) 738-4580.

1 in 4 Chronic Pain Patients Treating Their Condition With Medications Only

November 22, 2023 / Thomas Cohn, MD

New data from the National Institutes of Health found that more than 1 in 4 patients with a chronic pain condition were pursuing pharmacologic treatments as their only form of care. As we’ve said on this blog time and time again, chronic pain is a complex issue that needs to be treated with a combination of active and passive treatments.

Pharmacologic treatments are considered a passive treatment and involve things like over-the-counter medications, prescription nonopioids and opioids. Non-pharmacologic treatments tend to be more active in nature, like exercise, physical therapy and cognitive behavioral therapy. Dr. Cohn and his team follow the current recommendations of the Centers for Disease Control and Prevention, which suggest that chronic pain treatment oftentimes works best with a mix of nonpharacologic and pharmacologic therapies.

However, a recent NIH survey found that a fair amount of chronic pain patients are pursuing passive care as their only treatment option for their chronic pain condition. A survey of 7,422 patients with chronic pain uncovered that 26.6 percent of adults said pharmacologic therapy was their only form of chronic pain treatment.

Chronic Pain Treatment Findings

Additional findings from the survey include:

60.2 percent of adults were pursuing both pharmacologic and nonpharmacologic therapies for their pain condition.

The most common pharmacologic treatments used were over-the-counter pain relievers (75.5%), prescription nonopioids (31.1%) and prescription opioids (13.5%).

The most common nonpharmacologic therapies used were exercise (55%), complementary therapies (36.7%), physical or occupation therapy (17.2%) and cognitive behavioral therapy (2.2%).

Older adults with more severe pain and those on public insurance were more likely to treat their pain with prescription opioids

The most concerning finding from the survey was that more than 1 in 4 patients are taking medications as their only form of chronic pain management. These medications treat the symptoms, and while they can calm inflammation or make movement more comfortable, they won’t serve to address the underlying issue that is causing inflammation or similar joint issues. You absolutely need to pair passive techniques like rest and medications with active techniques like exercise and physical therapy. These active treatments help you become stronger so that you can better handle stress, and they also work to stabilize structures that could be suffering from instability or mobility issues. Medications won’t solve your root problem, and while they can be a great compliment to a comprehensive treatment program, they are never a good stand alone option!

To connect with a provider who can develop a treatment plan suited to your specific needs, or to help create a treatment plan that incorporates the right balance of active and passive treatments, reach out to Dr. Cohn and his team today at (952) 738-4580.

How To Tackle The Physical, Mental And Emotional Sides Of Chronic Pain

November 17, 2023 / Thomas Cohn, MD

The physical pain of a chronic pain condition gets most of the attention, but a pain issue affects you in more than just a physical manner. There is also a significant mental and emotional side of chronic pain, and if you aren’t careful in how you treat the problem, you may find that the issue never fully resolves. In today’s blog, we take a look at some ways to tackle these three sides of a chronic pain problem.

Managing The Physical Side Of Chronic Pain

Let’s start by looking at the physical ways you can fight back against your chronic pain condition. These are some of the most common treatments that will be recommended from your pain management specialist. Odds are they suggest a combination of some of the following techniques:

Daily exercise
Controlled stretching
Physical therapy
Posture improvements
Weight loss

All of these techniques serve to make you physically stronger or make it easier for your body to handle the stress that you are putting on it. Because chronic pain is oftentimes tied to a stability issue or problematic inflammation, working to improving your body’s functional performance through physical activity and exertion and be extremely beneficial.

Managing The Mental Side Of Chronic Pain

A chronic pain condition can also put a significant burden on your mental health, so it’s important that you don’t ignore your mental health while you’re pursuing some of the physical treatments listed above. Chronic pain can leave you feeling worried and anxious, so you’ll want to make sure that you are stimulating your brain and working to appropriately frame your chronic pain condition in your mind. For example, don’t just lay in bed all day and hope that pain goes away. Find ways to stimulate your brain and take your mind off chronic pain. Pursuing mentally stimulating activities can lead to the production of hormones that can help drown out pain signals.

It’s also important that you have the right mindset when it comes to your chronic pain condition. It can be easy to catastrophize your pain condition or always view things with a “glass half empty” perspective. You can’t always control your pain, but there are certain aspects you can control, and if you put your time and effort into the aspects of your condition that you can control (like diet, exercise, mental stimulation), you can take solace in knowing you are doing what you need to do to fight back against chronic pain. Try not to focus on the uncontrollable and reframe how you approach your care, and you’ll find that you have more peace over your condition, which can actually help you overcome your pain!

Managing The Emotional Side Of Chronic Pain

Finally, chronic pain can also be very emotionally draining. If you’ve had your pain condition for a while, odds are you’ve had to cancel plans to stop pursuing certain activities you love because of your pain, and that can really wear on a person’s emotions. Similar to the above point on how you need to pursue activities that are mentally stimulating and rewarding, you need to also throw yourself into activities that are emotionally rewarding. Have a friend over for dinner, go for a walk with your sister, call your friend who moved across the country, etc.

You can also find emotionally rewarding activities that don’t depend on other people. Force yourself to go see that new movie, volunteer to walk a dog at the adoption shelter every Friday, or simply curl up with a new book. Chronic pain can be isolating and emotionally draining, so you also want to make sure that you are finding ways to add a little joy to your life. When you’re happier and emotionally balanced, it will be much easier to manage the ups and downs of a pain condition.

If you need help with any of these aspects, or your want to create an individualized care plan for your pain issue, reach out to Dr. Cohn and his team today at (952) 738-4580.

When Your Pain Concerns Are Being Ignored By Your Doctor

November 2, 2023 / Thomas Cohn, MD

As we’ve talked about on the blog numerous times in the past, chronic pain can be an extremely frustrating condition, and that frustration only ratchets up another level when you feel like your needs are not being met by your pain care provider. The one person who should have your back during your battle with chronic pain is your doctor, so what should you do if you feel like you’re not being heard or your needs aren’t being met? We share some tips on what you should do in this situation.

When You’re Not Being Heard By Your Pain Specialist

If you feel like your concerns simply aren’t being met by your pain care provider, take a deep breath and follow some of this advice.

1. Let Your Doctor Know – First and foremost, you’ll want to have a conversation with your doctor. There’s a very good chance that you and your doctor have different expectations or goals for your pain care, and oftentimes you can get on the same page with a simple conversation. When communicating with your doctor, be specific. Give examples of situations where you felt like you weren’t being heard or your needs weren’t met. We want this communication to be conversational, meaning that you want to talk and you also want to listen to what the other side has to say. You’d be amazed at how often care problems can be resolved with a constructive conversation.

2. Self-Evaluate – It’s also important that you take time to reflect on yourself and your situation to make sure that your frustrations are valid and directed in the right place. As we mentioned above, chronic pain can be extremely frustrating, and it’s not uncommon for patients to take that frustration out on their provider, despite the fact that their doctor is doing everything in their power to help them manage their condition. We’re not saying that your concerns aren’t valid, but self-evaluation is important in all walks of life, and it would be a shame for misplaced frustration to cause a rift between you and your care provider.

3. Ask For An Explanation – One thing many providers are guilty of is not deeply explaining the “why” behind their treatment recommendations. Whether it’s because they assume the patient has a better understanding of their condition and treatment than they do, or they simply focus on the end result and not the method itself, it’s easy for doctors to overlook important aspects of your care. Perhaps you feel like your concerns aren’t being met because you don’t understand why they are recommending the treatment they are, so please ask for clarification. We’d be more than happy to explain exactly why we believe our recommended treatment course is right for your specific situation.

4. Don’t Dwell On One Specific Instance – If you’re working to overcome a chronic pain condition, odds are you’ve visited your provider on a number of occasions. Many of those visits probably went fine, but it can be easy to really focus on one negative experience. Try not to let one bad interaction sour your experience with your doctor. We all have bad days and are juggling personal and professionally responsibilities, and we’d all like a do-over from time to time. Try to grant your provider some grace, but if the behavior becomes a pattern, move on to the last tip.

5. Find A New Provider – Finally, if you’ve tried all of the above and still feel like your doctor isn’t the right provider for you, it’s time to look elsewhere for care. We know that switching providers can be a headache, but it will be worth it to connect with a professional who truly puts your needs first. We’d love to be that provider for you, so if you want to connect with a doctor who will make sure your concerns are always heard, reach out to Dr. Cohn and his team today at (952) 738-4580.

5 Tips For Supporting A Loved On With Chronic Pain

September 7, 2023 / Thomas Cohn, MD

Chronic pain is an incredibly complex and highly individualized health condition, and because of this, it can be hard to know how to support someone who is battling a pain issue. You want to be there for your loved one, but how can you give them the support they need?

We don’t pretend to have all the answers, but in today’s blog, we share some tips for how you can support a loved one during their battle with chronic pain.

Supporting Someone Who Has Chronic Pain

There’s no perfect playbook for supporting someone who is working to overcome a chronic pain condition, but as a provider who treats a variety of pain issues, we have a first-hand understanding of what many pain patients are looking for in terms of support. Here are some things you can do to support a loved one with chronic pain.

1. Be Patient – Chronic pain can disrupt even the best laid plans. Instead of getting frustrated or upset at a chronic pain-related problem, strive to have grace and patience with your loved one. It’s not their fault, and they do not wish to be in this position, so don’t take out any anger or disappointment on them. They are probably just as upset if not more at the situation, so be patient with them.

2. Be Adaptable – Your loved one has to adjust their life based on their chronic pain condition and whether or not they’re dealing with a flare up, and you should try to be adaptable too. If they are having a good day and want to grab lunch on a moment’s notice, try to work them into your schedule. If a pain issue changes your plans for a night out on the town, consider offering to bring over dinner or watch a movie from the comfort of the couch. Your loved one will appreciate your flexibility.

3. Be A Source Of Positivity – Chronic pain can be a lot of doom and gloom, so it’s imperative that you are a source of positivity for your loved one. Try to look on the bright side of things and steer the conversation away from the negative when possible. Let them know that the progress they are making or the effort they are putting in isn’t going unnoticed!

4. Just Be There – Sometimes you don’t need to try and solve a problem or focus on the bright side of things. Sometimes all you need to do is be there for someone. Respond to that text message, let them vent to you on the phone or just be present when you are with them. You don’t need to try and solve every problem for them, sometimes you just need to be there for them.

5. Encourage Activity – Chronic pain conditions respond better to activity and exercise than to a sedentary lifestyle, so try to encourage activity when possible. Offer to go for a walk with your friend or keep on them about performing their physical therapy exercises. Movement and exercise will help make muscles stronger and improve overall physical function, which is essential when working to overcome a chronic pain condition.

Your loved one is lucky to have you by their side during their journey with chronic pain, and it’s wonderful that you are looking for ways to better support them. If you want any more tips or have questions about a different pain issue, reach out to Dr. Cohn and his team today at (952) 738-4580.