Vitamin Treatment May Be The Key To Unlocking Chronic Pain

November 9, 2023 / Thomas Cohn, MD

A type of Vitamin B3, called nicotinamide riboside, could hold the key to unlocking the problem of chronic pain in millions of Americans.

The vitamin works by targeting inflammation, which is oftentimes the source of pain in patients with chronic pain. Inflammation is your body’s natural response to injury, but in many patients with chronic pain, inflammation develops too easily or fails to resolve in an adequate manner, leading to frequent bouts of chronic pain. Inflammation onset and its ability to resolve is believed to be tied to mitochondria function. Your mitochondria help to power your cells and ensure the cell has the ability to perform a number of essential functions, like tissue repair and inflammation control.

To see if they could improve mitochondria function and in turn inflammation control, researchers triggered an inflammatory response in the hind paws of 15 mice. They then measured the amount of oxygen consumed by mitochondria in the sensory neurons of the mice, which is a helpful indicator of mitochondria function. A week after inflammation had resolved, researchers noticed that these mitochondria were consuming significantly more oxygen, suggesting that inflammation was inhibiting their normal function.

When comparing metabolites between mice in the test group and mice who had not experienced an inflammatory reaction in their hind paws, they found that mice in the test group had lower than expected levels of nicotinamide riboside in the mitochondria of their sensory neurons. Nicotinamide riboside helps mitochondria function properly.

Vitamin B3 And Chronic Pain

With all that new information, researchers conducted another test. This time, researchers gave half the mice a high dose of nicotinamide riboside. Next, they assessed the animals’ sensitivity to pain by measuring how quickly they moved their paws away from a heat source. They found that mice who did not receive the dose of vitamin B3 pulled their foot away from the heat source twice as quickly as those who had received the dosage, suggesting that nicotinamide riboside can help combat pain sensitivity, a common denominator in patients with chronic pain.

Researchers concluded by saying that they believe that nicotinamide riboside can help to calm pain sensitivity and restore crucial mitochondria function in mice dealing with an inflammatory response. Should these results translate to humans, it could be a major breakthrough in how inflammation-driven chronic pain is treated.

But before you rush out to grab some vitamin B3 supplements, know that this was early stage research conducted on mice, and we’re a long way away from proving its viability in humans. Still, it’s research like this that gives us hope that we may soon be able to find new and effective ways to treat the complex problem of chronic pain. In the meantime, if you’d like to work with a pain management specialist who will pursue some more clinically-proven techniques for treating your chronic pain issue, reach out to Dr. Cohn and his team today at (952) 738-4580.

5 Tips For Living Well In Spite Of Chronic Pain

April 21, 2023 / Thomas Cohn, MD

pain Chronic pain can make everyday actions difficult and leave us not wanting to get out of bed in the morning. It’s perfectly fine to have some bad days when it comes to your chronic pain condition, but the key is to find ways to become healthier and string together more good days than bad. But what are some of the best ways to live healthier in spite of a chronic pain condition? We share five tips in today’s blog.

Living Healthier Despite Chronic Pain

Living healthier while dealing with a chronic pain condition won’t be easy, but it will be worth it. Regularly making smart choices will help you have more good days than bad, and that is incredibly important when dealing with a chronic pain condition. Here’s come advice we give all of our patients who are dealing with an uncomfortable chronic pain condition.

1. Prioritize Sleep – Sleep is a restorative process for your brain and body, but that doesn’t mean that we are always great about consistently getting enough sleep. We understand that a pain condition can make it harder to fall asleep and stay asleep, but we also need to be mindful to set ourselves up for success. Go to bed around the same time each night, keep electronics and other distractions out of the room, and make the room dark and cool so that it’s easier to fall asleep and stay asleep.

2. Regular Exercise – When you’re awake for the day, we want you to be active. Again, we know that this is easier said than done if you have a chronic pain condition, but exercise offers numerous benefits for a variety of pain conditions. Exercise will get your heart pumping, pushing oxygenated blood to structures that need it most, and it can help to strength areas that are unstable or contributing to your joint pain. Conversely, being inactive can lead to muscle and tissue atrophy, oftentimes worsening a pain condition. If standard workouts are too difficult because of your condition, pursue some low-impact exercises like swimming, cycling or moving on the elliptical.

3. Communicate With Your Pain Care Specialist – We want to do everything in our power to help you overcome your pain condition, and that’s a lot easier when the doctor and patient are effective communicators with one another. We’ll always be open and honest about your health and your pain condition, and we ask that you do the same. If you haven’t been doing your physical therapy sessions as recommended, or you’ve been stepping out of your physical restrictions, we need to know. We’re not here to judge you, but this information and effective communication can ensure that treatment remains on the right course.

4. Mind Your Diet And Weight – It’s also imperative that you make healthy food choices on a regular basis. We know that chronic pain can leave you feeling like you’ve lost control, and one thing you have full control over is your diet and food choices, which can be good or bad. Don’t retreat to unhealthy options because you had a bad day. You don’t need to eat perfectly, and be sure to reward yourself every once in a while, but string together more healthy meals. A poor diet can lead to weight gain, and this added stress typically only makes a chronic pain condition worse.

5. Be Willing To Pivot – Finally, it’s very rare for the first treatment strategy to completely resolve a complex pain issue, so you need to be willing to pivot if you’re not seeing the results you had hoped for. We’re always willing to pivot and find new methods for helping patients overcome pain, and we know that this process can be discouraging at times. Don’t give up! Keep following the other tips on this list and approach your pain care plan with an open mind, and we’re confident that you’ll eventually win out over your condition.

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

Will My Chronic Pain Get Worse Over Time?

November 3, 2022 / Thomas Cohn, MD

A chronic pain condition can make life uncomfortable, and oftentimes it leaves patients wondering if things will ever get better. A recent study out of Europe found that patients who had chronic pain in their forties were more likely to have chronic pain and other health issues later in life, which leads many to assume that chronic pain conditions will get worse over time.

But is that the truth? Are you really stuck with pain for the rest of your life, or is there something you can do about it? Below we explain why your chronic pain doesn’t have to get worse as time goes on.

Will My Pain Condition Improve?

As we’ve said numerous times on this blog, the following is just general advice. Chronic pain is both complex and highly individualized, so we can’t sit here and say that your condition will certainly get better or get worse depending on the treatment route you pursue. That being said, many patients don’t realize how much control they have when it comes to managing their chronic pain condition on a long-term basis. While chronic pain can oftentimes feel out of control, there are steps you can take each day to help you find more control over your condition down the road.

So we’ll start by saying that chronic pain is typically a health issue that will continue to worsen as you get older if you do nothing to treat the problem. While sometimes rest or activity avoidance can help you overcome small issues like a muscle strain or a headache, you’re not going to be able to do nothing and watch your chronic pain condition disappear. Chronic pain suggests that there is an underlying issue, and if you keep doing the same things that led to your condition in the first place, things won’t get better, and oftentimes they will only get worse.

That said, the opposite is also typically true, and that’s wonderful news for chronic pain sufferers. Targeted active treatments can oftentimes alleviate symptoms, calm inflammation, slow natural degeneration and improve your overall physical function. It’s not always easy, and you’re not always going to enjoy doing your physical therapy exercises or watching what foods and drinks you put in your body, but it’s these little daily wins that will make you stronger in the long run.

Another way to greatly improve your likelihood of overcoming your chronic pain condition is to connect with a specialist who can give you the individualized attention and advice that you’d benefit from. Chronic pain can be a very isolating health condition, and that can lead a person to withdraw from their friends, family and even their healthcare professionals. You need to know that you are not a burden and there are plenty of people out there who want to see you overcome your chronic pain issue. We rely on professionals for a number of different aspects of life, whether that’s to change a faulty piston on our vehicle or to install a new garage door, so don’t feel like you need to take on your complex medical challenges by yourself. Connect with a specialist and let them put their expertise to work for you.

And finally, many patients find it helpful if they acknowledge the fact that recovery is going to take some work. You’re not going to be able to take a magic pill or lay in bed for two weeks and all of a sudden you’re feel better. You’re going to have to put in the work with active interventions, like daily exercise, regular physical therapy, posture improvements, weight loss and more. As we mentioned above, it won’t always be fun, but working towards these goals is way more fun than living each day with chronic pain.

Know that your pain doesn’t have to remain consistent or worsen as you get older. You have a say in your chronic pain story, and we’re here to help in any way we can. For more information, or to get started on your journey to become free from chronic pain, reach out to Dr. Cohn and his team today at (952) 738-4580.

Five Alternatives To Opioids For Chronic Pain Management

June 10, 2021 / Thomas Cohn, MD

Opioids are a hot-button issue in the chronic pain community, and rightfully so. They can absolutely play a vital role in helping someone overcome a chronic pain condition, but they are also much riskier than other treatments that don’t carry a likelihood of overdose and dependency. We’ve seen firsthand how opioids can be a perfect compliment to a chronic pain management program, but we also want to give patients an opportunity to avoid painkillers if they so choose as part of their recovery plan. In today’s blog, we showcase five alternatives to opioids for chronic pain management.

Non-Opioid Treatments For Chronic Pain

Here’s a look at five non-opioid treatment options that may be recommended alongside or in lieu of a painkiller prescription.

1. Exercise – Exercise can work wonders for a chronic pain condition, but we understand how exercise can be hard to come by if you’re dealing with chronic pain. Find an exercise program that works for you, and know that any exercise is beneficial. You don’t need to run a marathon or spend two hours in the gym in order to do right by your body. Walking, swimming or cycling can all be beneficial forms of exercise that are not as hard on your body as some other forms.

2. Physical Therapy – Another way to condition and strengthen your body if you’re dealing with chronic pain is through a physical therapy program. Physical therapy involves targeted exercises and stretches developed by a professional who understands your unique situation and needs. This method can actually be more effective than general exercise because it focuses on weak points and specific body parts in need of attention.

3. Behavioral Health Intervention – Behavioral health intervention (BHI) helps to combat chronic pain by training the brain to change how it interprets sensory signals. The brain can become overwhelmed by sensory signals and misinterpret signals as pain sensations. A specialist can help to drown out these misfiring sensory signals or decrease their intensity through a variety of mindfulness-based techniques.

4. Sleep Improvements – While sleep alone won’t likely cure your chronic pain, regularly getting eight hours of uninterrupted sleep can do wonders for the expression of your chronic pain condition. Sleep is a restorative time period for the body where toxins are removed from key areas of our body and it can recover from the stresses of the day. Poor sleep can intensify pain signals and make it less likely that you’ll commit to the physical activities required to truly help fight your chronic pain condition. Improving your sleep quality is a key component to a comprehensive pain treatment plan.

5. TENs Unit – A TENs unit stands for transcutaneous electrical nerve stimulation, and it uses low doses of electricity to drown out and block sensory signals that are being interpreted as pain by the brain. Chronic back pain and muscle pain are two types of chronic injuries that tend to respond well to a TENs unit. A pain management specialist can take a look at your condition and determine if a TENs unit is something that could be appropriate for your situation.

So if you want to try to control and treat your chronic pain condition without the assistance of opioids, consider one of more of the treatments on this list. Better yet, connect with Dr. Cohn and his pain management team to develop a comprehensive solution suited to your individual needs. For more information, contact him today!

Four Things Chronic Pain Patients Wish They Knew Earlier

February 25, 2021 / Thomas Cohn, MD

Many people describe their chronic pain management as a journey to find relief, and like any journey, there are things we wish we would have known earlier in the process. In today’s blog, we highlight four things that we’ve heard from some of our patients and others in the pain community that they wish they would have known earlier during their pain journey.

What Patients Wish They Would Have Known Earlier

Here’s a look at four sentiments that many patients say they wish they would have know earlier in the chronic pain management process:

1. It’s Not Just Physical – Chronic pain manifests itself in the physical form, but the underlying cause or contributing factors are not all physical. Chronic pain has strong emotional and psychological roots, so you need to make sure that you’re caring for more than just your physical health. If you’re under a lot of stress or you’re suffering from another mental health issue, it could be playing a role in the onset of your physical pain. If you only focus on the physical contributors to chronic pain, you may be ignoring promising treatment options.

2. You’re Not Alone – Chronic pain can leave you feeling isolated from the outside world, but it’s important to remember that you’re not alone. There are a number of ways to connect with others about your condition to help treat it and fight back against feelings of isolation. You can:

Connect with a pain management specialist for professional help.
Reach out to friends and family members for help or to talk, or to just take your mind of your condition.
Connect with others who are going through a similar situation in an online support group.

Know that you’re not alone in this process and that you should be relying on other people for support.

3. Your Mindset Matters – It’s also important to know that how you approach your chronic pain treatment can have an impact on its success. When you improve your mindset, you improve your outcomes. It’s obviously easier said than done, but try to focus on everything you’re doing to help you conquer your chronic pain, instead of looking at all the ways your chronic pain is affecting your life. You can start to take back control over your condition by approaching treatment with a positive and determined mindset. Talk to your pain specialist if you want extra help improving your mindset when it comes to your pain condition.

4. It’s About The Small Wins, Not Absolutes – We can never say with absolute certainty that we’ll be able to completely cure all aspects of your chronic pain condition, and while that is our goal, that’s not how you should always view your end goal. If you’re only ever focused on the existence of pain and not the fact that it’s getting better or you’re having fewer flareups, you’re only going to be discouraged in the face of progress. This discouragement can negatively impact your treatment and your long-term success. Instead, focus on small wins and celebrate them, and you’ll find it easier to keep on working hard to treat your chronic pain condition.

For more information, or for help with any of the above tips, reach out to Dr. Cohn’s office today.