chronic pain

Chronic Pain The Main Reason For Medical Marijuana In Minnesota

/ Thomas Cohn, MD

medical marijuana benefitsRecreational marijuana became legal in Minnesota on August 1, but many patients with chronic pain were legally seeking out marijuana well before this year. That’s because Minnesota is one of many states that allows for the production, purchase and use of medicinal marijuana.

Medicinal marijuana has been recommended as a way to relieve symptoms in patients with a variety of conditions. From easing the symptoms of terminal cancer to providing relief for much less serious issues, medicinal marijuana is currently being pursued by tens of thousands of Minnesotans for their health condition. Recently, we learned that the most common reason why a person sought out medicinal marijuana in Minnesota was due to chronic pain.

“By far, chronic pain is what drives our program,” said David Rak, research manager for the Minnesota Department of Health’s Office of Medical Cannabis.

Medicinal Marijuana For Chronic Pain

According to Rak, nearly 60 percent of patients in Minnesota’s medicinal marijuana program cite chronic pain as their reason for enrollment. Currently, 24,270 of the program’s 41,183 participants are seeking treatment for chronic pain.

Researchers are still working to understand exactly why medical marijuana can help relieve symptoms in patients with chronic pain. However, because chronic pain is so unique to the individual, and because there are so many different types of marijuana, it’s not easy to pinpoint why some patients experience relief why others do not. Some researchers believe medicinal marijuana works by triggering the release of certain natural chemicals in the brain that can provide pain relief, while others suggest that medicinal marijuana can help to reduce inflammation and associated discomfort.

Others swear by the benefits of medicinal marijuana for another reason. As we’ve talked about on the blog in the past, healthy sleep is critical for working to overcome a pain condition, and many patients find that medicinal marijuana helps them fall asleep faster and achieve a more restful sleep.

“Sleep is really an important factor, actually,” said Rak. “If you’re sleeping better and you wake up rested, you’re more ready to start the day. You feel stronger.”

Others love that it has helped them transition away from potentially dangerous opioids. A study by the Department of Health found that 38 percent of patients with intractable pain who had been using marijuana for five months were able to reduce the amount of opioids they were taking as a result of their marijuana use. That same study also found that 42 percent reported a significant reduction in pain intensity after using medicinal marijuana.

So if you have chronic pain, should you consider enrolling in the state’s medical marijuana program, or should you just buy recreational weed and see if it offers the same benefits? For starters, you’ll want to talk with your pain management specialist before beginning either regimen. Odds are they will have some recommendations and additional treatments they’ll propose in conjunction with the medical marijuana program, like exercise or physical therapy.

If you do decide to move forward with marijuana, it’s probably best to go through the state’s medicinal marijuana program. Being enrolled allows your doctor to work with a dispensary pharmacist and decide on a type that will work well for your symptoms and not interfere with any other medications you’re taking. Medicinal marijuana products are also highly regulated and tested to ensure they have a specific amount of THC and CBD, something you may not get if you buy elsewhere. The program used to carry a $200 enrollment fee, but now it is free, although you’ll have to have your chronic pain condition certified by a professional like Dr. Cohn.

For more information about whether or not chronic pain could be a viable complimentary treatment for your chronic pain condition, reach out to Dr. Cohn and his team today at (952) 738-4580.

Millions Battling Chronic Pain And Concurrent Mental Health Condition

/ Thomas Cohn, MD

mental healthNew research from the University of Arizona Health Sciences and published in the journal PAIN found that nearly five million Americans experienced the co-occurrence of chronic pain and a mental health condition like anxiety or depression, leading to functional limitations in their daily life.

As we’ve mentioned on the blog in the past, it’s not uncommon for chronic pain and a mental health condition to develop alongside one another because chronic pain can have a significant effect on your physical, mental and emotional health. If you are forced to miss social events, your career aspirations are limited or you simply find it hard to pull yourself out of bed in the morning because of physical pain, your mental health will also take a hit. For some, that manifests in the form of anxiety or depression.

In a review of data from 31,997 people who participated in the National Health Interview Survey, researchers found that that roughly 38.1 million Americans are dealing with a chronic pain condition, 9.6 million are dealing with a diagnosed mental health condition, and 4.9 million are dealing with co-occurring chronic pain and a mental health condition. Additionally, adults with chronic pain were roughly five times more likely to report anxiety or depression compared to adults without chronic pain.

“The study’s findings highlight an underappreciated population and health care need – the interdependency between mental health and chronic pain,” said the paper’s lead author Jennifer S. De La Rosa, PhD, director of strategy for the University of Arizona Health Sciences Comprehensive Pain and Addiction Center, which funded the study. ”This work is so exciting because it offers the opportunity to use team-based interdisciplinary approaches to medicine, leveraging what is known across disciplines to meet the needs of these individuals.”

Chronic Pain And Mental Health Conditions

Other important findings from the study include:

  • Nearly 70 percent of people with co-occurring symptoms reported limitations at work.
  • More than 55 percent of people with co-occurring symptoms reported difficulty taking part in social events
  • Nearly 44 percent of people with co-occurring symptoms said they had difficulty running errands alone
  • Among all U.S. adults living with unremitted anxiety or depression, the majority (55.6%) are people who also have chronic pain.

This study only further emphasizes the idea that you can’t simply focus on treating the physical aspects of a chronic pain condition. Pain weighs heavy on your mind, and if you’re only focused on the physical pain, you may find that your mental health is suffering.

Even if you don’t believe your mental health has been affected by a chronic pain, you need to be aware that you’re at a higher risk of certain mental health disorders. You need to trust your care to a provider who will give you the comprehensive care you need to tackle all aspects of your chronic pain condition. Dr. Cohn and his team have done that for years for other patients, and we’d be more than happy to put our experience to work for you. For more information, or for help with a different chronic issue, reach out to Dr. Cohn and his team today at (952) 738-4580.

Fighting Back Against Chronic Fatigue

/ Thomas Cohn, MD

fatiguedOne common side effect of fighting a near-constant battle with chronic pain is that fact that it oftentimes leaves you feeling tired and fatigued. Even if you don’t have a chronic pain condition, there are a number of other health issues like arthritis or long COVID that can leave you feeling tired and lethargic throughout the day. In today’s blog, we share some tips for fighting back against chronic fatigue so that you can have more energy to get through the day.

Tips For Countering Chronic Fatigue

We want to remind you that this is just general advice, and that you should seek out a specialist who can conduct a physical exam and chart review in order to set you up with an individualized treatment plan. Odds are some of their recommendations will be on this list, but know that the best advice comes from a professional who can evaluate you in person.

1. Exercise – We know that this is way easier said than done, and the last thing you may want to do if you’re feeling tired is exert more energy, but exercise can help you feel more energized throughout the day. Exercise gets our heart rate up and pushes healthy oxygenated blood through our bodies, ensuring key structures have easier access to essential nutrients. It doesn’t have to be a crazy intense workout, as even 15-20 minutes of brisk walking can give you the energy you need to finish the day strong.

2. Develop A Regular Sleep Pattern – Many patients that we talk to who say they are chronically fatigued say that they have a hard time falling asleep and staying asleep. When we dig deeper, we find that they typically have some unhealthy habits that may be making sleep hard to come by. Make your room as dark as possible and free of distractions and light sources like televisions or cell phones. Perhaps most importantly, get in the habit of going to bed and waking up around the same time each day, as this will make it easier for your body to develop a healthy circadian rhythm.

3. Mind Your Food And Liquid Intake – Sometimes our food choices can play a big role in how we feel throughout the day. If we’re eating a lot of processed foods and refined sugars, we can experience a short burst of energy followed by a crash. The same goes for stimulants like caffeine. Work to decrease your reliance on these substances, and you may feel more refreshed and even keeled throughout the day.

4. Destress – Stress can weigh heavy on your mind, and over time this can be physically exhausting. Try to find ways to destress your life or look for positive outlets to channel your emotions when you’re feeling stressed. Activities like yoga, meditation or deep breathing exercises can help alleviate stress that can be contributing to your fatigue.

5. Limit Your Screen Time – Finally, have you ever found that you are tired after an extended scrolling session on your phone? Prolonged exposure to television screens and cell phones can leave your eyes feeling tired and fatigued, and it can even contribute to headaches. All of this can contribute to a general sense of fatigue, so work to cut down on your daily screen time.

Keep these tips in mind, and if you nee help overcoming a chronic condition like pain or fatigue, reach out to Dr. Cohn and his team today at (952) 738-4580.

5 Tips For Supporting A Loved On With Chronic Pain

/ Thomas Cohn, MD

supportingChronic 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.

Why Early Treatment Is Important For Chronic Pain Patients

/ Thomas Cohn, MD

pain treatingEarly intervention is key for almost all medical conditions, but it’s even more important for certain issues. While cancer may be the most obvious condition that benefits from early treatment, so too does chronic pain. In today’s blog, we explain why early treatment can be so beneficial for patients dealing with chronic pain.

Chronic Pain And Early Intervention

If you’re dealing with chronic pain, don’t just grit your teeth and hope that the condition gets better on its own. Instead, connect with a pain specialist like Dr. Cohn sooner rather than later. Here’s why it’s so important to treat your chronic condition in its infancy.

It Oftentimes Gets Worse – Your pain condition may not be all that uncomfortable at the outset, and you may think that it’s not bothersome enough to warrant professional attention. The problem is that continuing to do the same things that led to its onset in the first place means that the condition will likely only continue to get worse. Mild discomfort will become moderate pain and moderate pain can eventually become severe and debilitating. Stop small problems before they snowball.

Easier To Treat At The Outset – Chronic pain treatment also tends to be more effective when it’s in its infancy. Smaller problems are easier to treat than severe conditions, so by putting off treatment, you’re also decreasing the likelihood that you’ll experience complete pain relief.

It Takes A Toll – Chronic pain takes a significant toll on your physical, mental and emotional health, and it can have negative consequences for all of these aspects if left untreated for long enough. Chronic pain conditions have been linked to an increased risk of mood disorders and mental health issues like anxiety or depression, so the longer you put off treatment, the greater your risk of related health problems.

Treatment Is Easier Than You Think – One thing we oftentimes hear from patients is that treatment was easier than they imagined and they wish they would have sought us out sooner. That’s not saying that treating your pain will be as simple as taking a pill once a day, but you may find major improvements to your condition and overall health by doing some simple things like tweaking your diet and doing 15 minutes of physical therapy exercises each day.

If you’re ready to take the first step in treating your chronic pain condition, don’t wait any longer. Pick up the phone and give Dr. Cohn and his team a call today at (952) 738-4580.