Treating Chronic Pain Conditions In Young Adults

March 14, 2024 / Thomas Cohn, MD

Chronic pain is oftentimes assumed to be a condition that affects older populations, and while pain conditions are more likely to affect individuals over the age of 40, millions of young adults are also plagued by chronic pain. Because young adults are less likely to be affected by common drivers of chronic pain, like natural age-related degeneration and arthritis, and because of the inherent difficulty in treating pain disorders, it can be very hard for young adults with pain to get the help they need to overcome the condition.

We want to help you overcome these challenges and ensure you find the relief you seek and deserve.

Chronic Pain In Young Adults

As we talked about in the introduction, chronic pain can be caused by a number of different issues, and while arthritis and age-related degeneration are main factors, there are so many other components that can contribute to chronic pain conditions in young adults. Chronic pain can be the result of acute injury, nerve issues, and related health problems, and that doesn’t even factor in the mental components at play. As we’ve talked about on the blog in the past, stress, anxiety and depression can all lead to the onset of physical pain or worsen the symptoms associated with a chronic pain condition. A chronic pain condition is more likely to have physical and mental components in younger populations, and treatment needs to be based accordingly.

There’s no perfect playbook for treating a chronic pain condition, especially in young adults, but there are a few different approaches that may proven beneficial. Here are some of the ways we oftentimes work to help younger patients find relief from their chronic pain condition.

1. Pain Management Consult – For starters, it’s imperative that you truly understand what you’re dealing with, and the best way to get to the bottom of your pain condition is by connecting with a pain management specialist. They’ll be able to help you understand the root cause of your discomfort and develop an appropriate care plan. The first step in overcoming the problem is doing your best to fully understand what you’re up against.

2. Exercise/Activity – We’re not saying that you can always overcome chronic pain with exercise, but exercise can target some of the underlying causes of chronic pain. For example, if your pain is being caused by spinal instability or knee inflammation, exercise can help to target the supportive soft tissues in your spinal column or strengthen the knee joint so that it is less likely to inflame when stressed. Exercise and activity also helps to get your heart pumping, making it easier for oxygenated blood to reach areas in need.

3. Diet Improvements – You may also notice an improvement in symptoms by making some adjustments to your diet. We don’t want you to radically change your diet, as that can cause other issues for your body and your gut health, but slowly making some healthier choices can help you body get the nutrients it needs to support muscle function and development. Many junk foods and sodas are naturally pro-inflammatory, which can contribute to chronic pain symptoms. A poor diet can also lead to weight gain and more stress being applied to your joints, oftentimes intensifying chronic pain symptoms. We can help you find ways to tweak your diet so that your body has regular access to the nutrients it needs most.

4. Mindfulness – It’s also incredibly important that you work with your doctor to address the mental components of a pain issue. Chronic pain can leave you feeling isolated, which can be especially burdensome for younger adults. Find ways to reduce stress in your life and manage it when it arises. Exercise, deep breathing techniques and yoga can all help you improve your mindset and limit stress in your life, but find what works for you. Maybe you handle stress by reading a good book or doing some woodwork. Find a healthy outlet for stress and take care of your mental health amid your struggle with the physical discomfort of chronic pain.

5. Develop A Support Network – Know that you are not alone and that there are others out there who want to support you. Find a provider who empathizes with your situation and listens to your concerns, and keep connecting with people who are willing to support you. Friends and family can be great resources, but there are other places to turn as well. Online or in-person support groups will allow you to connect with people who better understand what you’re going through, which can really help you manage some of the unique aspects of chronic pain.

No matter your age, we want to help you overcome the pain issues you are facing. We welcome the unique challenge of treating younger adults with chronic pain, and we’ll work hard to find a solution for you. For more information, or to talk with a specialist about your chronic pain condition, reach out to Dr. Cohn and his team today at (952) 738-4580.

Tips For Managing Chronic Pain At The Lake

June 29, 2023 / Thomas Cohn, MD

The Fourth of July is only a few days away, and that means many people will soon be celebrating the holiday near one of Minnesota’s more than 10,000 lakes. Spending time by the water can be a great way to enjoy summer, but the lake can also cause issues if you’re dealing with an underlying chronic pain condition. We don’t want a chronic pain condition to cause problems for your Fourth of July holiday, so in today’s blog, we’re going to share some tips for managing your chronic pain condition if you’ll be on the lake this weekend.

Managing Chronic Pain On The Lake

Chronic pain is highly individualized, so there’s no guarantee that the following tips will be appropriate for your situation. That said, if you keep these tips in mind and are proactive in your approach, we’re confident that you’ll be able to keep your pain condition for causing problems at the lake.

1. Stay Hydrated – Dehydration can make movements harder for our muscles or joints, which can trigger an underlying pain condition. It’s easier to become dehydrated during the hot summer months, so always be sure to have drinkable water nearby. Also be sure to mix in plenty of water if you’re consuming alcoholic beverages, as alcohol can make it easier to become dehydrated.

2. Find The Shade – Overheating can also make a chronic pain condition more uncomfortable, so dress for the weather and find a shady spot to set up camp when you’re outside. Your body needs to appropriately regular its temperature, so stick to the shade, jump in the lake or head back into the air conditioning for a little bit if you’re starting to get hot and achy.

3. Don’t Be Afraid To Head Inside For A Bit – We understand that you want to be outside when the weather is nice, but the hot weather and the air pollutants from the Canadian wildfires can cause problems for sensitive groups. If your allergies are kicking up or you just feel like the hot weather is getting to you, don’t be afraid to head to an air conditioned room for a bit to help your body relax.

4. Get Healthy Sleep – You may want to stay up until nightfall to catch a fireworks show, but make sure that you get plenty of healthy, restful sleep. Regular sleep is essential for helping keep chronic pain at bay, and holiday weekends can throw off your sleep schedule. Try to go to bed and wake up around the same time each night, even over the 4th of July holiday stretch.

5. Use Sunscreen – Use plenty of sunscreen throughout the summer, because sunburn can make life a lot more uncomfortable, especially if this sensitivity triggers a flareup. Patients with CRPS and other conditions that can be triggered by skin irritation would be wise to be extra mindful about preventing sunburn.

6. Stay Active – Staying active can help improve your circulation and keep muscles functioning as they should. We know that you may want to kick back and relax over the Fourth, but don’t spend too much time sitting in a lawn chair by the lake. Still find time to exercise or at least be upright and active, and you can help to keep chronic pain symptoms at bay.

We hope that you have a wonderful time celebrating the Fourth of July, and we know that you can keep chronic pain at bay by staying hydrated, getting healthy sleep and begin cognizant of the sun and heat! For help with an individual chronic pain issue, or for answers to any questions you have, reach out to Dr. Cohn and his team today at (952) 738-4580.

Don’t Feel Guilty About Your Chronic Pain Condition

August 23, 2022 / Thomas Cohn, MD

guilty Roughly 1 in 5 people deal with chronic pain on a regular basis, and a significant amount of them feel guilty about their diagnosis. There is absolutely no reason you should feel guilty about your chronic pain condition, but the fact of the matter is that we talk about overcoming the stigma or guilt associated with a chronic pain condition with patients all the time.

So many people feel guilty about fighting a daily battle with chronic pain, but why do they feel this way, and what can we do to overcome these feelings? We try to answer those questions in today’s blog.

Why Do We Feel Guilty About Chronic Pain?

A recent study published in the British Journal of Health Psychology decided to take a closer look at the subject of guilt among chronic pain patients. You can take a closer look at the full study here, but we’ll jump to some of the takeaways. First, the team identified three main reasons why chronic pain patients felt guilty about their battle with chronic pain. They are:

1. Others assume that a patient’s pain condition is not legitimate – Oftentimes even after an official diagnosis, patients in the study faced questions about the legitimacy of their condition.

2. Others assuming that the patient is not managing their condition well – Some people felt like they were letting their doctor or their family down if they were not making progress in treatment.

3. Assumptions regarding how one’s actions affect others in terms of the person’s inability work or fulfill social roles – In other words, patients felt like others may view them as less of a co-worker or parent because their pain can sometimes affect their ability to perform certain duties within these roles.

When you look at those three reasons, we spot an interesting trend. Chronic pain patients are feeling guilty about how they come off to other people, like their friends, family, caregivers and doctors. How they feel they are being perceived by others is what’s driving these feelings, and that’s unfair.

So what can we do about feeling guilty about chronic pain? While it’s easier said than done, stop focusing on what other people think. The best way to do that is to focus on yourself. If you know that you are doing every thing you can to treat your chronic pain condition, than the opinions of others should feel less important. You know that you are trying your best, so those comments and suggestions shouldn’t get under your skin. And if they do, you can simply let them know everything that you are trying to get the condition under control.

Again, we know that it’s easier said than done to say “Don’t let what other people think bother you,” but if you’re truly giving it your best effort, it should be easier to shake off any feelings of guilt because you know that you’re doing all you can. You can only control your actions, so if you’re doing what you can, the thoughts and opinions of others shouldn’t hold much water. Trust yourself, commit to your rehab, and know that you should be feeling pride about your work ethic, not shame over other people’s misconceptions.

As always, if you have questions or concerns about managing your chronic pain condition, reach out to Dr. Cohn. He’ll treat you with respect and explain how to manage some of the psychological effects of chronic pain. For more information, give our team a call today at (952) 738-4580.

Why Does Acute Pain Become Chronic?

April 29, 2022 / Thomas Cohn, MD

Acute pain is oftentimes the result of direct trauma to an area, but in most cases the injury can eventually resolve with the help of active treatment. However, for a small percentage of people, their acute pain turns into a chronic condition, and this can make it much harder for pain to eventually subside. But why does acute pain turn into a chronic condition, and what can you do to prevent this from happening? We answer those questions and more in today’s blog.

Acute Pain Turns Chronic

If you’re not careful, an acute injury can turn into chronic pain. Here’s a look at some of the more common reasons why acute pain eventually becomes a chronic condition.

Left Untreated – The most common reason that an acute injury turns into chronic pain is because you don’t actively treat the underlying issue. A lot of people just try to grit their teeth and push through any discomfort caused by an acute injury, but that can lead to additional stress on an area and prolonged pain. For example, if you sprain your ankle, you’ll make the best recovery with a little bit of rest, physical therapy and a slow reintroduction to physical activities. If you try to keep playing sports or working manual labor on an injured ankles, those damaged ankle ligaments may never truly heal, leading to chronic instability or similar long-term issues. Don’t leave a problem, no matter how small, untreated.

Treating The Wrong Underlying Condition – An acute injury can also lead to a chronic condition if you end up treating the wrong underlying issue. If you think you’re dealing with one injury with a specific treatment regimen, but you are actually dealing with something else that is best treated by a different set of remedies, the underlying issue may never be corrected, leading to long-term discomfort and chronic pain. This speaks to the importance of syncing up with a specialist to ensure you receive an accurate diagnosis.

Nerve Damage – If certain nerves are damaged, that can throw off off how sensory signals are sent and interpreted in the brain. You may no longer be in true physical pain, but a damaged nervous pathway could be relaying signals that the brain interprets as pain, leading to chronic discomfort. Chronic pain can be just as much psychological as it is physical.

Psychological Factors Associated With A Physical Injury – As we noted above, psychological factors can play a role in your expression and interpretation of pain signals, and sometimes our emotions can be thrown into flux following an acute injury. For example, if you were involved in a severe car accident, you may be dealing with more emotions like fear, anxiety or stress, and research has shown that these feelings can negatively affect your pain perception.

Acute pain can turn chronic for both physical and psychological reasons, so it’s imperative that you sync up with a pain specialist, get to the bottom of your issue and begin a targeted treatment problem to rid you from your acute or chronic pain. For more information, or for help with a chronic pain issue, reach out to Dr. Cohn’s office today.

VR Headset Earns FDA Clearance For Chronic Pain Treatment

October 22, 2020 / Thomas Cohn, MD

Stepping into virtual reality may soon be a way for patients dealing with chronic back pain and fibromyalgia to find relief. Applied VR, a Los Angeles-based virtual reality company, recently announced that one of its headsets received Breakthrough Device Designation from the Food and Drug Administration for treating patients with certain pain conditions.

The EaseVRx is the first virtual reality device to earn this designation from the FDA for treating a chronic pain condition. This designation will make it easier for the development and review of virtual reality devices to help treat chronic pain conditions, and it could also make it more likely that VR therapy to treat chronic pain will soon be covered by insurance.

“AppliedVR is the most evidence-backed VR platform on the market, and today’s FDA designation demonstrates that health experts across the spectrum recognize the therapeutic potential of VR as a viable treatment for pain,” Matthew Stoudt, CEO and co-founder of AppliedVR, said in a statement. “Now, with the COVID-19 pandemic severely disrupting Americans’ ability to get in-person care safely, we’re looking forward to getting EaseVRx into the hands of people suffering from pain. Providers believe in it, patients want it, and payers are coming around to it.”

How It Works

Patients in the recent clinical trial were asked to wear the headset and watch at least one virtual reality program each day for a period of 21 days. The programs were designed to immerse the user into a virtual environment where they could take in beautiful scenery or even swim with dolphins. The goal behind the program is to help train the brain to focus on what’s going on around a person instead of focusing on chronic pain signals.

At the end of the three-week study, 84 percent of patients reported that they were satisfied with their VR therapy, and on average, pain intensity decreased 30 percent. Patients also reported an improvement in mood, sleep and stress levels, which all play a role in the expression and interpretation of chronic pain.

“Virtual reality is a promising skills-based behavioral medicine that has been shown to have high patient engagement and satisfaction,” said Beth Darnall, PhD, AppliedVR’s chief science advisor. “However, chronic pain patients to date have had very limited access to it, so we’re excited to continue working with the FDA to develop our platform and get it into the market faster.”

We’ve written about virtual reality treatments for chronic pain in the past, but we’re especially excited about this news because it seems like a big step in the right direction. Hopefully they continue to have success with this treatment and more people can find ways to treat or relieve symptoms of their chronic pain.