Why Exercise Is So Helpful In The Fight Against Chronic Pain

August 16, 2023 / Thomas Cohn, MD

Exercise is beneficial for your whole body, but it can also be extremely helpful if you are working to overcome a chronic pain condition. That’s not to say that you’ll be able to cure your chronic pain condition simply by going for a run, but exercise offers a number of specific benefits that can help you manage your pain issue and gain more control over symptoms.

In today’s blog, we explain why you should consider exercising more if you are trying to overcome a chronic pain condition.

Exercise Benefits For Chronic Pain

As we say on the blog all the time, chronic pain is highly unique to the individual, so you may not experience all of the benefits of exercise as significantly as others. That said, exercise is almost always recommended as part of a comprehensive treatment plan because of all the ways it can work to control your chronic pain issue. Here’s how exercise can help.

Muscle Conditioning – Sometimes our chronic pain issue is caused by muscle weakness, especially if muscles can no longer adequately support certain areas that are under stress. For example, a weak core can contribute to inflammation in the spine, leading to irregular or chronic back discomfort. Exercise helps to strengthen muscles so that they can handle the stress you throw at them and continue to provide the necessary support to nearby structures.

Pain Sensitivity Reduction – Studies have found that exercise can alter how the brain responds to pain by promoting the release of analgesics, which are natural painkillers made by the body. This naturally helps to reduce our sensitivity to pain.

Sleep Improvements – When you are active and burning energy during the day, it’s easier to fall asleep and stay asleep at night. Getting quality sleep can aid in pain sensitivity and ensure that we wake up ready to attack the day with more exercise and activity.

Inflammation Reduction – The stress of activity can lead to short-term inflammation as your body handles the physical stress of exercise, but exercise can also lead to an increase in anti-inflammatory cytokines produced by your immune system that calm inflammation and promote tissue repair. This helps to reduce inflammation in the long-term.

Mood/Anxiety/Depression Improvements – Exercise can trigger the release of feel good hormones in your brain called endorphins, which can improve your mood and decrease your risk of mental health issues like anxiety and depression. Since chronic pain treatment involves more than just treating physical pain, it’s important that we understand how exercise can help to alleviate chronic pain by improving our mental and emotional well-being.

Weight Management – Finally, regular exercise also make it easier for a person to maintain or work towards an ideal weight. When you’re heavier, your body has to handle more stress with each step you take, and that added pressure can lead to joint deterioration or increased inflammation, both of which can exacerbate a chronic pain condition. Managing your weight can certainly have a positive effect on your chronic pain treatment, and exercise can be the catalyst for that weight loss.

For more information on how exercise can help you overcome a chronic pain condition, or to talk to a specialist about setting up an exercise routine that works for you, reach out to Dr. Cohn and his team today at (952) 738-4580.

Tips For Being A Great Friend To Someone With Chronic Pain

February 9, 2023February 9, 2023 / Thomas Cohn, MD

Living with chronic pain can be extremely challenging for a number of reasons, and as we’ve talked about on the blog in the past, it can have a significant effect on your social life. You don’t want your friends to feel isolated or alone because of their pain condition, but being a great friend can take a little extra work because of the complexity and unpredictable nature of a chronic pain condition.

Because of this, we wanted to use today’s blog to highlight some of the ways you can be a great friend to someone with chronic pain.

Supporting A Friend Who Is Dealing With A Chronic Pain Condition

Here are some ways you can be a supportive friend to someone who is battling a chronic pain condition.

Listen More Than You Talk – As the old adage goes, we have two ears and one mouth, so we should do twice as much listening as we do talking, and that’s especially true when supporting a friend with a chronic pain condition. Let them vent their frustrations to you, or keep the conversation about anything other than their pain condition. Be a good listener and really hear them when they talk.

Know That Cancellations Aren’t Personal – You may have had those plans on the books for months, but temper your expectations and know that a last-minute cancellation is possible and that it is nothing personal. Many chronic pain patients don’t know when their next flare up is coming, and despite their best efforts, they may be having a bad day at the absolute worst time. Be understanding if they have to back out of a commitment and know that their decision to cancel plans isn’t anything personal.

Be A Positive Voice – It can be easy to focus on the negatives of a chronic pain condition, but doing so isn’t good for your mental and emotional health. Do what you can to be a positive voice of encouragement. If you notice that your friend is more physically capable or has made strides since the last time you saw them, let them know. This encouragement and positive talk may be more important to them than you’ll ever know, so try to avoid focusing on the negatives associated with a pain condition.

Be Persistent – Those dealing with a chronic pain condition are less likely to make plans or meet you out on a moment’s notice, so you can be a great friend by regularly asking them to do things. Remember that cancellations or unaccepted invites aren’t personal, but they’ll love that you’re reaching out and wanting to connect. Don’t stop reaching out even if most plans don’t come to fruition. It’s easy for social circles to get smaller and smaller as a result of chronic pain, so don’t stop reaching out even if it takes a while to make plans.

If you do these things and practice patience, you’ll be a great and supportive friend to someone battling a chronic pain condition. It takes a little extra effort, but we know from first hand experience how important it is to have friends like this if you’re working to overcome a chronic pain condition. For more information, or for help with a different chronic pain issue, reach out to Dr. Cohn today at (952) 438-4580.

Five Additional Issues Caused By Unmanaged Chronic Pain

May 20, 2022 / Thomas Cohn, MD

Chronic pain isn’t an easy condition to control, and sometimes that can lead patients to become frusterated with how treatment is progressing. It can even lead them to give up on treating their condition entirely if they resolve to just grit their teeth and bear it during the bad days.

This isn’t ideal, because unaddressed chronic pain can cause a number of different issues for your health outside of pain. In today’s blog, we take a closer look at five additional health issues that can be caused by unmanaged chronic pain.

Health Issues Related To Chronic Pain

Here’s a look at a number of new health issues you may find yourself dealing with if you don’t work to actively manage your chronic pain condition.

1. High Blood Pressure – Unmanaged chronic pain places a heavy burden on your body, including your heart and your cardiovascular system. During a pain flare up, your body releases substances that increase your blood pressure and heart rate. Prolonged elevated blood pressure can put you at a higher risk for stroke or a heart attack.

2. Decreased Sleep Quality – Chronic pain can make it harder for a person to fall asleep and stay asleep, which can lead to shorter periods of extended restful sleep. This prolonged sleep is necessary for your whole body health, wheras poor sleep quality can leave your feeling tired and groggy throughout the day.

3. Depression and Anxiety – Chronic pain can also take a signfiicant toll on your mental health. Pain is a heavy burden to bear, and it can also affect the same pathways in the brain that regulate your mood. This can increase your risk of anxiety, depression, mood swings and similar mental health conditions.

4. Weight Gain – When you’re in pain, oftentimes all you want to do is curl up in bed and wait for the discomfort to dissapate. While that can be helpful once in a while, regularly avoiding activity and becoming more sedentary can lead to weight gain, which stresses other areas of the body like your joints. Not getting exercise because you’re in pain can lead you to become more inactive, leading to an increased risk of weight gain and making it harder for you to break out of the cycle you’re now caught in.

5. Decreased Quality of Life – While not exactly a health condition, untreated chronic pain can also negatively affect your total quality of life. You may find yourself shying away from activities you once loved or avoiding social situations out of fear of a flare up. That’s no way to go through life, but it’s a reality for many people who deal with pain on a daily basis.

Chronic pain is enough of a hassle without all the other issues that can develop as a result of untreated chronic pain, so it’s imperative that you really work to find a solution to your pain issue. That’s what Dr. Cohn and his team are here for. We won’t stop until we find a solution that works for you and has you back on the path to a fuller and more enjoyable life. For more information, or to take the first step in overcoming your pain condition, reach out to Dr. Cohn’s office today at (952) 738-4580.

Don’t Listen To These Three Myths About Chronic Pain

April 22, 2022 / Thomas Cohn, MD

myths Chronic pain is difficult enough to overcome without falling prey to some misconceptions or myths about your condition or how to best treat it. So if you ever hear someone say one of the following three sentences to you in regards to your chronic pain condition, know that they are mistaken and that believing them will only make it harder to overcome your pain issue. Below, we share three myths about chronic pain that you shouldn’t believe.

Don’t Believe These Three Chronic Pain Misconceptions

Even if others have the best intentions, they can end up giving bad advice if they are misinformed. If a friend or family matter ever says any of the following sentences to you in regards to your chronic pain, just ignore it, because believing it will only make it harder for you to find a helpful treatment to your chronic pain.

1. “It’s All In Your Head” – Some people simply can’t comprehend the fact that you are dealing with a physical condition that is causing real pain, so they just tell themselves that it must all be in your head. And while it’s true that pain is perceived and interpreted in the brain, that doesn’t mean that you’re just making it up. Don’t let others suggest that your pain isn’t real, because they don’t know what you’re experiencing every day. Knowing that your pain is real and acknowledging it is the first step in finding a a treatment that works for you.

2. “There’s No Cure” – Another one we hear from patients every so often is that they’ve previously been told by a provider or a family member that there is no cure for their chronic pain and that they better just accept that fact. We’ve never found a chronic pain case that we haven’t been able to at least help mitigate symptoms and make life more enjoyable, even if we can’t completely cure the condition. Know that solutions are available, and we can always work to find a way to reduce symptoms, even if the first treatment fails. Don’t accept that there is no option for your pain, because we won’t stop until we find something that works for you.

3. “Exercise Makes Chronic Pain Worse” – Chronic pain may make movement a bit uncomfortable, but that doesn’t mean that exercise is bad for your condition. In fact, the opposite is oftentimes true. Movement helps improve your health in a number of ways, many of which can help to alleviate some issues associated with chronic pain. Activity strengthens structures so that muscle groups can better handle physical stress, it gets our hearts pumping oxygenated blood to vital components in our bodies, and it triggers the release of endorphins in our brain that can act as natural pain relievers. Regular exercise is oftentimes an integral part of a comprehensive chronic pain plan. Don’t assume that just because exercise isn’t always easy with a chronic pain condition that you should shy away from it.

To connect with a specialist who can help prove to you that these sentences are myths, and who won’t stop he finds a solution that’s right for you, reach out to Dr. Cohn and his team today.

Why Gabepentin Isn’t A Perfect Solution To Opioids

January 6, 2020 / Thomas Cohn, MD

Roughly one in five Americans suffers from chronic pain, and millions of opioid prescriptions were written just last year alone. However, it has become clear that opioids are far from a perfect solution for chronic pain. Overdoses and cases of addiction have skyrocketed as doctors have tried to help patients find a way to reduce their pain. As we’ve learned more about the dangers of opioids, doctors have begun to turn to different solutions to the chronic pain puzzle, one of which being gabapentin.

Gabapentin is an anticonvulsant drug that was originally designed to prevent seizures, but more recently it’s been used to help prevent neuropathic pain. It also won doctors over because it doesn’t present the same addiction threats as traditional opioids. From 2012-2016, presecriptions for gabapentin increased 64 percent, and now it’s the 10th-most-commonly prescribed medication in the US.

Baclofen, a muscle relaxant, has also become popular as an opioid replacement. Both drugs can produce a “boozelike” high in patients and help drown out some pain signals, and while they are safer in larger quantities than opioids, recent data on the drugs prove they also have their pitfalls. A researcher by the name of Kimberly Reynolds at the University of Pittsburgh and co-authors found that from between 2013-2017, people tried to commit suicide using gabapentin nearly 42,000 times, and countless more misused the drug.

Finding A Balance

When used correctly, these drugs can provide the type of assistance that some chronic pain sufferers need. However, their use needs to be carefully monitored and part of a larger care effort. A doctor can’t just write this prescription and send the patient on their way. There needs to be a coordinated care effort alongside the prescription. Patients need to try other forms of treatment in combination with their medications, because simply taking a passive drug isn’t going to solve the root problem.

Eventually, if you just rely on this drug, you’re going to need higher doses in order to achieve the same level of relief. Similarly, you may experience withdrawal symptoms if you stop taking the drug, which can have adverse effects on a person’s health. Even though these drugs are being championed as safer than traditional opioids, they aren’t a magic pill that will solve your pain. You need to be doing more alongside these medications to truly address the underlying problem. That type of care is something we try to provide to every patient because we truly want them to find a cure, not just short-term relief.

We’re not anti-medications, but they can’t be used as a stand alone option if you want to have the best results treating your chronic pain. And as recent studies about gabapentins show, they aren’t a perfect solution either. You need to develop a comprehensive treatment strategy with a pain specialist like Dr. Cohn if you want to have the best chance of putting your pain in the past. For more information, or for assistance with your pain condition, reach out to Dr. Cohn’s office today.