What To Look For In A Pain Care Specialist

December 21, 2020 / Thomas Cohn, MD

Pain isn’t created equal, and either is pain care. As a patient with such a highly individualized issue like chronic pain, you should be treated by someone who is going to do all they can to help you find a solution to your specific issue. Not all pain care providers are built the same, so it’s important that you take the time to find someone who is right for your situation.

But how do you know what you should be looking for in a pain management physician? We explain some traits and abilities you should look for when trying to find the right physician for your chronic pain issue.

Finding The Right Chronic Pain Specialist

When trying to find a specialist to help with your chronic pain issue, it’s important that you don’t just pick the closest physician to your house or the first one you come across in-network. You need to look at some other relevant factors if you want to give yourself the best chance at finding a physician who can treat your pain issue. Here’s what you’ll want to look for.

1. Depth Of Knowledge – Most general practitioners have a wide breadth of knowledge, and that allows them to provide professional care for a number of different issues. However, for a specific condition like chronic pain, you want to find someone with a deep knowledge and years of experience on the subject. Although we’ve noted that pain is highly specific to the individual, drawing on the experiences with past patients can make all the difference in finding a solution to the problem presented by the current patient. Find someone with years of experience in the specialized field of pain management.

2. A Listener – Does your current physician really take the time to listen to your story and apply those facts to your treatment, or do your words seem to be going in one ear and out the other? They say that “doctor knows best,” but that doesn’t mean the patient can’t provide crucial and relevant facts to assist in the treatment process. A great doctor really listens to the patient and uses this information to provide the best level of care. If you feel like you’re being treated as just another patient and the doctor seems to have their mind made up before you even get a chance to talk, consider looking for a different specialist to help with your pain.

3. Willing To Adjust – Another thing that both patient and provider need to be willing to do is adjust to roadblocks that develop, because they always do. If they didn’t, chronic pain would be easy to treat. Your provider needs to be able to look at the changing landscape of your pain condition and make adjustments to account for these potential obstacles to successful treatment. This may involve finding new forms of physical therapy, adjusting if pain injections are no longer as effective as they used to be, or consulting another professional when a problem proves mystifying. If you feel like you’re just trying the same old techniques that haven’t been working, why should you expect anything to ever change?

4. Seeks Long Term Solutions Over Short Term Relief – Any pain physician can write a prescription for painkillers and provide their patient with short term relief. It’s a passive solution that is like putting a band-aid on a bullet hole. Painkillers absolutely can be part of a comprehensive treatment plan, but they shouldn’t be the focal point of your care. You want a pain care provider that pursues active treatment options that will help you find long term relief. If your doctor isn’t working towards long term relief, switch physicians.

If you can find all four of these things in your care provider, odds are you’ll have an increased likelihood of regaining control over your pain condition. Dr. Cohn has done this for countless patients in the past, and he can do the same for you. For more information, or to set up an appointment, reach out to his clinic today.

When Battling Chronic Pain, Finding A Balance Is Key

December 8, 2020 / Thomas Cohn, MD

balance Balance is a key component in almost every aspect of our life. There are benefits to having a healthy work-life balance, and many of us grapple with the daily decision of whether money should be earmarked for needs or wants. But finding a healthy balance also plays a key role in helping patients fight back against their chronic pain condition. Below, we take a closer look at how finding a healthy balance in certain lifestyle factors can help you better manage your chronic pain condition.

Finding Your Daily Balance To Treat Chronic Pain

Now, we’re not here to say that all chronic pain conditions can easily be cured by making certain choices each day, but there is a lot of evidence that suggests improving your balance in these aspects can help to make chronic pain more manageable. So if you are struggling with a chronic condition, reflect on some of these factors and work to identify some imbalances that could be contributing to your chronic pain or inhibiting effective treatment of your condition.

Activity/Inactivity Balance – Developing a healthy relationship with activity and exercise is very important for helping to control your pain condition. Exercise triggers the release of endorphins in your brain that act as a natural pain reliever, and it can also help you work towards a healthy weight. Being inactive, gaining weight and losing muscle mass can lead to additional stress in areas of your body that are no longer best able to handle this stress, which can lead to inflammation and pain flare ups. We don’t expect you to become an ultra marathon runner because we know how pain can make it more difficult to exercise, but strive to get regular exercise 4-5 times a week. Whether that is in the form of a run, a walk or a routine in the weight room, it can help your body better manage your pain condition.

Food Choices – It’s also important that you find a healthy relationship with your daily food choices. Again, not every decision needs to be perfect, but each day you should strive to make more positive food choices than unhealthy choices. Aside from weight gain and the added stress that can put on your body, high fat and carbohydrate-dense foods can trigger inflammatory responses inside your body, again worsening chronic pain. Food choices are one of the more controllable aspects of your daily life, so strive for more positive food choices and you may notice less chronic pain.

Stress Balance – One of the reasons why we spoke about food choices being a more controllable factor is because this next factor can oftentimes feel uncontrollable. You can’t control whether your company has pending layoffs or your car got a flat tire, but you can try to identify certain stress triggers and either work to avoid them or teach yourself new coping mechanisms to prevent them from causing such large stress spikes. Some stress can bring out the best in us, but too much stress can heighten problems like chronic pain. Work with your pain specialist to identify sources of stress and develop healthy coping mechanisms.

Mindset: Yourself Vs. Others – There is a large psychological component to chronic pain that cannot be ignored, so it’s important to find a healthy balance in how you think about yourself and others. Being completely selfless will be exhausting and can make a pain condition worse, but being selfish and choosing a short term quick fix over a harder long-term solution will also lead to problems. You have to find a way to make time for yourself while also realizing that you can’t always act in your immediate best interests. Being able to step back, evaluate the totality of a situation and making the right choice will provide you peace of mind that can go a long way in helping control chronic pain symptoms.

If you can find a healthy balance with these factors, we’re confident that you’ll have a better chance of treating and controlling your chronic pain condition. For more information, or for help with your pain issue, reach out to Dr. Cohn’s office today.

3 Things You Should Do Every Day If You Have Chronic Pain

May 14, 2020 / Thomas Cohn, MD

Navigating your daily life can be difficult if you’re stuck dealing with a chronic pain condition. Between the good days and the rough days, it’s hard to know what each morning is going to bring. However, no matter how hard each day is, it’s imperative that you do a couple of things each day to keep your body and mind moving in the right direction. In today’s blog, we share three things you should do every day if you’re stuck in a constant battle with chronic pain.

Do These Three Things Each Day If You Have Chronic Pain

Now, there’s no perfect recipe for treating chronic pain because it is so unique to the individual, but we’ve found that patients who strive to do these three things every day tend to have more good days than bad when it comes to managing their chronic pain condition.

Each day you should so something for your:

Body – In order to help get your pain under control, you need to take care of your body. Every day you should strive to do something that helps your physical health. Go for a run, or if that’s too difficult, go for a walk around the block. Try to get your blood pumping and strengthen some key muscle groups. A lot of chronic pain conditions respond well to weight loss and stress reduction from muscle improvement, both of which can occur by challenging your body on a physical basis. Make it a point to do something physical outside of your normal daily routine each and every day.

Mind – Chronic pain conditions are not just a physical manifestation. Many pain conditions also have psychological effects as well, and failing to care for your mind can inhibit you ability to achieve physical health improvement. Every day you should do something that challenges your mind and boosts your mental health. Do a crossword puzzle, relax with some meditation or just dive into a book. These activities will take your mind off your physical pain, but it can also help treat physical conditions because of how intertwined your mental and physical health can be. Do something recreational that truly engages your mind each day.

Soul – Finally, do something each day that is unequivocally, 100 percent and totally for you. Do an activity that you are passionate about each day. Take up a woodworking project, play hide and seek with your kids or just do something that makes you happy to be alive. Find what drives you and engage in your passions, and you’ll be amazed what this can do for decreasing and managing your chronic pain condition.

If you do these three things each day while also following your doctor’s recommendations, we’re confident you’ll find yourself in more control of your chronic pain condition. And if you have questions or want help with your personal pain problem, please reach out to Dr. Cohn and his experienced medical staff today.

Why Social Distancing May Be Harder On Patients With Chronic Pain

April 15, 2020April 15, 2020 / Thomas Cohn, MD

Chronic pain is the number one cause of long-term disability here in the United States, and a chronic condition can be physically, emotionally and psychologically draining. And as you’ve probably noticed over the past few weeks, social distancing can also be physically, emotionally and psychologically draining. When these two events happen concurrently, the effects can be intensified, leaving chronic pain patients more susceptible to fall out from their condition or the current state of society.

Because of this, patients with chronic pain need to be even more diligent about how they handle their physical and mental health during this time of social distancing. Below, we share some tips to prevent your chronic condition or social distancing from causing problems as we work towards normalcy.

Chronic Pain and Social Distancing

Although patients with chronic pain may be more used to social distancing than the average person because their chronic condition may cause them to skip activities that they would have participated in, that doesn’t mean it gets any easier to pass on doing the activities that you love. To prevent your chronic pain or the quarantine from getting the best of you, consider the following tips.

Stay Connected – Make it a point to connect with others, even if you can’t see them face to face. Set up a Zoom meeting with some family members, or have a virtual happy hour over Facetime with friends or coworkers. Make sure you are not social isolating. Connecting with others, even if it’s over the phone or computer, can do wonders for your mental health, and that can help provide physical benefits as well.

Do Your Exercises – Don’t just use social isolation as a time to sit on the couch and eat whatever you want. Make sure you are still getting regular exercise and doing your physical therapy exercises, as these will help tremendously with your pain condition. Being sedentary will typically only make things worse since you’re not actively working to strengthen injured areas, so don’t use social distancing as an excuse to be inactive.

Mind, Body, You – Every day, make sure you’re doing at least one thing that benefits your mind, body and yourself, as this will help keep your physical, mental and emotional health in check. For example, do some exercise to care for your body, do some yoga or meditation to help your mind relax, and do something you personally love to do, like read a book or watch an episode of your favorite television series. Ignoring one of these aspects can make it harder to overcome a chronic condition.

Get Healthy Sleep – Sleep can be harder to come by if your routine is a little disjointed because of social distancing or your chronic condition, but getting restful sleep is imperative to your mental and physical health. A lack of sleep can intensify pain signals and affect your whole day, so really commit to going to bed and getting up around the same time to help your body get into a rhythm.

Connect With A Physician – If you’re having physical, mental or emotional issues during this time, contact a healthcare provider or your pain care specialist. This is uncharted territory for all of us, but we’ll get through this together. Let us help you with whatever you’re going through. We’re offering new ways to help our patients through these tough times, so contact our office to see what we can do for you if you’re struggling with any aspect of your chronic pain condition.

Could Deep Brain Stimulation Help Treat Chronic Pain?

February 4, 2020 / Thomas Cohn, MD

Nearly one in three adults in the US suffers from some form of chronic pain, and despite everyone’s best efforts, it’s not always easy to treat. We’re always looking for new ways to best help our patients decrease and eliminate their chronic pain, and one new treatment that is being closely monitored and tested is deep brain stimulation.

Deep brain stimulation (DBS) may sound like some futuristic medical experiment, but it’s already being used to treat some cognitive impairments. It has been successful in helping limit symptoms in conditions like Parkinson’s disease, dystonia and tremors, and now doctors are wondering if it could be useful in managing some types of chronic pain.

DBS works by implanting electrodes deep into a person’s brain in the areas that help control movement. A stimulator is also implanted in the chest, and the stimulator can help drown out problematic brain signals. The only issue is that it’s not a perfect science, and you’d like it to be perfect when you’re implanting a device in a person’s head. The electrical current relayed through the stimulators is constant, meaning it can’t adjust to what’s going on in the brain, it simply operates as a way to drown out problematic signals.

Because of this, some patients have experienced changes in personality or problems speaking, and like many treatments, the brain can get used to the stimulation and find ways to drown out the signal that is supposed to be drowning out the problematic signals. So while it’s not a perfect system, medical experts are always trying to improve it, and now they are researching whether it could be a viable option for chronic pain patients.

Deep Brain Stimulation For Chronic Pain

Researchers at the UCSF Weill Institute for Neurosciences recently received a $7.56 million, five-year grant to see if DBS could be used as a treatment for some forms of chronic pain. However, their goal is to develop the technology so that the current can be harnessed and used based on signals from the brain in real-time, instead of as a constant current.

Researchers likened the system to a space heater and a thermostat. The space heater provides constant heat, whereas a thermostat can turn the heating system on and off based on the current temperature and a desired setting. Right now DBS is a space heater, but researchers say they hope to use the grant to help develop a more thermostat-style model.

“We are trying to build a model to serve as a thermostat to control electronic stimulation to provide pain relief,” said Dr. Prasad Shirvalker, assistant professor of Anesthesiology at UC San Francisco. “We’re at the front edge of trying to open up new indications for DBS.”

Hopefully researchers can figure out how to control DBS in the most complex system in our body so that chronic pain patients can have another avenue to pursue relief. We’ll keep tabs on this research as it progresses.