pain

How To Conquer Your Chronic Pain In The New Year

/ Thomas Cohn, MD

new year pain2020 is thankfully in the rearview mirror, but unless you make some positive changes in the New Year, this year may be just like the last, or even worse, for your chronic pain condition. But how can you take control over your chronic pain condition while also accounting for the current COVID-19 pandemic? We share some tips for helping to regain control over your chronic pain condition in the new year.

New Year, Less Pain

It won’t be easy to get a better handle on your chronic pain condition, especially as we work our way out of a pandemic, but planning ahead and sticking to new routines can help you get there. Here are some tips to keep in mind.

1. Make It A Point To Exercise More – Not everything in life is controllable, but the factors we can influence should not be overlooked. Exercise is one of those modifiable factors that we can control that has a direct impact on our chronic pain condition. Exercise will help to strengthen key structures, improve mobility and flexibility, release natural pain relievers in the form of endorphins and help you work towards a healthy weight, all of which can help with pain sensations and tolerance. It’s not always easy to exercise in the Minnesota winter, especially if COVID has closed your gym, but make it a point to exercise 3-5 times a week at home or in a COVID-safe manner. This will help with your overall health as well as your pain condition.

2. Improve Your Eating – Your diet plays a big role in the expression of your chronic pain condition. Poor eating habits can lead to inflammation and nerve compression, and weight gain can put more stress on your joints. On the flip side, healthy eating habits can help to prevent chronic pain symptoms by ensuring your body gets a range of key vitamins and nutrients that support healthy tissue growth and function. Similarly, healthy eating promotes a healthy weight, which keeps excess stress off joints like our hips and knees. You don’t need to eat perfectly every meal, but strive to eat healthier in the new year.

3. Improve Your Sleep Habits – Another controllable aspect of your health and in turn your chronic pain condition is your sleep quality. Now we know that it’s easier said than done to say “get quality sleep,” but if you make a concentrated effort to improve your sleep, you should see the fruits of your labor shortly thereafter. To improve your sleep quality, make your bedroom an ideal sleep environment. Keep it dark, cool and free from distractions like phones, televisions or books. Go to bed around the same time every night, and once you’re in bed, focus all your efforts on falling asleep. Don’t spend 45 minutes watching Netflix before playing on your phone for 20 minutes and then calling it a night at 11:15. When you get in bed, your only goal should be to fall asleep and stay asleep. Control what you can control in your sleep environment, and your sleep quality should improve.

4. Find A Specialist You Can Trust – Finally, if you feel like your current pain care provider just isn’t giving you the attention to detail that you know you deserve, consider looking into new options in the new year. We’re accepting new patients and our number one goal is to help you find an individualized solution to your pain condition. We know that everyone’s pain situation is unique, so we don’t just group you in with all other patients. Your pain condition in a one-of-a-kind issue that needs to be treated as such to get the best treatment results, and we know that we can provide you with that level of care and attention to detail. Let Dr. Cohn and his team help you make 2021 the year you put your chronic pain condition behind you.

What To Look For In A Pain Care Specialist

/ Thomas Cohn, MD

pain specialist look forPain 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.

To Prescribe Or Not To Prescribe

/ Thomas Cohn, MD

prescribe“To be or not to be, that is the question,” is the famous line from the play Hamlet. For many doctors, especially pain management physicians, they battle with a similar question with every patient they encounter – “To prescribe or not to prescribe.”

Medication prescription and the written and unwritten rules that govern the practice have been a hot button issue of late, especially during the pandemic. In an effort to stay up to date on the latest news regarding chronic pain care, we often find stories blasting doctors for over-prescribing or doctors who find it necessary to validate their very real and very appropriate treatment plan that involves the prescription of opioids. Patients are also caught in the mix. Heck, I’ve had a colleague killed by a former patient because they would not prescribe opioids, which only makes it harder for patients with legitimate ailments and conditions that can effectively be managed by opioids to get their hands on the medications they so desperately need.

The debate over opioids has in some ways mirrored the most recent presidential election. Any reasonable person realizes that neither party is right 100 percent of the time, but many of the loudest Republicans and loudest Democrats only seek to champion their beliefs and refuse to listen to what the other side has to offer. We’ve seen the same situation play out with opioids, as it seems like we’re either hearing about opioid hysteria and mass over-prescribing or that no doctor should ever stand in the way of a patient who wants painkillers for their pain condition. And just like with politics, the answer tends to lie somewhere in the middle.

Prescribing Or Not Prescribing

There is no one-size-fits-all answer to whether or not a physician should always or never prescribe opioids, because every individual and every pain condition is unique. Even in patients who have similar characteristics and similar pain conditions, it’s irresponsible to say that they should always or never receive opioids as part of their care plan. An assessment needs to be made on an individual basis and it needs to be made on the totality of the situation.

There are so many different factors that need to be understood before a doctor makes a determination as to whether or not painkillers would be in the patient’s best interest. There are the obvious factors like age and diagnosis, but there are also the less-than-obvious factors like whether or not underlying anxiety or a mental health condition could be exacerbated by beginning a new opioid regimen. A physician will also dive into a patient’s medical and family history to look for signs of abuse or potential abuse. It’s not that the doctor doesn’t trust the patient with opioids, it’s that we want to make sure we’ve uncovered all potential hurdles to successful treatment. Navigating known potential obstacles is so much easier than trying to blindly push forward with a care plan.

And of course, a good pain physician will listen to the patient. We want to learn about your goals, your wishes and your concerns and factor those into our decision to prescribe opioids. During our decades of practicing medicine, we’ve certainly encountered the patient that clearly has ulterior motives for wanting a quick and fast prescription. But far more often than not, patients want opioids to play a role in a comprehensive treatment plan. They want painkillers so that their physical therapy exercises can be performed a little easier, or they believe opioids will help them live a more active lifestyle and combat their pain condition in other ways.

Painkillers can absolutely play an essential role in a pain care plan, but that doesn’t mean they should absolutely be prescribed for every patient. A totality of factors need to be analyzed in order to provide the best care for the patient, which is what all physicians should strive for. Doing right by the patient means taking the time to really understand their condition, their frustrations, their goals, their concerns and their opportunities. Sometimes that involves painkillers, sometimes it doesn’t. The sooner we realize that we need to come together to help find solutions for pain patients instead of condemning chronic pain sufferers and physicians, the better we all will be for it.

VR Headset Earns FDA Clearance For Chronic Pain Treatment

/ Thomas Cohn, MD

virtual realityStepping 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.

How Is The Pandemic Is Affecting Pain Patients

/ Thomas Cohn, MD

pain Although it seems like we’re starting to come out the other side, we’re still dealing with the fallout of COVID-19 on a daily basis. And while the virus tends to have the most severe effects on older adults, another vulnerable group during this period are chronic pain patients. In today’s blog, we take a closer look at how chronic pain sufferers are being disproportionately affected by the COVID-19 pandemic.

Pain Patients and the Pandemic

Chronic pain can make getting out of bed a daily battle, and when you add a pandemic to the mix, it only gets worse. Here’s a look at some of the unique ways that the pandemic is affecting patients with chronic conditions.

Isolation – We’re supposed to be limiting our contact with others as much as possible to help cut down on potential transmission, and that can leave us feeling isolated. Those feelings can be amplified in patients with a chronic pain condition who may already feel isolated because of their individual pain condition. Make sure you are staying connected with others as best you can, be it by phone, Facetime or in person with distancing measures in mind.

Worsened Symptoms – If a chronic pain patient caught COVID-19, there’s a chance their symptoms would be worse than the average person’s symptoms. Research has found that genetic and autoimmune deficiencies could contribute to worsening symptoms, and those same issues could have an underlying role in your chronic pain condition. Everyone should make smart decisions when it comes to preventing potential exposure, but this is especially true for chronic pain patients.

Delayed Access To Care – Elective surgeries were delayed when COVID numbers were surging in Minnesota, and now medical centers are dealing with a backlog of patients. This can make it harder to see a doctor as soon as you would like. COVID-19 is delaying access to medical care for all individuals, but patients with chronic pain that may have more regular checkups and screenings now may face additional challenges staying on top of their condition.

Psychological Effects – As we’ve preached about on the blog in the past, chronic pain conditions are rarely only a physical issue. There is also a big psychological side to treating the condition. However, this could become harder to manage as the stress of COVID-19 is adding mental strain to our plate. Try to ensure that you are taking time for your mental health and your physical health each and every day.

If you are finding it even harder to manage your chronic pain during these turbulent times, know that we are here for you. We will do everything in our power to help you have more good days than bad. For more information on how we’ll do this, reach out to Dr. Cohn’s office today.