How To Deal With Chronic Pain Without Medication

September 11, 2020 / Thomas Cohn, MD

Everybody’s battle against chronic pain is different, so there’s no one-size-fits-all approach to treating chronic pain. However, one thing many patients have in common is a desire to avoid painkillers and opioids at all costs. That’s not to say that opioids can’t be a crucial part of a chronic pain treatment program, but for one reason or another, many patients want to avoid them if at all possible.

If you’re one of those people who wants to try and treat their chronic pain without the assistance of opioids, we want to help. Below, we look at some ways you can work to alleviate symptoms and treat the root cause of your chronic pain without painkillers.

Treating Pain Without Pills

Many chronic pain patients find relief with some form or a combination of the following treatment options.

1. Exercise – Sometimes your chronic pain is derived from instability or your body’s inability to provide ample support for stress that is being channeled through an area. Exercise can help to strengthen weakened areas of your body, but it also helps by pushing healthy blood throughout your body so that oxygenated blood and nutrients can aid in tissue development. If traditional exercises like running or walking are too painful, consider some limited weight-bearing exercises like swimming or an elliptical.

2. Yoga – Yoga can provide a number of the same benefits as exercise, but it can also help treat chronic pain that is causing limited mobility. Yoga can help to expand your range of motion and treat issues like chronic neck pain or frozen shoulder. Find a beginner class near you and drag a friend a long to join in the fun.

3. Meditation and Mindfulness – Sometimes, it’s not about treating just the physical condition, you also need to be cognizant of your mindset and how chronic pain is affecting your mental health. Improving your mental health has been shown to have a positive affect on your physical health, so understand that these two factors are related. Make sure you’re caring for your mental health throughout your battle with a physical pain condition, because that can help spur recovery. Meditation and similar mental health-based activities can help with this.

4. Physical Therapy – Physical therapy is arguably the most commonly recommended form of non-operative treatment for chronic pain conditions, and that’s because it’s often so effective. By working with a physical medicine specialist or a physical therapist, you can develop a therapy routine that targets the underlying cause of pain. Whether it’s chronic joint pain, a muscle issue or loose ligaments that are leading to chronic ankle sprains, a physical therapy program that strengthens specific areas of your body can work wonders.

5. Hot/Cold Therapy – Hot or cold therapy can be beneficial for your chronic pain condition depending on the underlying cause. For example, heat therapy can boost blood flow to an area with limited blood flow due to inflammation, and heat can also help relax painful muscle spasms. Cold therapy can be used to help limit swelling in an area, making joint movement less painful. Consider using this option in combination with other techniques listed on this page.

For help getting control over your pain condition, without or without painkillers, reach out to Dr. Cohn’s office today.

Looking At The History Of Pain Awareness Month

September 2, 2020 / Thomas Cohn, MD

September is here, and that means it is officially pain awareness month here in the United States. We’ve written about pain awareness month on the blog in the past, but today we wanted to take a closer look at how this campaign came to be and why it is so important for chronic pain sufferers, their families and their physicians.

A Brief History Of Pain Awareness Month

Pain awareness month was officially established in 2001 led by efforts from the American Chronic Pain Association. The fact that chronic pain has only been officially recognized for less than 20 years speaks to how dearly a campaign like this was needed. Many chronic pain patients suffer in silence because of the stigma of chronic pain or because of how they believe they may be perceived by others. By developing the campaign, the ACPA hoped to normalize chronic pain and help prevent these feelings of loneliness that can often accompany a chronic pain diagnosis.

Two years after the declaration of pain awareness month, the ACPA held a conference during September to further their agenda. The conference featured speakers and workshops on topics like:

Pain in the workplace
Pain and the family
When kids hurt
Women in pain/Men in pain

Media was invited to attend and further spread the work that chronic pain is something that millions of people deal with on a daily basis.

A few years later, pain kits were put together and distributed at the conference and online to help those in pain better manage their conditions. Toolkits were also provided for nurse and pharmacists, two groups who work closely with individuals in chronic pain. More than 150,000 kits were distributed by the end of 2006. By 2007, the ACPA felt that pain awareness month had officially been established, so they turned their sites on state-level changes across the US.

We’ve written about pain awareness month on the blog a few times in the past because we want to do our part to help bring attention to the problem of pain. Research for chronic pain conditions is grossly underfunded, and awareness campaigns like this can help drive funds towards new treatments and a renewed ability to understand the complexity of pain. Hopefully these campaigns are successful and we can continue to bring awareness and crucial funding to treat a variety of chronic pain conditions.

So if you are battling chronic pain or a chronic pain condition, know that you are not alone and that there are resources out there for you. We know firsthand how difficult chronic pain can be to treat, but you can get control of it if you’re willing to work with a doctor who will take the time to really listen to your concerns and uncover your root causes of pain. Dr. Cohn and his team have done that for so many people already, and he can do the same for you. For more information or to set up an appointment with his team, give them a call today at (952) 738-4580.

Pain “Catastrophizing” Can Make Chronic Pain Worse

August 26, 2020 / Thomas Cohn, MD

Chronic pain can be a cyclical battle that can be tough to break out of. Pain can leave you feeling discouraged, and this discouragement can have real world implications for your chronic pain treatment. In other words, unless you really focus on beating your chronic pain, it’s only going to get tougher to treat.

Don’t Let Pain Control Your Life

This sentiment was given credibility based on a recent study led by researchers at Penn State. For their study, researchers took a closer look at how people felt about their chronic pain condition and cross-referenced it with whether or not the were physically active later on in the day. In the study that focused on patients with knee osteoarthritis, researchers found that patients who “catastrophized” their pain (classified as feeling an exaggerated sense of helplessness or hopelessness) were less likely to be physically active later in the day. Moreover, this contributed to a domino effect of sedentary behavior followed by even more pain catastrophizing.

So while the results show that it can be hard to break free from chronic pain, it also shines a light on how we can best help patients with chronic pain conditions.

“Reducing daily pain catastrophizing may help older patients to be more active and less sedentary on a daily basis,” said Ruixue Zhaoyang, assistant research professor. “This could help improve their chronic pain condition, physical function, and overall health, and reduce the possibility of hospitalization, institutionalization, and healthcare costs in the long term.”

Nobody looks favorably on their chronic pain condition, but at the same time, if you’re constantly focusing on how the condition is negatively impacting your life, it can lead to pain catastrophizing. Researchers say patients who think that their pain is “terrible and never going away,” or those who say they “can’t stand their pain anymore” may be catastrophizing their condition and subliminally decreasing their likelihood of pursuing active treatment solutions, like exercise and physical therapy.

So if you are struggling with your chronic pain condition, really take a hard look at how you’re viewing your pain condition in your head. Are you constantly negative about your pain, and do you shy away from activity when you’re frustrated by your pain. If so, you’re not alone, and you should know that solutions are right around the corner. We can help change the way you think about your pain condition so you’re more likely to follow through on proven active treatments to help with your condition. For more information, or to learn more about how we can help treat the physical and mental aspects of chronic pain, reach out to Dr. Cohn and his team today.

How Does Chronic Pain Affect A Marriage?

August 19, 2020 / Thomas Cohn, MD

Chronic pain affects many aspects of a person’s life, but it’s not just the individual dealing with the pain condition that has to bear the burden. According to new research, chronic pain can also significantly affect the relationship between a patient and their spouse.

The study published in the European Journal of Pain decided to take a closer look at the impact chronic pain had on households, spousal relationships and marital satisfaction. As you can probably guess, chronic pain can really put some stress on a relationship.

For the study, researchers questioned 114 couples where one spouse was a chronic pain patient at a clinic in Spain. Nearly 60% of participants were female, and the average age was 55 years old. The most frequent locations for chronic pain were the lower back (79.8%), neck (46.5%) and the knee (15.8%).

What Spouses Are Saying

After being asked about their lifestyle and martial satisfaction, here’s what patients and spouses had to say about how chronic pain was impacting their life.

Spouses reported an average of just over 90 minutes of caregiving duties each day.
65.8% of patients reported an occupational change because of their chronic pain, with some going on permanent disability and others quitting without compensation.
Of 24 listed chores, patients said they performed an average of 18 before chronic pain began but were limited to an average of 12 tasks after pain.
On the flip side, spouses said on average that they took on two more chores after their spouse developed chronic pain.
52% of spouses reported a high to severe degree of burden, and roughly 1 in 4 patients and spouses reported having a troubled relationship.

There’s a lot to sort through with these findings, but the main takeaway is that chronic pain can really stress a marriage. Not only can it financially affect the relationship in the form or lost or reduced income, but it can also require the spouse to take on a much bigger caretaker role. Being both a caretaker and a spouse can be stressful and can lead to relationship dissatisfaction, but it doesn’t have to.

There are a number of ways to help mitigate the stress brought on by chronic pain, and we don’t have all the answers here because chronic pain is so unique to the individual. However, one of the best things you can do is talk about your concerns, your fears, your wishes and your goals. Speak up and communicate with your doctor, your care team and your spouse about what concerns you and what you can do to help improve your relationships.

Relationships take work, and relationships involving chronic pain can take even more work, but they are far from doomed. Work to correct your pain issues and to foster an open dialogue between you, your partner and your doctor, and we’re confident your relationship will move in the right direction. And for help with any aspect of your pain care, reach out to Dr. Cohn’s office today.

Don’t Be Ashamed Of Your Chronic Pain

July 29, 2020 / Thomas Cohn, MD

There are a lot of emotions that can develop as a result of dealing with a chronic pain condition. There’s sadness, frustration, anger and loneliness to name a few. Eventually we’ll have a blog on how to deal with all of these emotions, but today, we want to touch on another emotion that sometimes develops in chronic pain patients, and that’s shame.

Before we dive into the nuts and bolts of the blog, let us just say this – you should never be ashamed of yourself because of your chronic pain condition. It’s not uncommon for patients to feel a sense of shame, but know that these feelings don’t reflect accurately on yourself. You don’t have to be ashamed for something you can’t control, so don’t be.

Obviously that’s easier said than done, but in today’s blog, we want to dive into some of the reasons why patients may feel ashamed of their chronic pain condition, and what you can do to help free yourself from these feelings.

Avoiding The Shame Of Chronic Pain

Shame can develop for a number of different reasons for those individuals battling a chronic pain condition. They may be ashamed that they can’t do as much physical activity as others, they may be ashamed about cancelling at the last minute because of a flareup, or they may be ashamed about how others perceive them. We understand those feelings, but know that you should not feel ashamed for those reasons.

In our experience, the only reason you should feel genuine shame over your condition is if you are cheating yourself out of the best treatment outcomes. If you’re skipping physical therapy appointments because you don’t want to put in the work, or you ignore your doctor’s instructions, then we understand why you might feel ashamed. The good news about this type of shame is that it starts and ends with you. You control your commitment to your treatment plan, so all you have to do to rid yourself of these feelings is dive head first into your doctor’s recommendations.

But how can you rid yourself of the other reasons for the feelings of shame? Those reasons you can’t control, like missing a movie night because of a flare up or the fear of being viewed as someone with a low pain tolerance by your friends? To do this, we need to begin by changing our mindset. Instead of focusing on how we think others are thinking of us, we need to turn are attention inwards. Because if you are satisfied with what you are doing to control your pain, you’ll often notice these feelings of shame will disappear.

So how can we self reflect on our handling of chronic pain to reduce these feelings of shame? Again, it goes back to what we said above about controlling what you can control. You need to realize what is out of your control, what you can control, and how to manage the controllable aspects of your life. You can’t control whether or not you’re going to have a good day or a bad day, but you can increase your likelihood of having more good days than bad by doing your therapy exercises, increasing your understanding of your condition, reaching out to your doctor if you have questions or concerns, setting attainable goals and recognizing achievements, no matter how small. These controllable aspects add up, and when you make positive strides in all these areas, you’ll find that you are doing everything you can to regain control of your physical health, and once you’ve achieved that, there’s nothing to be ashamed of.

So it doesn’t matter what your mother in law or your coworkers think. If you can say “yes, I’m doing everything I can to take control over my chronic pain condition,” even if it’s not working the way you hoped, you have absolutely nothing to be ashamed of. In fact, you should be proud. It takes a lot of guts to fight back against a chronic pain condition, so you should be commended, not shamed.

If you’re still finding it difficult to deal with some of the feelings associated with your chronic pain condition, let us help you take back control and develop a care plan that suits your needs. For more information, reach out to Dr. Cohn’s office today.