pain

When Your Pain Concerns Are Being Ignored By Your Doctor

/ Thomas Cohn, MD

doctor listeningAs we’ve talked about on the blog numerous times in the past, chronic pain can be an extremely frustrating condition, and that frustration only ratchets up another level when you feel like your needs are not being met by your pain care provider. The one person who should have your back during your battle with chronic pain is your doctor, so what should you do if you feel like you’re not being heard or your needs aren’t being met? We share some tips on what you should do in this situation.

When You’re Not Being Heard By Your Pain Specialist

If you feel like your concerns simply aren’t being met by your pain care provider, take a deep breath and follow some of this advice.

1. Let Your Doctor Know – First and foremost, you’ll want to have a conversation with your doctor. There’s a very good chance that you and your doctor have different expectations or goals for your pain care, and oftentimes you can get on the same page with a simple conversation. When communicating with your doctor, be specific. Give examples of situations where you felt like you weren’t being heard or your needs weren’t met. We want this communication to be conversational, meaning that you want to talk and you also want to listen to what the other side has to say. You’d be amazed at how often care problems can be resolved with a constructive conversation.

2. Self-Evaluate – It’s also important that you take time to reflect on yourself and your situation to make sure that your frustrations are valid and directed in the right place. As we mentioned above, chronic pain can be extremely frustrating, and it’s not uncommon for patients to take that frustration out on their provider, despite the fact that their doctor is doing everything in their power to help them manage their condition. We’re not saying that your concerns aren’t valid, but self-evaluation is important in all walks of life, and it would be a shame for misplaced frustration to cause a rift between you and your care provider.

3. Ask For An Explanation – One thing many providers are guilty of is not deeply explaining the “why” behind their treatment recommendations. Whether it’s because they assume the patient has a better understanding of their condition and treatment than they do, or they simply focus on the end result and not the method itself, it’s easy for doctors to overlook important aspects of your care. Perhaps you feel like your concerns aren’t being met because you don’t understand why they are recommending the treatment they are, so please ask for clarification. We’d be more than happy to explain exactly why we believe our recommended treatment course is right for your specific situation.

4. Don’t Dwell On One Specific Instance – If you’re working to overcome a chronic pain condition, odds are you’ve visited your provider on a number of occasions. Many of those visits probably went fine, but it can be easy to really focus on one negative experience. Try not to let one bad interaction sour your experience with your doctor. We all have bad days and are juggling personal and professionally responsibilities, and we’d all like a do-over from time to time. Try to grant your provider some grace, but if the behavior becomes a pattern, move on to the last tip.

5. Find A New Provider – Finally, if you’ve tried all of the above and still feel like your doctor isn’t the right provider for you, it’s time to look elsewhere for care. We know that switching providers can be a headache, but it will be worth it to connect with a professional who truly puts your needs first. We’d love to be that provider for you, so if you want to connect with a doctor who will make sure your concerns are always heard, reach out to Dr. Cohn and his team today at (952) 738-4580.

Why Early Treatment Is Important For Chronic Pain Patients

/ Thomas Cohn, MD

pain treatingEarly intervention is key for almost all medical conditions, but it’s even more important for certain issues. While cancer may be the most obvious condition that benefits from early treatment, so too does chronic pain. In today’s blog, we explain why early treatment can be so beneficial for patients dealing with chronic pain.

Chronic Pain And Early Intervention

If you’re dealing with chronic pain, don’t just grit your teeth and hope that the condition gets better on its own. Instead, connect with a pain specialist like Dr. Cohn sooner rather than later. Here’s why it’s so important to treat your chronic condition in its infancy.

It Oftentimes Gets Worse – Your pain condition may not be all that uncomfortable at the outset, and you may think that it’s not bothersome enough to warrant professional attention. The problem is that continuing to do the same things that led to its onset in the first place means that the condition will likely only continue to get worse. Mild discomfort will become moderate pain and moderate pain can eventually become severe and debilitating. Stop small problems before they snowball.

Easier To Treat At The Outset – Chronic pain treatment also tends to be more effective when it’s in its infancy. Smaller problems are easier to treat than severe conditions, so by putting off treatment, you’re also decreasing the likelihood that you’ll experience complete pain relief.

It Takes A Toll – Chronic pain takes a significant toll on your physical, mental and emotional health, and it can have negative consequences for all of these aspects if left untreated for long enough. Chronic pain conditions have been linked to an increased risk of mood disorders and mental health issues like anxiety or depression, so the longer you put off treatment, the greater your risk of related health problems.

Treatment Is Easier Than You Think – One thing we oftentimes hear from patients is that treatment was easier than they imagined and they wish they would have sought us out sooner. That’s not saying that treating your pain will be as simple as taking a pill once a day, but you may find major improvements to your condition and overall health by doing some simple things like tweaking your diet and doing 15 minutes of physical therapy exercises each day.

If you’re ready to take the first step in treating your chronic pain condition, don’t wait any longer. Pick up the phone and give Dr. Cohn and his team a call today at (952) 738-4580.

Tips For Managing Chronic Pain At The Lake

/ Thomas Cohn, MD

lake chronic painThe 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.

Brain Implants Are Helping To Decode Chronic Pain

/ Thomas Cohn, MD

brainChronic pain is one of the most common reasons why people visit a doctor’s office, but because of the highly individualized nature of chronic pain, figuring out a diagnosis and effective treatment plan isn’t always easy. It’s tough to really get inside the brain of a person who is battling a chronic pain condition, but that’s exactly what researchers tried to do with this most recent study.

To get a better understanding of chronic pain pathways, researchers implanted electrodes into the brains of four volunteers who were experiencing pain following an amputation (known as phantom limb pain). The participants went about their day as normal while the implants recorded activity in two specific brain regions where researchers believe pain responses occur – the anterior cingulate cortex and the orbitofrontal cortex. Patients were also asked to rate their pain levels on a standard scale several times a day over the course of six months, and when they would do this, they would also press a button that would cause the implants to record their brain signals for 30 seconds.

The captured information was then fed through a machine learning model that could find patterns in the data and predict each patient’s pain level based on the signals in their brain.

“From these models, we found that [electrical waves with] low frequencies in the orbitofrontal cortex corresponded with each of the patients’ subjective pain intensities, providing an objective measure of chronic pain,” said Prasad Shirvalker, a neurologist at the University of California, San Francisco and a co-author of the study, writes in the Conversation. “The larger the shift in low-frequency activity we measured, the more likely the patient was experiencing intense pain.”

Chronic Pain Brain Signals

Shirvalker went on to say that pain is highly individualized, but eventually they hope to decode unique pain signals to come up with patient-specific treatment plans.

“This is the first time ever chronic pain has been measured in the real world,” Shirvalkar tells the New York Times’ Priyanka Runwal. “Every patient actually had a different fingerprint for their pain.”

Researchers also wanted to better understand how the brain responded to painful stimuli, so they applied heat to each patient’s body to see how their brains reacted. They found that acute pain led to a more involved response from the anterior cingulate cortex. Because chronic pain involved a greater reaction from the orbitofrontal cortex, researchers say it’s the first time that there is direct evidence that chronic pain and acute pain involve different areas of the brain.

The data is extremely limited and was only collected on individuals who underwent amputation, but it is a step in the right direction for better understanding chronic pain and how our brains respond to these stimuli. Hopefully future research can continue to build on these findings and focus on more discoveries around the orbitofrontal cortex and its response to pain. The more we learn about how our brains react to chronic pain, the easier it will be to come up with targeted treatments.

In the meantime, if you need a more traditional approach to diagnosing and treating your chronic pain, reach out to Dr. Cohn and his team today at (952) 738-4580

Could Music Emerge As A Viable Chronic Pain Treatment?

/ Thomas Cohn, MD

pain musicA recent study suggests that listening to music could be a complementary alternative to medication for treating some forms of chronic pain. And while throwing on a pair of headphones is unlikely to fully resolve your chronic pain, it does give hope that alternative treatments could prove beneficial when opioids aren’t yielding the necessary results.

The study was very small in nature, so we can’t assume the results will be reproduced in a larger population. In fact, the research was actually a case study involving only one person – a woman who had been living with a chronic pain condition for over 20 years. She had tried different opioid regimens but they had not produced the results she had hoped for.

In the study, the woman listened to music in a number of different aspects of her life. The study wanted to explore her experience of the context in which she listened to music, the intensity and quality of pain, body mapping, memories, emotions and more. She listened to music to aid in pain and anxiety relief, to provide motivation for exercise and to improve her sleep, all with the singular focus of helping manage her pain condition. At the same time, she discontinued her opioid regimen.

Study Results

After tracking the individual for an extended period, researchers noted that she was responding positively to the music therapy. Researchers found:

  • Listening to music not only provided some pain relief, but it also helped to reduce withdrawal effects after discontinuing her opioid-based treatment.
  • The instrumental properties and the frequency with which music is used may influence the effectiveness of music-induced analgesia.
  • The woman showed improvements in physiological and cognitive aspects, including perceived restorative sleep, which may have influenced her overall well-being and cognitive performance.
  • The participant’s communications skills were also enhanced, helping her better understand her pain and destigmatize her condition.

Researchers concluded the case study by saying that music could be a powerful tool in helping manage chronic pain. Their findings suggest that music-induced analgesia involves complex cognitive and emotional mechanics, which may impact the descending pain pathway. They noted that while music therapy may not be right for everyone, music-induced analgesia may be a viable option for some individuals with chronic pain. They hope that future studies will continue to build on the idea that music could help to influence the brain and help reframe our perception of pain.

We already know that the right song can influence our mood and change our mindset, so it should come as no surprise that music could have an impact on our perception of pain. While we still stand behind more research-backed techniques like exercise and physical therapy, it may not be a bad idea to put your favorite song on the radio the next time you’re dealing with a pain flareup.

For help with your pain condition, or to talk to a specialist about your chronic pain issue, reach out to Dr. Cohn today at (952) 738-4580.