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Chronic Pain? Don’t Make a Meal Out of It
I chat with and hear from many other people who live with chronic pain. Like any other jolt in life, we each react differently when we’re shaken up, according to our attitude, our families and our physicians. I am constantly amazed by the reactions, the sorrows and the amazing joys in my own life and in others. These vessels, these bodies we walk around in are fragile and destined for extinction. Once we accept that fact, it makes the whole process of suffering chronic daily pain so much simpler to deal with. The suffering is not going to last forever; neither are the joys, the opportunities and experiences. There is a...
Source: Life with Chronic Pain - February 1, 2013 Category: Other Conditions Authors: admin Tags: Uncategorized emotional health and pain survivng chronic pain Source Type: blogs

Central pain.
Authors: Singh S Abstract Questions from patients about pain conditions and analgesic pharmacotherapy and responses from authors are presented to help educate patients and make them more effective self-advocates. The topic addressed in this issue is central pain, a neuropathic pain syndrome caused by a lesion in the brain or spinal cord that sensitizes one's perception of pain. It is a debilitating condition caused by various diseases such as multiple sclerosis, strokes, spinal cord injuries, or brain tumors. Varied symptoms and the use of pharmacological medicines and nonpharmacological therapies will be addressed...
Source: Journal of Pain and Palliative Care Pharmacotherapy - November 20, 2015 Category: Palliative Care Tags: J Pain Palliat Care Pharmacother Source Type: research

I don't feel your pain - Ideas - The Boston Globe
IF YOU STOPPED the average person in an emergency room and asked why she's there—not just her guess at the problem, but what really motivated her to show up—the number one answer would be "pain." For all that modern medicine has learned about disease and treatment, it's alleviating pain that still lies at the heart of the profession. And in recent years, the notion of treating "pain" as its own entity has been rising to the forefront in medicine. Pain management now has its own journals, conferences, clinics, and specialists, and pain relief is sometimes referred to as a human right. The In...
Source: Psychology of Pain - June 18, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

When the hurting won't stop: How chronic physical pain drove a Calgary teen to take his life
CALGARY – Dominic Boivin's black and brown paisley school backpack sits empty in a corner of his bedroom, near the computer chair where the Calgary teen used to play his Xbox.It's the same backpack his parents watched a police officer carry up their driveway one night last June. Behind the police officer, Dominic's body lay in a medical examiner's van. A citywide search for him was over.On June 6, 2012, Dominic "the Dominator" Boivin — a once-gifted soccer player and honour student with a lopsided grin and a gentle soul — took his life after four years of struggling against constant, mysterious, body-wide pain.At its...
Source: Psychology of Pain - March 21, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Pain Medicine News - American Pain Society President: Budget Cuts Not Only Reason for Underfunded Pain Research
New Orleans—Pain research in the United States is severely underfunded, despite the fact that chronic pain costs the economy more than $600 billion annually in medical expenses and lost productivity. Although the 5% cut to the National Institutes of Health (NIH) budget across the board is partly to blame, it is not the only contributing factor, according to Roger B. Fillingim, PhD, professor, College of Dentistry, University of Florida, Gainesville, and director of the university's Pain Research and Intervention Center of Excellence. Dr. Fillingim, who also is president of the American Pain Society (APS), spoke with ...
Source: Psychology of Pain - October 31, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

What is our goal in pain management?
One of the cool things about having worked in chronic pain management since the mid-1980’s is that I’ve seen a few things come and a few things go.  Some things remain, of course, and the things that seem most long-lived are debates about pain reduction vs living with pain. On one hand, there’s an enormous industry set up to help people reduce their pain experience through pharmacology, injection procedures, surgery, hands-on therapy, movement practice, and novel approaches like brain stimulation and even mirror therapy. On the other hand, there’s a smaller but equally well-established industry est...
Source: HealthSkills Weblog - June 19, 2016 Category: Anesthesiology Authors: adiemusfree Tags: ACT - Acceptance & Commitment Therapy Chronic pain Clinical reasoning Coping Skills Coping strategies Pain conditions Professional topics Research Resilience/Health pain management Therapeutic approaches treatment values Source Type: blogs

Pain model – helping to target change
In my recent post on behavioural approaches to pain management, I had a number of commentators ask why do it, why not focus on pain intensity, and aren’t I invalidating a person’s experience if I target a person’s response to their experience. Today’s post will explore some of these points. I suppose my first point needs to distinguish between pain as an experience, and pain behaviour – or what we do when we experience pain. I like to use a pretty old “model” or diagram to help untangle these concepts. It’s drawn from Loeser’s “Onion ring” model, and he w...
Source: HealthSkills Weblog - February 28, 2021 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Clinical reasoning Coping strategies Pain Pain conditions Therapeutic approaches models pain models Source Type: blogs

How Morphine Can Increase Pain - Medical News Today
For individuals with agonizing pain, it is a cruel blow when the gold-standard medication actually causes more pain. Adults and children whose pain gets worse when treated with morphine may be closer to a solution, based on research published in the on-line edition of Nature Neuroscience. "Our research identifies a molecular pathway by which morphine can increase pain, and suggests potential new ways to make morphine effective for more patients," says senior author Dr. Yves De Koninck, Professor at Université Laval in Quebec City. The team included researchers from The Hospital for Sick Children (SickKids) in To...
Source: Psychology of Pain - January 20, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

How Does Acute Pain Become Chronic? | NIH Director's Blog
Chronic pain is a major medical problem, affecting as many as 100 million Americans, robbing them of a full sense of well-being, disrupting their ability to work and earn a living, and causing untold suffering for the patient and family. This condition costs the country an estimated $560-635 billion annually—a staggering economic burden [1]. Worst of all, chronic pain is often resistant to treatment. NIH launched the Grand Challenge on Chronic Pain [2] to investigate how acute pain (which is part of daily experience) evolves into a chronic condition and what biological factors contribute to this transition.But you m...
Source: Psychology of Pain - September 26, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

New Wrinkle for Old Drug It’s not just for smoothing laugh lines. Botulinum toxin may have the potential to ease OA pain.| Arthritis Today Magazine
Widely used by doctors to soften forehead wrinkles and reduce uncontrollably sweaty armpits, researchers now are exploring botulinum toxin as a potential therapy for osteoarthritis (OA) pain. Although botulinum toxin (Botox, Dysport, Myobloc) has been studied since the 1950s, recent studies on its use in osteoarthritis pain suggest it could be a new analgesic option for a group of patients that's been hard to treat. "The Botox story is very intriguing," says David Felson, MD, professor of medicine and epidemiology at Boston University. "It isn't just muscles. It can paralyze nerves. Just like celeb...
Source: Psychology of Pain - October 30, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Pain Management in the 21st Century
View the Podcast here. Chronic pain affects nearly 90 million Americans. It usually begins with a sports injury, car accident or health condition like migraines, diabetes, arthritis and cancer.  Chronic pain is different from the acute pain of stubbing your toe and often feels like burning, shooting, or shocking sensations.  The good news is that today’s pain specialists have sophisticated new treatments — from medications to advanced technologies — to provide chronic pain relief.    Chronic pain can be classified as nociceptive or neuropathic pain.  In some cases (nociceptive pain) the body’s ner...
Source: Dr. Donna, MedicineWoman - March 10, 2009 Category: Medical Scientists Authors: Dr. Donna Tags: Cancer Integrative medicine Personal Health accupuncture arthritis diabetic neuropathy management massage migraine pain PENS treatment Source Type: blogs

Early scans for back pain add cost but offer little benefit for seniors
Older adults with new back pain usually end up getting a CT scan or MRI. That’s often a waste of time and money and has little or no effect on the outcome, according to a new study from the University of Washington. The results contradict current guidelines from the American College of Radiology. The guidelines say that it’s “appropriate” for doctors to order early MRIs for people ages 70 and older with new-onset back pain, and many doctors do just that. The study followed more than 5,200 men and women over the age of 65 who saw a primary care physician for a new bout of back pain. More than 1,500 o...
Source: New Harvard Health Information - March 20, 2015 Category: Consumer Health News Authors: Howard LeWine, M.D. Tags: Back Pain Source Type: news

More opioids, more pain: Fueling the fire
For more than a century, clinicians have noticed a paradoxical phenomenon: certain patients who are taking opioids (which are supposed to numb pain) become more sensitive to pain than those who are not taking opioids. The earliest observation of this phenomenon can be traced back to the British physician Sir Clifford Allbutt, who, in 1870, described it: “at such times I have certainly felt it a great responsibility to say that pain, which I know is an evil, is less injurious than morphia, which may be an evil. Does morphia tend to encourage the very pain it pretends to relieve?” Research studies and clinical observatio...
Source: Harvard Health Blog - July 8, 2019 Category: Consumer Health News Authors: Shafik Boyaji, MD Tags: Pain Management Source Type: blogs

Interview: Col. Kevin Galloway, U.S. Army Pain Management Task Force | Defense Media Network
Pain. It's a four-letter word with powerful implications for those suffering from long-term, chronic medical conditions. Today the single most common reason patients seek medical care in the United States is for treatment for pain.Pain for military personnel has its own unique set of issues, including the reality that their duties are much more likely to cause injury than the jobs of their civilian counterparts. The realities of military life in the early 21st century have only highlighted that fact. Along with the dangers of being wounded or killed on the battlefields of the world since 9/11, there are the physical conseq...
Source: Psychology of Pain - January 16, 2013 Category: Psychiatrists and Psychologists Source Type: blogs