Emotions and Chronic Pain

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2 Mar

Chronic Pain, Pain Relief, Pain Management, Nerve Pain Treatment, Peripheral Neuropathy, Carolina Pain Scrambler, Greenville South Carolina

Emotions and Chronic Pain

Living with chronic pain can cause resentment, frustration and anger. These emotions can be directed toward health care professionals, friends, family members, co-workers or even the individual who suffers from chronic pain. Anger is the one of the most prominent emotions when dealing with a chronic pain condition. Although anger is a natural emotion, too much anger can interfere with pain management.

Uncontrolled anger can increase pain levels, affect physical functioning, disrupt sleep patterns, interfere with social connections, and lead to a loss of emotional support. Anger has also been linked to increased inflammation and muscle tension. Learning how to effectively deal with anger does not mean giving in to the pain. Emotional awareness is the first step in processing anger.

Honest, open communication with friends, family, and health care professionals about chronic pain-related anger is extremely important due to the impact anger can have on others. Becoming mindful of anger provides the opportunity to reframe thoughts and find alternative ways to respond.

Article Provided By: PainScale

If you would like to discuss what Carolina Pain Scrambler do to help relieve your chronic pain symptoms or receive more information on our treatment process, please do not hesitate to call us at 864-520-5011 or you can email us at info@carolinapainscrambler.com

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26 Feb

Peripheral Neuropathy, Pain Relief, Nerve Pain Treatment, Diabetic Peripheral Neuropathy, Chronic Pain, Pain Management, Pain Therapy, Carolina Pain Scrambler, Greenville South Carolina

Facts About Neuropathy Symptoms

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Neuropathy occurs when there is a problem with the peripheral nerves, which are responsible for transporting signals from the central nervous system to the rest of the body. Symptoms may vary depending on what nerve is affected. Here are some common symptoms.

1. Numbness or tingling

Body numbing or tingling may occur when there is neuropathy or pain in a localized area of the body. It occurs when nerves that carry sensation messages (touch, pain, temperature) do not perform correctly.

2. Localized pain

Localized pain is caused when there are sharp or shooting pains that occur randomly in the body (especially in the legs). It may even occur from something as simple as a light touch.

3. Imbalance

People with peripheral neuropathy may lose their balance. It occurs when tissues in the body deploy receptors called proprioceptors to respond to stimuli. Loss of balance happens when these receptors become affected by neuropathy.

4. Abnormal walking gait

Neuropathy pain may cause people to develop an abnormal gait due to the dysfunction of the motor or sensory nerves. Symptoms may include dragging feet, a stooping walk or a lopsided shuffle when walking.

5. Muscle cramping

Peripheral neuropathy may cause dysfunction to motor nerves, which results in muscle cramps even with the slightest exertion, such as during daily activities.

6. Muscle weakness

Muscle weakness may occur along with muscle cramping. It occurs when patients have a hard time performing small movements that require precision, such as buttoning a shirt or picking up an object.

7. Gastrointestinal disorders

Digestive disorders may occur when neuropathy affects the autonomic nerves in the body, which control involuntary actions. Symptoms may include bloating, flatulence, constipation, and heartburn.

8. Low blood pressure

Autonomic nerves also control blood pressure. When neuropathy occurs, it may cause the affected person to develop hypertension. Symptoms may include blurred vision, fainting, dizziness, heart palpations, and fatigue.

9. Bell’s Palsy

In some cases of neuropathy, a very specific nerve may be affected. Bell’s Palsy may occur when the nerves that control the facial muscles are affected. Symptoms may include mild muscle weakness with loss of movement in the face that varies depending on the progression of the disease.

10. Miscellaneous symptoms

Other symptoms of neuropathy may include eye pain, sweating, heat intolerance, loss of bladder and bowel control, double vision, difficulty concentrating, and weakness in the fingers.

Article Provided By: PainScale

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24 Feb

Chronic Pain, Pain Relief, Pain Management, Pain Treatment, Peripheral Neuropathy, Back Pain, Carolina Pain Scrambler, Greenville South Carolina

Why You Can’t ‘Fix’ Your Pain

Being a positive person is obviously a good quality to have, but sometimes an overly optimistic attitude or misguided belief about what’s possible can actually get in the way of healing. One example of this is the notion that there is a cure or fix for everything that hurts.

Quite understandably, many patients go to their doctors with the goal of getting fixed. They want to find out what the problem is, get it fixed, make the pain go away, and then move on with their lives. But humans are not machines – you can’t just replace or repair a broken part and then everything runs as good as new. The pain you experience is often the product of many interconnecting factors and not just one simple cause. Human beings simply don’t come with an easy-to-read owner’s manual.

Back pain is a prime example. Back pain or sciatica may indeed start with a trigger, like a herniated disc or a lifting injury. But a single targeted tissue injury can quickly lead to a train of events that include back muscles tightening up, joints stiffening, and nerves to malfunction. As this happens, the back gets harder to move, the legs get weaker, and it becomes increasingly difficult to sleep, get comfortable, or go to work. If this situation continues, then a person can easily become anxious, depressed, withdraw from friends and family, and feel the pinch of lost income.

Expecting that all of these complex and interconnected problems will get solved simply by undergoing back surgery to “fix” something structural can turn out to be a recipe for disaster. Recovering from an extensive back surgery like a fusion can mean months or years of recovery without a guarantee of substantial and lasting pain relief. Regardless of the treatments you choose, it helps to adopt the mindset of healing from what hurts as opposed to focusing on a quick fix or cure. Muscle imbalances, inflamed joints, herniated discs, and injured nerves can all go through a recovery process, and the more time and attention you put into that, the better the outcome.

And it’s not just the body that needs to heal. The psyche and soul of the person in pain need a path to ease uncomfortable mood changes and provide relief from overwhelming stress. Continuous pain can trigger a “flight or fight” response, which leads to changes in the nervous system, endocrine system, and immune system that keep us constantly on edge and in panic mode. One surgery or treatment won’t necessarily restore emotional balance and make all of this disappear.

Healing can also mean acceptance of what is, with all of its imperfections. For instance, a natural part of how the body heals is to lay down scar tissue. A broken bone or torn tendon can heal, but it won’t look exactly the way it did before the injury. We can’t go back in time and look, move or feel exactly the way we did years ago, so it’s better to focus our time and energy on making today the best it can be. Acceptance is not giving up, but rather reaching an understanding of how we can be the best version of ourselves after all that we have gone through.

Both the human body and the human spirit are designed to heal, repair, and restore itself when injured. Shifting from a “fix it” mindset to one focused on healing can open up new doors toward better pain management and well-being.

Article Provided By: WebMD

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19 Feb

Beating Insomnia with Chronic Pain

Approximately two-thirds of people with chronic pain also suffer from insomnia. It takes a multidisciplinary approach to with different medical specialists to treat both pain and insomnia. For example, certain pain medications can improve sleep while others disturb it. The first step to improving insomnia is to understand its cause.

For some people with chronic pain, insomnia may be caused by an inadequate bedtime routine. This may include using electronic devices such as computers, smartphones, and TVs to help individuals fall asleep, which only make it harder to fall asleep and stay asleep. Ensuring a quiet environment and turning off all electrical devices two hours before bedtime can help improve the quality of sleep.

Because pain intensifies at night, it can become impossible to sleep. Some individuals may benefit from using cognitive behavioral therapy (CBT) to help them fall asleep at night. This includes a variety of methods to improve sleep and change negative thoughts to positive ones that promote sleep. Cognitive behavioral therapy is preferred over medications as it does not contain side effects that may be counterproductive to sleep.

The long-term goal of cognitive behavioral therapy is to help individuals control negative thoughts that keep them awake at night. Relaxation training is also helpful for individuals to reduce muscle tension and distract them from thoughts of pain. Techniques include guided imagery, progressive muscle relaxation, meditation, and deep breathing muscle relaxation exercises. Individuals are encouraged to participate in three to eight sessions with a trained behavioral therapist to become familiar with this form of treatment.

Along with reconstructive behavioral therapy and relaxation techniques, individuals can follow these tips to create healthy sleep habits:

Do not use the bed for anything except sleeping. Avoid watching TV or reading books in bed as this will help the body and brain know that it’s time for sleep when your head hits the pillow.

Only go to bed when tired. If you are unable to fall asleep within 20 minutes, get up and go to another room. Return to bed when you are tired.

Wake up at the same time every day and go to sleep at the same time every night. Aim for seven to eight hours of sleep at night.

Avoid napping during the day.

Exercise early in the day and do not exercise close to bedtime.

Avoid excessive caffeine and alcohol intake.

Article Provided By: PainScale

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17 Feb

Chronic Pain, Pain Relief, Pain Treatment, Pain Management, Peripheral Neuropathy, Pain Therapy, Carolina Pain Scrambler, Greenville South Carolina

Accepting a Chronic Pain Diagnosis

Receiving a diagnosis of chronic pain can be devastating; yet a clear diagnosis can also bring peace of mind to those who have internally questioned why they are in pain. As with any chronic health condition, chronic pain requires individuals to actively make changes in their lives to reduce the severity of the condition. This usually involves a combination of medical treatments, lifestyle changes and psychological help.

After receiving a chronic pain diagnosis, individuals often go through stages of emotions similar to the Kübler-Ross model of grief. They are grieving life as they once knew it. Emotions that may be experienced include, but are not limited to, the following:

Shock and denial
In the beginning, individuals in chronic pain may resist going to needed doctor’s appointments because it may be difficult to face the truth. Even after a diagnosis, individuals may be in shock or denial and not agree with the diagnosis or treatment plan(s).
Anger
After the initial phase of denial, anger usually arises. Not only can the experience of pain cause angry feelings, but receiving a diagnosis of chronic pain can lead to frustration and irritation. Individuals may ponder, “Why me?” or “How could this have happened?”
Bargaining, fear and anxiety
Individuals with chronic pain may experience fear about the future. “What if” thoughts often creep into the psyche. Struggling to find the “meaning of life” after a chronic pain diagnosis is common.
Depression
Thirty to fifty percent of individuals with chronic pain also deal with depression. Chronic pain can cause depression, and depression can increase chronic pain; it is often a vicious cycle.
Acceptance and hope
While most individuals with chronic pain eventually gain acceptance of their condition, some individuals never reach this stage as they are stuck in anger, fear or depression. Accepting a chronic pain diagnosis does not mean giving into it. An individual may experience pain for the rest of their life, but they can always control their reaction to it with treatment(s) and lifestyle changes. Acceptance takes time. Adjusting to a major lifestyle change is a process. Psychotherapy, group therapy or simply family support are all important factors in finding acceptance of and hope for a chronic pain diagnosis. Anti-depressant medications are available for those diagnosed with clinical depression.

These emotional stages do not follow a strict schedule nor are they always sequential. People with chronic pain may experience many emotions at once or their emotions may fluctuate among the stages.

Individuals with chronic pain experience a plethora of emotions in relation to their chronic pain: anger, frustration, anxiety, depression, etc. These are common emotional reactions; however, when they affect daily living, they should be shared with a health care provider. Talking with a trusted family member, seeing a mental health counselor or joining a support group can help an individual properly deal with the emotional aspects of chronic pain.

Article Provided By: PainScale

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12 Feb

Understanding People With Chronic Pain

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What is chronic pain?

Chronic pain is pain that lasts beyond six months despite the treatment of the underlying injury or condition, if one exists. Differing from acute pain that tends to result from a specific injury, chronic pain does not always have an identifiable source. The lack of reprieve from pain can be exasperating and exhausting.

Frequently, someone who has never experienced chronic pain has difficulty understanding the complexity of it. When an individual has a family member or friend with chronic pain, they often do not know how best to support them.

Some suggestions on how to support a spouse, friend, or relative with chronic pain include the following:

Learn about pain and symptoms

Similar to most medical conditions, every person with chronic pain has a unique, individual experience. People that live with chronic pain do not always show any visible symptoms, so it is helpful to ask them about their condition and daily life with chronic pain. One of the best things to do to provide support is merely to listen to their answers. Some questions to ask include the following:

Where is the pain?
When did the pain start?
Is there is a coexisting condition, such as depression, inflammatory bowel disease, peripheral neuropathy, sciatica, endometriosis, chronic fatigue syndrome, etc.?
How does chronic pain affect daily life?
What things help?
What things hurt?

Demonstrate good listening skills by paying close attention and making an effort to understand.

Understand the pain scale

The pain scale is a tool that is used to measure and describe the intensity of the pain an individual feels at any given moment. Values from 1 to 10 are used to describe the level of pain. A rating of 1 indicates “free of pain and feeling wonderful”; whereas, a rating of 10 indicates the “most horrible pain ever experienced.” Once familiar with the pain scale, asking the person with chronic pain what their pain level number is at a particular time helps to better understand and support them.

Look for signs of pain

Although it can be challenging to determine if and when a person is in pain, some symptoms are indicative of high pain levels. These symptoms include decreased activity, teeth grinding, poor concentration, sleep disturbances, mood swings, moaning, hand wringing, irritability, restlessness and grimacing.

Show empathy

Understanding more about a loved one’s chronic pain and what they face on a daily basis helps develop empathy. Being empathetic means making an effort to understand the behaviors and feelings of another person by looking at the world through their perspective. Part of empathy includes respecting the effort level of the person with chronic pain. While they are coping with chronic pain, they are simultaneously trying to look normal and sound upbeat and happy as frequently as possible. Although they may not be as active as they once were, they live their lives to the best of their ability.

Respect physical limitations

It is impossible for another person to determine how well a person with chronic pain can move or what their optimal activity level is at any given time. While it is sometimes possible to read it on their face or in their body language, this is not always the case. It is important to respect their physical capabilities. When the person in chronic pain says that they need to lie down, sit down or take medication immediately, listen to them without judgement. This may mean that they are experiencing a sudden bout of pain and cannot continue with the current activity. Also, understand that just because the individual with chronic pain can do a physical activity, such as walking, on a particular day, this does not mean they can do the same activity on other days. Patience and respect is key. If the person with chronic pain is moving slowly or cancels a previous commitment on short notice, do not take it personally.

Provide support

Always be supportive and include the individual with chronic pain in daily life whether they are mobile or not. Sometimes, a loved one may need assistance with dressing, bathing, getting to the doctor, or grocery shopping. Offering support on a regular basis provides them with a sense of normalcy. Continue to invite the individual in chronic pain to social engagements despite the fact that they may have to cancel at the last minute. Just because a person cannot always join in certain activities or has recently cancelled plans, does not mean that you should stop asking them to join you. Chronic pain is isolating enough.

Be aware of depression symptoms

Because changes in chronic pain levels are unpredictable, chronic pain is often exasperating not only physically, but mentally as well. Chronic pain is often accompanied by secondary depression. Depression can lead to the individual hiding their pain, masking their emotions, and isolating themselves. Be sure to discuss any depression symptoms you notice with the person in chronic pain and offer them love, support and understanding. Also, make sure to advise them to discuss any depression symptoms with a health care provider.

Article Provided By: PainScale

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10 Feb

Chronic Pain, Pain Relief, Peripheral Neuropathy, Pain Management, Pain Treatment, Nerve Pain Treatment, Carolina Pain Scrambler, Greenville South Carolina

Neuropathy and Chronic Back Pain

As many as 10 percent of the world’s population currently have neuropathic pain. Chronic neuropathic pain, sometimes referred to as peripheral neuropathy or peripheral neuritis, is caused by nerve damage.

How Does Neuropathic Pain Develop?

Neuropathic pain differs from other kinds of pain. For example, when a person breaks a bone, the nerves located at the site of the break carry pain signals to the brain. But with neuropathic pain, the damage is contained in the nerves themselves.

In most cases, neuropathy is caused when a dysfunction occurs in the way nerves respond to trauma or injury. The nerves become hypersensitive and send false pain signals to the brain when the original injury or trauma has actually healed. Most injuries begin in the peripheral or central nervous system.

Back Pain May Result In Neuropathy

Any type of condition or injury that compresses a nerve can lead to neuropathy. A herniated disc is a good example of a back injury that can result in neuropathy. Other forms of neuropathic pain that originate in the spine or back include the following:

Sciatica or chronic pain that radiates down the leg
Cervical radiculopathy or chronic pain that runs down the arm
Failed back surgery or any pain that occurs after surgery and persists

Other forms of neuropathy may be caused by complex regional pain syndrome, diabetes, injections, injury, disease, substance abuse or exposure to toxins. However, the cause of neuropathy is not always apparent.

Early Treatment Is Critical

Treatment of neuropathy in its early stages offers the best opportunity for successful treatment. Exposure to chronic pain may cause the central nervous system to become hypersensitive over time. In rare cases, this can lead to central sensitization, when even the slightest touch causes pain.

Neuropathy may also lead to other health problems, such as mobility issues, sleep difficulties, anxiety, depression and social isolation.

Article Provided By: PainScale

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5 Feb

Chronic Pain, Pain Relief, Peripheral Neuropathy, Pain Management, Pain Therapy, Carolina Pain Scrambler, Greenville South Carolina

Chronic Pain and Exercise

Chronic or persistent pain occurs when pain remains even when the injury that caused the pain in the first place has healed. Although tissue damage causes acute pain, chronic pain has less to do with tissue damage and more to do with the sensitivity of the nervous system. Research shows that exercise may be able to treat chronic pain effectively.

For a person with chronic pain, exercise might be the last thing on their mind. Chronic pain patients are at an increased risk of becoming less able to perform daily activities due to inactivity, such as walking, keeping up with household work, and even personal care. Exercise can be a primary form of treatment that gives control back to a chronic pain patient’s daily life.

Several studies show that exercise prevents deconditioning, which may cause pain to become worse over time. Deconditioning causes muscles to become weaker and makes it harder for the patient to move around without pain. Remember that exercise can be a form of medicine and should be treated as such. Daily exercise is just as important as taking daily medications.

When exercising with chronic pain, be sure to warm up properly to avoid an injury. Perform stretches at the end of your training session, not at the beginning as your muscles will be cold. Do short bursts of exercise at first and then gradually increase the amount of time you spend exercising. Start slowly and use the 0-10 scale to monitor your pain levels while exercising. If pain increases while exercising, stop and take a rest or pick it up again the next day.

Recommended exercises include the following:

Yoga

Stretching

Meditation

Walking

Swimming

Stationary Bike

Resistance, strength, or bodyweight training

Pilates

Any aerobic activity that does not cause pain, such as tennis or golf

Article Provided By: PainScale

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29 Jan

What Is Peripheral Neuropathy?

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Peripheral neuropathy is a condition caused by damage to the peripheral nervous system. The peripheral nervous system is the communications network that connects the central nervous system and all other parts of the body. Some 20 million people in the United States have some type of peripheral neuropathy. Symptoms can vary from numbness or tingling, to pricking sensations or muscle weakness. Severe symptoms include burning pain, muscle wasting, paralysis, or organ or gland dysfunction. In extreme cases, breathing may impeded, or your organs may fail.

Peripheral neuropathies may vary and follow distinct patterns. Symptoms may be experienced over a span of days, or for years. With acute neuropathies, symptoms may appear suddenly, progress rapidly, and resolve slowly. In chronic types, symptoms begin subtly and progress slowly. Though neuropathy may be painful and debilitating, it usually is not fatal.

Symptoms may be determined depending on which type of nerves are damaged. Motor nerves control voluntary movement of muscles. Sensory nerves deliver the feeling of a light touch or the pain of a cut. Autonomic nerves control organ activities that are automated such as breathing and digesting food. Some neuropathies may affect all three types of nerves while others only affect one or two types.

Article Provided By: PainScale

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27 Jan

Chronic Pain, Pain Relief, Peripheral Neuropathy, Nerve Pain Treatment, Pain Management, Pain Treatment, Carolina Pain Scrambler, Greenville South Carolina

Chronic Pain in the Workplace

Unless you have experienced day to day chronic pain, you cannot begin to imagine the physical and psychological burden many people live through. Chronic pain is an issue that is often not recognized in the workplace.

There is a term for people who work with chronic pain called “presenteeism,” which basically is the act of attending work while having an illness. However, presenteeism isn’t just attending work with a mild cold or the sniffles, it is going to work every day in spite of pain, fatigue, and other symptoms that are also present with chronic pain and sickness.

Presenteeism was recently studied by the Global Corporate Challenge (GCC), which concluded that though employees with chronic health conditions took on average, four sick days a year, they admitted to being unable to maintain productivity for an average of 57.5 days in a year.

The GCC study estimated that the cost of presenteeism was 10 times greater than absenteeism. Workers absent from work cost employers in the United States, United Kingdom and Australia about $150 billion a year, but those attending work but were not fully productive cost them $1,500 billion.

The authors of the study made note of the importance for companies to improve productivity by concentrating on reducing presenteeism.

It is unsure as to whether employers are cognizant or even care about how many of their employees are experiencing chronic pain difficulties. And in the event that they do, what expectations do they maintain for these employees. Do they comprehend the extent of the difficulty had by employees who are experiencing pain?

Chronic Pain and Lost Productivity

According to another report from the Institute of Medicine Committee on Advancing Pain Research, Care and Education, chronic pain is costing the U.S. economy somewhere in the range of $560 to $635 billion annually in healthcare costs and lost productivity. While many employees enduring pain choose to continue to work, they have difficulties maintaining productivity.

One potential solution – opioid pain medication – is no longer easily available, even for those who would not abuse the prescribed drugs and who want to be of use and have normal lives.

Research indicates about two million Americans misuse opioids, and a large portion of them end up in emergency rooms. However, that statistic does not acknowledge the millions of people that need pain medications and would use them responsibly.

Excessive prescribing guidelines – and fear of DEA oversight – keep doctors from giving prescriptions for pain medication, even those medicines that are comparatively safe and pose low risk of addiction. Guidelines and insurance reimbursement rules have essentially taken discretion away from responsible doctors in treating a patient’s pain.

Some patients suffering from chronic pain will forgo asking their doctors for pain medication due to the negative stigma that comes from opioid misuse and abuse.

Working with Pain

The greatest concern people who suffer from chronic pain have on a daily basis is how much longer they will be able to work. They fear their bosses will grow tired of the mistakes they make on the days they are hurting or when their focus is off due to pain and lack of ample sleep.

People with chronic pain are unsure as whether most employers and coworkers can truly commiserate and understand the overwhelming responsibility of maintaining a full-time job while living with chronic pain. Even if your employer is accommodating and allows workplace adjustments and the option of working from home on occasion, the basic demands of the job can still be too great to overcome when you are in pain.

Ideally, employers would offer possibilities for pain management on the job – in the form of wellness programs and workplace accommodation – so people could work to their full potential. Employees who feel supported will access all available aid, feel better, and perform better on the job.

However, most employers do not recognize how crucial their roles are in helping to manage the pain epidemic in the United States. They view chronic pain as a personal problem, rather than a work issue. Until those views change, people are left on their own to suffer and deal with working while being in pain.

Article Provided By: PainScale

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Neuropathic Pain Therapy Center

Emotions and Chronic Pain

Facts About Neuropathy Symptoms

Why You Can’t ‘Fix’ Your Pain

Beating Insomnia with Chronic Pain

Accepting a Chronic Pain Diagnosis

Understanding People With Chronic Pain

What is chronic pain?

Learn about pain and symptoms

Understand the pain scale

Look for signs of pain

Show empathy

Respect physical limitations

Provide support

Be aware of depression symptoms

Neuropathy and Chronic Back Pain

How Does Neuropathic Pain Develop?

Back Pain May Result In Neuropathy

Early Treatment Is Critical

Chronic Pain and Exercise

What Is Peripheral Neuropathy?

Chronic Pain in the Workplace

Get Immediate Relief from Chronic Pain at Carolina Pain Scrambler Center!