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Neuropathic Pain Management

Neuropathic Pain Management

Neuropathic pain is often described as a shooting or burning pain. It can go away on its own but is often chronic. Sometimes it is unrelenting and severe, and sometimes it comes and goes. It often is the result of nerve damage or a malfunctioning nervous system. The impact of nerve damage is a change in nerve function both at the site of the injury and areas around it.
One example of neuropathic pain is called phantom limb syndrome. This rare condition occurs when an arm or a leg has been removed because of illness or injury, but the brain still gets pain messages from the nerves that originally carried impulses from the missing limb. These nerves now misfire and cause pain.
Causes of Neuropathic Pain
Neuropathic pain often seems to have no obvious cause. But some common causes of neuropathic pain include:
Alcoholism
Amputation
Chemotherapy
Diabetes
Facial nerve problems
HIV infection or AIDS
Multiple myeloma
Multiple sclerosis
Nerve or spinal cord compression from herniated discs or from arthritis in the spine
Shingles
Spine surgery
Syphilis
Thyroid problems
Symptoms of Neuropathic Pain
Neuropathic pain symptoms may include:

Shooting and burning pain
Tingling and numbness

Diagnosing Neuropathic Pain
To diagnose neuropathic pain, a doctor will conduct an interview and physical exam. He or she may ask questions about how you would describe your pain, when the pain occurs, or whether anything specific triggers the pain. The doctor will also ask about your risk factors for neuropathic pain and may also request both blood and nerve tests.
Neuropathic Pain Treatment
Anticonvulsant and antidepressant drugs are often the first line of treatment. Some neuropathic pain studies suggest the use of non-steroidal anti-inflammatory drugs (NSAIDs), such as Aleve or Motrin, may ease pain. Some people may require a stronger painkiller. Be sure to discuss the pros and cons of the medicine you take with your doctor.

If another condition, such as diabetes, is involved, better management of that disorder may alleviate the pain. Effective management of the condition can also help prevent further nerve damage.
In cases that are difficult to treat, a pain specialist may use an invasive or implantable device to effectively manage the pain. Electrical stimulation of the nerves involved in neuropathic pain may significantly control the pain symptoms.
Other kinds of treatments can also help with neuropathic pain. Some of these include:
Physical therapy
Working with a counselor
Relaxation therapy
Massage therapy
Acupuncture
Unfortunately, neuropathic pain often responds poorly to standard pain treatments and occasionally may get worse instead of better over time. For some people, it can lead to serious disability. A multidisciplinary approach that combines therapies, however, can be a very effective way to provide relief from neuropathic pain.

WebMD Medical Reference Reviewed by Tyler Wheeler, MD on August 11, 2019

Article Provided By: Webmd

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RSD

Reflex Sympathetic Dystrophy

Reflex sympathetic dystrophy (RSD) is a type of complex regional pain syndrome (CRPS). This condition occurs because of malfunctions in your sympathetic nervous system and immune system. RSD causes severe pain in one or more limbs that lasts months or longer.
In general, the condition develops after an injury or other medical condition. RSD can lead to many physical and emotional symptoms. A variety of treatments are available for RSD, and it’s important to get treated early to prevent worsening of your symptoms.

Symptoms
RSD occurs in the extremities. It most commonly affects the upper limbs, but it’s possible to get it in your lower limbs as well. Specifically, you may experience RSD in your:
hands
fingers
arms
shoulders
legs
hips
knees
Symptoms include:
stiffness
discomfort
pain or burning sensation
swelling
sensitivity to heat or cold
weakness
feeling warm to the touch
skin redness
skin paleness with a blue tone
tenderness
sweating around the affected area
changes to the skin in the affected area
muscle weakness
muscle spasms
muscle atrophy
joint pain and stiffness
nail and hair changes
Most symptoms begin at the site of the condition but may spread as RSD progresses. You may have symptoms on one side but notice them in your opposite limb as the condition worsens. Symptoms may begin as mild and then become more severe, interfering with your daily life.
Your mental health can also be affected with RSD. You may experience anxiety, depression, or post-traumatic stress disorder related to the condition.

Causes
RSD occurs when your sympathetic nervous system and immune system malfunction because of nerve damage. It affects up to 200,000 Americans annually. The damaged nerves misfire, sending your brain excessive signals of pain from the affected area.
According to the National Institute of Neurological Disorders and Stroke, 90 percent of people with CRPS can point to their medical history to determine what caused the condition. Many underlying conditions and factors can lead to RSD, including:
trauma, such as fractures, broken bones, or amputation
infection
soft tissue injuries such as burns and bruises
sprains
radiation therapy
cancer
surgery
paralysis of one side of the body
heart attack
emotional stress
nerve pressure
stroke
You may also experience RSD with no prior medical condition. Your doctor will try to determine the cause of the RSD if this is the case.

Factors that may put you at risk
You may be more susceptible to RSD if you:
are between the ages of 40 and 60 years
are a woman
have other inflammatory or autoimmune conditions

How it’s diagnosed
There isn’t a definitive test for RSD. Your doctor will need to take your medical history, conduct several tests, and perform a thorough physical examination. It’s important to diagnose the condition early to prevent it from getting worse, though diagnosis isn’t always straightforward. You may wait for many months or even longer before your doctor diagnoses RSD.
Tests your doctor may perform include:
bone scans
MRI scans
X-rays
sympathetic nervous system tests
skin temperature readings
Your doctor may check for other medical conditions before diagnosing RSD. These conditions are treated differently than RSD. They include:
arthritis
Lyme disease
muscle diseases
blood clots in your veins
small fiber polyneuropathies

Treatment
Early treatment is imperative to stop RSD from worsening or spreading. However, early treatment can be difficult if it takes time to diagnose the condition.
Treatments for RSD vary. Certain interventions and medications may help relieve and treat symptoms. You may also seek physical therapy and psychotherapy to reduce the effects of RSD. You may find that your condition improves dramatically with treatment, but some people have to learn how to manage their symptoms.
Medical procedures
Interventions for RSD include:
transcutaneous electrical nerve simulation
biofeedback
peripheral nerve blocks
spinal cord stimulation
pump implantation
sympathectomy, either chemical or surgical, which destroys some of your sympathetic nerves
deep brain stimulation
intrathecal (in the spine) drug pumps
electroacupuncture
Medication
A variety of medications are available for RSD, ranging from over-the-counter pain relievers and topical creams to prescription drugs from your doctor. These medications include:
anticonvulsants
antidepressants
beta-blockers
benzodiazepines
bisphosphonates
guanethidine
membrane stabilizers
muscle relaxers
nonsteroidal anti-inflammatory drugs
opioids
systemic steroids
topical anesthetics
vasodilators
Therapies
Physical therapy may help you rehabilitate the affected limb. This type of therapy will ensure that you continue to move the limb to retain its abilities. It also improves your blood flow and reduces symptoms related to circulation problems. Regular physical therapy may be needed to reduce symptoms.
Seeing a health professional for psychotherapy may also be necessary with RSD. You may develop a psychological condition from the chronic pain associated with the condition. Psychotherapy will help you manage your mental health.
You may also find that complementary alternative therapies like acupuncture or relaxation methods work for treating your RSD.

About prevention
While some research discusses the prevention of RSD for specific cases, there is no conclusive evidence that a person can avoid RSD completely.
People who’ve had a stroke should be mobilized soon afterward to avoid developing RSD. If you’re taking care of a loved one with a stroke, help them get up and walking around. This movement may also be useful to people who’ve had heart attacks.
Read more: What to expect when recovering from a stroke »
Taking daily vitamin C after a fracture may also decrease your chances of CRPS.
Outlook
RSD can result in a variety of outcomes. You may find that early intervention and treatment minimizes your symptoms and allows you to return to life as usual. On the other hand, your symptoms may get worse and may not be diagnosed in a timely fashion. In these cases, it’s necessary to learn how to best manage your symptoms for the fullest life possible.

Article Provided By: healthline

 

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Peripheral Neuropathy

Peripheral Neuropathy

There are more than 100 types of peripheral neuropathy, each with its own set of symptoms and prognosis.
Peripheral neuropathy has many different causes. One of the most common causes of peripheral neuropathy in the U.S. is diabetes.
The most common type of peripheral neuropathy is diabetic neuropathy, caused by a high sugar level and resulting in nerve fiber damage in your legs and feet.
Symptoms can range from tingling or numbness in a certain body part to more serious effects, such as burning pain or paralysis.

Peripheral neuropathy is a type of damage to the nervous system. Specifically, it is a problem with your peripheral nervous system. This is the network of nerves that sends information from your brain and spinal cord (central nervous system) to the rest of your body.
Peripheral Neuropathy Causes
Peripheral neuropathy has many different causes. Some people inherit the disorder from their parents. Others develop it because of an injury or another disorder.
In many cases, a different type of problem, such as a kidney condition or a hormone imbalance, leads to peripheral neuropathy. One of the most common causes of peripheral neuropathy in the U.S. is diabetes.
Peripheral Neuropathy Types
There are more than 100 types of peripheral neuropathy, each with its own set of symptoms and prognosis. To help doctors classify them, they are often broken down into the following categories:
Motor neuropathy. This is damage to the nerves that control muscles and movement in the body, such as moving your hands and arms or talking.
Sensory neuropathy. Sensory nerves control what you feel, such as pain, temperature or a light touch. Sensory neuropathy affects these groups of nerves.
Autonomic nerve neuropathy. Autonomic nerves control functions that you are not conscious of, such as breathing and heartbeat. Damage to these nerves can be serious.
Combination neuropathies. You may have a mix of 2 or 3 of these other types of neuropathies, such as a sensory-motor neuropathy.
Peripheral Neuropathy Symptoms
The symptoms of peripheral neuropathy vary based on the type that you have and what part of the body is affected. Symptoms can range from tingling or numbness in a certain body part to more serious effects such as burning pain or paralysis.
Muscle weakness
Cramps
Muscle twitching
Loss of muscle and bone
Changes in skin, hair, or nails
Numbness
Loss of sensation or feeling in body parts
Loss of balance or other functions as a side effect of the loss of feeling in the legs, arms, or other body parts
Emotional disturbances
Sleep disruptions
Loss of pain or sensation that can put you at risk, such as not feeling an impending heart attack or limb pain
Inability to sweat properly, leading to heat intolerance
Loss of bladder control, leading to infection or incontinence
Dizziness, lightheadedness, or fainting because of a loss of control over blood pressure
Diarrhea, constipation, or incontinence related to nerve damage in the intestines or digestive tract
Trouble eating or swallowing
Life-threatening symptoms, such as difficulty breathing or irregular heartbeat
The symptoms of peripheral neuropathy may look like other conditions or medical problems. Always see your healthcare provider for a diagnosis.
Peripheral Neuropathy Diagnosis
The symptoms and body parts affected by peripheral neuropathy are so varied that it may be hard to make a diagnosis. If your healthcare provider suspects nerve damage, he or she will take an extensive medical history and do a number of neurological tests to determine the location and extent of your nerve damage. These may include:
Blood tests
Spinal fluid tests
Muscle strength tests
Tests of the ability to detect vibrations
Depending on what basic tests reveal, your healthcare provider may want to do more in-depth scanning and other tests to get a better look at your nerve damage. Tests may include:
CT scan
MRI scan
Electromyography (EMG) and nerve conduction studies
Nerve and skin biopsy
Peripheral Neuropathy Treatment
Usually a peripheral neuropathy can’t be cured, but you can do a lot of things to prevent it from getting worse. If an underlying condition like diabetes is at fault, your healthcare provider will treat that first and then treat the pain and other symptoms of neuropathy.
In some cases, over-the-counter pain relievers can help. Other times, prescription medicines are needed. Some of these medicines include mexiletine, a medicine developed to correct irregular heart rhythms; antiseizure drugs, such as gabapentin, phenytoin, and carbamazepine; and some classes of antidepressants, including tricyclics such as amitriptyline.
Lidocaine injections and patches may help with pain in other instances. And in extreme cases, surgery can be used to destroy nerves or repair injuries that are causing neuropathic pain and symptoms.
Peripheral Neuropathy Prevention
Lifestyle choices can play a role in preventing peripheral neuropathy. You can lessen your risk for many of these conditions by avoiding alcohol, correcting vitamin deficiencies, eating a healthy diet, losing weight, avoiding toxins, and exercising regularly. If you have kidney disease, diabetes, or other chronic health condition, it is important to work with your healthcare provider to control your condition, which may prevent or delay the onset of peripheral neuropathy.
Peripheral Neuropathy Management
Even if you already have some form of peripheral neuropathy, healthy lifestyle steps can help you feel your best and reduce the pain and symptoms related to the disorder. You’ll also want to quit smoking, not let injuries go untreated, and be meticulous about caring for your feet and treating wounds to avoid complications, such as the loss of a limb.
In some cases, non-prescription hand and foot braces can help you make up for muscle weakness. Orthotics can help you walk better. Relaxation techniques, such as yoga, may help ease emotional as well as physical symptoms.

 

Article Provided By: hopkinsmedicine

 

Back Pain Relief, Carolina Pain Scrambler, Greenville, South Carolina

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CRPS, Complex Regional Pain Syndrome, Chronic Pain, Pain Management, Carolina Pain Scrambler, Greenville South Carolina

Causes of CRPS

What is complex regional pain syndrome (CRPS)?

Complex regional pain syndrome (CRPS), also called reflex sympathetic dystrophy syndrome (RSDS), is a type of chronic pain condition. It typically occurs after an injury or medical condition and affects one limb (arm, leg, hand or foot).

What are the causes of complex regional pain syndrome (CRPS)?

Though complex regional pain syndrome is not yet completely understood, it is believed that CRPS develops when the central or peripheral nervous system is damaged or malfunctions. When the nerves are damaged, they are not able to properly control blood flow, sensation and temperature in the affected area; this leads to the symptoms of CRPS, including pain and skin changes.

CRPS can be triggered by an injury or a medical condition. Triggers for CRPS include, but are not limited to, the following:

  • Sprain or strain
  • Soft tissue or nerve injury
  • Surgical injury
  • Heart attack
  • Stroke
  • Infection
  • Immobilization of a limb (such as using a splint or cast)

In addition to nerve damage, CRPS may also be caused by pain receptors in the injured part of the body becoming receptive to different nervous system messages. It may be caused by dysfunction between the central and peripheral nervous system.

The immune system may also play a role in the development of CRPS. After an injury, an immune response is triggered. This leads to inflammatory symptoms, such as redness and swelling in the affected area. In the case of CRPS, this immune system response may malfunction and continue after the original injury has healed.

It is likely that a combination of these different factors leads to the development of complex regional pain syndrome .

Article Provided By: PainScale

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Neuropathic Pain, Chronic Pain, Pain Relief, Pain Management, Carolina Pain Scrambler, Greenville South Carolina

How Does Neuropathic Pain Develop?

What is Neuropathic Pain?

If you are involved in an accident and an injury occurs, under normal circumstance, your nerves will send messages to the brain, signaling pain at the site of trauma. Neuropathic pain is coming directly from the nerves without the occurrence of trauma or accident. In other words, there is no reason the nerves should be sending pain signals.

How Does Neuropathic Pain Develop?

A damaged nerve may lead to dysfunction. Nerves can be damaged in a previous injury or surgery. As a result, the damaged nerve may send false signals of pain to the brain, despite there being no real cause of pain. In the case of a previous injury, the site of trauma may have completely healed but the central nervous system is still registering the site as a location of trauma.

Neuropathy Symptoms

There are several key symptoms associated with Neuropathy:

  • Normal movements become painful
  • Mobility is limited
  • May lead to a sedentary lifestyle
  • Pain will range from mild to severe
  • Pain may be experienced differently – For example: sharp, shock-like, shooting, etc
  • Numbness
  • Feeling of coldness
  • Tingling
  • Persistent numbness, tingling, or weakness
  • Sleeplessness
  • Insomnia

Neuropathic Pain Relief Treatments

First, your doctor will attempt to find the cause of the Neuropathy. Tests such as an MRI and Electromyography are conducted. If a cause is discovered, such as a herniated disc as the central cause of the pain, the appropriate measures are taken.

If no obvious cause is discovered, your doctor will focus on prescribing an effective pain relief method. The pain relief will depend on the individual and the severity of the neuropathy. Treatment options typically include medications, an active method of recovery such as physical therapy, and spinal cord stimulation for more complex cases.

Article Provided By: PainScale

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

Chronic Pain and the Immune System

Chronic pain can impact physical and mental health in various ways. One of the physical consequences of chronic pain is the effect it can have on the function of the immune system, making the body more susceptible to illnesses. This can occur due to changes in T-cells, stress, or immunosuppressant therapy.

Changes in T-cells

The article, “Chronic Pain Changes Our Immune System,” published on painnewsnetwork.org (an online non-profit news source focused on chronic pain and pain management) on January 16, 2020, cites a study in which researchers at McGill University in Montreal found that chronic pain may affect DNA methylation (a process that changes the activity of a DNA segment). The study, conducted on rats, found that the genes in certain immune system cells that fight infections, called T cells, appear to be altered by chronic pain. Therefore, the body may not be able to fight illness or infection as well as it otherwise would.

Stress

Pain causes a stress response in the body, which leads to a rise in the stress hormone cortisol. Higher levels of cortisol reduce the immune system response. Stress can also decrease lymphocytes, which is a type of white blood cell that helps fight off infection.

Immunosuppressant therapy

Chronic pain can be associated with autoimmune conditions, such as lupus or rheumatoid arthritis. Autoimmune conditions, along with various other health conditions, may be treated with immunosuppressants. These medications, including corticosteroids and biologics, are often necessary to treat autoimmune and other health conditions, but a major side effect is lowered immunity to infections and infections that are more difficult to treat.

Helpful tips

Tips to help prevent illness despite having a weakened immune system include the following:

  • Support the immune system by getting plenty of sleep, eating a well-balanced diet, and staying as active as possible.
  • Engage in proper hand hygiene (frequently wash the hands with soap for at least 20 seconds).
  • Clean and disinfect frequently touched surfaces in the home, office, and car.
  • Stay away from others who are sick or may be sick. Stay home as much as possible. Practice social distancing.

Article Provided By: PainScale

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Peripheral Neuropathy, Diabetic Neuropathy, Chronic Pain, Pain Management, Carolina Pain Scrambler Center, Greenville South Carolina

Home Remedies for Diabetic Neuropathy

There are many complications due to diabetic neuropathy. Here is a list of lifestyle and home remedies to help manage diabetic neuropathy.

Watch your blood pressure

Hypertension, high blood pressure, is commonly seen in people with diabetes which increases the complications of diabetic neuropathy. The damaged blood vessels reduce blood flow. Always check your blood pressure to avoid any future complications.

Eating Healthy

The best way to control your blood sugar levels is watching what you eat. Focus on eating a well-balanced healthy diet full of fresh, unprocessed, whole foods. Reduce simple carbohydrates, and any added sugar or additive. Limiting your saturated and trans-fat intake and sticking to unsaturated fats. Eating lean proteins, fiber, omega-3 fatty acids help lower or maintain complications. Triglycerides are high risk factors for diabetic complications. In place of table sugar, use stevia to avoid spikes in your blood sugar levels. Drink lots of filtered water and avoid soda, juices, and other sweetened drinks. Always read the nutrition label to know what is entering your body.

Staying active

Daily exercise and activity is the best way to control your diabetic symptoms, blood sugar, high blood pressure, healthy weight, and flexibility. According to the American Diabetes Association, about 30 minutes of moderate-intense exercise should be performed at least 5 times a week. If severe neuropathy is present, you might be recommended to non-weight-bearing activities such as bicycling or swimming.

Quit Smoking

If you have diabetic neuropathy, you are more prone to develop kidney problems. Therefore, reducing additional stress on the kidney from the toxins in smoking can help. Smoking is a risk factor for diabetic neuropathy and developing circulations issues in your feet. You have a higher chance than a nonsmoker to die of a heart attack or stroke.

Contact your healthcare provider if you need further assistance in controlling your diabetic neuropathy.

Article Provided By: PainScale

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Chronic Pain, Pain Management, Pain Relief, Nerve Pain Treatment, Carolina Pain Scrambler, Greenville South Carolina, Ignore

7 Types of Pain You Should Never Ignore

Though it may be tricky to know if your pain is normal or if it is serious, certain types of pain should not be ignored.

Pain, pressure or a feeling of compression in your chest is a typical indication of a heart attack.  Heart attack pain expands to other parts of the body including the shoulders, arms, neck, jaw, and back.  Women may ignore symptoms like sweating but women have more atypical symptoms that could be due to something else.

A severe headache worries many people who think they may have a brain tumor.  A lot of the brain lacks nerve endings, so most headaches will have other causes.  Though it is uncommon, a severe pain in the brain may indicate stroke or blood clot.  Be watchful for other symptoms including stiff neck, fever, confusion, weakness, or numbness as well as throwing up and fainting.

Lower back pain may be caused by regular wear and tear but in serious cases, it may be caused by infection, tumor, ruptured disc, and kidney stones.  Pain in the lower back may also be caused by heart disease, and it may also precede an aortic dissection which is a  serious problem in which the blood vessel to the middle and lower parts of your body bursts.

Pain in the abdominal region may be caused by a burst appendix.  In this case, you would need to go to the emergency room immediately.  Pain in the stomach may also be caused by pancreas issues, blocked bowels and ectopic pregnancy.

Calf pain may result when your leg is swollen, red and painful.  This could be caused by blood clot blocking a vein.  Deep vein thrombosis can move from your legs to your lungs and can be deadly.

Hand and foot pain may be caused by diabetes, a condition that can happen any place but is most common in hands, arms, feet, and legs.  The longer you have been afflicted with diabetes, the greater risk of suffering nerve damage.  Pain caused by peripheral neuropathy is often described as “pins and needles” or “shooting.”

Pain that cannot be identified may be caused by depression or anxiety.  Mood disorders may make it difficult to pin down the exact cause of pain.  Pain may be present in the joints, arms and legs, back, and head.

Article Provided By: Pain Scale

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

5 Coping Skills for Chronic Pain

Chronic pain not only affects the body, it also affects the mind. While medical treatments for chronic pain are essential, they work best when combined with mental and emotional coping skills.

Skill 1: Learning

When diagnosed with a chronic pain condition, learning about the condition can ease the fear of the unknown. Individuals should be well-educated by a physician or other reputable resource(s) about their condition and treatment plan.

Participating in self-management education (SME) programs for chronic health conditions may also be helpful. These programs teach chronic pain management strategies that help to reduce symptoms and improve quality of life. More information can be found at the Centers for Disease Control and Prevention’s website.

Skill 2: Accepting

Acceptance of chronic pain does not mean giving up or not investing any effort to reduce pain and increase quality of life. Instead, acceptance of a chronic pain diagnosis means recognizing the reality of the condition, which eases the emotional struggle with the situation. Acceptance of chronic pain allows individuals to focus on management and treatment.

Accepting chronic pain is a challenging skill that may be best addressed with a counselor or therapist. Both cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) have proven to be effective treatments for individuals with chronic pain conditions.

Skill 3: Relaxing

Relaxing while in pain can be challenging, but it is possible. Persistent pain can increase stress, and stress can increase chronic pain. It can become a vicious cycle.

Various relaxation techniques and practices, such as mindfulness, yoga, tai chi, diaphragmatic breathing and progressive muscle relaxation, can decrease the stress response, which can reduce chronic pain. Relaxation tapes, online tutorials or videos may also be helpful.

Biofeedback can also help with relaxation. During biofeedback training, a professional uses technology to help individuals learn to control bodily functions, such as heart rate and muscle tension. Once these skills are mastered, they can be practiced without the use of technology.

Skill 4: Pacing

Activity pacing is a skill in which individuals learn to pace themselves throughout the day in order to conserve energy and prevent increased pain. This often involves dividing large tasks into smaller ones. It can also include adjusting schedules. For example, if an event or activity is scheduled for the evening, activity pacing throughout the day helps conserve energy both physically and mentally.

Skill 5: Coping

The skill of coping involves using treatment tools, distraction techniques and learned skills when pain becomes severe. Coping treatment methods include taking pain medication, using hot and cold therapy, applying topical creams, getting a massage, etc.

Distraction techniques can also help individuals cope by focusing attention away from negative or painful thoughts. Watching a favorite movie, talking to a friend, or participating in a hobby or pastime are all examples of distractions.

It is important to note that even when these coping skills are mastered, unusual levels or unfamiliar types of pain should be discussed with a physician.

Article Provided By: PainScale

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

Manage Pain when Stuck at Home

As the COVID-19 pandemic continues, patients with chronic diseases can find that stay-at-home orders pose added challenges. In many areas, medical care has been pared down to mostly urgent doctor visits, procedures, surgeries, and diagnostic tests. Many pain patients may find access to medical care or treatment more limited than ever. And stay-at-home orders can also mean spending more time around spouses, family members, or roommates, which can add even more stress to what is already a very high-anxiety situation.

If you are finding that being sequestered at home seems to be making your pain management all the more difficult, here is some food for thought to help you work through this time period:

  • Telemedicine and telehealth are part of the new normal right now. Physicians are relying on telemedicine more than ever during this pandemic, and there seems to be a rise in other virtual health and wellness services being offered. Besides having your typical doctor visit handled on-line or by telephone, you can also look for other complementary virtual resources from physical therapists, psychological counselors and therapists, life-coaches, yoga instructors, Pilates trainers, and nutritionists. For more social bonding, consider joining an on-line support group. Finding the right telemedicine and telehealth resources for your particular situation can be tricky, and it is always a good idea to talk to your physician first before starting something new.
  • Staying at home can easily break down the normal structure and boundaries that we are typically accustomed to. Not leaving home to go to work or run the usual errands can mean more idle time at home. Try to combat this by creating a schedule and some structure around your day that jives with others who are home with you. For example, schedule time to do things together, like perhaps preparing meals, cleaning the house, and watching a movie, while carving out room for everyone to have some time for themselves. Now might be harder than ever to find the time and space for self-care activities like meditation or exercise, so consider working out a plan with your house-mates that allows you to have important time for you.
  • There are some medical treatments that need to be put on hold right now. For example, most experts are recommending postponing routine pain procedures like epidural cortisone injections. In addition to the added risk of being at a medical facility during this time, there is also hypothetical risk that exposing the body to added cortisone could diminish its immune response. If there are medical treatments or procedures that have been put on hold that you typically rely on for pain relief, then this can be a trying time for you. But letting your angst get the best of you during this time period will only make your pain that much harder to control, so consider adding specific stress management techniques and relaxation tools to your routine at home.
  • Stepping outside of your usual routine can also be a chance to explore new ideas or treatments that you may have not otherwise considered. Never talked to a pain management psychologist before? Perhaps this is a time to give it a try. Research done on telemedicine counseling has looked pretty good so far. There might be a list of things that you have always wanted to look into but never had the time. This might be the opportunity for growth, development, and exploration that you’ve been waiting for.

While staying at home is what is needed right now, this can be a really challenging time for those with chronic pain. Consider re-calibrating your pain management strategies so you can get back on track.

Article Provided By: WebMD

Carolina Pain Scrambler Logo, Chronic Pain, Greenville, SC
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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