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Diabetic Neuropathy Facts & Information

Diabetic Peripheral Neuropathy

A Nerve Condition Associated with Type 1 and Type 2 Diabetes

Nerve damage caused by diabetes affecting the arms, hands, legs, and feet.

Diabetic Peripheral Neuropathy Facts & Information

This condition is associated with diabetes mellitus and is a frequent complication. High blood sugar levels can damage the nerves and lead to pain – especially legs and feet.

Pain management doctors use innovative procedures to accurately diagnose your pain and safe, non-surgical procedures to alleviate the pain caused by diabetic peripheral neuropathy.

How & Why Diabetic Neuropathy Develops

High blood sugar levels, that are chronically elevated, will cause damage to nerves. There are four types of diabetic neuropathy: peripheral, autonomic, proximal, and focal.

Diabetic Peripheral Neuropathy most commonly affects the feet and legs. Damage to the nerves can result in decreased sensation, making it more difficult to walk and putting patients at risk of injuring their feet because of loss of sensation. Patients with diabetes who develop ulcers or infections in the feet need to be followed closely.

Getting better control of the patient’s blood sugar levels often may be associated with decreased symptoms.

Symptoms

For diabetic peripheral neuropathy, patients will have symptoms on the lower half of their body – specifically legs, feet, and toes. Primary symptoms include:

  • Tingling
  • Numbness
  • Burning sensation
  • Any other type of pain affecting the feet or toes

Diagnosis

Proper diagnosis starts with an experienced physician. The type of pain that you may have with diabetic peripheral neuropathy can be similar to the symptoms of several types of disorders. Accurately determining the correct source of your pain is critical to successful treatment.

  • Begins with a thorough clinical evaluation
  • Including a complete medical history, analysis of your symptoms, and physical examination
  • Testing may include x-rays, MRI and/or CT scans, and peripheral nerve conduction study
  • These advanced diagnostic techniques help pinpoint the source of pain

Article Provided By: Advanced Medical Group

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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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CRPS Facts and Information

CRPS

A Chronic, Progressive, Painful Condition Affecting the Skin, Muscles, Joints, and Bones

Chronic arm or leg pain developing after injury, surgery, stroke, or heart attack.

CRPS Facts & Information

Potential causes of CRPS range from minor injuries, such as a sprain, to severe injuries, such as damage to a nerve. Even relatively long periods of immobility, such as would occur with a broken leg, can result in CRPS.

The symptoms of CRPS frequently include severe burning pain and extreme sensitivity to touch in the area of the injury. Swelling, excessive sweating, and changes in the bone and skin tissue may also occur. If you’re experiencing these symptoms, it’s important to seek early intervention.

The nation’s leader in pain management, National Spine & Pain Centers has board-certified doctors who are highly skilled in accurately diagnosing CRPS and customizing non-surgical treatment plans that offer lasting relief.

How & Why Does CRPS Develop?

CRPS, also referred to as Reflex Sympathetic Dystrophy (RSD) and Causalgia, is usually caused by an injury to the bones, joints, tissue, or nerves. The original injury can be severe, such as a broken bone, or minor, such as a sprain. In the case of an injury, CRPS symptoms may not appear right away. As described above, these symptoms can result in extreme discomfort. Stress often increases the severity of pain. As with any injury or condition, paying attention to the messages your body sends you and seeking treatment from knowledgeable medical professionals is critical.

It most often occurs in adults between the ages 20-40 and generally affects women more than men.

CRPS can result from several different causes. Research suggests that the symptoms may result from an injured nerve or nerves. The nerves send normal pain signals that pass through the spinal cord and are then transmitted to the brain. The problems occur because the spinal cord begins to send confusing signals to the brain, as well as to the injured area itself.

These confused signals interfere with normal blood flow and sensory signals resulting in extreme pain. In some cases, an immune response is triggered causing sweating, redness, inflammation, warmth, and/or muscle spasms.

Symptoms

Symptoms may spread upward from the initial injury site (e.g. hand to shoulder) and may be heightened by emotional stress. The unrelenting pain causes many people extreme emotional and physical duress and, left untreated, can lead to permanent changes in muscle and bone. Early detection and treatment are very much needed. Common symptoms include:

  • Swelling
  • Muscle spasms
  • Loss of motion
  • Abnormal sweating
  • Tenderness and stiffness in joints
  • Extreme sensitivity to even mild stimuli, such as clothing or a light touch
  • Warm, red-looking skin at the injured area initially, changing to cool, bluish-looking skin later

Diagnosis

Proper diagnosis starts with an experienced pain management doctor. The type of pain that you may have with CRPS can be similar to the symptoms of several types of disorders. Accurately determining the correct source of your pain is critical to successful treatment. Diagnosis involves the following:

  • Begins with a thorough clinical evaluation
  • Including a complete medical history, analysis of your symptoms, and physical examination
  • Testing may include x-rays, MRI and/or CT scans, and electro-diagnosis (EMG)
  • These advanced diagnostic techniques definitively pinpoint the source of pain

Article Provided By: Advanced Medical Group

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

Anger Could Make Your Pain Worse

When you’re living with chronic pain, there can be a lot of very good reasons for being angry, upset, and frustrated. Your pain may be the result of events that were outside of your control, or maybe even somebody else’s fault – like slipping on a wet floor or getting rear-ended while stopped at a red light. And it’s easy to get frustrated with doctors, chiropractors, or physical therapists when their treatments or recommendations don’t help. If chronic pain prevents you from performing meaningful tasks like going to work, doing chores, or exercising, the sense of loss this creates can add to the snowball of negative emotions. And to top it all off, you may be dealing with non-cooperative insurance companies, side effects from treatment, and friends, family, and co-workers who just don’t seem to appreciate your situation.
Because there is so much to get mad about, anger can become your primary mood when you’re experiencing chronic pain. But too much can pose a real problem when it comes to finding relief.
Studies have found that anger can be associated with higher intensities of pain, and that applies to a number of different chronic pain syndromes, like fibromyalgia, back pain, and headaches. Anger also seems to be tied to a decrease in physical performance and increased disability from work. Research also indicates that anger can interfere with sleep quality and lead to poor coping habits. Other studies on anger and chronic pain suggest that increased anger leads to a loss of emotional support and interferes with social connections, as well as with other mood problems like depression and anxiety. The madder we get, the more we can push people away.
But, even if you’re able to admit that your anger is making your situation worse, letting go of it can be difficult. You may feel that by giving up your anger you’re giving in to the pain, or losing your defense mechanism for telling the pain, “This isn’t ok!” Anger can even feel like a source of energy that “fuels” your fight to get through the day or a protective shield to avoid feeling more vulnerable and susceptible to getting even more hurt. But it appears that, in the long-run, the opposite is true.
Sometimes the first step to processing anger is to gain awareness. To help you assess the impact that anger might be having on you, consider having an open discussion with those close to you and with your doctors to get a sense of what they observe about your behavior and mood. If your anger is impacting other people’s ability to best support you, you probably want to know that. When you become more mindful of the signs that an excessive amount of anger is kicking in, you can start to reframe your thoughts and, before reacting, look for alternative ways of responding to the situation.
If you continue to feel overwhelmed by anger, consider getting outside help to learn better-coping strategies. Remember, better anger management can mean better pain management.
Article Provided By: WebMD

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Living with Chronic Pain?

10 Things You Wish People Knew

Chronic pain is an invisible illness that cannot always be seen by other people, which causes a lack of support by doctors, friends, family, and employers. Here are ten things individuals with chronic pain want you to know.

1. No one intends to feel this way

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No one ever wants to be in pain, so be gentle with the things you say. It is not helpful to say things such as, “It can’t hurt that bad.”

2. Doctors do not understand chronic pain

Many doctors do not actually understand chronic pain or what causes it; therefore, it may be hard to find the right treatment. This may cause individuals to spend lots of time looking for the right treatment option.

3. Being unable to work is not the same as taking a vacation

If a person with chronic pain is unable to work, it does not mean they are having fun at home. It may be a struggle to perform certain tasks such as getting out of bed, dressing themselves, and using the bathroom.

4. Many emotions are associated with chronic pain

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People with chronic pain are at an increased risk of developing all sorts of emotions, such as depression, denial, anxiety, or despair. They may also feel very isolated and do not always walk to talk on the phone or in person.

5. Symptoms of chronic pain are complex

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Aside from being in constant pain, individuals may also experience nausea, muscle cramping, brain fog, headaches, vision problems, gastrointestinal problems, and change of appetite.

6. Chronic fatigue is not the same as being tired

Chronic fatigue occurs when daily activities such as waking up or getting dressed become impossible. It is not the same as being lazy or even over tired. Chronic fatigue does not improve no matter how much sleep a person gets.

7. Individuals with chronic pain are always in pain

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Pain may radiate from different areas of the body to include leg, back, head, neck, shoulder, arm, or muscle pain.

8. Brain fog is frustrating

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Brain fog is a common symptom of chronic pain. It may cause difficulty speaking, memory loss, or forgetting where certain items have been placed.

9. Individuals with chronic illness have a greater risk of developing other conditions

The common cold may be more severe in individuals with a chronic illness. This is because the immune system is already comprised, which makes it easier for other pathogens to sneak in and cause disruptions.

10. Certain foods can trigger problems

Certain inflammatory foods, such as gluten, dairy, alcohol, soy and processed foods, may worsen symptoms

Article Provided By: PainScale

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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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Support Someone with Chronic Pain

Friends, family, work colleagues, online support groups, and condition-specific health communities can help individuals cope with chronic pain. Empathy, positive mental support, physical support, validation, and education are helpful for building the right pain management support.

Empathize

Active listening can help friends, family, or work colleagues listen to, become aware of, and compassionate towards the feelings of individuals with chronic pain. Strengthening relationships with your most trusted network, rather than removing yourself to isolation, are critical to effectively managing chronic pain.

Mental Support

A support network can help individuals feeling isolated, misunderstood or depressed. By empathizing, sharing a positive outlook, and engaging in social activities, individuals with chronic pain may benefit from a reduction in their perception of pain.

Physical Support

Helping with physical activities like laundry, vacuuming, or grocery shopping can provide pain relief, and give an individual time for physical and mental rehabilitation.

Validation

Chronic pain is a condition where many symptoms are invisible to others. Validation communicates an understanding and acceptance of other’s experiences – both are critical to building a trusting and supportive relationship for individuals experiencing chronic pain.

Education

Patient education and self-management are critical to helping clinical decision-making that results in the best pain management outcomes. Because clinic decision-making is the result of interactions between patients and physicians – the more information that you can share with your physician (e.g. pain journal, symptom awareness), the sooner you are likely to find the right diagnosis and treatment plan.

Article Provided By: PainScale

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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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Coping with Chronic Pain

A little pain usually is a good thing. It’s our alarm system. It’s our body’s way of saying, “Hey, that’s hot … get away before it hurts you!” But when the pain lingers on and on, it’s no longer helpful. Chronic pain can disrupt your normal lifestyle.

If you suffer from chronic pain, you should know that there are ways to cope. Chronic pain does not need to run, or ruin, your life.

The first step is to learn all you can about your condition. Talk to your doctor and read up on it. Understanding your pain is the first step to reducing it.

Next, take an active role in your recovery. Talk with your doctor about medical treatments that might reduce your pain. But if these treatments can’t completely heal you, don’t give up hope. You can use basic lifestyle choices to control your pain and regain a normal life.

Manage Stress and Your Emotions

Our bodies and minds are connected. Stress, tension and stirred emotions can aggravate pain. Find ways to reduce the stress in your life; deal with your troubling emotions and your pain likely will decrease. Deep breathing, visualization and other relaxation techniques can help you calm your mind and reduce your pain.

Exercise

Exercise leads to a healthier body, and a healthier body feels less pain. Strong, toned muscles feel less pain than unused muscles. Also, exercise will give you more of the energy you need to overcome the pain. Less tangible is the fact that when you’re more fit, you’ll feel better about yourself — more in control — and that can mean a lot. Be sure to talk to your doctor about exercise that is safe for you.

Control Your Physical Activity

Specific activities or body movements may aggravate your pain more than others. Excluding those movements from your day can reduce your pain a great deal. If the painful movements involve important household, personal or work activities, consider using adaptive equipment that will let you perform the same activity without using the same painful motion.

Find Support

Chronic pain can make you feel isolated and afraid. You may feel like you’re all alone. That couldn’t be further from the truth. But it’s estimated that one in three people suffer from chronic pain. Contact others who also suffer chronic pain to share what you know, and to learn from them. You’ll learn ways to cope. You’ll learn that the pain you feel, and the emotions that come with it, are not unusual. Chronic pain support groups can be a great way to get this important human contact.

Finally, look beyond the pain. Don’t let your pain consume your life. There are more important things in your life to focus on, such as friends, family, work, and hobbies. Talk to your doctor about the ideas mentioned above, and start taking back control of your life. As you begin to refocus, the pain will decrease, and you will begin to believe more strongly that you can lead a normal life despite the pain.

Article Provided By: Psych Central

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Managing Peripheral Neuropathy

There is no sure way to prevent chemo-induced peripheral neuropathy (CIPN), but there are things you can do to manage your symptoms. During treatment, your cancer care team will ask you about your symptoms and watch you to see if the CIPN is getting worse. Your team may need to delay your treatment, use smaller doses of the chemo drugs, or stop treatment with the drug that is causing the CIPN until your symptoms get better. These actions must be started right away to prevent long-term damage that won’t get better.

Can CIPN be treated?

Treatment can often help ease some of the symptoms of CIPN. Sometimes these symptoms go away a short time after treatment is done. But sometimes they last much longer and need long-term treatment. Severe CIPN may never go away.

Treatment is mostly given to relieve the pain that can come with CIPN. Some of the drugs used include:

  • Steroids for a short time until a long-term treatment plan is in place
  • Patches or creams of numbing medicine that can be put right on the painful area (for example, lidocaine patches or capsaicin cream)
  • Antidepressant medicines, often in smaller doses than are used to treat depression
  • Anti-seizure medicines, which are used to help many types of nerve pain
  • Opioids or narcotics, for when pain is severe

Researchers are looking at which drugs work best to relieve this kind of pain. It may take more than one try to find out what works best for you.

Other treatments that can be tried to ease nerve pain and its effects on your life include:

  • Electrical nerve stimulation
  • Occupational therapy
  • Physical therapy
  • Relaxation therapy
  • Guided imagery
  • Distraction
  • Acupuncture
  • Biofeedback

What can I do to deal with CIPN?

There are some things you can do to better manage the symptoms of CIPN, such as:

  • Talk to your doctor or nurse about the problems you are having in daily life. They might be able to suggest ways to make you feel better or function better.
  • If you are taking pain medicines, use them as your doctor prescribes them. Most pain medicines work best if they are taken before the pain gets bad. See Cancer Pain to learn more about pain, how to talk about it, and how to manage it.
  • Avoid things that seem to make your CIPN worse, such as hot or cold temperatures, or snug clothes or shoes.
  • Give yourself extra time to do things. Ask friends for help with tasks you find hard to do.
  • Don’t drink alcohol. It can cause nerve damage on its own, and might make CIPN worse.
  • If you have diabetes, control your blood sugar. High blood sugar levels can damage nerves.
  • If constipation is a problem, follow your doctor’s recommendations about laxatives and exercise. Drink plenty of water and eat fruits, vegetables, and whole grains to get enough fiber.
  • If the neuropathy is in your feet, sit down as much as possible, even while brushing your teeth or cooking.
  • If your neuropathy is permanent, your doctor may refer you to an occupational therapist (OT). They are experts who help people lead more normal lives despite physical limits.

What should I do to avoid injury?

When your sense of feeling is affected by CIPN, you might be more likely to injure yourself by accident. Here are some things you can do to stay safe:

  • If you have neuropathy in your hands, be very careful when using knives, scissors, box cutters, and other sharp objects. Use them only when you can give your full attention to your task.
  • Protect your hands by wearing gloves when you clean, work outdoors, or do repairs.
  • Take care of your feet. Look at them once a day to see if you have any injuries or open sores.
  • Always wear shoes that cover your whole foot when walking, even at home. Talk to your doctor about shoes or special inserts that can help protect your feet.
  • Be sure that you have ways to support yourself if you have problems with stumbling while walking. Hand rails in hallways and bathrooms may help you keep your balance. A walker or cane can give you extra support.
  • Use night lights or flashlights when getting up in the dark.
  • Protect yourself from heat injuries. Set hot water heaters between 105° to 120°F to reduce scalding risk while washing your hands. Use oven gloves and hot pads when handling hot dishes, racks, or pans. Check bath water with a thermometer.
  • Keep your hands and feet warm and well covered in cold weather. For example, consider keeping a pair of gloves in your car. Avoid extreme temperatures.

What questions should I ask about CIPN?

Here are some questions you might want to ask your health care team:

  • Is the chemo I’m getting likely to cause CIPN?
  • Am I at high risk for CIPN?
  • What symptoms do I need to watch for and report to you?
  • Have you treated CIPN in other patients? How? Did it work?
  • If my CIPN gets bad and is very painful, will it change my treatment plan?
  • Is it likely that my CIPN will get better or go away after treatment is over?

Talk to your health care team

It’s important to work closely with your doctor or nurse to manage peripheral neuropathy caused by chemotherapy. Talk to your doctor about any changes in how you feel, and any trouble you have walking or holding things. Tell the doctor how your symptoms affect the things you do every day.

If you get medicines to help CIPN, be sure to keep your doctor posted on whether the drugs are helping and if new problems start up. You might also want to talk with your doctor about whether you can get into a clinical trial to help deal with your CIPN.

If you are concerned about how future treatment might affect your quality of life, talk with your doctor about what’s most important to you. Remember that only you can decide whether you want to get, or keep getting, a certain treatment.

Article Provided By: American Cancer Society

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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
Chemotherapy, Chronic Pain, Pain Therapy, Chronic Pain Therapy, Neuropathic Pain Therapy, Greenville SC

Symptoms of DPN

What is diabetic peripheral neuropathy?

Diabetic peripheral neuropathy is a condition caused by long-term high blood sugar levels, which causes nerve damage. Some people will not have any symptoms. But for others symptoms may be debilitating.

Between 60 and 70 percent of people with diabetes have some form of neuropathy, according to the National Institute of Diabetes and Digestive and Kidney Diseases.

Peripheral neuropathy, the most common form of diabetic neuropathy, affects the legs, feet, toes, hands, and arms.

Many people do not know that they have diabetes. People unaware of their diabetes may not know what’s causing some of the unusual sensations they’re experiencing.

What causes nerve damage?

Nerve damage is the result of high levels of blood glucose over long periods of time. It isn’t entirely clear why high glucose levels damage nerves.

A number of factors may play a role in nerve fiber damage. One possible component is the intricate interplay between the blood vessels and nerves, according to the Mayo Clinic.

Other factors include high blood pressure and cholesterol levels and nerve inflammation.

Diabetic peripheral neuropathy usually first appears in the feet and legs, and may occur in the hands and arms later.

Feeling numbness

A common symptom of diabetic peripheral neuropathy is numbness. Sometimes you may be unable to feel your feet while walking.

Other times, your hands or feet will tingle or burn. Or it may feel like you’re wearing a sock or glove when you’re not.

Shooting pain

Sometimes you may experience sudden, sharp pains that feel like an electrical current. Other times, you may feel cramping, like when you’re grasping something like a piece of silverware.

You also may sometimes unintentionally drop items you’re holding as a result of diabetic peripheral neuropathy.

Loss of balance

Walking with a wobbly motion or even losing your balance can result from diabetic peripheral neuropathy. Wearing orthopedic shoes often helps with this.

Loss of coordination is a common sign of diabetic peripheral neuropathy. Often, muscle weakness affects the ankle, which can affect your gait. Numbness in the feet can also contribute to loss of balance.

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Telltale Signs of CRPS/RSD

You are likely researching CRPS/RSD because you or a loved one are experiencing unexplained moderate-to-severe pain and are trying to find the cause. Perhaps a Google search of the symptoms got you to this page. You may have already visited one or more physicians.

A physician may have suggested that your symptoms could possibly be CRPSComplex Regional Pain Syndrome – or, RSD – Reflex Sympathetic Dystrophy, but that they do not specialize in this condition. You are on a journey for a concrete diagnosis.

First of all, you may or may not have CRPS/RSD. There are a number of conditions that have serious, chronic pain as a symptom, along with others that are also present in CRPS/RSD. Here you can learn more about this condition and its symptoms to help you and your doctor rule it in — or rule it out.

What is CRPS/RSD?

CRPS/RSD is a chronic neuro-inflammatory disorder. It is classified as a rare disorder by the United States Food and Drug Administration. However, up to 200,000 individuals experience this condition in the United States, alone, in any given year.

CRPS occurs when the nervous system and the immune system malfunction as they respond to tissue damage from trauma. The nerves misfire, sending constant pain signals to the brain. The level of pain is measured as one of the most severe on the McGill University Pain Scale.

CRPS generally follows a musculoskeletal injury, a nerve injury, surgery or immobilization.

The persistent pain and disability associated with CRPS/RSD require coordinated, interdisciplinary, patient-centered care to achieve pain reduction/cessation and better function.

It has been shown that early diagnosis is generally the key to better outcomes. However diagnosing CRPS/RSD is not a simple matter and many patients search for months or years for a definitive diagnosis.

It is important to know that research has proven that CRPS/RSD is a physical disorder. Unfortunately, it has not been unusual for medical professionals to suggest that people with CRPS/RSD exaggerate their pain for psychological reasons. Trust your body and continue to seek a diagnosis. If it’s CRPS/RSD, the pain is not in your mind!

Making the Diagnosis

There is no single diagnostic tool for CRPS/RSD. Physicians diagnose it based on patient history, clinical examination, and laboratory results. Physicians must rule out any other condition that would otherwise account for the degree of pain and dysfunction before considering CRPS/RSD.

Early diagnosis and appropriate treatment offer the highest probability of effective treatment and possible remission of CRPS/RSD.

CRPS/RSD Signs and Symptoms Checklist

There is no gold standard for diagnosing CRPS/RSD. If the pain is getting worse, not better, and if the pain is more severe than one would expect from the original injury, it might be CRPS/RSD.

Look for these telltale signs and symptoms:

  • Pain that is described as deep, aching, cold, burning, and/or increased skin sensitivity
  • An initiating injury or traumatic event, such as a sprain, fracture, minor surgery, etc., that should not cause as severe pain as being experienced or where the pain does not subside with healing
  • Pain (moderate-to-severe) associated with allodynia, that is, pain from something that should not cause pain, such as the touch of clothing or a shower
  • Continuing pain (moderate-to-severe) associated with hyperalgesia, that is, heightened sensitivity to painful stimulation)
  • Abnormal swelling in the affected area
  • Abnormal hair or nail growth
  • Abnormal skin color changes
  • Abnormal skin temperature, that is, one side of the body is warmer or colder than the other by more than 1°C
  • Abnormal sweating of the affected area
  • Limited range of motion, weakness, or other motor disorders such as paralysis or dystonia
  • Symptoms and signs can wax and wane
  • Can affect anyone, but is more common in women, with a recent increase in the number of children and adolescents who are diagnosed

Please keep in mind that this information is not intended as medical advice, nor is it a substitute for a diagnosis by a qualified, medical professional. Please feel free to share the information with your doctor or doctors.

Article Provided By: RSDSA

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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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People with Chronic Pain Need to Know

People with chronic pain find that pain is a unique experience. One person may have a different experience dealing with pain than another person, in a similar situation. Pain is more than an unpleasant feeling. It also involves your emotions to events that trigger the pain, such as a car accident or a surgery.

It is hard for a patient, alone, to deal with chronic pain and its related problems such as insomnia and depression. A pain management doctor can help you through this difficult experience. As a patient, you need to take control over your pain, by getting the help that is needed and working with your treatment team to get better.

Understanding chronic pain

Chronic pain outlasts what is considered a normal healing time of three to six months, and can become a disease in itself. It starts in the setting of injury or even without a known trigger. You can understand chronic pain better, by comparing it to acute pain.

Chronic pain vs. acute pain

Acute pain is the short-term pain you feel when you burn your hand, sprain your wrist, or pull a muscle. Your body is warning you to stop a harmful behavior, modify activity to reduce strain on the injured area and seek treatment. 

With chronic pain, the nervous system begins to adjust to ongoing pain signals, and the nerves become overactive. This becomes a persistent issue, that can lead to other problems like sleeplessness, depression, or anxiety. 

While acute pain acts like a fire alarm that tells you to find and remove the danger, chronic pain acts like a fire alarm that can’t shut off and keeps ringing long after the fire goes out.

Chronic pain and your central nervous system

Early Greeks and Romans believed that the brain plays a role in feeling pain. Although modern science supports this view, we now understand that our pain-sensing system is far more complex than the simple view of the old. The central nervous system (the brain and the spinal cord) is your body’s control center when it comes to pain. 

Pain can be either magnified or reduced in the brain and spinal cord, based on a series of relay stations that occur throughout the nervous system’s pain signaling pathway. This process starts when the pain signals in the body get turned on more easily. As a result, a person can become more sensitive and feel moderate to severe pain even with normal stimuli or mild pressure, like a light brush against the skin.

Recognizing chronic pain

Although pain starts at a small level in the brain and spinal cord, it can have a big effect on your life.

Signs of chronic pain:

  • Pain lasts over six months
  • The amount of pain you feel seems greater than what you would expect
  • Sometimes, there is pain without a known cause
  • Sleeplessness, anxiety, depression develop

Causes of chronic pain

Chronic pain can start after direct tissue damage, as a result of an illness, or after nerve damage. 

Conditions that result in chronic pain:

  • Arthritis
  • Cancer
  • Neck/back radiculopathy  (herniated disc presses on a spinal nerve)
  • Diabetic neuropathy (hand and foot numbness)
  • Myofascial pain syndrome (muscle pain)
  • Post-surgical pain syndrome (long-term pain after surgery)
  • Phantom limb pain (pain and sensation that a leg or arm is still there after amputation)

Finding the source of pain

Your doctor diagnoses your pain, after a thorough medical history and exam. A description of your pain’s location, duration, and pattern, leads a doctor to the correct diagnosis. Tests such as X-rays, MRIs, CAT scans, may reveal why you are having pain. 

Braking the pain cycle

Several everyday habits can help you gain control over your chronic pain:

  1. Stay ahead of the pain – take your medications on a schedule
  2. Find what increases your pain and try to work around it – for some that means rest, and for others it means greater activity
  3. Remain active – people with chronic pain exercise less and have increased risk for cardiovascular problems
  4. Avoid stress – the sympathetic (flight or fight) response triggered by stress, can increase pain
  5. Get enough sleep – the brain “turns-off” during sleep and gives you a break from pain
  6. Stop smoking – smoking slows down blood flow to the tissues, slowing down the removal of toxins from the painful area
  7. Maintain a healthy diet – an anti-inflammatory, low sugar, diet may decrease inflammation pain

Outcomes

Under the care of your pain management doctor, chronic pain often improves, or may even disappear. Although chronic pain may return after an injury, such as a fall, it may also return in cycles that are not related to anything you do. Therefore, it is important to seek help early, from your pain doctor, in order to better control your pain and to regain the active lifestyle you deserve.

 Article Provided By: Advanced Medical Group

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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