Wordless Wednesday #fibromyalgia

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Chronic Pain is Manageable with the Right Therapy #fibromyalgia

Found on NationalPainReport.com

May 12th, 2013 by Stephen S. Rodrigues, MD

I’ve been a family doctor for 30 years. Fifteen years ago, I started on a quest to understand how one of my fibromyalgia patients was getting better without pills.

Fibromyalgia is one of the most miserable pain problems in the world.

My patient was a stubborn lady who was frustrated with all the specialists and the side effects of pain medication. She planted the seed that began my quest to comb through all available data to explain why she was better. I wanted to use this miracle to help my other patients.

This journey lead me to realize I was given misinformation in the form of incomplete, biased, and outright false information about pain and what causes it. I need to let others recognize this misinformation so that the concept of pain becomes more logical.

Pain is not what I thought!

Pain is an awareness of something other than peace and quiet. It is a “dis-ease” within the body; a distress, a warning, a caution or even just a random signal. All pain may start out the same as an alert to “pay attention.” If the alert is innocent it usually goes away automatically or is resolved with some assistance; such as a scratch, rubbing, stretching, eating, running to the bathroom or resting.

Acupuncture1-1A pulled muscle, twisted ankle, cut, abrasion or laceration will all automatically heal. This healing cascade has been documented and is understood as a natural force not requiring any human intervention.

If the pain alarm is more dangerous, your logic will want confirmation. You will seek help from another. The source of this pain would come from more serious causes such as infections, cancer, tumors, broken bones, torn flesh, a hot stove or what we call space occupying lesions (aneurysms).

There is a third type of pain that is not understood and thus discounted because it does not fit into the innocent or dangerous category. This type actually begins in the innocent class. But if left untreated it will graduate to the dangerous level. Modern medicine calls it chronic pain.

Chronic pain is actually untreated, undertreated, misunderstood, discounted, medicated, pacified innocent pain that is blown up to be perceived as dangerous pain.

Read Janet G. Travell, MD, C. Chan Gunn, MD, Edward S. Rachlin, MD, Clair Davies, Amber Davies, David G. Simons and many others. These authors note that chronic pain emanates from stressed muscles and connective tissues called myofascial pain.

“All pain is myofascial until proven otherwise,” is how Travell puts it.

Myofascial pain is caused by wear and tear that causes a breakdown in muscle fibers. Normally the muscles repair themselves. But if the repair process gets overwhelmed, the healing process falters. An incomplete repair of a muscle fiber is called a “trigger point.” An accumulation of many trigger points within muscles will cause “dis-ease” and the faltering muscle will be sick.

Sick muscles will not function properly; restricting movement, causing a loss of flexibility, weakness, numbness, tingling, stinging, burning pain, and pinched nerves.

Achiness and stiffness will accelerate joint wear-and-tear, leading to bursitis and tendinitis. Tight muscles in the neck and scalp will lead to headaches and sinus issues. Tight muscles in the arm will lead to Carpal Tunnel Syndrome. In the buttock, tight muscles can cause sciatica. In the lower legs they will restrict or block arteries, causing numbness in the legs and feet.

Chronic pain can masquerade as many complex problems in medicine. Belittling this treatable pain will often lead to insomnia and anxiety. Some think that chronic pain, if left untreated, can lead to a form of Post-traumatic Stress Disorder.

Myofascial pain cannot be fixed by a surgeon’s hands as if it were a cancer or a tumor. It cannot be treated solely with pain pills.

Myofascial pain will corrupt the soul, so the soul has to be included in the therapy. The whole person has to be treated; mind, body and soul.

Myofascial pain will grow and spread to other parts of the body and burn deeply into the flesh.

Myofascial Release Therapy (MRT) comes in simple to complex forms. There are effective protocols to begin the healing process. ALL are safe, effective and straightforward. Yoga, acupuncture, stretching, and massage are all forms of MRT.

MRT must be done at the beginning of a chronic pain illness so that a fleeting ache, spasm, sting or shock will not evolve into a full blown entity.

MRT will reignite the healing cascade so the muscles and tissues will complete the healing cycle.

Then all the false signaling will go away, allowing better peace and harmony.

Stephen S. Rodrigues, MD

Stephen S. Rodrigues, MD

Stephen S. Rodrigues, MD, is a family practice physician in Dallas, Texas. He is a graduate of Howard University School of Medicine and interned at Howard University Hospital and D.C. General Hospital. He is certified by the American Board of Family Medicine and studied acupuncture at the Helms Institute of Acupuncture.

Dr. Rodrigues’ website can be found here.

The information in this column is not intended to be considered as professional medical advice, diagnosis or treatment. Only your doctor can do that!  It is for informational purposes only and represents the author’s personal experiences and opinions alone. It does not inherently or expressly reflect the views, opinions and/or positions of National Pain Report or Microcast Media.

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Exercise May Ease Pain of Fibromyalgia, Study Suggests #fibromyalgia

Found on Philly.com

FRIDAY, May 10 (HealthDay News) — Exercise won’t exacerbate the pain associated with fibromyalgia, and it may actually improve it, a new study suggests.

Researchers from Wake Forest Baptist Medical Center in Winston-Salem, N.C., found that engaging in light to moderate physical activity over time could ease symptoms of the condition.

“For many people with fibromyalgia, they will exercise for a week or two and then start hurting and think that exercise is aggravating their pain, so they stop exercising,” study senior author Dr. Dennis Ang, associate professor of internal medicine at Wake Forest, said in a Wake Forest news release.

“We hope that our findings will help reduce patients’ fears and reassure them that sustained exercise will improve their overall health and reduce their symptoms without worsening their pain,” Ang added.

In conducting the study, which was published online May 2 in the journal Arthritis Care & Research, the researchers had 170 people engage in individualized moderate exercise plans, such as light jogging or brisk walking, for 20 minutes daily. During the 36-week study, the participants’ symptoms and physical activity were assessed in questionnaires every 12 weeks.

The study showed that the participants who engaged in moderate-intensity exercise for at least 12 weeks had greater improvements in their symptoms than those unable to attain higher levels of physical activity.

The researchers concluded that long-term physical activity as recommended in current medical guidelines does not lead to increased pain for those with fibromyalgia.

Fibromyalgia or similar conditions affect roughly 10 percent of U.S. adults. Symptoms include widespread musculoskeletal pain accompanied by fatigue, sleep disturbance and memory issues. Experts suggest that fibromyalgia is a pain-processing disorder caused by abnormal functioning of the central nervous system.

More information

The U.S. National Institute of Arthritis and Musculoskeletal and Skin Diseases provides more information on fibromyalgia.
– Mary Elizabeth Dallas

SOURCE: Wake Forest Baptist Medical Center, news release, May 6, 2013

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In case you missed it #fibromyalgia

Blog posts from April 15th – May 18th:

Facebook posts from April 15th – May 18th:

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Lynne Matallana, founder of the NFA, answers Fibro questions #fibromyalgia

May is National Fibromyalgia Awareness Month!

Watch as Lynne Matallana, founder of the NFA, answers questions from the fibro community in this new series of videos, “Ask NFA’s Lynne Matallana”©

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Guest Blog: How to Find The Right Treatment for Your Fibromyalgia #fibromyalgia

Fibromyalgia is something with which you’ve been dealing for so long, and the pain does not seem to be getting any better. At this point, it may be time to consider a new course of treatment. How can you figure out what the best plan is for you? Read on to find out.

Your Beliefs
When deciding on a treatment plan for any condition or disease, some people struggle with their religious beliefs. For example, some faiths state that followers must look to God for healing before they go to a doctor, or the believers might not be permitted to go to a doctor at all. Faith is a very personal aspect of life, but you must consider whether or not it is holding you back from getting the treatment you need and deserve.

Doctor Consultations
It might take a few different trips to the doctor to figure out what the best plan is for you. You should never be afraid of getting a second opinion. Yes, eventually you will need to pick a doctor with whom you feel comfortable, but you should look around until you find that doctor. On top of that, you also need to consider the treatment plans that are being offered to you. Are you comfortable with them? Do you feel as though they are going to work?

Speak with Patients

Another idea you might want to employ is to talk with people who have undergone the same type of treatment that you have. By doing so, you can get a sense of how individuals are doing from the program and what some of the side effects may be. Of course, you need to realize that patient confidentiality is at the heart of the medical field, so you might not be able to find out too much information from the doctor. However, you can look for support in online communities or reach out to individuals who seem friendly at the treatment facility for some information.

Undergo The Treatment

Of course, one of the only ways to find out if the treatment is going to work for you and how your body will respond to it is to undergo the actual treatment itself. You don’t want to put your body through tons of different treatments, so make sure you are selecting the one that makes the most sense for you. You can talk to doctors and other people, but you’re the one who has to make the ultimate decision. Be aware of your body during the treatment process. If something doesn’t feel right or you don’t feel the symptoms start to subside, make sure that you have a conversation with your doctor about it.

Finding the right treatment can be challenging, and this is especially true when you have been suffering for quite some time. However, you can now know that hope does exist and treatments are available. You just need to work on finding the one that is the best fit for you and your life.

Fran Menendez writes about health and wellness. Her recent work is about how to earn an online medical assistant degree.

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Challenges in the Assessment and Management of Chronic Pain: A Virtual Summit Series #fibromyalgia

Pain Care Live

Presented by the Johns Hopkins University School of Medicine, and supported by independent educational grants from Depomed Inc., Lilly USA, LLC, the following Virtual Summit Series is being offered at no cost. I am sharing this for those of us interested in keeping up with the latest scientific research on chronic pain. I will be listening in.

pain-careLIVE 2-PART VIRTUAL PAIN CARE SERIES

Watch top pain management specialists discuss the latest scientific research via live streaming video, participate in real-time Q&A online and earn AMA PRA Category 1 Credits™.

Topics Include: pathophysiology of chronic pain, opioid analgesics, neuropathic pain syndromes and low back pain and fibromyalgia.

To participate, login at www.PainCareLive.com

Tuesday, May 14th 2013,  Agenda

New Insights into the Pathophysiology & Assessment of Chronic Pain
10:00 AM – 11:00 AM Eastern
Michael Clark, MD, MPH, MBA, Johns Hopkins University School of Medicine

Is the Use of Opioid Analgesics Ever Warranted in the Management of Chronic Pain?
11:00 AM – 12:00 PM Eastern
Michael Clark, MD, MPH, MBA, Johns Hopkins University School of Medicine
Mark Sullivan, MD, PhD, University of Washington Medical Center

Tuesday, July 2nd 2013, Agenda

Practical Strategies for Assessing and Diagnosing Neuropathic Pain
10:00 AM – 11:00 AM Eastern
Russell Portenoy, MD, University of Maryland School of Medicine

How is Chronic Pain Different in Women, and what are the Management Implications?
11:00 AM – 12:00 PM Eastern
Lesley Arnold, MD, University of Cincinnati College of Medicine
Leslie Crofford, MD, University of Kentucky Chandler Medical Center

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Fibromyalgia Awareness Day List of Events #fibromyalgia

From the newsletter of the National Fibromyalgia & Chronic Pain Association

Exciting Fibromyalgia Awareness Day events are happening across America and around the globe!  It’s still not too late for you to order the free Fibromyalgia Awareness Event Kit to help you create a successful Awareness Event in your community. For Event Agreement, click here.

During the next few weeks and throughout May, check back at the NFMCPA website for Awareness Day event updates in different areas.  If you are located close to one of these following events, please help support it by participating or by offering help to the organizer.

The NFMCPA is proud to sponsor the following FM Awareness Events:

C.A.R.E. & Make Fibromyalgia Visible (Contribute – Advocate – Research – Educate)

Thunderclap at midnight on May 11, 2013 – Send one message worldwide thru Facebook and Twitter

Faces of Courage

Pledge to Care

Letter to Editor

Lights of Hope

Fibromyalgia Proclamations & Declarations

Make Fibromyalgia Visible  logo (free download to use with signatures or anywhere)

Events the NFMCPA is excited to promote in support of May 12 National Fibromyalgia Awareness Day:

The inspirational poetry book Living with Fibromyalgia: A Young Man’s Journey to Peace, Inspiration and Empowerment through Poetry and Uplifting Words ( Kindle Edition), by Calvin Eaton will be available for $.99 on May 11th and FREE on Sunday, May 12. ( Click here )

Kentuckiana C.A.R.E.S. Fibromyalgia Picnic Sunday, May 19, 2-6 PM (Festival Plaza at Waterfront Park in Louisville, Kentucky)

Tennessee Fibro Friends Dinner & Music Sunday, May 4, 11-2 PM (Green Room Coffee House in Nashville, Tennessee)

Courage Center Fibromyalgia Information Event Saturday, May 4, 2013 with Dr. Todd Hess, a nationally recognized speaker on pain (3915 Golden Valley Road in Minneapolis, Minnesota)

Fashion & Brews benefit for 12th Annual Michigan FM Awareness Day Saturday, April 10, 2013 (Falling Down Beer Company in Warren, Michigan)

Farmer’s Market Fibromyalgia Awareness Table Talk Exhibit Saturday, May 11, 2013 (Logan, Utah)

Smithfield Health Fair Days Fibromyalgia Fibromyalgia Awareness Table Talk Exhibit Saturday, May 11, 2013 (Smithfield, Utah)

Current Fibromyalgia Treatment Options Patient Meeting Saturday, May 18, 1 PM (10840 Beinhorn Road in Houston, Texas by Fibromyalgia Association of Houston)

Int’l Fibromyalgia Awareness Day High Tea Celebration (Esplanade River Suites, The Pagoda, in Como, Western Australia by Fibromyalgia Support Network, Inc.)

Zumbathon for Fibromyalgia Friday, May 10, 6:30-10:30 PM (Fairfield Arts & Convention Center in Fairfield, Iowa)

Spring Fling Vendor & Crafter Fair Saturday, May 11, 10 AM- 3 PM (Wesley Church 2540 Center Street in Bethlehem, Pennsylvania)

Fibromyalgia Education Event Thursday, May 2 , 7-8:30 PM (panel discussion) & Saturday, May 4 3-5 PM (aquatic therapy and Watsu treatments) (3575 Donald Street in South Eugene, Oregon by Tamarack Wellness Center)

Fibromyalgia Symposium:  Latest Diagnostic Breakthroughs Saturday, May 11, 9:30 AM (College of Medicine Research Building, Moss Auditorium, Room 1020 CMRB, 909 S. Wolcott Avenue in Chicago, Illinois) (University of Illinois at Chicago CME)

Second Annual Fibromyalgia Walk Sunday, May 12, 9:00 AM (Calzada Fray Antonio de San Miguel, Morelia, Mich.,  México by “AMFM” Asociación Moreliana de Fibromyalgia (MorelianFM Association))

Please check back for more information for the following events at Fibromyalgia 2013 Events :

Mother’s Day e-cards for Moms with FM

Fibro Fighters – Self Defense Fibromyalgia Awareness (12652 South 2700 West in Riverton, Utah

Fibromyalgia Awareness Event  Saturday, May 18, in Baton Rouge, LA

Walk to CURE FM in Jonesboro, Arkansas

Fibromyalgia Awareness Event (125 3rd Street NE in Hickory, North Carolina by Hickory FM & Chronic Pain Support Group

Celebration of Movement in Madison, Wisconsin

Fibromyalgia Awareness Event in Newport News, Virginia

If you know of an upcoming event or would like your event posted here and in NFMCPA Awakenings e-blast on May 1, please let us know at info@fmcpaware.org.

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Guest Blog: Three Reasons Why You May Want To Resort To Cannabis To Alleviate Pain #fibromyalgia

If you’ve been paying attention to the news lately, you probably know that many states are beginning to realize the health benefits of cannabis. Through the legalization of medicinal marijuana, people suffering from certain illnesses or chronic pain can find relief for their conditions in a safe and all natural way. Unlike potentially deadly pharmaceutical drugs that may cause horrible side affects or even overdose, these things are far less likely when a person inhales or ingests cannabis. If you are suffering from a painful medical condition and want a better way to relieve your pain, here are three reasons why you may want to try cannabis.

1. Toxicity

Today, it seems as if there is a pill to treat every condition. While many of these medications are very helpful, some can be very dangerous. Usually when a person is in pain, he or she is given an opiate-based narcotic. These medications are full of potentially harmful chemicals, and cannabis is not. Narcotics can cause overdoses by suppressing the respiratory system, while cannabis does not. If you want a more natural and less toxic way to treat your chronic pain, you may want to try cannabis.

2. Environmental Concerns

The process involved with creating pharmaceutical drugs can be a drain on the environment. Cannabis, on the other hand, can actually enhance the quality of the air through the way it absorbs carbon dioxide. Also, it requires far less energy to grow cannabis than it does to create pharmaceutical drugs. If you are someone who lives an ecologically friendly life, you may want to consider treating your pain or illness with cannabis.

3. Addiction

While cannabis can cause a certain degree of psychological dependence in some people who use it, stopping the use of cannabis does not result in horrible physical withdrawals. Opiate based pain relievers, on the other hand, carry a high risk for a person developing a major drug addiction. While opiate based pharmaceutical medications may be prescribed by your doctor, they can cause a drug addiction that is equivalent to a heroin addiction. Cannabis does not cause serious drug addiction, and it is a safer pain relief method if you are prone to addictive behaviors.

If you want to try a new way to help eliminate the pain associated with a certain illness or medical condition you may be suffering from, you may want to consider trying cannabis. Not only is cannabis a safer alternative to opiate based pain medications, but growing it can also help the environment. Unlike toxic pharmaceutical drugs, cannabis is natural and does not contain harmful chemicals. Although its medicinal use is not legal in all 50 states, you may want to consider trying it out if you live in a state that has legalized this important herb for medicinal uses. While you may not be able to make your pain go away for good, you can help alleviate the uncomfortable conditions it causes by smoking or ingesting cannabis.

Justin Jenner writes about health and nutrition. His recent work is about his journey earning an online masters in healthcare administration.

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101 Ideas To Empower Persons In Pain to Survive & Thrive #fibromyalgia #BlogBoost

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Found on the Fibromyalgia & Me Online Support Group

As you all know, just getting through any day with persistent pain is a challenge.

These are easy-to-do, empowering tools and resources to help you better manage your pain, improve your care and, ultimately, enhance your quality of life.

Remember to have fun—and seize the day!

Self-Care

Relaxation/Meditation

1. Seek out things that make you laugh—remember, laughter is the best medicine!

2. Slow down—and breath deeply…

3. Use aromatherapy—relax to your favorite scents.

4. Meditate, with a group or by yourself.

5. Listen or make music (i.e., play a CD, sing or play an instrument.)

6. Get a massage by a professional masseuse – or someone you love…

7. Take a long bubble bath and light some candles.

8. Buy a bouquet of flowers to cheer up your surroundings!

9. Grow something—commune with Mother Nature!

10. Stir your imagination—imagine a pleasant experience, moment, sensation…

11. Make or craft something (i.e., knit a scarf, do pottery, build something, do woodworking, etc.)

12. Go to an outdoor concert, and don’t forget to pack a picnic.

13. Treat yourself to a manicure and/or pedicure. Be a Queen for a day!

14. Explore an antique store—lose yourself among the treasures…

Cognitive/Mental Strategies

15. Practice mindfulness—be in the moment…

16. Try art therapy (i.e., paint or draw a picture that shows how you feel!)

17. Use narrative therapy (i.e., write your pain experience.)

18. Keep a gratitude/affirmation log (write down three things you’re grateful for each day.)

19. When depression and/or anxiety hits, don’t fight it. Know it’s a part of the natural pain experience. But don’t hold on for too long…

20. Accept that everything you’re feeling is real and normal.

21. Take a class, learn something new—and stimulate your mind!

22. Wear a bright color—they excite the senses!

23. Reflect upon affirming, positive memories…

24. Read a great book—or a breezy romance novel.

25. Express your true and authentic self. You’re the only you!

26. Think positive, affirming things about yourself.

27. Take a trip, even if it’s a virtual one.

28. Seek support through a professional pain counselor.

29. Make a change and surprise yourself (i.e., get a new haircut, try a new recipe, etc.)

30. Get dressed up and put your make-up on, just because it makes you feel good!

31. Keep a positive attitude, hang in there and keep the faith!

32. Practice appreciation for your healthcare providers—more often than not, they’re trying their best to help…

33. On a bad day, remember what Scarlet O’Hara said, “Tomorrow is another day!”

34. Notice and appreciate the splendor season changes…

35. Learn a foreign language…or two! Exercise that part of the brain that doesn’t read pain signals.

36. Choose something you love, and do it every week, same day and time. A joyful routine gives you something sweet to look forward to…

37. Don’t let your pain define you. Remember that while pain is now a part of your life experience, it’s not your identity.

Care of the Body

38. Exercise regularly and keep your body moving. Hydrotherapy in warm water is especially effective with pain conditions.

39. Eat a healthy diet (fruits, vegetables, lean meats, etc.)

40. Avoid or quit smoking!

41. Practice good sleep habits—enjoy waking up refreshed and renewed.

42. Be open to alternative and complimentary therapies (i.e., acupuncture, guided imagery, etc.)

43. Have realistic expectations about therapies (i.e., have you given your physical therapy regimen enough time to help?)

44. Educate yourself about your pain condition. But don’t obsess and let it consume you…

45. Listen to your body talk—you know it better than anyone else!

46. Learn to say “no”—avoid stress by not over-burdening/committing yourself.

47. Spend time in the sun—and don’t forget that all-important sun block!

48. Practice good posture. A well-aligned and supported spine is virtually guaranteed to help any pain condition.

Relationships

49. Do something nice for someone—it feels good, and that energy is sure to come back your way.

50. Learn to forgive those who have disappointed you throughout your pain experience; anger is further fuel for pain!

51. Adopt a pet. Unconditional love is good for the soul…

52. Give someone a hug—who knows, you might just get two back!

53. Volunteer for your favorite charity, school or organization. Doing good is chicken soup for the soul!

54. Throw yourself a party. Celebrate an accomplishment with family and friends!

55. Get involved in your community (i.e., attend neighborhood council meetings, help plan a block party, etc.)

56. Seek out fellow chronic pain sufferers through on-line discussion boards and support groups at medical centers. These bonds could last a lifetime.

57. Don’t forget about lovemaking with your partner. Intimacy is second to none to revive the soul and senses!

58. Spend quality time with a child or children (yours, nieces or nephews, etc.)—they’ll help you see the world with eyes of wonder!

59. Have an afternoon tea with some girlfriends.

60. Accept an invitation to a party or other social event, even if you’re in pain. It’s great misdirection—and you’ll probably find yourself having a dandy time!

61. Be open to talking to family and friends about your pain experience—and answering their naturally inquisitive questions. If they’re curious, they probably care. Try not to shut them out…

62. Remove toxic people from your life—as stress and strain that comes from bad relationships makes pain worse. It’s appropriate to walk away from inappropriate people!

Assertiveness

63. Remember it’s your body—and ultimately all possible treatment options are your choice.

64. Be prepared for your doctor visits (i.e., have questions ready, be educated about your pain condition(s), etc.)

65. Partner with your doctor. You’ll get better pain care results if you work as a team.

Find a good advocate at your health insurance company.

66. Bring a family member or friend with you when you go to a doctor’s appointment. They can advocate for you—and it’s good for your doctor to know someone cares and is watching out for you.

67. Examine and weigh your therapy options—the biggest “guns” may not be the answer for you.

68. Don’t let your doctor pressure you into a therapy that you don’t want to do!

69. Interview your pain management provider (i.e., What kind of therapies do you support for my condition?, Are you open to alternative/complimentary therapies?, etc.)

70. Remember, one size doesn’t fit all when it comes to pain treatments. We’re all unique—and what helps one person may not help another.

71. Seek out references with any doctor referral (i.e., talk to other patients, look up his/her standing with the state medical board, etc.)

72. Make sure your treating healthcare professional is assessing your pain level during each visit—remember, pain assessment is “the fifth vital sign.”

73. Find out if your hospital and/or clinic has a “Patient’s Bill of Rights”—and if so, make sure your treating healthcare professionals are following it.

74. Learn about the potential side effects of any and all medications you are considering or presently taking. Sometimes their adverse side effects can create more harm than the problem you’re taking the medication(s) for.

75. Run—don’t walk!—from any physician or other healthcare professional who doubts, dismisses and/or discounts your report of pain!

76. Encourage your family and friends to educate themselves about your pain condition(s) (i.e., provide them with website resources, articles, etc.)

77. Educate yourself about all of your therapy/treatment options (including complimentary and alternative choices)—this will enable you to make the best, most informed decisions about your pain management care.

Clinical Advice

78. Using a rating scale such as 0 to10 (0 = no pain, 10 = worst pain) is a useful way to communicate your pain to others and assess changes in your own pain.

79. Use the rating scale to rate how much relief you are receiving. For example, if your pain therapy relieves your pain from a “10” to a “7”, this is a good step. But knowing your pain is a “7” should suggest that you still require additional help.

80. Prevention of pain is key. Anticipate things that bring your pain on (exhaustion, dehydration, stress, etc.) and make every attempt to prevent pain versus responding only when it happens.

81. When taking pain medication, always consider what non-drug treatment you could use along with it. Using heat/cold/massage/relaxation can diminish anxiety and distract you from the pain until the medication can begin working.

82. Discover accurate and effective words to describe your pain (i.e., burning, stabbing, aching, pins and needles, electrical, throbbing, etc.) to help your healthcare provider with diagnosis and treatment.

83. For chronic pain problems, it is generally better to take medications on a regular, around-the-clock schedule rather than only on a “prn”/as needed basis only when pain is severe.

84. Fortunately, there are many choices of analgesics (be it traditional, complementary or alternative)—so if a particular pain therapy that has been prescribed doesn’t work or causes side-effects, ask to try another.

85. In general for chronic pain, long-lasting medications are preferred to offer several hours of undisturbed sleep or activity.

86. If your doctor prescribes physical therapy, be sure to find a therapist you have a repore with. Explain your symptoms carefully, and go over your doctor’s report together. Also be sure to immediately alert your therapist to any pain you’re experiencing as a result of a therapy exercise.

87. “Breakthrough pain” is pain that occurs in episodes between doses of medications. Discuss this with your physician to determine if breakthrough medications are needed.

88. Inactivity or decreased function is a major problem in chronic pain and results in muscle weakness, dependence, depression—and this cycle only worsens over time. Try to maintain activity if at all possible.

89. Depression and anxiety are generally an integral part of the pain experience—and can become severe. Don’t hesitate to tell your pain management provider about these feelings and indeed ask for a referral for a support group and/or psychologist. Your doctor should know psychologists who specialize in pain.

Web-based Resources

90. Check out The Intractable Pain Patient’s Handbook for Survival by Dr. Forrest Tennent. Download a copy here: http://pain-topics.org/pdf/IntractablePainSurvival.pdf

91. Here’s a wonderful resource to help the people who care about you. Surviving a Loved One’s Chronic Pain by David Kannerstein, PhD and Sarah M. Whitman, MD. Download a copy [http://www.ppmjournal.com/PDFs/PPM_J…annerstein.pdf

92. Here’s a great, up-to-date resource about pain medications! American Chronic Pain Association’s 2007 Medication & Chronic Pain Supplement. Download a copy http://www.theacpa.org/documents/ACPA%20Me…007% 20Final.pdf

93. Get educated and informed about your pain condition(s)! Pain Information Library sponsored by the American Pain Foundation. http://www.painfoundation.org/page.asp?fil…brary/ Index.htm

94. Go to the American Chronic Pain Association’s website and read their “Ten Steps from Patient to Person” http://www.theacpa.org/pf_02_04.asp

95. Review For Grace’s “Women In Pain Bill of Rights” to get a better understanding of what you should expect in your patient/doctor relationship.

96. Go the National Pain Foundation’s “My Journey” section and find links to patient support groups throughout the US:

http://www.nationalpainfoundation.org/ MySu…nkDirectory.asp

97. Go to PainTopics.org’s website and find an excellent section on pain patient resources, tools and information: http://pain-topics.org/patient_resou…2.php#chronic1

98. Download a notebook from the American Pain Foundation to journal your pain experience: http://www.painfoundation.org/Publications/Notebook.pdf

99. Visit Pain.com and see their full array of consumer support tools and forms: http://www.pain.com/sections/consumers/pai…ort/pain_tools/

100.Become a member of American Pain Foundation’s thriving on-line PainAid community. Take the first step http://painaid.painfoundation.org/

101.Power Over Pain is a grassroots movement that encourages those in pain to become advocates in their own communities. Join the charge to put pain on the map as a major health issue: http://www.painfoundation.org/ poweroverpai…ile=network.htm

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