PAIN Management Support newsletter SPECIAL POINTS OF INTEREST: V O L U M E Active Participant in Pain Management Welcome to Our First Newsletter The Physical Component in Pain Management 1 , I S S U E 1 J A N U A R Y 1 5 , 2 0 1 2 Being an Pain Management Support Group in Quincy INSIDE THIS ISSUE: Being an Active Participant 1 The Physical 2 Component Support Group Being an Active Participant in Pain Management Successful pain management is largely dependent upon the patient taking an active and responsible role in determining their treatment options. Numerous options are now available to individuals seeking pain treatment. These include chiropractic care, nutrition supplementation, body work, yoga and psychology counseling. The path to pain reduction lies in the power of applying many different healing therapies in such a way that they complement the individual's needs, beliefs and personality. While each of these therapies offers some degree of healing, the individual will remain the key component to successful pain reduction. Each individual must believe that pain can be reduced, which is why they are seeking treatment, and then select those therapies or interventions which will assist in doing so. It is important to remember health care professionals are not mind readers. Anyone suffering pain must assume the responsibility for communicating their feelings and experiences clearly with their health care professionals. They need to be able to articulate such things as their level of pain, the intensity of their pain, how they are feeling, and what daily tasks have become difficult or impossible due to the pain or discomfort. Individuals must give important information openly and responsibly so that effective treatment decisions can be developed in partnership with their health care professional. 3 (continued on next page) Ten Step Program for Pain 3 Welcome to our First Newsletter Beginning January 15, 2012, the Blessing Pain Management began offering this newsletter to all its patients. The Pain Management staff and providers understand the frustration that comes with treating pain. We hope this newsletter may serve as a valuable tool for patients and the entire community. We welcome any and all comments regarding this and future newsletter. Feel free to contact Blessing Pain Management with ideas or questions. Thank you for allowing us to work with you! PAGE 2 Being an Active Participant (cont) It is not productive for anyone suffering pain to passively hand to a healthcare provider the responsibility for their pain for several important reasons: This creates the potential for anger an unfulfilled expectations, primarily because any individual who does not accept responsibility for the role and meaning which pain plays in their life does not have sufficient incentive to change. A single health care professional is unlikely to "fix the pain problem" due to the complex interplay of emotions, culture, spirit, sensation and physiology involved in the experience of pain. better choices they make for themselves. This makes it necessary for individuals in pain to become a self-advocates in trying to break the cycle of pain. The more informed an individual suffering pain becomes the Article courtesy of 4myhealth.co.uk Nov 2, 2011, David Morris, The Culture of Pain Those who feel informed feel in control despite their pain or discomfort. The Physical Component in Pain Management Whether you are experiencing pain from smacking your shin on the coffee table, lifting a heavy object, returning a tennis shot with too much enthusiasm or having surgery, pain hurts. But the pain is over in a short while, sometimes with the help of medication. Right? head or bend your body, it helps to get off the sofa or out of bed and increase your physical activity. Not so if you're among the estimated 50 million people in the U.S. who live with chronic, or on-going, pain. Chronic pain arises from a wide range of sources, including accidents, how you stand or sit, conditions such as arthritis and fibromyalgia, or disease. “With exercise, your body releases its own kind of endogenous (from within) opioids, or pain-fighting chemicals,” says Steven P. Stanos, Jr., DO, medical director of the Rehabilitation Institute of Chicago Chronic Pain Care Center. “There are a number of different pain pathways in your body. The endogenous opioid system helps to suppress the pain response.” Unlike short-lived acute pain, chronic pain persists beyond the normal three months' healing time for most bodily tissue. For some people, that means buying those gargantuan-sized bottles of pain relievers at the warehouse club and risking the side effects of prolonged use in order to get through daily activities. Those natural pain-fighters lower your perception of pain whether you have chronic pain or not, according to Martin D. Hoffman, MD, FACSM, CIME, chief of physical medicine and rehabilitation, Veterans Affairs Northern California Health Care System. Dr. Hoffman found that aerobic exercise, when conducted at moderate intensity, caused pain perception to go down markedly. That drop was evident for both healthy participants and for those who suffered from chronic back pain. Producing your own medication How can moving more contribute to less ongoing pain? Physical activity triggers biological defenses against what hurts. There's a better way to cope with chronic pain. As odd as it may seem, when it hurts That chemical response may boost your mood as well, too much to walk, lift objects, turn your which can contribute to pain control, although that result might occur only if you exercise regularly, Dr. Hoffman adds. (continued on next page) PAIN MANAGEMENT SUPPORT VOLUME 1, ISSUE 1 PAGE The Physical Component in Pain Management (cont) Getting started For most people with chronic pain, Dr. Stanos emphasizes the importance of beginning with just a few minutes of exercise at a time. “Then, each week, increase what you're doing incrementally, in some cases one to two minutes at a time,” he says. That snail's pace pays off. “If people start an exercise program and do a graded type of progression, they are more likely to tolerate it. Unfortunately, most people with pain try to do too much and then increase their pain and stop,” Dr. Stanos says. “This leads to more discouragement and feelings like, 'I can't exercise at all.” One activity Dr. Stanos recommends for most chronic pain conditions is water aerobics, also called aqua therapy. Exercising in the water reduces the amount of force traveling through your joints, allows muscles to move in many directions and increases blood flow to the heart, providing additional cardiac benefits. “Aquatic exercises can really benefit most patients,” Dr. Stanos says. Article courtesy of Chronic Pain : Move it or lose it— www.healthywomen.org Pain Management Support Group in Quincy The American Chronic Pain Association will be offering a support group for all individuals who would benefit from education and support regarding pain management. This will be offered the first Tuesday of every month from 5:30 pm to 6:30 pm at Blessing Hospital on 11th Street. The support group meeting will begin March 6, 2012. Any individuals interested in additional information feel free to contact Blessing Pain Management, 217-223-8400, ext. 6370. This support group will provide many opportunities for individuals and their loved ones living with chronic pain. The program’s structure will promote advocacy, education and skill development in pain management. The program provides opportunities for individuals in the community affected by pain to join together and support each other. Evidence shows that individuals involved in pain support groups have an increased likelihood of leading happy and productive lives in spite of the pain. 3 PAGE 4 The American Chronic Pain Support Group PO Box 850 Rocklin CA 95677 The American Chronic Pain Association (ACPA) was founded in 1980 by Penney Cowan in Pittsburgh, Pennsylvania. After many years 916-632-0922 or 800-533-3231 of living with chronic pain, Penny took part in Web site www.theacpa.org the pain management program at the Cleve- E-mail: [email protected] land Clinic and was eager to maintain the skills she had learned there when she returned to her daily life. The ACPA’s unique materials are You can begin to enjoy a better quality of life in spite of pain, visit our website (www.theacpa.org) or contact the ACPA at 1-800-533-3231. primary resource for individuals seeking to improve the quality of their lives and for the professionals who help them. 10 Step Program for Pain - The American Chronic Pain Association Making the journey from patient to person takes time. The isolated fear that can overwhelm a person with chronic pain grows over time. And the return to a fuller more rewarding life also takes time. It is a journey with many phases. The ACPA describes these phases as ten steps. The ACPA’s Ten Steps For Moving Forward From Patient To Person. STEP 1: Accept the Pain - Learn all you can about your physical condition. Understand there may be no current cure and accept that you will need to deal with the fact of pain in your life. STEP 2: Get Involved - Take an active role in your own recovery. Follow your doctor’s advise and ask what you can do to move from a passive role into one of partnership in your own health care. Step 3: Learn to Set Priorities - Look beyond your pain to the things that are important in your life. List the things you would like to do. Setting priorities can help you find a starting point to lead you back into a more active life. STEP 4: Set Realistic Goals - We all walk before we run. Set goals that are within your power to accomplish or break down a larger goal into manageable steps. Take time to enjoy your success. STEP 5: Know your Basic Rights - We all have basic rights. Among these are the right to be treated with respect, to say no without guilt, to do less than humanly possible, to make mistakes and to not need to justify your decisions with words or pain. STEP 6: Recognize Emotions - Emotions directly affect physical well being. By acknowledging and dealing with your feelings, you can reduce stress and decrease the pain you feel. STEP 7: Learn to Relax- Pain increases in times of stress. Relaxation exercises are one way of reclaiming control of your body. Deep breathing visualization, and other relaxation techniques can help you to better manage the pain you live with. STEP 8: Exercise- Most people with chronic pain fear exercise. But unused muscles feel more pain than toned flexible ones. With your doctor, identify a modest exercise program that you can do safely. As you build your strength your pain can decrease. You’ll feel better about yourself too. STEP 9: See the total picture - As you learn to set priorities, reach goals, assert your basic rights, deal with your feelings, relax and regain control of your body, you will see that pain does not need to be the center of your life. You can choose to focus on your abilities, not your disabilities. You will grow stronger in your belief that you can live a normal life in spite of chronic pain. STEP 10: Reach Out- It is estimated that one person in three suffers with some form of chronic pain. Once you have begun to find ways to manage your chronic pain problem, reach out and share what you know. Living with chronic pain is an ongoing learning experience. We all support and learn from each other.
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