Best Chronic Pain Management Hacks to Ease Pain Now

15 March 2022

physical therapyWhat is chronic pain and how does it affect people’s lives? Why do some individuals have a high pain tolerance while others don’t? Chronic pain occurs when there are episodes of pain which may last between two and four weeks or longer. There are complex reasons for this type of pain, but in this article, we’ll seek to keep the process easy to understand.

Acute Pain Management and Strategies for Reduction

Traditionally, chronic pain refers to severe pain that lasts for more than two weeks. The McGill Pain Questionnaire (MPQ) was used in research in 1980 to help evaluate the condition.

Chronic pain encompasses a range of ailments that are characterized by localized pain that has caused significant impairment. Arthritis pain responds to certain pain relievers, but over time, people may find they experience pain more often despite the medications.

How to Manage Chronic Pain Safely?

Pain is a complex process involving receptors throughout the body. Signals sent by sensory receptors in various parts of the brain, spinal cord, and peripheral organs alert us to potential dangers. An increased sensitivity from chronic stimulation is called central sensitization. It is difficult to have chronic pain diagnosed by a physician.

Dopamine is believed to be involved in the central regulation of chronic pain in the brain, as evidence accumulates. A crucial aspect of pain relief is descending dopaminergic pathways. There are eight dopamine pathways in the brain; four major and four minor. Dopamine is essential to regulating movement and to regulating pain in these pathways.

Medical Doctors and Chronic Pain

The medical profession has a controversial history of dealing with chronic pain. For decades, the medical community ignored chronic pain until the 1980s. At that time, clinicians focused more on it as a potentially debilitating health problem.

Medical professionals were influenced by two trends that resulted from patient advocacy and research: first, new research grounded in biological knowledge showed dramatic differences between acute and chronic conditions; second, patients themselves started speaking out about their experiences with deteriorating health related to untreated symptoms of an initial disease process.

Pain Management History

pain managementTraditionally, pain had been seen as a problem to be managed in acute care (following an injury or surgery, for example) or during a painful death. Those complaining of pain were often viewed as delusional or drug abusers. Those who were unable or unwilling to use drugs turned to psychotherapy or neurosurgery instead.

The body’s ability to detect injury and disease is ensured through pain. However, it is also unpleasant, and its intensity and duration can affect quality of life significantly. Pain is something we have always dealt with; we will always deal with it.

How Ancient Medicine Became Modern Pain Relief

For over 3500 years, the bark of the willow has been used as a traditional medicine. While the ancient Sumerians and Egyptians used willow bark, they were unaware of its active ingredient; salicin. In ancient Greece, Hippocrates recommended willow bark to relieve pain.

Salicin was widely known for its analgesic properties. German scientist Adolph Wilhelm Hermann Kolbe developed a way to manufacture salicylic acid synthetically. Decades later, other researchers would refine the process to create aspirin. This compound has been the go-to solution for temporary relief from chronic pain for decades.

The Connection Between Pain and Inflammation

nerve blocksThere are several systems in your body that help prevent and repair injuries. Your body uses inflammation to protect itself against harmful agents like pathogens, damaged cells, and irritants. Inflammation differs from infection. Infection results from a virus, fungus, or bacteria, whereas inflammation is the body’s reaction to infection.

You can think of the relationship of pain to inflammation as similar to the relationship of fire to heat to cook. When you do not have any flame burning in your body (no inflammation, no pain), nothing else will happen. Research shows that all mammals have the same “injury response pain matrix”.

Chronic and Acute Inflammation

Inflammation comes in two basic forms; acute and chronic. Acute inflammation occurs when something triggers it; often in response to external injury or infection, but always related to the immune system’s attempt at preventing damage from occurring.

Acute inflammation is like having a cut: you can either treat the bacteria that caused it or wait until excessive amounts of bacterial cytokines over-stimulate your body’s inflammatory cells to cure it.

An example of acute inflammation would be a sore redness along with some swelling for a short period. This type of inflammation is not life-threatening but needs to be dealt with soon if it becomes chronic, as the inflamed tissue speeds up deterioration and disability. Here is an example of a reflective inflammatory response or scarring, which occurs when something traumatic has occurred in your life, such as an injury or surgery.

Chronic Inflammatory Response Syndrome

experience chronic painChronic inflammation is a rare condition where the immune system is constantly tearing the body’s tissues to shreds. While an inflammatory response occurs in any type of acute illness like a cold or infection, with chronic inflammation, it just keeps coming back again and again. This leaves wounds so inflamed that they no longer heal. Chronic inflammation can also occur inside the joints, resulting in synovitis or swelling which has been shown to increase the incidence of osteoarthritis.

Inflammation and Pain Disorders

Examples of chronic inflammation include allergic reactions, autoimmune diseases and the progression of cancerous tumors. The term Chronic Inflammatory Response Syndrome or CIRS is used to describe this collection of symptoms that may be present in people with multiple chronic infections at the same time.

Pulsing vs Throbbing Sensation of Inflammation

Many treatment options can make chronic pain worse. Misdiagnosing the condition can be frustrating as well. Communication between the pain management specialist and the patient should take into account the messages the body is sending.

A dull, throbbing sensation or a pulsating pain is commonly described by patients. Although the sensation is highly individualized, inflammation usually causes pain because of swelling and buildup of tissue.

As a result, the brain responds with pain signals. Nerves continue to send signals as long as the pressure persists, although some brains adapt to the signals or ignore them after a period.

Taming Inflammation

chronic painInflammation can feel like a nuisance or torture. Without it there’d be little we could use to heal the protective lining of our bodies and protect them from serious injury. The goal is not to eliminate inflammation altogether.

It’s a vital health response that protects us from infection and keeps tissues alive. We can look for ways to reduce the levels that cause major discomfort and try non-chemical alternatives for adjusting to minor levels of inflammation.

A Theory Of Healing by Physical Restraint With Relaxation

Psychosocial factors play a significant role in perception of pain, according to the gate control theory of pain. ‘Gate control’ is a proposal for how the substantia gelatinosa functions. The dorsal horn of the spinal cord.

Essentially, this gate-like function inhibits the neurons of the dorsal horn transmitting cells (T-cells). Controlling both the quantity and intensity of the central nervous system signals can be accomplished this way. Higher cortical functions may also contribute to the gating mechanism. Psychological factors can directly affect how people experience pain.

The Relaxation Response for Pain Relief

In the 1960s, Herbert Benson discovered that the relaxation response reduces stress. According to his research, meditation, prayer, chanting, and deliberate repetitive motions have been practiced for centuries as ways to reduce stress and manage pain.

The researchers examined a variety of activities, such as running, progressive muscular relaxation, yoga, knitting, crocheting, and even playing musical instruments, all of which require conscious repetitive motions.

Complementary and Integrative Health

chronic pain treatedResearchers at the Benson-Henry Institute for Mind Body Medicine examined how the relaxation response affects each of the body’s 40,000 genes. Their study found that people who regularly used their preferred relaxation response for 10 to 20 minutes a day could counteract the effects of stress on their bodies. This was compared with a control group. Inflammation was reduced along with anti-oxidation, with conscious daily practice.

Stress Reduction and Pain Management

Pain is stressful. Stress can increase our perception of pain through heightened anxiety. The vicious circle can increase our feelings of stress, anxiety and pain to the breaking point. As basic as the idea may seem, stress reduction can lead to pain reduction.

The goal of stress reduction in pain management isn’t to eliminate pain. If you reduce stress, the pain doesn’t go away, it just fades into the background as your perceptions shift.

Practice Stress Management for Pain Management

There are many relaxation techniques for stress reduction and this article can only skim the surface of this topic. The following are 10 popular ways to reduce stress and pain in the body and mind using mindfulness.

Meditation

Meditation involves sitting or lying down comfortably and then focusing on your breath. If thoughts of pain or stress come to mind, acknowledge the thought and let it be. Don’t push the thought away.

Breathing Techniques

Breathing exercises may involve inhaling for 4 seconds and exhaling for 4 seconds. This will help you relax, and it should help distract your body and mind from going into a stressful mode.

Positive Self Talk

Positive self talk is another useful relaxation technique. It is also called positive thinking. This is where you avoid negative self talk or change negative thoughts into neutral or encouraging thoughts and words.

Exercise

If you are healthy enough for exercise, a healthy workout can boost your mood and reduce your stress. Yoga can even help stretch out your muscles and reduce muscle tension.

Soaking in a Bathtub

Taking a bath with minerals (if medically acceptable) and or pleasing scents can help to soothe muscles and calm the mind. Making a ritual out of the process can be a major factor in altering your outlook.

Outdoor Walks

A 20-minute walk in the outdoors can help to overcome stressful thoughts and reduce anxiety. A daily walk improves self-image and confidence, mood, improves sleep patterns, and reduces stress, anxiety, and fatigue. Walking therapy provides a non-medical option to treat depression.

Journaling

Maintaining a daily journal helps you manage stress. Reducing anxiety, reducing distress, and increasing self-esteem can be achieved with this practice. Journaling has been linked to lower levels of mental distress.

Connect with Others

We are social animals. Having an effective support network can ease your struggles and enable you to see things differently. Giving back to the community also helps you.

Practice Daily Forgiveness

Forgiveness helps you heal both mentally and physically. Resentment can keep you in a stressful state. Daily practice of forgiveness can improve self-esteem, lower blood pressure, improve mental health and reduce stress.

Focus on Gratitude

Like forgiveness, practicing gratitude opens many healthy opportunities. Daily practice improves emotional regulation, sleep quality, reduces stress, increases resilience and fosters better, more healthy relationships.

Chiropractic Options for Chronic Pain Management

There have been several conclusions drawn from chiropractic research about pain, including the basis for how pain is formed and how chiropractic could help to prevent it. Chiropractors treat chronic pain by classic subluxation theory. According to this theory, chronic pain is caused by an outside force, such as trauma, which disrupts joint function.

Spinal manipulation is thought to be the most efficient method of correcting these substandard conditions. Dislodging nerve impingements or spine misalignments is an extremely crucial goal in order to diagnose mechanical faults.

Types of Chiropractic Adjustments

Adjustments are highly skilled, and accurate movements intended to improve the function of a joint. Besides providing relief, they can help restore normal movement.

1. The Diversified Technique

The diversified technique corrects joint dysfunction, restores spinal alignment, and ensures proper movement and mobility.

2. Spinal Manipulation or Spinal Mobilization

The purpose of spinal manipulation is to reduce inflammation, relieve pain, and improve nerve function.

3. Thompson Drop-Table Technique

A specially designed table allows the doctor to apply pressure to the patient’s back. The patient may be “dropped” a fraction of an inch during the session. The dropping motion is gentle and comfortable.

4. The Gonstead Adjustment

This provides a maximum range of motion by restoring normal disc alignment. Patients can receive treatment either sitting or lying down. These techniques help ease pain.

5. The Activator Method

Chiropractors use a handheld device known as an ‘Activator’ to stimulate the vertebral segments or extremities. A spring-loaded device is used to adjust the tone of the nervous system. It can treat conditions ranging from headaches to lower back pain.

6. Flexion Distraction

Flexion Distraction works by using a special table that gently flexes and distracts the spine. This technique is commonly used to treat symptomatic disc injuries with back pain and leg pain. During the adjustment, there is no pain, and it is even considered comfortable. This is a very effective option for patients with recent injuries or extra sensitivity to other adjustments.

7. Spinal Decompression

A spinal decompression might be considered more of a chiropractic technique than an adjustment. It is effective in treating lower back pain symptoms. There are several disc disorders that can cause low back pain, including bulging, herniated, degenerate, and slipped discs.

8. Direct Thrust Technique

In this type of treatment, a part of your spine is moved by applying a rapid thrust. Misaligned joints or bones can be treated using this manipulative technique.

9. Myofascial Release

The technique targets painful myofascial tissues, the tough membranes that surround, connect, and support your muscles. In myofascial release therapy, concentrated manual pressure and stretching relieve restrictions in movement, which indirectly reduce pain.

10. Functional Technique

Through this adjustment, affected joints are freed from restriction and have improved mobility. In order to treat your joint, your chiropractor will use gentle force to move it through its natural range of motion.

Chiropractic Treatments to Control Pain

Chiropractic offices seem to have strange equipment. Some are upright while other tables are horizontal with separate movable parts. They all help the doctor administer specific treatments for various disorders. Here is a short list of the top health complaints treated by chiropractic professionals.

1. Herniated Disk

Commonly referred to as a “slipped” or “ruptured” disk, this condition causes mild to severe pain and limits mobility. A herniated disk occurs when a tear in the annulus (the rubbery exterior of the spinal disk) allows some of the nucleus (the softer center of the spinal disk) to push through.

2. Injury

In this context, an injury refers to something that has caused acute (lasting less than six weeks) or subacute (lasting 6 to 12 weeks) back pain. Your chiropractor will work with you to determine the severity of the injury and any affected areas, as well as any medical history that may affect the injury.

3. Lower Back Pain

It is imperative to understand that not all pain is able to have a definitive source or root cause, and joint pain is no different. Though the term lower back pain may seem general, it refers to back pain because of multiple or indefinable causes. Sometimes, you just hurt.

4. Muscle/Tendon Trauma

Though it may result from an injury or the cause of lower back pain, pulled, strained, and torn muscles may require different or separate chiropractic adjustments. Since the goal is to relieve pain, you’ll likely find most chiropractic treatments for muscles and tendons are lighter than others, so as not to exacerbate the condition.

5. Neuropathy

While the pain and numbness associated with neuropathy is often felt more in the legs and arms, it can also be felt in the back and typically stems from nerves around the spine.

6. Osteoarthritis

It must first be noted that inflammatory conditions such as rheumatoid arthritis should not be treated with chiropractic adjustments. However, osteoarthritis, which occurs when the cartilage between bones wears down, can be helped with chiropractic adjustments. Your chiropractor works with you to determine problem areas and figure out if anything beyond your back is being affected. From there, an adjustment plan is developed to help relieve any pain and improve mobility.

7. Osteoporosis

A condition wherein the bones no longer produce new tissue, osteoporosis can lead to a loss of strength and mobility. Chiropractic adjustment for osteoporosis is aimed at strengthening the surrounding muscles to compensate for the strength lost and improve functionality.

The type of adjustments your chiropractor performs depends on the severity of your condition. You should always coordinate chiropractic care for osteoporosis with your primary care physician. If you have severe osteoporosis, do not seek chiropractic care.

8. Sacroiliac Pain

When the sacroiliac joint is compressed, injured, or pinched, it can cause pain in the back and legs. It limits your ability to move both because of the pain and any abnormality in the joint. A chiropractic adjustment reduces the amount of pressure on the joint, improving mobility and relieving pain. If your sacroiliac pain is severe, be sure to consult your primary care physician before seeking a chiropractic adjustment.

9. Sciatica

A compression of the sciatic nerve, sciatica, is often caused by a bone spur or a herniated disk that puts pressure on that nerve. This condition can lead to inflammation, numbness in the legs, and pain. Sciatica feels a little bit different for everybody, with pain levels ranging from slight discomfort to extreme pain. Your pain and tenderness levels help to determine the specific adjustment procedures your chiropractor will use, but the result is improved spinal function and movement, with reduced pain.

10. Scoliosis

A sideways curvature of the spine, scoliosis, is a condition that leads to alignment and posture issues, and can cause pain. While chiropractic adjustments cannot “cure” scoliosis, they can provide immense relief from pain. Regular adjustments have been shown to help improve alignment and, with other care methods, can provide immense relief. For severe scoliosis, it is recommended to consult your primary care physician before seeking treatment.

Chiropractic adjustment is a valuable treatment method for a variety of different issues. Always be sure to provide a complete medical history to your chiropractor to achieve the most successful results. If you have concerns over the severity of your condition, contact your primary care physician before your chiropractic consultation.

Pharmaceuticals and Chronic Pain Relievers

Chronic pain medications can include antidepressants, which can be effective for treating pain right away. Over-the-counter remedies can ease symptoms but do not visibly and tangibly reduce pain.

Physicians prescribe certain dietary supplements for chronic pain relief, including for fibromyalgia and arthritis. There is scant evidence that low doses of pet supplements improve long-term pain symptoms.

Safely using pharmaceuticals as treatment of chronic pain can be fairly complex. Drugs can take multiple systemic routes and effects or they may act on different pathways, causing a variety of responses.

For the treatment of chronic pain, pain medicine usually requires a period of time, during which the intensity of the treatment may be altered. However, there are a few situations that can make the pain worse! Some medications can be difficult or even impossible under conditions such as certain cancers.

Nonsteroidal Anti Inflammatory Drugs

As Pain Control Strategies

The most commonly prescribed medication for chronic pain conditions, like arthritis, is Non-Steroidal Anti-Inflammatory Drugs (NSAIDs). NSAIDs work by inhibiting prostaglandin receptors, particularly COX-1s.

They also increase the production of molecules that act as “regulators” to prevent pain. Nitric oxide synthase inhibitors (derived from glutathione), as well as thiol compounds, are among these regulators that work to reduce the inflammatory response.

Although NSAIDs are commonly used, they’re not suitable for everyone and can sometimes cause troublesome side effects. The main NSAIDs include:

  • ibuprofen.

  • naproxen.

  • diclofenac.

  • celecoxib.

  • mefenamic acid.

  • etoricoxib.

  • indomethacin.

  • high-dose aspirin.

Each brand has similar effects on pain. Some individuals may be sensitive to a particular formula. One caveat to mention is that low-dose aspirin is not normally considered an NSAID. The formulation is not strong enough to be effective.

Opioids and Pain Management

There are several types of opioids, and the most common are Morphine, Hydrocodone, and Oxycodone. They work by binding to opioid receptors in the brain and spinal cord, and this blocks pain signals from being sent to the brain. This allows the person to feel less pain and be more comfortable.

It is crucial to be aware of the risks associated with opioids, including addiction and death. If you are taking opioids for pain relief, it is imperative to speak to your doctor about the safest dosage and duration of treatment.

Chronic Pain Management Summary:

Chronic pain treatment options pose a real challenge for many people. It can restrict your ability to live a full and productive life, and it can be incredibly frustrating. Thankfully, there are many ways to manage chronic pain effectively.

Complementary and alternative medicine have been helpful in the fight to relieve chronic pain. By making choices and changes to your lifestyle, you can minimize the use of pain medications and dependence on opioids. If you’re looking for more information on managing chronic pain effectively, be sure to check other links in this site.

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