Tag Archives: mindfulness

Simple and effective ways to manage chronic pain -part 2 of a series

In a previous post I talked about non-drug methods to manage pain in the spine-neck and back. You may want to review it now, but reading  this one first is fine. This post will focus on other painful conditions.

While people often discover methods to relieve pain that work for them, I am focusing here on treatments that are supported in the medical literature or recommended by knowledgeable professionals. For this post, I reviewed many articles which summarized current studies.

Finding trustworthy medical information

How do doctors know what works and what doesn’t? Since medical knowledge has changed since we went to medical school , how do we know what is current information?

We read literature pertinent to our fields on a regular basis, attend conferences, and talk to other doctors. But when we need a specific question answered , we do what you do-we Google it.

shelves in a library with adjacent computers
the Centers for Disease Control and Prevention (CDC) Library, located on the organization’s campus, in Atlanta, Georgia. The CDC collections span the field of public health. Print and electronic resources cover such topics as disease prevention, epidemiology, infectious diseases, global health, chronic diseases, environmental health, injury prevention, and occupational safety and health. The main library in Atlanta and selected branch libraries are open to the public. used courtesy CDC/ Emily Weyant; MSLIS; ORISE Fellow

One of the most frequently reviewed is PubMed listing  more than 28 million citations for biomedical literature from MEDLINE, life science journals, and online books. The service is free and anyone can use it. PubMed is a service of  the National Library of Medicine, the largest biomedical library in the world ,located in Bethesda, Maryland,

Another major reference is the Cochrane Library, a collection of databases in medicine and other healthcare specialties ; a fee is charged to use this service.

Basic points about complementary treatments for pain management

We should use medication and surgery when appropriate, but when these can’t be used or are not helpful, we can consider alternative methods, or what I and other doctors prefer to call complementary or integrative treatment.

This post focuses on symptom relief, not necessarily curative treatment.

Herbals and supplements are drugs and can be effective for certain conditions, but this post will discuss non-drug treatments only.

Many cases of pain improve spontaneously with no specific treatment.

Almost everything works sometimes.

There are few if any down side to any of these treatments. Used under supervision they are unlikely to have adverse side effects or result in long term complications.

The most important ingredient in managing a chronic or persistent condition is having a therapeutic relationship with your physician and other healthcare professionals- physical therapist , mental health counselor, nutritionist.

SIMPLE AND EFFECTIVE WAYS TO MANAGE CHRONIC PAIN-WATERCRESSWORDS.COM

Migraine

Migraine is more than just a bad headache; it is a disorder of the brain which causes pain as well as other common symptoms including nausea, vomiting, and sensitivity to light and noise.  Dizziness, numbness, and  loss of vision occur less frequently.

diagram of the human brain.
The major parts of the brain, including the pineal gland, cerebellum, spinal cord, brain stem, pituitary gland, and cerebrum are labeled. I photo courtesy of Source: National Cancer Institute Creator: Alan Hoofring (Illustrator)

Most people with migraine require some type of medication for relief, but non-drug treatments can supplement meds and can be helpful for prevention. Integrative treatments that work according to studies include

  • acupuncture
  • biofeedback
  • CBT-cognitive behavioral therapy
  • exercise
  • meditation
  • relaxation training
  • yoga

Fibromyalgia

I mentioned fibromyalgia in my post about back and neck pain, but  include it here  since it causes pain in other body areas.

Fibromyalgia seems to be a disorder of nerves which makes them super sensitive, leading to diffuse muscle and joint pain that can become disabling. Complementary treatments recommended include

  • Mind-body-guided imagery, hypnosis, biofeedback, mindfulness meditation , relaxation
  • Tai chi
  • Hydrotherapy, balneotherapy

Osteoarthritis of the knees (degenerative arthritis)

It is likely that arthritis in other joints responds to these therapies but there aren’t enough large studies to confirm.

  • Acupuncture,
  • tai chi
  • walking and  strengthening exercises
  • Balneotherapy-bathing in hot water mineral baths
people in a gym exercising
photo courtesy Amanda Mills, CDC.gov, Public Health Image Library

 

 

 

 

Tessa Frank  discusses how she became frustrated when increasing doses of opioids didn’t relieve her chronic pain, and what she’s doing now to manage her pain.

How I’m Managing My Chronic Pain Without Opioids

“While I no longer use opioids, I do use non-opioid prescription medications and a spinal cord stimulator to provide pain relief for my CRPS, complex regional pain syndrome, a chronic, debilitating neuropathic pain condition.

I’m also hyperaware of how stress triggers my increased feelings of pain, so to mitigate stress, I personally have found relief in meditation, relaxation and yoga among other approaches.” (excerpt)

 

 

 

 

If you didn’t read it earlier, here’s a link to the previous post about treating pain, along with a brief excerpt.

Surprising effective ways to relieve back pain

“Pain in the spine results from many medical conditions, ranging from minor to life threatening. Most cases are due to routine or excessive physical activity or a minor injury causing strain of the muscles, tendons, and ligaments, and will go away with no or minimal intervention in less than 12 weeks.”

 

 

The affiliate product links in this post are for illustration and information only, and do not imply endorsement.

I am grateful when you like and share this post on social media.

Please consider helping support this blog by using my affiliates. You’ll find links in the side bars, on the home page, and on the resource page.

In a future post I will talk about  non-drug treatments for other conditions.

always exploring the HEART of health with you.

                       Dr. Aletha  WATERCRESSWORDS.COM-exploring the HEART of health

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Most viewed post #4 -5 steps to manage stress and strain

In the 4th most viewed post  I offered  some personal reflections.

I developed the  post idea after reading a medical journal article about ways to help patients dealing with depression with or without medication. The article offered advice helpful to anyone dealing with a crisis, or even the ordinary stress of life.

When I wrote the post, I was  dealing with a personal health crisis, so I had the chance to take my own advice. (We physicians tend not to do so.) Now, the crisis is resolving, but I intend to continue to practice the 

 

5 steps to manage the stress and strain of life

 

As a college graduation gift, I gave a friend’s son a gift certificate to Barnes and Noble Bookseller. He earned a  mechanical engineering degree  and will work as a rocket structural engineer.

He sent me a nice handwritten thank you note (which few people do these days) and said he plans to use it to buy a book that other structural engineers recommend. The book is Roark’s Formulas for Stress and Strain. Roark's Formulas for Stress and Strain- a book

Wouldn’t it be nice if there were a formula for handling the stress and strain of life?

Many health issues would resolve or be easier to manage if life stressors would just go away.  Three fourths of the patients treated by primary care physicians have problems aggravated by  emotional, social, or behavioral issues.

Life’s  interruptions and disruptions won’t disappear, but you can make them less of a strain on your time, energy, and resources. There’s usually no quick fix but 5 steps can lessen their impact.

I’m learning the value of these steps now as I deal with the stress of a foot fracture that is not healing as expected. I’m now facing surgery to correct it, and a longer convalescence than I expected. For someone who is used to being active, this prolonged inactivity stresses me both physically and emotionally. These 5 steps were already a part of my life, but consciously choosing them now helps me cope with what would otherwise cause frustration and sadness.

5 steps to manage life’s stress and strain

1. Create and maintain a routine and schedule.

Having a plan for your time helps you feel more in control of your life.  Resist the tendency to become socially isolated or avoid activities you usually enjoy. 

a smartphone lying on a calendar page with a planner and cup of coffee
from Lightstock.com (affiliate) stock photo site

Times of crisis, loss, or illness may leave you feeling disconnected and adrift, but having a schedule provides structure and connection. When you are busy, you are less likely to feel overwhelmed and hopeless. 

2. Recognizing and reaching out to social supports

Your family and friends are your first line of  support during times of stress and duress. It’s nice if we don’t have to ask for their support, but their lives are busy too, so don’t be hesitant to ask for help if you need it. If they don’t call you, call them.

2 women talking over coffee with open bibles
Conversation over coffee can be therapeutic. graphic from the Lightstock collection( affiliate link)

Other sources for help include your healthcare professionals;  don’t be embarrassed to share that you need social and emotional support. Your doctor can help you identify and get connected with community resources.

Look for help from your or your spouse’s job, your religious community, organizations you belong to, your school, and online resources for support- educational sites, forums, support groups.  Although not as personal as face to face support, these are helpful  if  you are  geographically isolated or mobility is difficult.

3. Reframe by refocusing on the positive rather than the negative.

Recognizing and emphasizing the positive in life makes the problems less overwhelming and distressing. Look for something to be grateful for, or that brings a little joy into your day. It may be as simple as flowers blooming in your yard, your favorite tea and sweet,  a funny story in a magazine.  

balloons-get well IMG_2269.jpg
Balloons are nice, too.

Remembering and observing happy events, occasions, and celebrations can also be sources of renewed joy.

 

Norma, a woman facing terminal illness, reframed her crisis by finding joy in small things, like jigsaw puzzles, new foods, and a “good perm”. Read more about her at

Driving Miss Norma- a book reviewDriving Miss Norma - a book cover

4. Stay active mentally and physically

Physical activity doesn’t have to be a chore, boring, or expensive. Many things can be done at home or in your neighborhood-walking, bicycling, cardio, yoga. If exercise isn’t your thing, try dancing, gardening, swimming. 

If your  physical mobility is limited,  try something stimulating mentally-sewing, crafts, games, puzzles, writing, cooking are just a few possibilities.

checkerboard

5. Nurture your inner self

Sometimes we need to withdraw from outward activities and stimulation for times of quiet rest and reflection.woman with hands bowed in prayer

You may  find help from mindfulness, meditation, prayer, devotional reading, music, journaling,  or a combination of these approaches.

Breathing exercises can lessen anxiousness and tension.

Free Loose Leaf Tea Filter and Free Shipping with any Mighty Leaf Wellness purchase. (affiliate link)

woman standing with arms lifted to the sky

In this post, a retired nurse blogger uses gardening for both exercise and mindfulness.

The Zen of Gardening 

“But what I like most about gardening is how I can get lost in the moment of whatever I’m doing; whether it’s planting, weeding or pruning. It truly is a togetherness of body and mind.”

 

 

 

 

Tyndale House Publishers offers spiritual and devotional books.

Try their free Reader Rewards Club  at this link. Come Read with me-Tyndale Rewards.com

 

 

 

 

 

 

Affiliate disclosure; some of the  photos in this post are from Lightstock, a source for photos, videos, and graphics. With a free account, you can get a weekly free photo.

Learn more at this link. 

cheesy-free faith-focused stock photos
Please visit Lightstock.com for quality photos, graphics, and videos (an affiliate link)

 

RoboForm Password Manager. (this is an affiliate link) 

You’re likely reading this post on a computer, tablet, or mobile phone, so you visit sites that require a password. How do you remember them all? You don’t have to if you use RoboForm Password Manager.

a sketch of various electronic devices
RoboForm Everywhere to manage your passwords

My husband introduced me to RoboForm years ago and I am glad he did. I have used it continually to remember my passwords so I don’t have to. It syncs to both my computer and my phone so my passwords are always available. It will even generate passwords for me.

Go to this link to try RoboForm Free; if you like it you can upgrade to RoboForm Everywhere version with all the features I mentioned above. With Roboform, you will have one less thing to feel stressed about.

 

 

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follow Watercress Words as we explore the HEART of HEALTH.  

Thank you. Dr. Aletha