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Management of Chronic Pain: Getting to the Root of Persistent Pain

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Management of Chronic Pain: Getting to the Root of Persistent Pain

Pain has an astounding effect on the individual, their family, and society as a whole. It affects over 50 million Americans; it doesn’t discriminate, and gets worse as we age. Dr. Mackey will discuss why diagnosing and finding the root of chronic pain is essential to treating it. He’ll also discuss why integrating different approaches from drugs to exercise can improve quality of life for many patients.

Pain-management specialists note that non-narcotic approaches to treating chronic pain are not only safer, but also in many cases more effective. Learn more ➨ http://uclahealth.org/pain/
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Emotions & Chronic Pain

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This is a talk featuring Rick Olderman, physical therapist, and Katie Mason, psychotherapist, about how emotional stress can create chronic pain and ways to help yourself.
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Pain Management | Chronic Pain vs Acute Pain

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http://www.cincinnatichildrens.org/pain-management

Pain Management Center
Frequently Asked Questions

What’s the difference between chronic pain and acute pain?
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How does pain turn into chronic pain? - Harkirat Chahal, MD | UCLA Pain Center

Dr. Harkirat Chahal answers: How does pain turn into chronic pain?

Learn more about Dr. Harkirat Chahal at https://www.uclahealth.org/harkirat-chahal

The UCLA Comprehensive Pain Center is a part of the UCLA Department of Anesthesiology and Perioperative Medicine, where physician anesthesiologists with expertise in the treatment of complex pain conditions come together to provide world-class care

Learn more at https://www.uclahealth.org/pain
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Brain Changes in Chronic Pain Patients

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Brain Changes in Chronic Pain Patients

In this clip (6 of 10): Imaging studies have shown changes in brain anatomy in people who are longtime chronic pain patients, such as accelerated loss of gray matter. “Psychologically based” approaches such as meditation and yoga may be protective, although more study is needed. This clip is part of the lecture “The Neural Basis of Mind-Body Pain Therapies” by M. Catherine Bushnell, Ph.D., scientific director of the Division of Intramural Research, NCCAM, NIH. This lecture, given at NIH in 2013, is part of the NCCAM Online Continuing Education Series. Free CME/CEU credit is available to health professionals (see http://nccam.nih.gov/training/videolectures).
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Dr. Dan Clauw, the Director of the Chronic Pain & Fatigue Research Center at the University of Michigan, discusses pain that stems from your brain. He presents an overview of what is currently known about the underlying causes of chronic pain and discusses the rationale behind a variety of different treatments for chronic pain. He also shares information about a self-management tool called Fibroguide (https://fibroguide.med.umich.edu/) that has been shown to be helpful in improving the symptoms and function of people with chronic pain.
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Let's Play Earthbound! Ep. 11: WTB PSI Healing…

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Did I actually talk to the Runaway Five beforehand? I don’t even remember. If I did, then whoops. If I didn’t, then cool, this video makes more sense in the long run. Also, seriously, I want to be feeling better already.

I do not own the copyrights to Earthbound.

Part 35B – First section of Stonehenge to defeating the Starman Deluxe

Part A – https://www.youtube.com/watch?v=2jxr5mMgXyE

Outline:

8:22 – Defeat the Starman Deluxe.

Notes:

1:44 – The upper path leads to a Cup of Lifenoodles.

2:37 – To the right on the upper floor is a Broken Harmonica. It can be repaired into the Baddest Beam (55 IQ required), a weapon for Jeff (Offense +98). You shouldn’t need it if Jeff has the Heavy Bazooka.

3:06 – Starman Super: protected by a reflecting PSI shield. Can revive defeated enemies with Healing Ω. Approach it from the front or the sides to get a green swirl.

The Starman Super has a 1/128 chance of dropping the Sword of Kings, the only effective weapon for Poo in the game (Offense +30). All enemies in Stonehenge disappear once the boss here is defeated, and the Sword of Kings cannot be found anywhere else.

6:09 – To the right is a Broken Trumpet, which Jeff can repair into the Defense Shower (40 IQ required). It’s mostly useless.

8:22 – Starman Deluxe: protected by a reflecting PSI shield and can use Starstorm. A Multi Bottle Rocket can end this fight in 1 round.

My rules for this walkthrough:

1. I don’t use Big/Multi Bottle Rockets because I think they make the game too easy. My hope is that not using Bottle Rockets will give you a better sense of what each boss is like and make these videos more interesting.

2. I avoid level grinding as much as possible. I point out when I think I’m under-leveled.

Useful links:

For enemy and item info – http://starmen.net/mother2/ebdb/
For game mechanics – http://starmen.net/mother2/gameinfo/technical/equations.php
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CDC Guidelines for Opioid Prescribing: Recommendations and Outcomes

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Amy Bohnert, PhD, MHS
Associate Professor, Psychiatry
Co-Director, Mental Health Innovations, Services and Outcomes
University of Michigan
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Innovations in Chronic Pain Management Video – Brigham and Women’s Hospital

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Edgar L. Ross, MD, Director, Pain Management Center at Brigham and Women’s Hospital (BWH), discusses how chronic pain differs from acute pain. Chronic pain management, explains,Dr. Ross, is effectively treated through a team-based approach that requires the patient to be an active participant in the treatment plan. The BWH Pain Management Center provides multidisciplinary care for chronic pain management, including experts in psychiatry, psychology, neurology, physiatry, and anesthesiology. Treatment plans address the physical and psychological components of chronic pain and rehabilitation.

Dr. Ross also describes research being conducted at BWH including clinical trials evaluating new pain medications, a mobile app designed to help patients manage chronic pain outside of the doctor’s office and a risk assessment tool that helps predict if patients should avoid the use of opiate medications.

Learn more about the BWH Pain Management Center:
http://www.brighamandwomens.org/pain

Read the Innovations in Chronic Pain Management video transcript:
http://www.brighamandwomens.org/Departments_and_Services/anesthesiology/Pain/pain-management-innovation-video-transcript.aspx
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What is Chronic Pain Anonymous?

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What is Chronic Pain Anonymous?

Here I am explaining to the Facebook group, Attitude of Gratitude with Chronic Pain, what to expect from a Chronic Pain Anonymous meeting. We ‘meet’ online on Zoom on Tuesday nights from 7-8:30pm.
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How to Get a Strong Low Back | DO THIS EVERY DAY!

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If you have back pain, particularly if you spend a large portion of the day sitting, then you will want to watch this video. I’m going to show you something you can do every day to get a strong low back and start getting rid of the pain that can keep you from your workouts at the least and be disabling at its worst.

Your game plan for getting a stronger lower back starts with the most important exercise of all, the deadlift. This compound push/pull exercise forms the foundation of any good lifting program. It is perhaps the most functional exercise outside of the squat and is one that you need to master if you want to build a strong and powerful physique.

The issue with the deadlift is that, if done properly, it lacks the concentric shortening cycle for the lumbar paraspinals (the muscles most often weak when low back pain is present) having instead a heavy reliance on isometric strength of these muscles. The deadlift is not a back extension movement but rather a hip driving or hip extension and glute firing movement. The lower back is instead held in a slight arch with an isometric contraction of the lumbar spinal muscles and maintained throughout the bar’s ride to the top.

If you do this exercise incorrectly you will be using far too much low back, which is not equipped to hold the amount of weight that is usually used on a deadlift. You need the support of the legs and the incredibly strong muscles of the hips and glutes to drive this movement. That said, there is a small percentage of concentric shortening of the low back muscles that occurs at the top of the lift (not over extension mind you, just at the top as you reach vertical). This accounts for a small percentage of the weight lifted. Because of this, you would have to be deadlifting in the neighborhood of around 500 pounds in order to get an appreciable effect on the concentric overload of the low back.

Even then however, the deadlift is not something that you would normally perform on a daily basis, meaning that you would need some other options of things to do on non deadlifting days to keep your lower back getting incredibly strong. This is where the kettlebell swing comes in. This exercise is also a hip hinge movement that is performed with much lighter weight than the deadlift. The benefit is however that it is a conditioning exercise that could fit in perfectly on your non weight training days and can be done for longer time to give you an endurance benefit and the volume needed to train the area properly.

That is not enough either though. This is where you want a staple strength training exercise that can be performed on push days or even leg days that can give you even more overload. This is where the weighted hyperextension comes in most effectively. This is the best exercise for taking the lumbar paraspinals from an elongated position to a shortened position to fully train them through their full range of motion. The big key here is not to do the hyper part of hyperextension. It isn’t necessary. You simply want to contract until your spine is in a neutral position, hold for a contraction and then return.

Finally, even on non-training days you can and should work on some corrective exercises for your deficiencies. If you have a weak low back, you should explore the use of a couple sets of either high hip bucks or bodyweight supermans just to engage and awaken the muscles of the low back with low intensity but additional volume. Over the course of time, the use of all of these strategies gives you a daily attack plan that will create an incredibly strong low back and help you to get over most if not all of the back pain you may be having from having let your back get this weak in the first place.

If you are looking for a complete workout program that lays out the right sets, reps and volumes to help you get a strong low back and want to start training like an athlete today, head to the link below and get the ATHLEAN-X Training System.

For more videos on how to get rid of lower back pain and the best back stretches and exercises for a sore low back, be sure to subscribe to our channel here on youtube and turn on notifications so you never miss a video when it’s published.

Get a Strong Back in 90 days – http://athleanx.com/x/my-workouts
Subscribe to this channel here – http://bit.ly/2b0coMW

Centralized Pain: Chronic Pain and Fatigue Research Center

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Dr. Barbara Bruce, discusses the relationship between fibromyalgia and chronic fatigue.

A physician referral is required for the Fibromyalgia Treatment Program at Mayo Clinic in Florida. To request an appointment, visit http://www.mayoclinic.org/departments-centers/rheumatology/florida/overview/appointments.