Archive for the tag: Causing

CDC guidelines aimed at curbing opioid addiction causing problems for chronic pain patients

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It can sometimes be tough to talk about, but addiction is an issue that impacts every community across the country.

On a day when it’s 70 degrees and sunny outside, it’s all Kevin Brawley can do to sit on his front porch.

“I’m treated like an addict,” said Brawley. “They say I’m medically dependent.”

A tree trimmer by trade Brawley was legally disabled after an accident that took place more than two decades ago.

“I broke my neck working for a tree company,” said Brawley. “The ladder came 50 feet out of the air and hit me straight in the top of the head. It broke my neck. It blew five discs in my upper back, two or three in my lower back, and it jammed my spine into my sacrum.”

Over the years he’s been prescribed opioids to manage the pain.

“I’ve dealt with it pretty well for the last 25 years because I had the medicine to do it,” said Brawley. “Nothing ever took it away, but it made it feasible for me to get out and do stuff. Now I’ve lost everything. I lay in bed or on the couch. I don’t get out of the house unless I have to.”

In 2016, the CDC revised prescription guidelines to try and avoid opioid abuse.

“The people making these laws have probably never been in pain a day in their life much less 24/7 like I deal with,” said Brawley.

“We do a really poor job as providers with managing chronic pain and with managing opioid use disorder,” said Dr. Kanika Cunningham.

Dr. Cunningham specializes in addiction and she said there were unintended consequences for those with chronic pain.

“It did cause a lot to either immediately cut people off the opioid in which people then turned to the black market and heroin,” said Dr. Cunningham. “People went into withdrawal symptoms. A lot took place.”

“People are committing suicide every day because they can’t take the pain no more,” said Brawley. “I think about it. I think about it every day.”

While there are compassionate care clauses both Brawley and Dr. Cunningham agree it’s time to eliminate the one-size-fits-all approach.

“We definitely need to make some changes in how we approach chronic pain,” said Dr. Cunningham.

“All we want to do is live a half normal life,” said Brawley.

This story idea came from a 5 On Your Side viewer. You can pitch a story by emailing Holden at hkurwicki1@ksdk.com or text us at 314-425-5355.
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What is Causing the Pain Behind Your Knee, How to Tell

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What is Causing the Pain Behind Your Knee, How to Tell

Bob and Brad give us background information on potential causes of knee pain behind the knee. These causes need to be diagnosed by a doctor, but this video will allow you to be more informed on the causes of pain.

Youtube Channel: https://www.youtube.com/user/physicaltherapyvideo
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This video is part of a series of videos on how to treat your knee pain. Check the full series of videos along with the downloadable guide sheets for each video on our website here: http://bobandbrad.com/programs

Video Chapters:
0:01 Intro
0:19 Topic
0:45 Cyst
1:11 What Is Bursa
2:05 Arthritis
2:26 Torn Cartilage
3:23 Duck Walk
4:15 Ligament Tear
5:02 Muscle Strain
5:35 Blood Clots
6:36 Outro

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The sharp pain behind the knee can be of various reasons. It can be due to an injury like calf muscle tear or it can be due to tendonitis of the hamstring muscles seen in runners. It can also be due to tendonitis of the gastrocnemius muscle, mainly seen in cyclists. It can also be due to bakers cysts or arthritis in the knee joint. Sometimes the pain in the back of the knee can be due to tear of the meniscus. It can be a degenerative tear or it could be a traumatic tear of the meniscus. Sometimes a pain in the back of the knee can be due to a deep vein thrombosis, which means blood clot formation in the popliteal veins. The treatment of the pain depends on the cause if it is a calf muscles injury, then few days of rest, icing and anti-inflammatory medicines will help. If it is a tendonitis if the gastrocnemius or the hamstring muscles, then pain relieving medicine like the non steroidal anti-inflammatory medication and icing will help. If it is a bakers cyst, which is basically fluid collection in the back of the knee, it can be helped initially by non steroidal anti-inflammatory medication and sometimes aspiration may be required and in worse cases surgery may be required to excise the cyst may be required if the tear of a posterior horn of the meniscus, again arthroscopy can help, if it is DVT, the medical line of management with anticoagulant medication will help.

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