Know Your Back Story is a national health awareness campaign that aims to help the millions of people with low back and leg pain.
Our expert in pain management Dr Giancarlo Camilleri explains why epidurals are a little outdated but the benefits versus the cons if you were to have one for back pain.
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5 Principles and Guidelines on How to Overcome Chronic Pain and Chronic Illness
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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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3 Important Points you must check in Chronic Back Pain (Back pain or leg pain more than 3 Months)
In this video Dr. Varun Wasil- MPT(Orthopaedics) from Sukoon Physical Therapy, Jalandhar, explained about Back pain which is radiating to calf muscle, Inguinal area (Groin Pain) and Low back stiffness.
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He also explained following points in this video:
Low back and hip pain, lower back and buttock pain, low back pain treatment, sciatica pain treatment, chronic back pain symptoms, herniated disc symptoms, Lower back and calf pain
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As the U.S. seeks to curb the deadly opioid epidemic across the country, many of the estimated 50 million Americans who suffer from chronic pain say they can’t get the medications they desperately need to ease their suffering.
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Chronic Pain Sufferers Say They’re Being Harmed By Opioid Crackdown | NBC Nightly News
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Pain Science Physical Therapy lead physical therapist Dr. Orit Hickman describes how the brain creates chronic pain through the brain programming caused by ingrained practice and traumatic events, which, because they are caused by subconscious thoughts, can be hard to detect and treat.
If you would like to learn more about physical therapy subjects like chronic pain or if you would like to meet with a physical therapist for more personalized assistance, visit our website at https://www.painsciencept.com/
We know that there are some negative changes in the brain, due to chronic/persistent pain. But thanks to neuroplasticity, we can restore normal function once we treat the pain.
Do you or does someone you know suffer from persistent pain?
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Learn about what science is saying about how the brain adapts to produce chronic pain.
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The opioid crisis has doctors rethinking how they’re prescribing the painkillers to patients who need them to manage chronic pain.
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Dr. W. Michael Hooten, a Pain Specialist at Mayo Clinic in Rochester, MN, outlines his article appearing in the July 2016 issue of Mayo Clinic Proceedings, which reveals the complexity of the relationship between chronic pain and mental illness and offers recommendations for effective treatment courses. Available at: http://tinyurl.com/ha8xkrh
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Myofascial pain syndrome is a common chronic pain disorder that can affect various parts of the body. Myofascial pain syndrome is characterized by presence of hyperirritable spots located in skeletal muscle called trigger points. A trigger point can be felt as a band or a nodule of muscle with harder than normal consistency. Palpation of trigger points may elicit pain in a different area of the body. This is called referred pain. Referred pain makes diagnosis difficult as the pain mimics symptoms of more well-known common conditions. For example, trigger point related pain in the head and neck region may manifest as tension headache, temporomandibular joint pain, eye pain, or tinnitus.
Symptoms of myofascial pain syndrome include regional, persistent pain, commonly associated with limited range of motion of the affected muscle. The pain is most frequently found in the head, neck, shoulders, extremities, and lower back.
Trigger points are developed as a result of muscle injury. This can be acute trauma caused by sport injury, accident, or chronic muscle overuse brought by repetitive occupational activities, emotional stress or poor posture. A trigger point is composed of many contraction knots where individual muscle fibers contract and cannot relax. These fibers make the muscle shorter and constitute a taut band — a group of tense muscle fibers extending from the trigger point to muscle attachment. The sustained contraction of muscle sarcomeres compresses local blood supply, resulting in energy shortage of the area. This metabolic crisis activates pain receptors, generating a regional pain pattern that follows a specific nerve passage. The pain patterns are therefore consistent and are well documented for various muscles.
Treatment of myofascial pain syndrome aims to release trigger points and return the affected muscle to original length and strength. Common treatment options include:
– Manual therapy, such as massage, involves application of certain amount of pressure to release trigger points. The outcome of manual therapy strongly depends on the skill level of the therapist.
– The Spray and Stretch technique makes use of a vapor coolant to quickly decrease skin temperature while passively stretching the target muscle. A sudden drop in skin temperature provides a pain relief effect, allowing the muscle to fully stretch, and thus releasing the trigger points.
– Trigger point injections with saline, local anesthetics or steroids are well accepted as effective treatments for myofascial trigger points.
– Dry needling — insertion of a needle without injecting any solution – is reported to be as effective as injections.
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