Persistent pain can have an incredibly negative effect on our overall quality of life. Whether it is due to a chronic illness, a recent injury, or an inherited genetic condition, persistent pain affects every part of our lives and most sufferers constantly seek out whatever treatments or medicines that could help them feel better.

Researchers have found that people react differently to, and experience varying levels of, persistent pain due to risk factors that are sometimes not related to the cause of pain itself. Knowing what these factors are and identifying who is at risk help doctors and pain management specialists uncover underlying causes of pain and develop better treatment plans for those experiencing it. Here are three of the most common risk factors in individuals that may cause them to experience more persistent pain.

Sleep Problems

Those who experience insomnia, inability to sleep through the night, sleep apnea, or other disruptive symptoms are more likely to experience persistent pain after an injury or illness. They are also less able to deal with the pain and seek out more medical intervention. This could be connected to their lack of restorative deep sleep, which can improve both pain symptoms and coping mechanisms.

Illness Attitude

Illness attitude can be characterized by “health anxiety” or “illness behavior.” Health anxiety is experienced by patients when they chronically worry about whether they will get sick in the future. Illness behavior occurs when patients repeatedly go to doctors or hospitals for perceived illnesses or other physical complaints. Health anxiety and illness behavior both negatively impacted an individual’s ability to deal with chronic pain. Patients who were identified as having an illness attitude experienced more persistent pain than their counterparts.

Anxiety and Depression

Those who experience chronic depression or generalized anxiety disorder are also more likely to experience persistent pain due to an illness or injury. Pain and depression tend to work together to cause a downward spiral in patients. Those who are depressed experience more pain and the more pain they experience, the more depressed they get. Anxiety can come from anticipating pain and those who are prone to anxiety disorders tend to also have fewer coping skills than those who are not.

Identifying risk factors associated with the development of persistent pain is important for pain management specialists so they can identify underlying causes and develop treatments that address both the physical pain and the factors that could be contributing to the pain in certain individuals.

If you are experiencing chronic pain and would like more information, please visit our website or contact one of our pain specialists today.

There are many levels of personal awareness and the human species falls on a broad spectrum when it comes to being aware of their surroundings, their thoughts and emotions, and the way their body works. Variance in levels of awareness can have a number of different effects on an individual, and nowhere is this more apparent than in the awareness of one’s own body, also known as interoception.

Individuals who are high in interoception are more aware of their bodies then those who are low. They may be able to predict when they are about to get sick, what types of stimuli produce pleasant or painful results, and how their body will react to different environmental factors. Knowing if you are high or low in interoception can also be helpful in determining how you will experience and manage pain. Those who are very aware of their bodies may be able to ward off, withstand, and even control their pain better than those who are low in interoception. Why? Here are a few reasons.

The Ability to be Proactive

Individuals who can identify which stimuli cause them the most pain or who are aware enough of their own bodies to be able to determine when they are getting sick can take proactive avoidance measures. This could include avoiding situations or stimuli that they know will cause them harm or loading up on vitamin C and rest when they feel a cold coming on. Athletes who are hyper aware of their bodies know when they need to hydrate, when they can push themselves further, and when it’s time to rest.

Higher Interpretive Abilities

The sensation of pain must pass through certain channels before an individual experiences the sensation. Pain produces a number of aversive stimuli that need to be interpreted by the brain before they are recognized as painful. Those with higher interoception are more aware of these messages and can therefore spend less time processing them. This frees up their mental capacity to deal with the pain more effectively or take measures to soothe it.

More Capacity to Deal with Chronic Pain

Because those with high interoceptive levels can effectively interpret pain and what it means, they tend to process and deal with pain better then their low interoceptive counterparts. Those who commonly deal with chronic pain, such as athletes, know what is normal and what is not and therefore do not become as anxious or stressed when they experience pain.

Do you know if you have high or low interoception? It could make a big difference when it comes to dealing with injuries or illnesses that cause chronic pain. If you have questions about how your interoception levels affect your pain tolerance and what you can do about it, please visit our websiteand schedule a time to talk to one of our pain experts.

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Pain is an indicator of a threat as well as a trigger of protective behavior caused by fear. An individual undergoing pain will automatically get the urge to avoid or escape it as a self-preservation measure.

The pain cycle can be classified into four stages:

1. Acquisition: The threats associated with pain results in fear that triggers adaptive learning. The experience may lead to conditioned responses such as safety-seeking or avoidance.

2. Generalization: Persistence of pain-related fear may facilitate the development of chronic pain. This can lead to generalizing of protective responses to adverse situations of grief.

3. Avoidance: This reaction serves to protect the individual from harmful stimuli. However, once acquired, avoidance behavior may be notoriously persistent, hence maintaining the pain-related fear. The action promotes negative effect by altering positive activities, which fuels the maintenance of pain.

4. Extinction of pain: Prioritizing optimism over pain-associated adverse effects will ultimately break the pain cycle. Optimism may result in omission of avoidance behavior, making the individual learn inhibitory responses.

Prolonged pain has adverse effects. Most of these effects are triggered by fear of pain, which can be a key factor in development and maintenance of disability and chronic pain. These effects include anxiety and Post-Traumatic Stress Disorder (PTSD).

Anxiety Disorder

Chronic pain sufferers have higher chances of having anxiety disorders. These pains usually bring about depression to the patient as they may lack sleep or even face stigma. It is important for clinicians to assess patients for psychological factors.
Chronic pain accompanied by anxiety disorder can be difficult to treat. Such patients have a lower pain tolerance and may be more sensitive to the side effects of medications than patients without anxiety. Treatment can be through drugs, cognitive-behavioral therapy, relaxation techniques and complementary treatment such as yoga.

Post-Traumatic Stress Disorder (PTSD)

Most patients who have post-traumatic stress disorder have a prevalence of digestive, circulatory, musculoskeletal, and nervous system diseases. There is also a noticeable co-occurrence of chronic pain in PTSD patients. The pain experienced by these patients is worse than their counterparts. This scenario is fueled by their exposure to psychological stress.

Both chronic pain and PTSD sufferers are stigmatized by the general community. The community perceives them as victims of their own actions. This mostly results from the existential and esoteric nature of both kinds of patients. Models that offer integrated treatments for both PSTD and chronic pain are available in healthcare facilities.

Pain management requires an efficient and innovative service provider. The specialist should be trained and experienced in diagnosing and treating any form of chronic pain. Do you need specialized treatment? Contact the Pain Care Clinic of Idaho for a pain-free life.

If you’ve ever been told that “pain is all in your head,” they may be right, but not in the way they were thinking. Pain is real, but science is demonstrating that our brains and nervous systems are actually physically changed through experiencing pain. Furthermore, stress and psychological risk factors caused by physical suffering can also help alter the receptors in our brains.

Suffering does not end with the physical sensation of trauma we experience. Studies have shown that pain is a complex process that actually has an effect on “perception, attention, mood, motivation, learning and memory.” The neurons in our brains are altered when we experience discomfort. This alteration can lead to or reinforce the effects of suffering. Another study revealed that actual lesions develop in our neural pathways and can contribute to agony arising directly from our nervous system. Normally, our nerves alert us to trauma so we can avoid danger. But when they experience chronic suffering, they can become hypersensitive.

There are certain psychological conditions which risk causing more physical misery. Feelings of depression, hopelessness, or anxiety are a common response when experiencing hurtful sensations. This is why the American Psychological Association also endorses psychotherapy in addition to other treatments when dealing with chronic pain. They have found that psychological therapy actually reduces negative nerve sensations. This demonstrates that painful sensations, the alterations they cause in our nervous systems, and our psychological responses to them create a vicious feedback loop.

Feeling stressed out also has a direct physical effect because the muscles in our body can cramp, increasing our discomfort. Biofeedback therapy can help teach patients how to relax their minds and bodies to control the stress responses which lead to worsening problems. This is an example of why physical suffering should be treated not only with surgery or drugs, but also with therapies meant to address our psychological and neurological responses to it. Drugs only disguise negative sensations and fail to attack the root causes of chronic misery.

Whereas psychological therapy can help moderate our experience of physical suffering, neuropathic treatment is therapy involved in fixing the actual malfunctioning nerve receptors. Scrambler Therapy is a type of therapy designed to retrain receptors to learn to recognize again what a non-pain signal is. Rather than the signals they were accustomed to receiving, the malfunctioning receptors will now become accustomed to receiving normal signals.

Changing nerve receptors is possible due to the property known as “plasticity.” This term refers to the ability of our brains and nervous systems to alter, change, or grow. In other words, the same property which allows nerve receptors to change because of trauma and harmful psychological conditions, will also allow them to return to a normal state. Scrambler Therapy is one way to achieve relief at the neuropathic level. Neuropathic therapy and psychological therapy are a one-two punch for chronic suffering.

Patients who suffer from emotional stress often also end up dealing with physical pain. Statistics show that people who underwent an event that led to psychology related issues such as post-traumatic stress disorder are at 15 percent to 30 percent higher risk of developing long-term physical pain.

One is said to be suffering from chronic pain when the physical pain lasts longer than what the process or injury normally allows. When you have chronic pain, moving becomes close to impossible. This leads to over-dependence on pain medication, which eventually can lead to addiction to pills, making the patient’s state even worse.

During a traumatic event such as a robbery, accident, natural calamity and other events, your nervous system goes into survival mode. Sometimes, the system will have a hard time reverting back to the normal mode. When this happens, stress hormones such as cortisol will be released on a regular basis. This triggers an increase in blood pressure and blood sugar levels. The immune system’s ability to heal is greatly reduced and with time, the following physical symptoms start to manifest.

1. Tension headaches

Tension headaches are the most common direct result of emotional stress. Research has shown that women are more prone to develop tension headaches than men and that between 30 percent and 80 percent of adults have suffered from these headaches at some point in their lives. The headaches normally result from tense muscles at the back of the head and neck. They create a lot of pain and pressure around the forehead, back of the head and neck region.

2. Chest pain

Most people associate chest pain with heart disease and other issues related to cardiac health. However, a significant number of people go to the hospital complaining of stress-related chest pains. Men are more likely to suffer from stress-related chest pains when dealing with work stress. Women, on the other hand, are more likely to suffer from chest pains when dealing with anxiety and depression.

3. Aches and pain all over the body

When you have a stressful and hectic lifestyle, it takes a toll on your muscles. The pain normally affects the neck, shoulders and the lower back. Tense muscles seem to have an unclear effect on brain chemicals. When the body is stressed, it is unable to regulate inflammation, hence the aches and pains in different body parts.

Other issues that result from emotional stress taking its toll on the body include reproductive health issues, damage to the teeth and jaws, hypertension, heart problems and chronic sickness.

The most effective way to relieve chronic aches and pains is by treating the cause of the stress. There are professional clinics where they deal with all types of pain from chronic pain, post-surgery pain and pain caused by previous accidents among others.

A consultation at Pain Care Clinic of Idaho starts with you making a call to consult on the available options. These include Inter-X- therapy, Scrambler therapy, Medical acupuncture and other solutions. Seeking treatment is the first step towards a stress-free and happy life.

Acupuncture is an alternative healing method that has been used for hundreds of years. Originating in various Asian countries, it spread across the Western world to become an accepted treatment for various conditions by many individuals and institutions.

One modern use of acupuncture is to alleviate stroke symptoms. But can this traditional treatment method really help in the challenging task of stroke rehabilitation? Here’s what various studies conducted around the world have found.

Acupuncture in Integrative Medicine

Integrative medicine is the concept of using a variety of medical treatments to manage health and treat health problems. These methods may include both traditional medicine and alternative healing procedures.

A practioner writing for Huffington Post reported that acupuncture, particularly a protocol called Xing Nao Kai Qiao, is commonly used to treat symptoms of strokes. In fact, it has been used ever since the 1970s to manage many health problems. It has been applied to treat a variety of stroke symptoms, including aphasia, dyslalia, central facial palsy, shoulder pain, and even incontinence.

Ways It Can Help

What is the science behind this stroke recovery method? Understanding it requires taking a look at the nature of a stroke and why it affects the body.

Strokes are caused by a clog in brain arteries that decreases blood flow to the area and causes brain cells to die. Although an article on the Science-Based Medicine website concludes that no reliable studies have shown positive effects of acupuncture in the treatment of stroke, it acknowledges that some studies have found a positive effect in managing neurological impairment and dysphagia. However, is also states that it unlikely to be a successful treatment to prevent death or disability caused by strokes.

What About Its Tradition?

While the double-blind studies discussed in the Science-Based Medicine article may be inconclusive, there is a centuries-long history of this ancient treatment for stroke victims. This tradition states that acupuncture helps alleviate many of the symptoms of a stroke and can contribute to a restoration of functionality to a person’s life.

As reported by Medical Acupuncture, there have been studies in China, Japan, and Scandinavia indicating that this method appears to help with stroke rehabilitation.

Many American studies ignore or discard the findings found by these groups, pointing to a lack of scientific grounding in the studies or results that were carefully picked to show success that wasn’t sustainable.

Final Thoughts

The use of acupuncture for stroke recovery is likely to remain controversial for some time. While there are thousands of people who claim that it has benefited their lives, scientific skepticism casts a shadow over its effectiveness.

It can be confidently stated that acupuncture is a safe treatment method, so it is probably okay to try it in combination with traditional medicine to promote healing of stroke and other conditions.

Pain Care Clinic of Idaho offers medical acupuncture within a range of drug-free treatments and therapies. Find us in the Boise area.

Fibromyalgia, according to the Mayo Clinic, is “a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues.” Even in 2017, health care professionals don’t know exactly what causes it. The situation is better than it was some years ago, when many doctors believed that the disorder was a figment of the sufferer’s imagination, but the disease remains challenging to diagnose and treat.

Possible Fibromyalgia Causes

Fibromyalgia lowers a patient’s pain threshold, so that what is not painful for healthy people causes a fibromyalgia patient pain. Although doctors don’t know what causes it, some probable causes and influences include:

Genetics: People who have family members with the condition are more likely to contract the disease.

Infections: There are some illness and infections that might precipitate the disease.

Stress: People subject to long-term stress seem to be susceptible to the malady.

Physical or mental trauma: The disorder also strikes people who have undergone trauma and those who suffer from posttraumatic stress disorder (PTSD).

Depression: Depressed patients seem to be at higher risk of the disease.

Symptoms

Pain is a major symptom of the disease, especially the tender or trigger points that are found in pairs at the neck, upper chest, elbows, knees, back and hips. These are points that cause pain even when they’re gently touched, and the pain can be debilitating. But trigger points aren’t the only symptoms. Patients also suffer painful muscles, overall stiffness in their joints, aching bones, and tingling and numbness in their extremities. Other symptoms include incessant fatigue even after a night of sleep, sleeping problems such as insomnia, anxiety, and depression. Other bodily symptoms might include constipation with irritable bowel syndrome and headache. The patient may be especially sensitive to light and sound.

The condition impairs memory and cognitive functioning and can lead to a condition called “fibro fog.” The patient can walk into a room and forget what they’ve come for. They may have problems speaking, concentrating, or remembering things that should be easy for them to recall. The majority of sufferers are women.

Diagnosing Fibromyalgia

Diagnosing fibromyalgia is largely a process of elimination, as the symptoms are nonspecific. This means they might be the symptoms of many other diseases. Only after other diseases are ruled out is a diagnosis of fibromyalgia reached.

Healthcare professionals recognize 19 trigger points in patients with fibromyalgia. Until recently, a diagnosis of the disease required the patient to have at least seven of these paired trigger points. Now, the doctor asks the patient if they’ve had widespread pain that seems to have no underlying cause for at least three months.

To rule out autoimmune diseases such as lupus, the doctor gives the patient a blood test called FM/a. This discloses markers released by the immune systems of people with the disorder. The doctor also gives the patient a physical exam and evaluates the patient’s other symptoms before making a diagnosis.

Treatment

Some non-medical treatments for the condition include alternative therapies such as acupuncture to reduce pain and promote relaxation. Lifestyle changes may also be effective, including practicing yoga; avoiding alcohol, caffeine and heavy foods that can interfere with sleep; taking a warm bath before going to bed; and sleeping in a cool room.

For care of fibromyalgia and other chronic pain conditions in the Boise area, contact Pain Care Clinic of Idaho. We offer medical acupuncture, Scrambler Therapy®, InterX Therapyand other modern and traditional treatments and lifestyle guidance for chronic and acute pain.

One of the most common psychiatric problems associated with chronic pain is depression. While depression can affect people of any medical profile, those with chronic pain are at a high risk of becoming depressed. In fact, chronic pain sufferers are three times more likely to develop psychiatric problems than individuals who are not dealing with long-term pain.

Medication is a common treatment for depression, but it can have serious side effects, including addiction and loss of energy and mental acuity. The high cost of many medications is, of course, another serious downside.

Luckily, not all solutions are pharmaceutical ones, and some effective alternate treatments are low-cost and natural. Regular cardiovascular exercise, meditation, dietary changes, acupuncture, and journaling can all help alleviate depression. While no one treatment is effective for everyone, natural treatments lack the negative side effects of medication, so there is little risk in trying a natural treatment before trying medication. It may be all you need.

Jogging for Joy

The physical benefits of cardiovascular exercise are better known than the mental health benefits. This situation is changing as more and more research on the mental health benefits of exercise is published.

Exercise can be as effective as medication for people with mild to moderate depression. Not only can it reduce or eliminate depression; it can also help prevent relapse. People who exercise regularly are less likely to become depressed again, possibly because they feel empowered to regulate their mental health.

Meditation and Inner Peace

Thanks to the brain’s ability to change itself at any age, meditation can alter the structure of key brain regions. These brain changes can lead to reduced depression and anxiety.

There are many different forms of meditation, but mindfulness meditation is the best researched, and an increasing number of medical professionals are being educated about its benefits. If mindfulness meditation alone is not successful in treating depression, it can be combined with aerobic exercise for greater effectiveness.

You Are What You Eat

Sometimes all you need to do to change your mood is to change your diet. What you eat has a big impact on how you feel. People who eat low-quality diets tend to have more problems with depression than those who eat mostly healthy foods.

Cut down on your junk food intake. Read the labels on the packaged food you buy and monitor your sugar consumption. Eat whole grains, veggies, and brain-healthy foods like salmon. It shouldn’t be a surprise that when your body feels better, you feel better.

The Acupuncture Approach

While skeptics decry its use, recent research suggests acupuncture is an effective drug-free treatment for depression. From the perspective of traditional Chinese medicine, physical and mental health problems are the result of blocked chi (roughly translated as “life force”) in the human body. No one is really sure how acupuncture works, but tradition holds that it alters the flow of chi.

Journaling for Relief

Journaling has not been as well researched as the other treatments mentioned in this article, but it costs virtually nothing and is easy to do. Simply write down your thoughts about your life situation and your emotions. Try to be non-judgmental. Some journalers feel that writing by hand, with a pen and paper, is more conducive than a computer to thoughtful reflection (at least you won’t be tempted to check your emails or Facebook), but use whatever medium you find works for you.

The better educated you are on the subject of natural treatments for depression, the more empowered you will be to address it. Whatever your situation in life, you may already have the ability to treat your own depression.

Self-treatment is not always effective, however, and the care of a professional may be necessary to treat your condition. Pain Care Clinic of Idaho offers acupuncture, yoga, meditation and other treatments to help people in the Boise area cope with depression, as well as treatments to address chronic pain directly. Call 208-629-2492 for an appointment.

In today’s society we are all too quick to turn to pharmaceuticals for pain management. And the costs can really add up. There’s a pill for joint pain, there’s a pill for muscle pain, and there’s a pill for headaches.

We believe pumping your body full of pharmaceuticals is the wrong way to go about managing your pain. Chemicals can harm the body, and they can mute your mind, body, soul connection. Plus, there are numerous benefits to narcotic-free chronic pain relief.

It Puts You in Tune With Your Body

When you take a pharmaceutical, odds are that the drug will numb your body in some fashion. This might be a relief in the short term, but it sets you up for damage in the long term. If you numb your ankle pain, for instance, you may do damage to your ankle without even feeling it. This will cause you to reach for more pills.

On the other hand, take medical acupuncture as an example. This holistic approach to pain management will put you in tune with your body. You’ll understand pressure points in your body much more thoroughly, and your body will still be alive to tell you that you’re doing further damage to yourself if it occurs. It’s a much more sustainable approach to pain management.

It Puts You in Touch with Those Around You

When you are under the numbing effects of pharmaceuticals, you might miss what’s going on around you. You might miss the fact that having a loved one near you literally heals your pain. Or you might miss the fact that touching your favorite pet can also heal pain.

With a narcotic-free approach to pain management, your senses are left intact to enjoy the world around you. Because, as we’ve mentioned above, the positive influences in the world around you can literally heal you and help to manage your pain.

Lend A Helping Hand

Studies have also shown that volunteering for a good cause reduces stress in the body. When stress is reduced, harmful hormones are also reduced in the bloodstream. But in order to lend a helping hand, you’ll need to get some chronic pain relief, especially for chronic neuropathic pain if you have it.

But pain medication can make it difficult to volunteer, especially if the volunteering requires any sort of physical labor. It’s hard to build a house for Habitat for Humanity when you are feeling spacey.

Something for Everyone

But pain management in Boise, Idaho, doesn’t have to be New Age and all medical acupuncture. There is something called the Scrambler unit that can gently massage your muscles in order to relieve pain. This advanced medical device uses electronic leads to gently change the electronic signal that your nerves are giving to your brain. Each signal is tailored to the unique individual and the new signal being retrained in your body is a signal of “non pain.” Essentially, it re-trains your muscles to tell your brain that everything is okay.

There are limitations to conventional medical treatments of chronic pain. Of course, there are a variety of pharmaceutical approaches to pain management, but almost all of them have negative side effects, including dizziness, nausea, and the risk of developing a dependence on the medicine.

Because conventional medicine does not always have effective responses, Complementary and Alternative Medicine is an important option for many who suffer from chronic pain.

Benefits of Yoga for Chronic Pain

Yoga is an effective treatment for chronic pain because it works both the mind and the body. As a low-impact exercise, it provides gentle stretching that can ease stiffness and pain. As a meditation procedure, it helps to keep the mind alert and calm, and reduce the perception of pain.

Studies have shown that yoga is “effective in the treatment of chronic pain, including osteoarthritis, carpal tunnel syndrome, and fibromyalgia. In the studies reviewed, patients saw significant reductions in joint pain, muscle stiffness, and overall physical discomfort while greatly improving their flexibility, range of motion, and muscle strength.”

Five Exercises

Keep in mind that for beginning practitioners, it’s always best to get experienced guidance when trying yoga. Proper form is important, and watching videos can only take you so far. If you have a serious condition such as disc diseases, you should also check with your doctor before trying yoga. If you can’t do the poses by yourself, pillows or foam supports may make it easier.

Cobra pose. This is a simple exercise that can help greatly with lower back pain. Lie facedown on the floor with your legs stretched straight back and toes pointed backward. Place your forearms on the floor and push upward, lifting your chest but keeping your thighs and groin on the floor. Don’t forget to breathe! Lift as far as you can without pain, hold the pose for a few seconds, and slowly lower again.

Dolphin pose. This is an easier variation of the well-known downward dog pose that does not stress the arms as much. It still provides a strong full-body stretch that loosens and strengthens the legs and core. Start on your hands and knees, with knees directly under your hips and forearms flat on the floor. Press your toes to the floor and lift your buttocks toward the ceiling. Straighten your legs if you can, but keeping them bent is okay. Keep your upper body straight as well — don’t flex your back or push your head into the floor. Hold for a few second and then lower again.

Butterfly pose. This stretch helps painful hips and backs. Sit on the floor with your legs in front of you. Press the soles of your feet together and keep them together as you move your knees apart, lowering them as far to the floor as you can (but don’t force it!). Hold as long as comfortable, and then raise your knees again.

Mountain pose with shoulder stretch. For shoulder/neck pain. Stand straight upright and reach your right hand back to the back of your neck, and your left hand around your back. Move the hands together slowly and clasp them, keeping your spine straight. (If you can’t clasp your hands, hold a strap or rope between them.) Then slowly lift your right elbow as far as you can and hold a few seconds. Release and repeat on the other side.

Supine torso twist. Another pose useful for back pain. Lie flat on your back with your arms out in a T and your feet on the floor, knees up. Slowly lower your knees toward the left side. Go as far as you can without lifting your shoulders from the floor. Hold for a few seconds, then return to center and repeat the exercise toward the right side.

To learn more about how to manage and relieve chronic pain, contact the Pain Care Clinic of Idaho at 208-629-2492 or visit paincareclinicofidaho.com.