Pain Management Even After Your Injury Is Healed

Hypnosis for chronic pain management

Install now . Then come back here and refresh the page. In this edition of Healthy Living, YNN’s Marcie Fraser reports on pain management. Have you ever injured yourself the injury is healed but the pain persists? Some patients think they are going crazy because they can’t find an obvious cause but they are in severe pain. A year after she broke her ankle, Marietta Velvis, still complained to her doctors of leg pain. “Burning felt like my foot was sunburned. It got to a point where I couldn’t walk anymore,” said Marietta Velvis, Chronic Regional Pain Syndrome Patient. Over the counter products gave her no relief; after nearly two years she was diagnosed with CRPS. “Chronic Regional Pain Syndrome, otherwise RSD, Reflex Sympathetic Dystrophy, it can come about anywhere from a minor injury, such as someone pushing a shopping cart to into your leg, having a sprain can cause this or direct nerve damage,” said Dr. Aruna Sahoo, Pain Management Physician. Pain often gets worse over time, up to years after an injury.
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Hypnosis for decreases in the intensity of pain result not only in significant decreases in pain intensity, but also decreases in activity in the brain areas that underlie the experience of pain intensity. At the same time, hypnotic suggestions for decrease in the unpleasantness (but not intensity) of pain have significant effects on how bad the pain makes people feel, but not necessarily intensity. Interestingly, these suggestions result in decreases in activity in the areas of the brain responsible for processing the emotional aspect of pain, but not those areas that are responsible for processing pain intensity. Second, research studies demonstrate that hypnotic treatments can save money. Hypnotic suggestions for reduced pain and improved healing have been shown to reduce the time needed for medical procedures, speed recovery time, and result in fewer analgesics needed all of which not only result in more comfort for the patient, but save the patient and the patients insurance companies money. In a time of growing medical expenses, its nice to have a treatment that can actually result in cost savings. Third, a rapidly growing body of research shows that hypnosis works. When hypnosis and hypnotic suggestions are combined with other treatments, those other treatments become more effective. When people with chronic pain are taught how to use self-hypnosis for pain management and improved sleep, they experience pain relief and sleep better. This research also reveals that hypnosis has many side effects, which are overwhelmingly positive.
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Boomer Pain Booming

That’s good news for the aging American population. “Consumers have often had low expectations for pain treatment, but that is changing as a large portion of our population, the baby boom generation, moves into the years where chronic pain from such sources as arthritis and low- back pain is so very common,” says James N. Campbel, MD, professor of neurosurgery at the Johns Hopkins University School of Medicine and director of the Blaustein Pain Treatment Center of the Johns Hopkins Hospital, both in Baltimore. “Having terrible pain is not good for people. It influences all aspects of life: mood, concentration, motor performance, sleep , social relations. New evidence indicates that pain affects the immune system such that cancer cells appear to grow faster when there is pain. Being a stoic and putting up with severe pain is not necessarily good for patients.” Changing How We Think About Pain “The JCAHCO standards mandate monitoring of pain,” says Russel Portenoy, MD, a pain specialist at Beth Israel Hospital in New York City. “Gradually, doctors will learn that they must listen to the patient and take complaints of pain seriously. Pain is on the map now, thanks in part to the pain guidelines and thanks in part also to research that shows pain is more of a stand-alone illness than we ever thought it was. Attitudes are changing radically.” Arthritis and low-back pain take an enormous toll on those over 50. The American Society of Anesthesiologists puts it into perspective: Low-back pain disables 5 million people in the U.S. and forces people to lose 93 million work days each year.
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The Missing ‘P’ in Pain Management


Patients with severe emotional issues are likely to receive high dose, high risk opioid regimen for chronic pain over a long period of time, Howe told the Health Behavior News Service. Howe says people with mental health disorders or who suffered from child abuse may be predisposed to develop chronic pain. What these patients really need is psychiatric care instead of the de facto treatment of opioids, Howe explained. When psychiatric services arent available, patients often end up on opioid therapy because the drugs numb the emotional pain as well as providing temporary relief for physical pain. Clinicians must be vigilant about identifying and treating these problems in patients receiving, or being considered for, long-term opioid therapy. The current opioid epidemic has revealed the dire need for psychiatric services the presently missing P in chronic pain care. Psychosocial screening to identify possible depression and anxiety disorders as well as substance abuse problems should be part of the initial assessment for every patient who presents with chronic pain. Howes controversial views are finding support among other psychiatrists. Bankole Johnson, MD, who is chairman of the department of psychiatry at the University of Maryland School of Medicine, agreed with the studys findings but said the use of opioids was not so much an epidemic as an overuse of psychotropic drugs. Its not clear what the alternatives are for patients when pain is not controlled. The crux is to provide integrative pain care so patients go into remission without the overuse of psychotropic drugs, Johnson told the Health Behavior News Service. The mind and body are closely tied together. Has this discipline been able to transcend the body/mind dualistic thinking that has been so unhelpful (and even damaging) to so many patients?
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