Medical Edge: Daily routine a good first step for teen with chronic pain

Teen Deals with Chronic PainDEAR MAYO CLINIC: As the result of a sports injury, my 16-year-old daughter has chronic pain that has lasted for more than a year. It’s really taking a toll on her. The pain makes it hard for her to go to school and participate in the activities she enjoys. Medication doesn’t make much difference. What can we do? Is there a chance the pain will go away with time?

Your daughter’s pain may fade over time. While she has pain, though, it’s important for her to find ways to manage it. A cure may not be possible, but there are many strategies that can help her get back into life.

Pain usually comes from illness, injury or surgery, and it goes away as our bodies heal. This type of pain is called acute pain. Chronic pain is different. It is generally defined as daily pain that lasts more than three months. Chronic pain may continue after an injury or illness has passed. It may come from a medical condition that’s hard to treat. Sometimes chronic pain may not have any clear source.

Full story of teen with chronic pain at Post Bulletin

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Chronic Back Pain Cure Using Antibiotics May Help 40% Of Sufferers

Antibiotics Help Back PainChronic back pain is a condition that nobody would wish on even their worst enemy. Doctors and scientists have struggled to narrow down the root cause of many cases, prescribing dangerous surgery or pain killers that offer only fleeting relief.

Now two new studies out of Denmark and the UK are turning common conceptions about the causes of back pain on their heads.

Back pain specialists have known that bacterial infections could cause back pain, but the findings indicate that as much as 20 to 40 percent of all back pain could be cured with a course of antibiotics.

The first research paper analyzed the presence of bacteria in the slipped discs of patients who had suffered from intense pain and inflammation and thus undergone surgery. The researchers found that close to half of all samples tested positive for infection and, of all those with bacterial infections, 80 percent carried a specific bacterial species called Propionibacterium acnes.

Full story of chronic back pain at Medical Daily

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Chronic pain after trauma may be genetic

Chronic Pain After Trauma May be GeneticPersistent pain after a traumatic event like a car accident or sexual assault may have a neurological basis, new research suggests.

“Our study findings indicate that mechanisms influencing chronic pain development may be related to the stress response, rather than any specific injury caused by the traumatic event,” says Samuel McLean, assistant professor of anesthesiology at the University of North Carolina School of Medicine.

“In other words, our results suggest that in some individuals something goes wrong with the body’s ‘fight or flight’ response or the body’s recovery from this response, and persistent pain results.”

Published in the journal Pain, the study assessed the role of the hypothalamic-pituitary adrenal (HPA) axis, a physiologic system of central importance to the body’s response to stressful events.

Full story of chronic pain and trauma at Futurity

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Freezing Nerves, An Effective Way To Treat Chronic Pain

Tyler Ball For The Whig-StandardMichael Kawaja's research on Pain Neurons recently received a grant from the Canadian Institutes of Health Research. His project was one of 13 at Queen's University to receive such a grant.A form of treatment called cyroneurolysis is being used for chronic pain caused by nerve damage; it involves using a tiny ball of ice to interrupt pain signals and eliminate pain while the nerves slowly recover.

The results of the study, presented at the Society of Interventional Radiology’s 38th Annual Scientific Meeting in New Orleans, could mean possible treatment for people suffering from a condition called neuralagia, characterized by a sharp shocking pain that follows the path of a nerve.
William Moore, M.D., medical director of
radiology at Stony Brook University School of Medicine in Stony Brook, N.Y, said:

“Cryoneurolysis could have big implications for the millions of people who suffer from neuralgia, which can be unbearable and is very difficult to treat. Cryoneurolysis offers these patients an innovative treatment option that provides significant lasting pain relief and allows them to take a lower dose of pain medication – or even skip drugs altogether.”

Full story of freezing chronic pain at Medical News Today

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Americans think people with chronic pain should suck it up

People with Chronic Pain Should Suck it upA new health and medical poll shows that far more Americans are concerned about the abuse of painkillers than the chronic pain that forces people to seek relief through prescribed drugs.

Which is sort of weird since 63% of respondents to the Research!America poll said they know someone whose pain was extreme enough for them to seek prescription medication, yet only 18% believe chronic pain is a major health problem.

While prescription painkiller addiction is a real problem in this country, it’s interesting that chronic pain essentially is dismissed by more than 80% of respondents. Maybe some Americans actually have to be in chronic pain to believe it’s real. Everyone else is just a crybaby!

For a large percentage of elderly Americans, chronic pain is part of their daily lives, a byproduct of aging as the body’s various parts — particularly the joints — begin to wear out. Perhaps the poll respondents who dismiss chronic pain should advise old people to stop complaining or maybe just stop getting old!

Full story of America’s chronic pain at IT World

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6 Things People Suffering From Chronic Pain Want Their Friends and Family to Know

Family and Friends to Know about Chronic PainBeing diagnosed with a condition that causes chronic pain can put a severe damper or even a hold on your life. You can’t do the things you enjoy, and in some cases, you can’t do the things other people see as simple. It’s not always easy to talk about either. You don’t want to be pitied, but at the same time you don’t want to be dismissed. And truth be told, sometimes you’re just so sick and tired of feeling horrible, that the last thing you want to do is talk about it at all. So even if your friend or loved one isn’t talking to you about it, here are some things you should know.

1. We don’t use it as an excuse:
While it may come to your mind, please realize that if we can’t attend something, and we tell you it’s because of our chronic pain, it’s the truth. We don’t use it to just get out of things. We wanted to go to that birthday party/concert too.

2. The pain is, well… chronic!
Unfortunately, this means we are in pain every day or at least nearly every day. Saying something like "Oh, that still bothers you from four years ago?" is not something we want to hear.

Full story of chronic pain at Huffington Post

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Back manipulation may help relieve chronic pain

Manipulate the back for Chronic PainOsteopathic manipulation may modestly reduce symptoms for some people with chronic low back pain, a new study suggests.

The treatment involves moving out-of-line joints back into place, relaxing overused muscles and massaging soft tissue, said Dr. John Licciardone, a doctor of osteopathic medicine who led the new study.

He considers osteopathic manipulation a complementary treatment – not necessarily the only thing to do for low back pain, but something that can work as an add-on therapy for people who don’t get better with painkillers alone, for example.

"I think the osteopathic approach is different (from chiropractic care, for example) in that it takes a more overarching view, so you wouldn’t necessarily restrict your examination or treatment to the lower back," Licciardone, from the University of North Texas Health Science Center in Fort Worth, told Reuters Health.

He and his colleagues wanted to test the effectiveness of both osteopathic manipulation and ultrasound therapy – a technique sometimes used by physical therapists on soft tissue injuries. The researchers randomly assigned 455 people with chronic low back pain to undergo eight weeks of either real or sham versions of each treatment method.

Full story of the back and chronic pain at Fox News

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Relieve Chronic Pain By De-Stressing, Study Says

De-Stressing Helps Chronic PainLiving with chronic pain can be truly stressful, but a new study contributes to growing research that managing stress may help reduce discomfort as well. Doctors from the University of Montreal found an association between the intensity of the pain experienced by chronic pain patients and their reported stress levels.

In the small study of just 24 participants, 16 of whom had chronic pain and 18 of whom were healthy control subjects, researchers found that patients who had a smaller hippocampus were more likely to also have higher cortisol levels. And higher levels of the stress hormone, in turn, contribute to increased reported pain scores on a scale of intensity.

"Our study shows that a small hippocampal volume is associated with higher cortisol levels, which lead to increased vulnerability to pain and could increase the risk of developing pain chronicity," lead author Étienne Vachon-Presseau said in a statement.

Full story of chronic pain and de-stressing at Huffington Post

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Treating chronic pain as a disease in its own right

Treating Chronic Pain as a DiseaseA conference being held in Dublin this week will focus on chronic pain as ‘a disease in its own right’

Most people and even most doctors have trouble understanding pain as being anything other than a symptom of an illness. It was always understood that pain was a manifestation of an underlying condition and not a condition in itself.

That notion is slowly changing as doctors come to realize that chronic pain, mostly located in the lower back, is a medical condition itself. Other forms of chronic pain can be headaches lapsing into migraine, pains in the bones and pains in the stomach. It is a function of a poorly designed nervous system.

The classification of chronic pain as a disease in its own right is the theme of a conference taking place Thursday-Saturday in the Convention Centre Dublin. Entitled Chronic Pain – A disease in its own right and a major healthcare problem, it amounts to an attempt by specialists to raise awareness among the public about the status of chronic pain as a condition.

Full story of chronic pain as a disease at Irish Times

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Dr. Baremboym: Dealing with chronic neck pain

Chronic Neck Pain TreatmentWe’ve all experienced neck pain at some point in our lives. A crick in the neck is a catch-all term that’s usually described after you waking up from sleeping on the wrong side of the bed, with your head in a weird position and a stiff neck, or using a computer for several hours without a break, or abrupt neck movements.

We’re all familiar with the dull ache that accompanies neck pain, and the sharp stab of pain that comes with sudden movements. There are many causes of neck pain because many diseases and conditions that affect the vertebrae and intervertebral disc, neck muscles, arteries, veins, lymph glands, thyroid gland, parathyroid glands, esophagus, larynx, trachea, etc.

However, sometimes certain people have to endure chronic neck pain every day at almost every neck movement.

Chronic neck pain can come from numbers of disorders and diseases that may affect any tissue or bone located in the neck or near it, degenerative disc disease, neck strain, whiplash, a herniated disc, or a pinched nerve.

Full story of chronic neck pain at New Jersey On-Line

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