Posts Tagged ‘chronic pain’

It’s all in your head?

Monday, November 29th, 2010

In the past week, I’ve gotten two separate letters from viewers whose physicians had told them that their pain was all in their head. Both comments arose from the observation that their pain had improved with the use of antidepressants.

Now, I’m not going to go into a long rant about this, but let me briefly respond in two ways:

First, antidepressant medications have long been used as an adjunct therapy for treating chronic pain- in particular, the class of drugs known as SSRI’s have been known to help reduce chronic pain.

Secondly, and in my opinion far more important, is the fact that your physicians don’t recognize the mind-body connection. It would be unreasonable to believe that someone in chronic pain would not eventually develop symptoms of depression- which would make the perception of their pain worse. Conversely, it makes complete sense that by relieving the depression symptoms that your pain would improve.

All of the systems of your body interact in various ways, and your psychological state governs how you perceive sensations from any of these symptoms. I’m sorry your physicians don’t acknowledge this connection, because it is real, and has ramifications on how you feel every day.

If you are dealing with chronic pain, perhaps you should consider finding a physician more understanding of your situation.

Thanks for your letters. I am writing a post for Martha Stewart’s Whole Living Daily blog this week about the winter blues, how they can effect your pain, and what you can do about it.

Be well!

Andy

Why do you still have back pain?

Monday, April 5th, 2010

Today, I answer one of the most frequently asked questions in my practice: After all of the treatments, adjustments, therapy- why am I still in pain?

Some helpful tips follow the video. Enjoy!

WhyIstillhavepain

Here are some things to pay attention to in your spine lifestyle. Addressing these few things may go a long way towards helping you to find relief. Take a look at these:

1) Make sure your workspace is as ergonomically optimized as possible. Good chair, good organization of work related materials, etc…

2) Get regular sleep. Optimize your sleep environment- supportive mattress, dark room, quiet. Don’t consume caffeine within several hours of your bedtime.

3) Get regular exercise, and exercise properly- maintaining an optimal body composition will help take the strain off of your back. Good form will ensure that you are working the correct muscle groups, and prevent you from harming yourself further.

4) Minimize the weight of the items you carry with your. Dump out the contents of your purse or briefcase and get rid of everything you don’t really need.

5) Make sure your car is as spine friendly as possible; Adjust seating and controls for easy, unstrained reach. Add a lumbar support (a rolled up t-shirt will do.) Set your mirrors so you aren’t cocking your head one way or another.

6) Consume plenty of water daily. This helps to eliminate cellular waste from your system, and allows you to heal and function more efficiently. Take a few minutes, several times a day to do some relaxing, restorative deep breathing exercises.

7) And as always, use a headset while you are on the phone- Cradling your phone between your ear & shoulder is one sure way to wreck your neck!

A good place to start is to pay attention to those areas where you spend the most time. Invite your partner to pay attention as well- sometimes an objective second party set of eyes will notice things you will not.

Be well!

-Andy

Victoria & Albert Museum, Kensington, London

Victoria & Albert Museum, Kensington, London