Chronic Pain

Chronic Pain – shifting focus to make a difference

 

What to expect from us if you come for pain management:

 

  • We have many options for treating pain directly or indirectly
  • We ask a lot of the right kind of questions to understand better
  • We get that good sleep equals less pain
  • We focus on function and set goals
  • We keep track of what we are doing and how it helps and affects you
  • We give treatments enough time to prove they work or do not work
  • We offer appropriate resources to create a good health care team if you need one
  • Our treatments causes less side effects, expect less talking, more doing that delivers results
  • We get that you have pain and need treatment and expect you will comply with our recommendations and safety testing to make sure you stay safe
  • If you need prescription or scheduled medicine for pain control, we do have a pain medicine agreement to keep us all safe.

 

What we think about pain?

Only sometimes is pain a good thing – for example, if you burn yourself and the pain sensation was a very effective stimulus prompting you to remove your hand from the hot object you touched.

Pain informs you something is wrong and something needs to change, acutely.

Chronic pain is completely different.

 

 

Chronic pain is classified as lasting for more than one year, some sources say 6 months. The bottom line is chronic pain, away from diagnostic or academic timeline, is when pain does not serve you anymore. This comes in a wide variety of situations and types of presentation but the bottom line is that chronic pain does not make your life better, does not serve a constructive purpose, and sometimes in modern medicine, the cure is worse than the illness.

 

Something that sincerely makes a difference, is to listen very carefully about the details of the pain, pattern, onset, maintenance AND to identify modalities in other words, magnifiers of pain. When you are able to treat the magnifiers of pain and improve the general functioning of the body, pain improves.

Many ladies experience the onset of fibromyalgia pain and fatigue around the time period in their life when they start their families ie pregnancy, labor, lactation, sleep disruption, hormonal changes, nutrient depletion, stress……………

or during menopause – when the main source of gender hormones dries up and levels drop to below detectable levels in the serum and the ovarian hormones now need to be made in the, mostly, already depleted and overworked adrenal glands. Laboratory testing usually confirms the problems in the pituitary, thyroid, adrenal, ovarian axis with growth hormone, T3, cortisol, estrogen, progesterone and testosterone [pregnenolone, DHEA, aldosterone, oxytocin] being low or far below the healthy range.

Correcting low hormone levels to healthful level and to a healthy balance makes a significant difference in pain, energy, depression, anxiety, low sex drive, headaches and brain fog in the vast majority of patients. And not a single pill of pain medicine is dispensed.

 

The most common kinds of chronic pain and that we have had very good success with in our integrated medicine clinic are:

  • Fibromyalgia pain – which is mostly pain of the soft tissues, connective tissues, but may at times include the joints, skin, scalp, irritable bowel pain/digestive tract , and pain that feels as if you have the flu – deep uncomfortable achy, bone breaking pain as if you have a fever with body aches. Trigger point pain is often indistinguishable from fibromyalgia pain though some sources believe they are the same. The most important thing to remember in fibromyalgia is that the connective tissues literally hurt and that the autonomic nervous system is usually dysfunctional. This is much much more than any single pain therapy can handle by itself. Because of this we have put together numerous different therapies that address the various aspects of fibromyalgia pain.
  • Nerve pain – mostly well defined along the course of a specific nerve [ as in sciatica, occipital neuralgia] or a body part typically and extremity as in diabetic peripheral neuropathy of the foot.
  • Migraine headache pain – in addition to being both under-treated, over-treated and mal-treated due to it being a a hard condition to treat and manage with the medicines available today this has posed to be a good challenge in our clinic with the result of developing an effective approach. Migraine headaches have many different causes, so the first important step in treating this effectively is to gain a very good understanding through taking an accurate case history to understand as much as possible the moving parts with regard to headache causation, trigger and maintenance.
  • Joint pain – usually a sum of pain in the joint and also of the tissues around the joint. In most cases we are able to bring about relief by treating the painful joint [prolozone, prolotherapy, neuraltherapy], then start the process to have the treatment hold and last. We deliver better and more lasting results by treating the nerve (that is responsible for the painful joint – eg L3-4-5 nerve outflow is usually compromised in knee pain, see for yourself), treating the muscles (tender and trigger points affect their function as related to the joints), treat the connective tissues (ligaments and tendons around the joint can cause an amazing amount of pain if inflamed or dysfunctional) and then treating the joint, treating the person.

 

Treatments we use to treat pain:

 

  • Neuraltherapy – by far the most effective singly therapy if you know what you are doing
  • Frequency Specific Microcurrent
  • Anti inflammatories, natural preferentially
  • Pain medicine or analgesics, natural and Rx
  • Neuromodulators, both natural and Rx
  • Anti-spasmodics, natural and Rx
  • Balancing hormones – good for pain and the rest of you
  • Oxytocin, a hormone but deserves stand alone status in treating pain
  • Trigger point therapy – injections, electrotherapy
  • Herbs and spices, amino acids, vitamins – eg Methylcobalamin [MeB12], B6, l-methylfolate for neuropathy
  • IV drops DMSO, IV Lidocaine, magnesium, chelation, phosphatidyl choline, B-spectrum
  • IM injection
  • Topical compounded pain meds

 

What is the next step?

 

If you have pain, schedule a visit with one of our doctors and see what we have to offer.