HOW TO AVOID OR IMPROVE CHRONIC PAIN
WHERE IS YOUR PAIN?
Your next step to avoid chronic pain. Click on that area of your body, using the navigation buttons in the left column. A lot of the common causes responsible are included under a common site affected.
WHAT WILL YOU FIND HERE?
There is information to help you assess yourself,in partnership with your health professional. There is material to help you understand the diagnosis, so that you can better assess management advice your are given. There are instructions for self help and when to get professional help.
The emphasis is on holistic non-drug management, directed at causes rather than at just symptom control. The perspective is from my experience as a family medical practitioner in Australia, with major interests in musculoskeletal and nutritional medicine. I graduated in 1964 from Melbourne university and entered private practice in 1969 after hospital jobs in general medicine, surgery, paediatrics, obstetrics and anaesthetics.
The text links at the foot of this page, are to the first pages on each area of your body.
HOW CAN THIS INFORMATION HELP YOU?
Chronic pain sometimes develops because of persisting tissue damage, and sometimes because early response was not appropriate or adequate. Some of the information on this site is to forestall this unfortunate development.
A number of vicious (self perpetuating) cycles can be involved in chronic pain. Muscles become tight,then sore from overuse. As with most parts of our body, nociceptive mechanisms (our pain brain) can get better at doing their job with continued practice. We get disabled, which causes emotional distress and this aggravates our discomfort.
We can interrupt all of these cycles, and reduce or eliminate chronic pain.
Hurt is not the same as harm. It often gives us warning in time to prevent impending harm, and helps us avoid future harm by the "once bitten twice shy" technique.
The pioneering work done in Vellore by Drs. Paul and Margaret Brand, showed the disasterous effects of lack of pain sensation in leprosy.
Despite this, in a lot of situations no harm is being done - and avoiding the discomfort may be causing harm. We can become unfit, stiff and end up with more discomfort as a result. Our mental state can be badly affected too, as we become more timid and avoid activities we could still enjoy despite the discomfort.
The way we are from day to day, feels "normal" to us. People often have no idea they have chronically tense muscles. Healthy fitness includes flexibility, strength and cardiovascular fitness, but flexibility is needed before we can optimize the other aspects.
I have emphasized attainment of flexibility by stretching, but this is not the only path to that end.
"The only place where success comes before work is in the dictionary."
RECORDING IN A DIARY, MEASURING FOR FUTURE COMPARISONS
In long haul situations, memory can become unreliable, modified by emotional turmoil. We whitewash memories to survive and function.
Recording activities and corresponding pain levels, may allow one to later "see the wood for the trees." I hand out an A4 sheet with one line per quarter hour through an average day. Your improvement may show in better function, even if pain levels are the same.
Fold each page over so you don't reread your entries - try to make each a fresh assessment.
If you can print things, you could use the "Brief Pain Inventory" to record your condition in a formal way a doctor might appreciate. See http://www.hnehealth.nsw.gov.au/Pain/Documents/BPI.dec06.pdf#search=brief%20pain%20inventory
Your name, e-mail and any other details will never be sold, hired out nor shared.
The American Society of Anesthesiologists Task Force on Chronic Pain Management has just updated its guidelines. (Anesthesiology. 2010;112:810-833)
Their list of treatment types may be of use when you are considering new treatments for yourself.
They are ablative techniques, acupuncture, nerve blocks, botulinum toxin injections, TENS, epidural steroids, intrathecal opiate drug therapies, minimally invasive spinal procedures, pharmacologic management, physical therapy, psychological treatment, and trigger point injections
THE LINKS BELOW ARE TO THE FIRST PAGE FOR EACH AREA OF YOUR BODY.
EACH OF THESE PAGES HAS LINKS NEAR THE BOTTOM, TO FURTHER PAGES FOR THAT BODY AREA OR RELATED TOPICS.
FOR SPECIFIC TOPICS, IT'S WORTH ALSO USING THE SITE SEARCH
FACILITY AT THE TOP OF THIS PAGE, AS SOME TOPICS APPEAR ON MORE THAN ONE
- Holistic Doc's Pain Support Blog
- Holistic Doc Blogs keep you up-to-date on interesting medical developements not covered on the Holistic Doc Pain Support.com Web site. Subscribe here.
- About the author, Dr. James Rose mbbs fracgp
- This is about getting on my soap box, and teaching stuff I know works.
- contact and disclaimer page
- contact and disclaimer page for holistic doc pain support.com
- coronary artery disease information and advice
- Your first steps in sorting out different chest pain causes including coronary artery disease. The urgency of your need for medical attention is addressed.
- Your abdominal pain diagnosis from details of your history
- Your first step in sorting out your abdominal pain diagnosis, is to look for connections which may point to specific causes.
- Is your knee pain in your knee but coming from somewhere else
- knee pain is commonly referred from thigh and pelvic girdle muscle spasm. Self examination to distinguish this from knee arthritis, is described.
- vascular headache distinguished from tension headache by self examination
- Migaine is a vascular headache, mostly involving the superficial temporal artery. Occluding this artery with finger can stop your pain.
- neck pain is a metaphor for disagreeable anything, for good reason - tension.
- Neck pain can respond well to stretching exercises, plus attention to the teeth, jaw and tension, even if you have cervical spondylosis on x-rays.
- Our shoulder joint is designed for long distance grabbing to prevent starvation.
- To understand your shoulder joint problems, requires a good working knowledge of the anatomy here.
- Upper back pain is to do with “posture,posture,posture.”
- Your upper back pain may be referred from your neck, or due to poor workplace ergonomics.
- Your Achilles heel pain pulling you up in your tracks?
- Therre are three common reasons for heel pain. You can check these out by noting where you are tender.
- lumbar spine, lower back exercises are about core stability
- Notes on lumbar spine pain - functional anatomy, characteristics of some of the conditions responsible for this scourge of being upright.
- Pain depression, anger and low self esteem - a nasty bit of work.
- Pain depression, worse pain, worse depression - one of a number of vicious cycles in chronic pain. Helping break these is the motivation for this site.
- Shingles pain starts before and can continue long after , the rash
- Shingles pain is an example of neuropathic pain, due to damage to the nerves themselves, here from reactivation of latent VZ virus infection in the nerve.
- Our sacroiliac joint, suspended in our pelvic girdle, solid and safe - mostly.
- The large sacroiliac joints have very limited movement anytime, and most of what goes wrong reduces this further.
- Sorry for using incomprehensible vocabulary on this site.
- This pain word index is to try to make up for all the technical terms on these pages.
- Fibromyalgia pain is widespread, intractable and responds to graded exercises.
- With fibromyalgia pain, you're painfull and tender just about everywhere you push on yourself. You've got work to do on yourself.
- Hand pain and numbness, carpal tunnel, forearm or neck?
- Wrist, thumb and hand pain and numbness - disabling, but readily sorted out and amenable to effective treatment.
- Mouth pain from stomatitis, gingivitis, aphthous ulcers -many causes.
- Mouth pain is more likely to be caused by antibiotic treatment , than a throat infection.
- The elbow pain anachronism - It's just not cricket, tennis or golf.
- Elbow pain is a mixture of enthesopathy and referred phenomena, not epicondylitis, seldom elbow arthritis.
- Ear pain when an earache isn't an ear ache, and when it is just that
- You've ear pain, but your doctor says the ear's OK. Your child always has earaches. Here's information that may help.
- Pelvic pain misery - unnecessary, don't put up with it
- Pelvic pain diagnosis often requires both a gynaecologist and ultrasound specialist with particular interest in this area.
- Limb pain - a compilation or maybe a compendium, of causes
- General limb pain by cause, starting with lymphoedema
- Our links page for you to peruse, with thanks.
- Other useful sites, including my sister's drawing classes
- If we have pain questions are bound to need answering
- My attempts to answer some pain questions posed by readers of this site
- Your upper arm pain comes from somewhere else
- Upper arm pain comes from yet further up, from neck, shoulder or upper thoracic structures.
- Menopause hormone imbalance herbal treatments
- Menopause management, perimenopause pre to post
- Scarce and essential vitamin-b12, commonly lacking
- vitamin-b12 shots are commonly beneficial, not used often enough
- Tired all the time? Chronic fatigue has many, many causes.
- TAT for tired all the time - very common in my notes, very difficult to manage
- Case histories to give a better idea of conditions
- These case histories of real people may help you with your problems
- Symptoms of hypoglycemia in non diabetic people
- hypoglycemia is about endocrine failure, often from stress
- thyroid medicine common mismatch disease symptoms v. test results
- thyroid medicine harbours a silent epidemic of subclinical hypothyroidism, not picked up well by conventional pathology tests
- dizziness - single word, a number of meanings, and conditions
- Can you describe your dizziness with other words?
- Frightening anaphylaxis, potentially deadly but treatable
- The current epidemic of anaphylaxis - about children and peanuts, but not deaths
- blog archives for holistic doc's pain support site
- Blog archives for holistic doc pain support.com
- Food intolerances in a young child - case history
- A young girl - with food intolerances ruining her life - common story
- IV vitamin C is very valuable in many diseases
- IV vitamin C article from The Journal of the Australian College of Nutritional and Environmental Medicine
- A tooth decay free mouth is possible - start early.
- Tooth decay is preventable and it's never too late for dental health
- Alcohol, the universal sedative, maybe tranquilizer
- What's behind heavy alcohol use
- Polyarthritis - when multiple joints are affected by disease
- Polyarthritis may be an early clue to diseases needing treatment now.
- Self motivation - the only sort that works.
- Unlike supersize me, self motivation is all from inside self consciousness
- Are you overweight ? Diet help for ideal body weight.
- No one enjoys being obese nor intends to be excessively so. This diet help page may offer some ideas for you.
- The role of vitamin C daily allowance in health and illness
- The important role of vitamin C in your nutrition, compared to your average rat
- Surrogate markers (biomarkers) v. clinically useful outcomes
- Take care not to be misled. Surrogate markers can do this.
- pathological tests quote reference ranges - not "normal" ranges
- Healthy or unhealthy dicotomy, using reference ranges with reservations
- One sleep health disturbance is obstructive sleep apnea
- Sleep health issues have enormous effects on general health, not just due to sleep debt.
- Arterial hypertension, high blood pressure importance
- Hypertension your personal call to action? Here's why it may be so.
- Magnesium deficiency - suspect it, then do a therapeutic trial - treat it
- Vitally important in our metabolism, so best not to have magnesium deficiency
- Disease pathogenesis from the twinkle in your parents eye.
- Where to tackle problems? Understanding disease pathogenesis chains of events.
- Healthy lifestyle medicine - way to go.
- Therapootics - sticky start on lifestyle medicine
- Acute rheumatic fever in a 15 year old
- A clinical record of acute rheumatic fever from the 1960s
- Referred pain, from our back to the front of our body.
- About confusing chest and abdominal referred pain patterns, without a sore back to point to their cause.
- Experiences of the uncertainty principle in my clinical practice.
- Clinical medicine illustrates the uncertainty principle. It's not an easy game.
- Carl Pfeiffer on zinc deficiency - notes from 1984 lecture.
- A ramble through zinc deficiency according to Carl Pfeiffer and subsequent literature.
- Our prostate gland conditions, enlarged, inflamed or the site of cancer.
- Information on prostate gland diseases, the causes and cures, science and hype.
- Medical diagnosis, delving into the past and present for causes of illness.
- Moving from story to diagnosis, a descriptive label isn't enough to understand what is going on.
- Double blind trials for hypothesis testing - the ants pants?
- Well conducted double blind trials avoid biased results from hopes and expectations of both patients and doctors.
- Why pain and suffering? Like Julius Sumner Miller, here we ask "Why is it so."
- Understanding why pain and suffering happen involves first acceptance then honesty with ourselves, without blame.
- Strep throat or sore throat at the start of a viral URTI?
- A Strep throat versus viral URTI sore throat differential diagnosis study
- Stress effects on me the stressee (pinched from French.)
- Misunderstanding stress can make one feel powerless. What presses your buttons?
- Hunting out a compassionate medical care provider for yourself and loved ones.
- Do yourself proud, accept only compassionate medical care. You're worth it, and so work to deserve it.
- Functional medicine lab tests help us perk up. It's root cause medicine.
- Best outcomes for us depend on information, so functional medicine lab tests give good feedback
- Acid laryngopharyngeal reflux disease spotter's guide
- Unpleasant come-uppins from our stomach, very irritating laryngopharyngeal reflux disease.
- Gastro-esophageal acid reflux diagnosis
- How to make an acid reflux diagnosis rather than coronary heart disease.
- Wobbly? Ataxia technically, unpredictable error of movement.
- Losing control is worrying but ataxia may be from curable causes.
- Choosing supplemental nutrients wisely. Which, when, how much, why, why, why?
- Some examples of use of supplemental nutrients, essential, beneficial, even damaging.
- Immediate burns first aid avoids blisters
- Urgent treatment needed - burns first aid methods
- Skin burns, wounds and ulcers - your treatment guide.
- Immediate first aid for skin burns, wounds, and what to do after that to encourage rapid healing.
- Our outside (skin health ) reflects our insides - look at it and look to it.
- Skin health isn't just skin deep, and skin care needs to involve protection of the skin flora
- Cholesterol and all the fuss about it - an opinion.
- Cholesterol research findings in humans, worth noting.
- Sodium chloride salt, friend and foe (in excess or deficit.)
- A defense of salt and a warning to have enough in hot weather.
- Abdominal bloating from intestinal gases rather than fluid retention (ascites)
- A dissertation on abdominal bloating, belching and flatulence.
- More illustrative medical case histories.
- People's case histories you may see yourself mirrored in.
- DIY back check-up home study course available on-line
- Is your back "out?" Learn how to tell, in easy steps, on-line.
- My start in neck manipulation, which nearly ended badly.
- A tale of progress to neck manipulation and later on to better techniques of mobilization.
- More Cases from family medical practice.
- More cases - histories of real people with real problems.