movement

Chronic Pain: What We Know And How To Manage It!

Chronic Pain

It’s important to note that all pain is real! Chronic pain is not “all in your head.” It is pain that persists beyond the acute stage (greater than two months). It often occurs independent of actual tissue damage, meaning that there is no damage to muscle, tendon, ligament, bone, etc that is causing the pain.

Chronic pain involves changes that occur within the brain in response to pain that lasts for long periods of time. Areas in the brain that are not associated with perceiving pain begin to perceive signals as pain – meaning that activities that should not cause pain are now painful! This can significantly affect the quality of one’s life.

Chronic pain affects almost 1 in 3 people worldwide! The cost in the US is about $600 billion annually for medical treatment, lost wages, and lost work time. Chronic pain is the most common reason to seek treatment and the most common reason for disability and addiction. The cost of treatment for chronic pain in the US is even greater than those for cancer, heart disease, dementia, and diabetes care.

Currently, chronic pain is not managed well by healthcare providers. A common treatment is the use of opioids. Opioids (e.g. codeine, morphine, hydrocodone (Norco), oxycodone, fentanyl) are meant for short term management of acute pain. They are not meant for long term management of chronic pain. Medication alone cannot treat chronic pain. When other treatments are added in addition to medication, outcomes are shown to be better. Some people on long term opioid treatment actually experience the side effect of hyperalgesia (or hypersensitivity) which increases pain!

How to Manage

There are several other ways to manage chronic pain in addition to medication.

Exercise – start with light, painfree activities and increase as you are able

Reduce stress as stress causes increased inflammation which can lead to increased pain

Learn more about your condition – learn how others manage to control their pain and maintain their function

Keep up with normal activities as much as possible

Improve your overall health

Avoid bed rest and inactivity – Bed rest will not improve your pain and may make it worse, as it leads to other problems such as weakness, weight gain, and poor circulation.

Consume an anti-inflammatory diet
– Emphasizes plant-based foods and anti-inflammatory spices: turmeric, ginger
– Nutrient deficiency is common in chronic pain and can be worsened by long term use of analgesics (common deficiencies include vitamin D and magnesium)
– Make sure you have the correct intake of omega 3 fatty acids

Make sure you are hydrated
– Dehydration can amplify chronic pain symptoms such as headaches, muscle aches, joint stiffness, and fatigue
– Proper hydration is key in managing pain and improving our body’s function
– Caffeine intake to address loss of sleep, fatigue, and headaches can contribute to dehydration
– The recommendation for appropriate amount of water varies but 64 oz is a great place to start

Make sure you are getting enough sleep
– Position modification
– Stretching before bed
– See if there are other factors other than pain that are contributing to loss of sleep
– Caffeine intake
– Stimulants such as light or noise
– Use of cell phones or other electronics prior to bed

Physical therapy or occupational therapy to increase strength, increase mobility, and improve function as well as to address pain

Be your own advocate when seeking treatment. Only you know what you are feeling and how it affects you. Work to find the treatment that is best for you!

This blog was specially written by our friend and guest writer Rachel Zimmerman, DPT.

Rachel is clinic director at ATI Physical Therapy in Green Bay, WI. You can find out more about her clinic or find a location near you at ATIpt.com!

Do These 3 Things to Lose 2 Pounds This Week!

Are you tired of starting a diet only to start it over again and miss out on all the results you were expecting or promised?

SO ARE WE!

Let’s keep this simple.

1. PFW – Fat loss happens when we pay attention to what goes in our mouths. Focus on Protein, Fiber, and Water.

 • Stop focusing on what to eliminate and focus on eating more proteins like chicken, eggs, and fish.
 • Forget the trendy headliner diet and enjoy the fiber found in fruits and vegetables. The more fibrous the food, the more it satisfies.
 • Drinking just 1/2 your body weight in ounces of water will do more than just hydrate. Drinking this, relatively small, amount of water will curb an appetite and ensure the mind doesn’t get thirst confused with hunger. We recommend drinking your bodyweight in ounces of water. Go the extra mile!

2. Move MORE!

 • Walking at a leisure pace for 30 minutes 3-4 times each week can significantly decrease the stress hormone cortisol and allow the body to focus on other functions besides stress management. Fat loss is one of those functions.
 • Already walking and not seeing results? Check that it is a true leisure walk. The kind of walk that is not measured on a tracking device and occurs at a speed that would allow you to hold a cup of coffee or tea in your hand. Slow down a little. Something tells us that your life is moving fast enough on its own.
 • Truly leisure walking and working out and STILL NOT SEEING RESULTS?? Go back to tip number 1 for a seven day stretch.

3. Get some ZZZZzzzzz’s

 • No, we are not suggesting a crazy supplement or product called ZZZZzzzzz’s. We are suggesting that quality sleep can allow your mind and body to fully recover from the day.
 • This should NOT be underestimated! This will set all your systems and faculties up for success. Start each day rested and ready for results.

Our resolve will be challenged every step of the way!

Efforts to consume more PFW may be compromised or sabotaged by quick-fix shakes that offer little more than flavor and expense. Moving more does not entail moving all the time to continue eating, sabotaging, and compromising one’s self to avoid change. Avoiding change nutritionally is the equivalent to avoiding change physically!

Know this: We promised simple. That doesn’t necessarily mean EASY! It is uncomfortable outside of the comfort zone. Declaring war means preparing to battle, holding your ground, and occasionally…fighting back!

If you’re excited about the simplicity of all this, but need a little extra guidance and motivation then let us help! It is literally what we live for!

Our 21-Day Ellipse Fitness Training Camp will give you all the tools you need to get on your way to making staggering change that can last you a lifetime.

21 days of unlimited training sessions PLUS one small group personal training session per week!

Nutrition Guidance, Ellipse Cookbook, Simple Meal Plan and Shopping List!

Before/After Weight, Pictures, Tape Measurements and Body Composition to give you a clear picture of your progress and results!

Welcoming, fantastically supportive group atmosphere, friendly and knowledgeable coaching staff, accountability, motivation, and MORE!