Posted in aches, Arthritis, Chronic lower back pain, chronic pain, Coping with Chronic Pain, Fatigue, Fibromyalgia, Health Care, Knee pain, Muscle and joint stiffness, Rheumatoid Arthritis, Surgeries, U.S. Pain Foundation

DEA’s Latest Attempt to Punish Chronic Pain Patients

Now the DEA’s newest proposal targets drug manufacturers by giving them quotas as to the number of controlled substances they will be allowed to produce. Here we go again … another attempt to bully and force decreases in the manufacturing of pain medications – which hurt millions of Americans suffering with some form of chronic pain. But there is little empathy toward chronic pain patients suffering from back issues, hidden illnesses, and even surgeries.

And the number of patients who have been refused pain prescriptions for diagnoses they’ve lived with for decades continues to increase as will the suicides by these patients who can find no other form of relief. Following this is the comment I submitted to the DEA and I urge you to send your story to them ASAP. In the article, “DEA Wants to Target Drug Manufacturers in Opioid Supply, by Ed Coghlan and found in the National Pain Report dated April 21, 2018, click on the article title which will take you to the proposal docket  with instructions on submitting your comments. This is opened to the public until May 4th so please send your comments in today.  Thank you.

To Whom It May Concern:

I am pleading with you to cease, overthrow, and forget about the proposal to decrease the manufacturing of controlled substances, namely, opioids.

Scoliosis, Spinal Stenosis, herniated discs, and six fusion surgeries on my back due to Scoliosis have left my spine with 2 inches of bone-free fusions. It was decided not to fuse that area because of assumed increased complications. My back pain increased resulting in quitting my job and stop instructing, choreographing, and dancing line dances, restricted my love of gardening, house cleaning, and shopping due to the impact of pressure forced on those 2 inches of my spine.

Since July 2012 I have been on disability, spent the year of 2013 contemplating suicide and wallowing in a sea of depression as new health issues arose. Less than six months ago I was diagnosed with Restrictive Lung Disease and am now on oxygen 24/7 along with the myriad of medications to address my severe chronic back pain, restless leg syndrome, fibromyalgia, depression, and lack of sleep.

Taking Percocet at the dosage of 7.5/325 mg four times a day allows me to walk on the treadmill at 2.0 mph for 30 minutes (3-4 times weekly), dress myself, make the bed, and wash dishes. I go shopping with my husband at least once a week to get out of the house and unfortunately, we come right home after the first stop because the back pain will not allow me to spend an afternoon of shopping. I walk with a cane and sometimes ride in a wheelchair. And I’ve tried to dance a little bit for exercise but the oxygen tubing gets in my way.

If I didn’t take the Percocet four times a day my day would look like this: Wake up, go to the bathroom, sit back on the recliner with heating pad and moan in pain – and this is where I would spend my day. Activity increases my pain, therefore, physical activity is gone. Going out to shop is out of the question. Household chores including picking up items around the house, making the bed, or washing dishes is out of the question because the back pain travels down both legs and stirs up the RLS … forcing me to get back on the recliner. I’d get fat. I’d be depressed. And I’d be thinking of other options that would take away the misery of my painful life.

It was revealed that the CDC inflated the numbers of opioid suicides in its report per this article: (https://www.painnewsnetwork.org/stories/2018/3/21/cdc-admits-rx-opioid-deaths-significantly-inflated) And there have already been a few suicides by pain patients who were refused pain medication, leaving the patients with suicide as their only option to relieve their pain.

Controlling substance quotas isn’t going to remove suicides amount the citizens of this country – it is going to escalate suicides. For some reason people who do not live with chronic pain, believe it can be remedied with physical therapy, acupuncture, massage therapy – all great options, but they do not last. And they are expensive.

I cannot live a semi-normal life without Percocet. I’ve tried cutting down and find myself eventually taking the required number because the pain escalates quickly. How am I suppose to live? How am I suppose to enjoy visiting my son and his family including two grandchildren? How do I face a day without pain relief?

PLEASE, I BEG you to remove this proposed rule and reconsider your actions. This rule will escalate suicides, remove quality of life, and force pain patients to spend their days and nights in bed. Is this the society you are striving for?

Respectfully,

Carolyn Robinson

Posted in aches, Arthritis, Chronic lower back pain, chronic pain, Fibromyalgia, Inflammation, Knee pain, Muscle and joint stiffness, Rheumatoid Arthritis

PART 5 – INJECTIONS, SURGERY IMPLANTS, AND MORE…OH MY!

Part 5A – Injections

 Good afternoon and thank you for stopping in to review Part 5A – Injections of the Relief Options for Chronic Pain series! This week’s information is familiar to me because I have had most of the injections discussed here, along with a Spinal Cord Stimulator implant. As I write I’ll be inputting my experience in italics.

Let’s start with the injections recommended by doctors as being an option other than opioid use. These are the injections most prescribed for chronic lower back pain as well as other chronic pain:

Epidural Steroid Injections                                 

Selective Nerve Root Blocks (SNRB)

Facet Joint Block                                              

RFA (Radiofrequency Ablation)               

Facet Rhizotomy                                              

Sacroiliac Joint Block

Trigger Point Injection                           

Nerve Block

There are other branches of injections that are extensions of these, but the above injections appear to be the ‘primary’ injections selected.

Epidural Steroid Injections (ESI):

These injections are prescribed as relief for chronic lower back pain and are injected in the lumbar section of the spine. However, Epidural Steroid Injections injected in the cervical (neck) and thoracic (mid spine) areas of the spine are very common. The consensus from most pain physicians is ESIs offer temporary relief spanning from one week to one year. And those patients reporting long-term relief are less credible.

(I was given this injection while living in Mt. Pleasant, SC thirteen years ago. Due to extreme lower back chronic pain I agreed to the injection with the hope it would alleviate the pain, and it did – for one year. Coupled with the injection I saw a physical therapist for six months but eventually the pain returned.) 

The use of fluoroscopy or X-ray assists the physician with placing the medication in pain and inflammation area. Earlier studies show that doctors did not use this method of determining the placement of the injection. A request for more studies has been issued even though most studies report 50% or more patients report pain relief with ESI. A word of warning – be sure to seek a professional with considerable experience directing injections with fluoroscopy for careful placement.

The attraction of ESIs is the medication is delivered directly into the pain source whereas oral pain medications have a less-focused contact with undesirable side effects. An ESI helps control inflammation (it has been determined chemical inflammation produces pain) and flushes out chemicals and inflammatory proteins from the area. ESIs are performed up to three times per year and usually given in sets of three. More detailed information regarding ESIs can be found here.

Selective Nerve Root Block (SNRB):

Used to diagnose the source of Nerve Root Pain and provide relief of low back or leg pain, a Selective Nerve Root Block (SNRB) is provided. A compressed or inflamed nerve root will produce back or leg pain. Because a MRI doesn’t show which nerve causes the pain, a SNRB assists in isolating the pain source. This may be used a treatment for pain management of a far lateral disc herniation (when a disc ruptures outside the spinal canal)

The nerve is approached where it exits the foramen (the hole between the vertebral bodies) with an injection of steroid (relieves inflammation) and lidocaine (numbing agent.) Fluoroscopy, which is a live x-ray, assists the professional in finding the specific area of pain. If the patient reports no pain, then it is surmised the injected nerve root was the source of pain.

Success depends upon whether the injection was administered to alleviate pain from a primary diagnosis or if the injections’ purpose is to confirm a diagnosis. SNRBs are limited to three times a year. And because of the difficulty of administering SNRBs, be sure to seek an experienced professional.

Facet Joint Block (FJB):

Paired joints, or facet joints, have side by side surfaces of cartilage (the tissue that cushions between the bones) and a surrounding capsule:

 

{illustration from Google search (innova-pain.com)}

 

Degeneration of cartilage with aging and injuries of twisting (dancing?) may cause damage to either one or both facet joints. A Facet Joint Block can alleviate the pain and/or confirm the specific source of back pain for patients. FJBs are like SNRBs and should be administered by an experience physician.

Nerve Block:

Used for pain treatment and management, nerve blocks are injections of medication into specific areas of the body. Various problems need diverse types of nerve blocks including:

  • Therapeutic nerve blocks used to treat painful conditions.
  • Diagnostic nerve blocks used to determine pain sources.
  • Prognostic nerve blocks predict the outcomes of given treatments.
  • Preemptive nerve blocks avoid successive pain from procedures causing problems.
  • Nerve blocks can be used to avoid surgery.

Note, however, if your pain isn’t related to pain in a single or group of nerves, nerve blocks may not work for you. Your physician will advise which nerve block is beneficial to you and your pain.

Radiofrequency Neurotomy for Facet and Sacroiliac Joint Pain

An injection procedure that is used to treat facet or sacroiliac joint pain caused by arthritis, other deteriorating changes, or from an injury is called a Radiofrequency Neurotomy. The goal of interrupting pain signals to the brain uses a heat lesion on certain nerves to eliminate pain. Radiofrequency ablation and radiofrequency neurotomy, used reciprocally, refer to a procedure that ruins the performance of the nerve using radiofrequency energy.

There are two primary types of radiofrequency ablation (RFA) 1- A medial branch neurotomy (ablation) affects the nerves carrying pain from the facet joints and 2- A lateral branch neurotomy (ablation) affects nerves that carry pain from the sacroiliac joints.[1]

Prior to the RFA a lateral branch or medial branch nerve block is usually performed to prove the patient’s pain is transmitted by those nerves. Additional injections including sacroiliac joint injection or facet joint injection along with other treatments may be requested prior to the RFA.

(I had the RFA as a last-ditch effort to find another form of pain relief prior to the implant of the Spinal Cord Stimulator. With hopes that the RFA would last at least one year (or minimal one month) I went through three different nerve blocks until the radiofrequency ablation was finally performed. Painful, stressful, and just downright annoying … I had the RFA which lasted three months to the day. Unfortunately, there’s no if, or, maybe that circles this procedure. Most insurance companies require all avenues be followed before going forward toward other pain treatment options.)

Facet Rhizotomy and Sacroiliac Joint Block Injections:

A Facet Rhizotomy injection is recommended if the patient has experienced satisfactory results from three Facet Block Injections. By disabling the sensory nerve that goes to the facet joint, long lasting pain relief is provided by the Facet Rhizotomy injection.

Sacroiliac Joint Block Injections (SI Joint) are used for diagnosing and treating pain associated with sacroiliac joint dysfunction. The SI Joint lies next to the spine connecting the sacrum (bottom of the spine) with the pelvis (hip).

Trigger Point Injections

Trigger Point Injections (TPIs) treat muscles that contain trigger points or knots of muscle formed because the muscles do not relax and are painful. In some cases, the knots can be felt under the skin. The nerves around the trigger points may become irritated and referred pain may develop. Pain felt in another part of the body is commonly known as ‘referred pain.’

Trigger point becomes inactive and the pain alleviates when the trigger point injection is provided. In most cases, a brief course of treatment results in sustained relief.

There are instances when physicians will prescribe only one injection for your pain. If your physician explains this is the course he follows, simply ask why? Why not three? In cases studied throughout the country it is stated that the ‘single-shot blocks’ do not give the patient’s pain the full recovery that a set of three shots gives. Many studies conclude that ‘single-shot blocks’ are of short duration and only add the patient’s increased need for narcotics.

In any case, injections, like many other forms of pain relief, are temporary. If you proceed into any course of treatment with expectations that your pain will be gone for good, stop. Chronic pain does not go away. The best we as pain patients can hope for is the ability to function within our daily lives with as little pain as possible. Believe me, I’ve tried just about everything and have found that a pain level of 4 sure beats the heck out of a level 10!

Next week, we explore the surgeries of implants and other forms of relief! Until then, have a wonderful week!

[1] www.spine-health.com/treatment/injections/radiofrequency-neurotomy-facet-and-sacroiliac-joint-pain article

Posted in aches, Arthritis, chronic pain, Fatigue, Fibromyalgia, Inflammation, Knee pain, Muscle and joint stiffness, Rheumatoid Arthritis

Part 4 – Marijuana

Thank you for your patience with the delays in finishing the series, “Chronic Pain Relief Options.” Over the last months, I’ve endured a few setbacks healthwise and have finally found my voice again. I appreciate your support and hope you will continue to enjoy this series along with future posts for chronic pain sufferers.

As we continue our research into the different options available to patients suffering from chronic pain, Medical Marijuana is fast becoming one of the preferred forms of chronic pain relief by patients. However, regardless of the positive effects patients report from using Medical Marijuana, astigmatism continues to surround this natural drug.

This is, without a doubt, the hardest subject I’ve written about for many reasons. First, I know persons who use Medical Marijuana and respond with excellent results. Secondly, I know persons who are dead set against legalization, keeping marijuana from extensive research.

How does voting against the legalization of Medical Marijuana hinder research? On a federal level marijuana remains a Schedule 1 drug, regardless of its legality in 30 states including the District of Columbia and maintains the strictest category with criminal penalties. Therefore, if you live in a legalized state, you can be arrested on the federal level. However, we have a voice somewhere in this country and I believe if we open our minds to the positive outcomes of marijuana we may find a cure for the opioids issues we face today.

Without further ado, here is what I found.

What is Medical Marijuana?

The National Institute on Drug Abuse (NIDA) does not encourage Medical Marijuana use because of the lack of detailed data from research studies. It remains ‘unsafe for the public.’ To strengthen their decision, the FDA hasn’t approved Medical Marijuana as a viable medication.

The NIDA defines Medical Marijuana as “referring to the use of the whole, unprocessed marijuana plant or its basic extracts to treat symptoms of illness and other conditions.”

However, the NIDA recognizes the approval of two medications in pill form. Dronabinol and Nabilone, (a man-made form of marijuana) contain THC (delta-9-tetrahydrocannabinol) and treat nausea from chemotherapy as well as increase the appetites of AIDS patients. There is the possibility more medications may be developed once extended research is finished.

(Other countries approved a mouth spray containing THC (tetrahydrocannabidiol)and CBD (cannabidiol) – nabiximols (Sativex) – for muscle control problems related to MS. And for the possible treatment of epilepsy in children, testing of CBD-based liquid drug (Epidiolex) is in trials.)

WHOA…What is CBD & THC?

           The Harvard Health Publishing Blog cites CBD, (also known as cannabidiol) is the extract from the hemp plant and has very little if any intoxicating properties. THC, tetrahydrocannabinol, is the chemical that causes the ‘high’ when using Marijuana. Patients reported no change in consciousness and instead reported many benefits when using Medical Marijuana. Strains with little or no THC are listed as CBD-dominant strains and studies show that patients report little change in consciousness. Benefits reported from patients using CBD include relief from insomnia, anxiety, spasticity, and pain.  However, there are more than 100 active components within the marijuana plant. Testing is needed before informing the public of the different strains and benefits and/or effects of marijuana use.

Frustration from scientific groups is heightened because of the inability to perform thorough research due to the Federal government’s marijuana restrictions. If research groups are unable to obtain marijuana, then how are they expected to perform tests to relay results to the public? Perhaps that’s the real deal. If research studies are stymied from researching marijuana then it remains a threat to the public, thus the government’s agenda??

A couple of days ago I received an email from The National Pain Report citing a proposal that would add “intractable pain” to the approved conditions list for medical cannabis was appealed by the Illinois Department of Health. The Director of the Health Department claimed there ‘wasn’t enough high-quality data from clinical trials’ to add intractable pain to the approved conditions list.

Although there are several reports showing that ‘intractable pain’ is on the list. Those reports were viewed by the following states:

Government officials will continue to halt legalization until we as a people vote for legalization. This one simple act encourages further testing of different strains and helps patients make informed decisions when considering Medical Marijuana as a pain relief option.

Side Effects?

Fast becoming the ‘go-to’ method for relieving pain, Medical Marijuana’s ability to reduce pain, improve quality of life and reduce side effects of other medications has improved lives of many chronic pain sufferers. Numerous studies show patients on Medical Marijuana reduce opioid usage by 64% – dramatically diminishing the risks of overdose and dependency.

Surprisingly, the side effects of medical marijuana are like those of any medication – if you abuse it, you’re going to have side effects. Marijuana products derived from CBD are considered safe and are federally legal in the U.S. These products are commonly found as ‘oil products.’ Doses of up to 300 mg daily may be safe for up to six months per the Medical Marijuana Inc. website. Doses of 1200-1500 mg daily may be used safely for up to four weeks.

 

Health information site reports that lightheadedness, drowsiness, low blood pressure, and dry mouth are symptoms reported by some patients. Throughout my research, I did not find symptoms of moving to a stronger drug (heroin, cocaine) as a side effect of using Medical Marijuana. However, if you try other forms of marijuana not inclusive of Medical Marijuana, and you’ve never used marijuana before, then you may experience stronger effects. The key is moderation.

 

Please consider reading this with an open-mind, perform your own research and remember the probability Medical Marijuana is becoming an integral part of all our lives. Therefore, research and testing are necessary to ensure the safety of the public.

This post is derived from the results of my personal research and may not agree with your opinion of Medical Marijuana usage. I encourage everyone considering Medical Marijuana as a chronic pain reliever, to perform your own research asking the questions I haven’t answered in this post. Opinions are strong on both sides, but I think you’ll be surprised at the growing number of benefits for persons suffering from pain, MS, Crohns Disease and Parkinson’s Disease (to name a few medical diagnoses) reported by patients.

Stay tuned for PART 5 of the Chronic Pain Relief Options series – Injections and Surgeries!

 

Posted in aches, Arthritis, Chronic lower back pain, chronic pain, Coping with Chronic Pain, Inflammation, Knee pain, Rheumatoid Arthritis, Surgeries

Relief Options for Chronic Pain

PART 3  –  OPIOIDS

Except for Marijuana, controversy surrounds Opioids more than any of the previous medications discussed in Parts 1 and 2. Suicides, accidental overdoses, and misuse of Opioids by prominent celebrities fill the headlines and invoke a strong media reaction. This escalated attention cautions healthcare physicians to seek other options for their patients.

The American Academy of Pain Medicine, National Institutes and Health, American Chiropractic Association, and American Society of Addiction Medicine provide chronic pain and prescription opioids statistics. These statistics cover the United States only:

Chronic pain statistics indicate more people suffer from pain than the combination of diabetes, heart disease, and cancer. Excluding acute pain conditions and children suffering from pain, 50 million to 100 million adults suffer from chronic pain. Of those adults, 27% seek treatment for lower back pain, 15% for severe headaches to migraine pain, and another 15% for neck pain. Alarmingly, these numbers continue to grow daily.

Research of the prescription pain pill epidemic for 2015 shows 20,404 people died from Opioids overdoses. Prescription opioids account for substance abuse disorders by two million people. Increased national crime, pharmacy burglaries, and overdose deaths were tied to Opioids abuse.

Since the rise of prescription drug overdoses, especially prescription Opioids, views have changed among healthcare providers for prescribing Opioids for the treatment of chronic pain. However, Opioids are prescribed in cases of short-term to help patients recover from fractures or post surgery.

Your primary care physician will no longer prescribe Opioids for moderate to severe chronic pain. Instead, you’ll be referred to a Pain Management Facility where specialists evaluate and monitor prescriptions of Opioids.

Many chronic pain patients find themselves suffering more and receiving little or no assistance of treatment for their pain due to the abuse and misuse epidemic. As the fear of overdosing heightens many physicians, including specialists, seek other options to treat chronic pain. Physical therapy, minimally invasive procedures, and lifestyle changes are the preferred options. However, these options, exhausted by most chronically ill patients, bring little to no relief.

So, how do chronic pain patients find relief? If Opioids are the only option available for severe chronic pain then understanding the risks involved with these drugs is mandatory. The specialists associated with Paindoctor.com (and most pain management specialists) treat chronically ill patients using a 12-step Opioid Checklist to ensure patient safety. (You can find the risks of Opioids listed after the checklist.)

Taking Opioids is a risk. But most chronic pain sufferers take that risk to acquire a fraction of the quality of life they enjoyed prior to the onset of chronic pain.

What are Opioid medications?

As the oldest known class of drugs in the world, Opioids refer to either morphine or other opium poppy-based medications – narcotics. Opioids suppress the pain perception by reducing pain signals as they are transmitted through the nervous system.

Below are some types of Opioids (and their generics) used for chronic pain treatment. ALL of these medications require a prescription.

Hydrocodone (Hysingla ER, Zohydro ER)

-*Hydrocodone/acetaminophen (Lorcet, Lortab, Norco, Vicodin)

Hydromorphone (Dilaudid, Exalgo)

Oxycodone (Oxycontin, Oxecta, Roxicodone)

-*Oxycodone and Acetaminophen (Percocdet, Endocet, Roxicet)

Oxycodone and Naloxone (Targiniq ER)

Morphine (Astramorph, Avinza, Kadian, MS Contin, Ora-Morph SR)

Meperidine (Demerol)

Methadone (Dolophine, Methadose)

Fentanyl (Actiq, Duragesic, Fentora)

Codeine (only available in generic form)

(*Includes Acetaminophen in the compound. Avoid other products containing acetaminophen (ex: Tylenol) due to increased risk of liver problems.)

For pain relief all day and through the night your doctor may prescribe specific doses of your pain medication. However, there is a chance you may experience “breakthrough” pain. Breakthrough pain is a flare of pain experienced even though you receive round-the-clock pain medication.1 In this case, you may be given a prescription with “as needed” instructions.

Regular visits to the pain specialist are a requirement of care if you are prescribed Opioids. These visits include questions asked by your specialist:

          1. Are you responding to the Opioid?
          2. Are you experiencing any side effects?
          3. Have you developed a medical condition or potential interaction that may increase the risk of side effects?
          4. Are you taking the medication as directed?2

NOTE:  Never change the dosing of any Opioid medication without first checking with your physician. If your pain isn’t managed by the medication prescribed, your physician may change the dose or try another Opioid drug.

Opioids can be dangerous if taken with 1) antidepressants, 2)antihistamines, and/or 3)sleeping pills. Be sure your doctor knows all medicines you are taking. Other prescription drugs, over-the-counter drugs, and herbal supplements may cause additional problems when taken with Opioids.

When you’re ready to quit the Opioids, your pain specialist will advise a slow weaning off from the Opioids to help your body adjust to the removal of the pain medications. Withdrawal symptoms occur if you stop the Opioids abruptly.

As reviewed in Parts 1 & 2 of this series, most medications have side effects and Opioids are no different. Common side effects include:

*Constipation                       *Sedation

*Fatigue                                 *Nausea

*Vomiting                              *Confusion

*Dry Mouth                           *Constricted pupils (miosis)

*Itching (pruritis)

However, there are more serious side effects including:

**Urinary retention              **Hearing loss

**Respiratory depression    **Hallucination

**Hypothermia                       **Delirium

**Hyperalgesia (increased sensitivity to pain)

**Abnormal heartbeats (arrhythmias)

LARGE doses can induce:

***Serious respiratory problems              ***Depression

***Oxygen deprivation                                ***Unconsciousness

***Overdose                                                   ***Death

Taking Opioids for the long-term may cause tolerance, dependency, and/or addiction.

Tolerance occurs when the need for Opioids causes increasing the dosages.

Dependence is a physical or psychological effect. A physical dependency occurs when you (abruptly) stop taking your Opioid medications resulting in a withdrawal syndrome. Psychological dependency occurs as an emotional need for the drug when there is no physical need.

A small percentage of patients who use Opioids long-term may suffer from addiction.3 The characterization of addiction is a constant pattern of inappropriate Opioid use and may include the following serious problems:

    • Loss of control of using Opioids
    • A preoccupation of acquiring more Opioids even though pain relief is achieved
    • Although adverse physical, psychological, or social consequences may occur, the patient continues using Opioids
    • Overdose and death increases as an adverse effect

Should you take Opioids? If you suffer from moderate to severe pain, Opioid drugs can make a significant difference in your pain levels. However, you must take them safely and follow your doctor’s instructions carefully to avoid the negative effects of Opioids.

Next week, we’ll explore Marijuana and its treatment of chronic pain. Have a great week!

1Opioid (Narcotic) Pain Medications article, WebMD, LLC, 2017

2Opioid (Narcotic) Pain Medications article, WebMD Medical Reference, Minesh Khari,MD, April 30, 2017

3What are Opioid Medications? Article, paindoctor.com

 

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Posted in aches, Arthritis, chiropractor, chronic pain, Fatigue, Fibromyalgia, Knee pain, Muscle and joint stiffness, Rheumatoid Arthritis, Surgeries, U.S. Pain Foundation, Uncategorized

Chronic Pain is a Pain in the ***

Good morning!

So far nobody has found my blog post and I really haven’t shared it with anyone yet, but hoping the keywords will bring visitors sooner than later.

Chronic Pain is a Pain in the (fill in the blank on the title) or fill in YOUR Chronic Pain area! It’s in your lower back, upper back, travels down your legs, is in your legs, your feet, your hands, shoulders, neck, head…you name it and most people will share the same pain you do.

So, what do you do about your Chronic Pain? We mentioned chiropractors, pain medicines, and therapy. But I have another option for you. There is a pain organization that helps almost every type of pain a person may have. It’s the U.S. Pain Foundation. If you go to the site (http://www.IntheFaceofPain.com) you will find a ton of information, resources, and help with your pain.

Write your story for them and they will send you information to help you in the form of resources, options for pain relief, and many more interesting and informative pamphlets for you, the pain sufferer. You’ll also receive a “Pain Warrior” bracelet to wear and let people know you are a Chronic Pain sufferer. Who knows, it may catch the attention of a fellow pain sufferer and you can share this information with them.

And if for some reason, you are not able to get on the computer to check out the website, but have a question, comment to me (below this post) and I will look up the answer for you. I joined the Advocacy Group for US Pain to help others with Chronic Pain find ways to deal with their pain every day. It would be my pleasure to help you or guide you to the right person for help.

It isn’t necessary to live with Chronic Pain all by yourself. You have people, support groups, and me, who will help you find a doctor for coping with pain. Plus I’ve thought of starting a Chronic Pain group to meet once a week or once a month so we can get to know each other and share our stories about pain and how we cope with it. You never know what other pain sufferers share that you will benefit from!

Those meetings will begin when it stays lighter in the evenings. I’m not crazy about driving in the dark and some of you may feel the same way. But keep a look out on my blog page for the date of the first meeting, place, and time. We may have several meetings in different locations so you wont’ have to drive so far.

I didn’t get to write my blog yesterday, but I hope you will check it out today. We are beginning a journey with fellow pain sufferers to stamp pain out and learn to live with it.

Until tomorrow, thanks for stopping by and I hope you have a “dry” day in the flood of water pouring down out there!

Take care,

Carolyn