Today’s treatment
options give chronic pain sufferers a chance for a normal life
Life with chronic pain is
impossible to imagine unless you have suffered it personally. “I lived with
chronic pain for 40 years,” says DeMont Seagrave. “Part of the pain is
hereditary, but at 19 I cracked my sacrum in two places. Doctors thought I
wouldn’t walk again.”
Seagrave did walk again. And he
enjoyed a genuinely dynamic life that included nine years playing with the New
York Yankees and two subsequent careers in construction and restaurant
ownership. But finally the pain was so constant and intense that he had to give
up his business. “I didn’t smile or laugh and was always a grouch. I couldn’t
load the dishwasher without sitting in a chair,” he says.
Millions suffer similarly to
Seagrave. In fact, the National Center for Health Statistics estimates 76.2
million people live with chronic pain, costing annually in healthcare and lost
productivity nearly $100 billion.
There’s one thing I’ll say about pulling a
muscle, and that is: It’s no fun. It’s not as serious as a break, so you won’t
get the sympathy that walking around in a cast will get you (not that I wish
that upon anyone), but it’s just serious enough that it can cause severe pain
and keep you off your feet during recovery. Here are some things you can do if
you pull a muscle.
1. First, make sure that it’s just a pulled muscle and not a break. A
break that doesn’t get immediate medical treatment can cause problems down the
line, whereas a pulled muscle generally requires some at-home pain relief and
nothing more.
2. Next, get off your feet (if you’ve pulled a muscle in your leg). Applying
the pressure of your body to a pulled muscle will hurt and will not allow for a
quick recovery.
Are you tired from work? Then most likely you
are experiencing an excruciating backache because of strained muscles in your
back. A lot of people will just disregard this pain without knowing that it can
possibly lead to more serious complications in the future. And when this
happens, treatment is more intense.
A backache happens when there is a straining on the muscles of your back. In
some cases, this pain is caused by fatigue and overwork. Once you have
experienced back pain, it might be automatic for you to take pain medications.
Taking medications is not acceptable and not always recommended because it will
only block your pain receptors so that you will not feel any pain.
What spinal decompression does is create a vacuum effect in
the spine so that the disc material is suctioned back into place between the
spinal bones. You see, between each spinal bone or vertebrae there is a disc.
This disc is a gel like material that acts as a shock absorber and as a spacer.
Without this spacer the neural foramen (openings where nerves exit off the
spinal cord) don't remain open and free from pressure. Disrupt the disc and you
lose the hole where nerve roots exit out and you disrupt the anatomy of the
spine.
When a disc is injured it may bulge or leak out of the area
it normally should be. When this happens it may put pressure on nerves. Also,
since it is no longer contributing to the mass or height of that “spacer,” you
lose the normal opening of the foramen that the nerves stemming off the spinal
cord exit out of. Additionally, closing of the neural foramen or spinal canal
from leaked disc material and inflammation is a major cause of stenosis. In
fact, that’s what stenosis is, a closure of those holes.
Some medical practitioners have the idea that psychological problems
predict the development of chronic pain. To date, however, the research does
not support this idea (Kuch, 2001 Clinical Journal of Pain, Vol 17, No. 4).
The largest link between
psychological problems and chronic pain is a history of trauma in a person’s
life. The study of trauma and its affect on human health is a growing area of
study. Essentially the thought is that in some way trauma affects how the body
processes stress. But it is unclear exactly how the two relate. Most likely it
will take years of research to figure this out. What is important is for
doctors to not assume that if the patient just receives therapy for trauma that
the patient’s pain will be cured – or to label the patient as a “psych” case.