Why Keep a Pain Journal

“Julie” mentioned that her doctor advised her to keep a pain journal, and she wanted some direction. She loves to write, but she wasn’t sure how to approach the task. Also, she was concerned that dwelling on her pain might make it worse. Wasn’t the goal to distract herself from the pain rather than to…

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The Merry-Go-Round of Chronic Pain

As if it’s not enough that some people have chronic pain, we know that these people also don’t live as long. There is new evidence that persistent pain affects the function of the same cells that fights AIDS, lymphomas, and other diseases associated with an impaired immune system. It is hard to know how much…

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Can Fun Help Overcome Pain?

  Can good, old-fashioned fun help people overcome chronic pain? Sometimes. It all depends what we mean by “fun.” One person’s fun is another person’s work For example, therapists have been recommending coloring books to their adult patients for years. The benefits of using crayons (and markers and colored pencils), the theory goes, extends beyond…

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Can Environment Be Responsible for Opioid Addiction?

For more than fifteen years, I have lectured that addiction is determined by one’s genetic vulnerability and environment. Exposure to a drug is necessary, but not sufficient by itself, to cause the disease of addiction–any addiction. Genetics is more of a factor for opioid addiction than it is for most other forms of addiction, but…

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Is It Possible For Young Children To Misuse Opioids?

Author’s note: “Emily” is a pseudonym, and she’s someone I know. I’ve changed just enough details of her story to protect her family’s privacy. Four-year-old Emily had a rare form of cancer.  She had received chemotherapy every week for about three months.  She also had to bear frequent painful procedures. Emily’s mother, Sally, vicariously experienced…

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Is Pharma the Death Star? by @LynnRWebsterMD

Author’s Note: This blog contains references to “Star Wars,” but you will find no spoilers here. In my world, a physician working with Pharma is perceived to be serving the Death Star. It doesn’t matter that thousands of drugs have been developed to save millions of lives, and have enabled millions more to live longer…

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How Effective is Acupuncture in Treating Chronic Pain?

Studies show conflicting results about whether or not acupuncture can help people with chronic pain, but there is evidence that acupuncture works for some people and some types of pain. Even if, as some studies have found, the benefits of acupuncture are all in the head, those benefits could still be worth pursuing. After all,…

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Yoga Can Treat Chronic Pain

Yoga can be helpful for people with chronic pain, just as it can be immensely helpful for people who are dealing with trauma. Chronic pain patients often suffer from trauma as well. Chronic pain is processed differently by the brain than acute pain. Chronic pain, as opposed to acute pain, recruits areas of the brain…

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Empathy: An Overdue Prescription

Last week I discussed the phenomenon that, though more women experience pain than men, they are chronically undertreated. Ethnic minorities, including African Americans, are known to be undertreated as well. Not surprisingly, low-income patients experience the same disparity. One could point to subtle gender, class, and racial biases as the reason why such disparities exist.…

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