All posts tagged: pain management

Learning About Chronic Pain Prevention With MOOCs

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Let’s get this started with a quote from the MOOC in question: “It’s very difficult to completely get rid of chronic pain if you don’t successful manage it in the first thirty days.” — Dr. James Fricton Well, no wonder I’m f**ked. I have never successfully completed a MOOC, or massive open online course, but of course this topic struck a chord: Preventing Chronic Pain: A Human Systems Approach, which is being offered through the University of Minnesota. The first week’s lesson was just released, so I am settling myself in for this 10-week course to see how this pain researcher and professor, Dr. James Fricton, can offer me new and unique ways to prevent my pain from getting worse. Imagine my surprise when I see that the suggested course reading is a mystery novel — that he wrote! As he explains in the introductory video, Dr. Fricton started writing a book because he wanted to explain these preventative concepts as he’d come to learn them; then he realized that there was more of a story to be …

Pain News Network: Rating the Pain Creams

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Here’s my most recent column for the Pain News Network!  I am a connoisseur of pain creams. My idea of Christmas is when my friend’s mom mailed me a box filled with unopened packages of Bengay (true story). Every morning I slather on a layer of something containing menthol in order to numb my back. Then my cat decides to attack me. Why? Because cats love menthol (also a true story). Anyway, I have tried many, many, many different topical anesthetics over the years. Here are my experiences with the common and unique brands: Bengay: The gold standard. Whenever I use this brand, I generally gravitate toward the pain relief massage gel. However, my friend’s mom sent me the regular Bengay. What, you thought I was kidding? Here’s a picture of my Bengay drawer. There’s no doubt about it: Bengay is good. However, even the massage gel only contains 2.5 percent menthol, which is the active ingredient that transports your skin to the Arctic. It also has camphor, like what’s used in Vick’s VapoRub, to reduce …

Do You Want to Get Better?

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Do you want to get better? It’s a simple question, but many patients find it almost impossible to answer. It is part of the reason why a great number of doctors are hesitant to prescribe medication that patients need. They don’t want to enable irresponsible behavior. They are worried about what psychiatrists call “secondary gains.” And what are secondary gains? Well, it’s not fun being a chronic pain patient. All of us know that. But you know what? You deserve to stay home from work. You feel disgusting, like a nuclear wasteland. Why should you have to go to work? In fact, why should you be required to have a job at all when you feel like death all the time? If anyone deserves disability payments, it’s you. And you know what else? Sometimes you really need an excuse to get out of social obligations. “Oh, sorry, I’m not feeling well. Maybe next time.” Except “next time” turns into ice cream and binge-watching Netflix. The worst part is that you might not even realize you’re doing it. So much of pain is …

Pain News Network: The Quell Pain Relief Device

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Pasted below is the content of my first column as a regular contributor for the Pain News Network! When presented with the Quell pain relief device, people make one of two assumptions about me: 1.) I injured my knee, or 2.) I am a paroled felon wearing a very forgiving Velcro GPS. As I said in my recent guest column, I have made it my mission to test as many pain relief products and therapies as possible. Some of them might be familiar to you; others will be of the “new and bizarre” variety. Whatever they are, I will be your Friendly Neighborhood Guinea Pig and review them for your convenience. I only draw the line at “Made for TV” products that are out to swindle the desperate consumer. Pain patients are certainly desperate. We have a constant refrain humming through our bodies that plays a different tune for each person. Doctors are the musicians taught to hear those tunes — but how can they possibly learn all the music? How can they hear your …

Thoughts on the Quell Pain Relief Device

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I have now been using the Quell pain relief device for 15 days. Here are my initial thoughts: I definitely notice when I am not wearing it. Last week I was on the beach in Cape Cod with the in-laws for an afternoon, so I didn’t put it on for fear of ugly tan lines. I crashed as soon as I got back to the hotel. My pain quieted within 20 minutes when I started wearing the Quell again. While it can be tolerated on a 24-hour basis, I have been wearing the Quell only during the daytime. My pain is better when I’m flat on my back (once I take some tizanidine, anyway). I attempted to wear it one night and found the vibration, even in nighttime mode, too distracting. On the plus side, Husband could not feel the vibration on his side of the bed, so it won’t disturb any partners. For not wearing it 24-hours a day, the electrodes wear down at a rapid rate. After five days bits of the gel came off and stuck to my …

Piss Off, Pain Management Clinics

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“You have exhausted all of your options.” That is what I was told yesterday when I was denied as a new patient at Massachusetts General Hospital. Western medicine has officially given me the heave-ho. Because I have a “long-standing relationship with another pain management clinic,” unless I am being referred for a specific procedure that my current doctors do not have, I am not allowed to become a patient elsewhere. It’s so strange to reach the end of the road. It’s one thing to be told that the doctors are running out of ideas; it’s another thing entirely to have someone tell you that there is literally no other procedure in existence. All the treatments they are willing to try have been attempted. Science and research have not caught up yet. This is as good as it’s going to get. What they’re willing to try. That’s the operative phrase here. Despite my decade of experience in the medical system, despite never exhibiting pill-seeking behavior, my pain management doctors refused to prescribe any kind of opioid safety net. If …

The Quell Pain Relief Device: Living Up to Its Label?

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My long-awaited Quell pain relief device has finally arrived! As soon as I saw the FedEx truck rumble by, I heaved myself out of my chair and hurried to the front door, hoping to see that plain, unassuming box sitting on the front step. There it was, as I’d dreamed for months. I basically ripped it open with my teeth. I backed the Quell IndieGogo the moment I discovered it during the winter; it had already tripled its $100,000 goal. At this point my fairly useless pain clinic says I have exhausted most of my options in terms of what they can provide, unless I want to try an IV lidocaine/ketamine mix. I had the IV lidocaine infusion two weeks ago, and the aftermath was nothing short of a pain-riddled disaster. I’m grasping at straws here. Quell makes grand promises in its sleek promotional video. As PSFK said: TENS systems aren’t new in the market but Quell’s prescription-free, user-friendly and discrete approach is special. The Quell, no matter where the body pain is, could be left strapped at the calf where …

IV Lidocaine: Injecting Pain Medication Directly into Your Bloodstream

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It’s been a heck of a week, friends. Friday was a trip to the pain management clinic, which — per usual — was wholeheartedly depressing. I find that I feel even worse whenever I come out of those appointments because I realize how useless they are. Pain management clinics, that is. Massachusetts as a whole is now attempting to curb prescription drug addiction. That’s great. That’s dandy. But now my clinic’s stance is that they will not prescribe opioid pain medication to anyone except for cancer patients. We’re talking even something like Tylenol 3, which my pediatrician used to prescribe to me after the First Accident. Patients who’ve (responsibly) used Percocet or Vicodin for years are now finding themselves wanting and in withdrawal. Actual pain patients are being treated as addicts. So I get my nerve medication and antidepressants, but then the big gaping black hole they don’t cover is alive and writhing and screaming in my head all day, every day. When I asked how to handle that hole, the nurse practitioner, oblivious to the fact …