Monday, May 12, 2008

How Do I Manage The Pain After Recovery?

In his article on the management of chronic pain, our Executive Director, Jeff Gorin succinctly describes the various techniques and methods that can be used on an ongoing basis to combat chronic pain with much reduced exposure to the risk of dependence or addiction. Listed below are summaries of some of the many useful and effective tools that Jeff compiled as a reference point. Of course, a qualified physician should approve all techniques before you attempt them:

1. Physical Therapy: As the most effective treatment of all, it is also widely available and often at a reasonable cost. Most of us have gone through physical therapy before and as a treatment for chronic pain it has proven to be effective. Physical therapy also strengthens other parts of our bodies which in turn can be used to take the pressure off of the area in pain. Exercises emphasizing good posture are some of the most effective and essential in treating chronic pain issues.

2. Heat or Ice Therapy: You should always keep a couple reusable ice packs in your freezer should the need for them arise. Ice is fast acting and can reduce inflammation, making it effective on most pain. Heat can be used to soothe sore muscles and increase circulation to the affected area helping reduce the effects of chronic pain. Ask your physician about a heat/ice therapy regimen to make sure this will help you and is safe.

3. Relaxation Techniques: Stress is a major source of pain and the resulting pain causes stress, a self-fulfilling cycle. Relaxation techniques help reduce stress and muscle spasms and increase blood flow to major muscles. There are various methods of relaxation including deep breathing, visualization, yoga, massage and music. Some methods are more effective than others, depending upon the source of the pain. As a starting point, deep breathing exercises can be very effective since it is the body’s natural way to relax. Massage Therapy also works well when used alone or combined with other pain management techniques.

4. Alternative Medicine: Chiropractic adjustments, acupuncture, reflexology and others have become popular and effective forms of alternative pain management techniques. This is usually implemented after in-patient treatment is complete, however this depends on the particular recovery program.

5. Proper Diet: Overweight patients are more likely to experience additional pain because of the additional stress on the body’s joints and muscles. A nutritionist can be very helpful in prescribing healthy eating habits for optimal and safe weight loss.

6. Psychological and Psychiatric Support: There are many programs specializing in addiction and chronic pain and it is these programs that will have the appropriate counselors and psychiatrists to most effectively help with the management of your pain. They can provide emotional and spiritual help through individual and group therapy.

7. Medications: All treatment programs of this nature have staff physicians than can prescribe non-mood-altering medications that are just as good as, if not better than narcotics and benzodiazepines. Remember, mood-altering medications are no longer effective once a tolerance builds, and it’s likely that the medications you abused have stopped providing physical relief.

8. Setting Goals: We can raise our self-esteem and hope by setting and reaching manageable goals. So once we are able to accept our pain, it is important that we begin setting specific goals. These goals are a major function of treatment planning. Look to your counselor who will provide guidance and help set goals.

There are many other ways to manage chronic pain which are not listed above. Every individual responds best to different forms so it may take a while to find your optimal therapy. With the help of a physician and properly trained counselor you should be able to find the appropriate modality.

Monday, April 28, 2008

Long-term Solutions - Support Groups

Once you’ve completed detox and recovery from your opiate addiction, the work doesn’t end. We struggle constantly with the possibility of relapse and it’s hard to do it on your own. That’s why support groups like the relatively new Chronic Pain Anonymous are so helpful. There are thousands of people just like you with problems similar to yours and pain. We can help you locate these and other non 12 step meetings to make sure you continue on the right path.

Sunday, April 20, 2008

How We Treat Opiate Dependence

Many people dependent on opiates will break down after two or three days of withdrawal and return to using. Some detox centers do not medicate their patients during withdrawal. Known as "cold turkey," we don't believe in it. Opiate withdrawal symptoms can produce potentially dangerous health situations including elevation in blood pressure and dehydration. Left untreated, the pain of the withdrawal symptoms can make it difficult to stay in the detoxification facility and makes the client more likely to leave detox prematurely.

That said, other detox facilities will overmedicate patients to the point where they are incoherent throughout their stay. They will medicate with large doses of other opiates or methadone for 7 days and discharge the patient with minimal follow-up. Substituting other drugs for the opiates only delays the onset of withdrawal symptoms. The person will leave the program feeling fine, but fall back into full-blown withdrawal as the detox medications wear off. At Sunrise Detox, we use a mainly buprenorphine-based medication that effectively manages opiate withdrawal symptoms. This medication allows our clients to remain comfortable and alert during their stay with us. We supplement the buprenorphine with a number of other medications to treat any discomfort that may arise. Buprenorphine also allows the client to leave detox with virtually no withdrawal symptoms.

Monday, April 14, 2008

Opiate Withdrawal

There is a broad spectrum of opiate withdrawal symptoms and dependent individuals may experience some or all of the following symptoms in varying intensities. The number, durantion and intensity of the symptom is alrgely dtermined by the length of use and the amount of the drug used. The most common opiate withdrawal symptoms are:

• Muscle aches
• Chills
• Insomnia
• Runny nose
• Stomach cramps
• Nausea
• Vomiting
• Diarrhea
• Anxiety
• Headache
• Twitching, and/or muscle spasms

A less intense habit may result in a relatively short withdrawal period of 3 or 4 days and only produce a few of the aforementioned symptoms.

More intense habits may cause symptoms that last for many days or even weeks. The typical opiate withdrawal period is around 7 days, with the most intense symptoms peaking about 72 hours after last use. Because of the length of the physical and psychological withdrawal process, it is extremely difficult for people to get through it without the help of a detox center.

Thursday, April 3, 2008

Opiate Dependence and Withdrawal

Opiate Pain Pill Detox and Withdrawal

Opiates are produced from the poppy, commonly found in the form of narcotic pain medications, they are some of the most harful drugs. Many drugs commonly prescribed by doctors for chronic pain are opiates, including Oxycontin, Percocet, Lorcet, Vicodin, Dilaudid and MSContin. As people abuse these pain medications, they develop a habit, having to take ever increasing doses of the drug every day in order to keep difficult withdrawal symptoms at bay.

Physical dependence occurs when the body becomes accustomed to the drug because of continued use over time. As the body craves more drugs, dosage has to be increased to maintain the same high. If the dependent body suddenly doesn't receive the necessary amount of the drug, it will experience opiate withdrawal.

Wednesday, March 26, 2008

Recent Abuse Trends

In a February 2008 testimony to a Senate Judiciary Subcommittee on Crime and Drugs, the Director of National Institute on Drug Abuse, National Institutes of Health, U.S. Department of Health and Human Services discussed the more recent and very troubling trends in prescription drug abuse - in particular opiate abuse.

1. According to SAMHSA's Drug Abuse Warning Network, the number of drug-related emergency room visits involving prescription opioids show a 153% increase from 1995–2002, and in absolute terms increased from 42,857 to 108,320 in the same period.

2. SAMHSA's Treatment Episode Data Set, 1995-2005 showed that admissions for opiates other than heroin increased from 16,121 in 1995 to 67,887 in 2005, an increase of 321 percent.

3. 2006 CDC data shows that prescribed pain medications are the force behind increased drug poisoning death. The number of deaths involving prescription opioid analgesics increased 160 percent from 1999 to 2004. By 2004, opioid painkiller abuse deaths outnumbered total deaths involving heroin and cocaine.
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