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Rheumatic Disease
Published in John S. Axford, Chris A. O'Callaghan, Medicine for Finals and Beyond, 2023
The symptoms of mechanical back pain usually resolve with treatment and at least 92% of acute back pain symptoms will settle within 6 weeks. A few patients develop chronic pain, which is associated with considerable morbidity.
Fatigue
Published in Carolyn Torkelson, Catherine Marienau, Beyond Menopause, 2023
Carolyn Torkelson, Catherine Marienau
Frankly, fatigue has not been a recent issue for me, since I “retired” from my full-time, all-consuming work as college faculty. I still engage in projects that require considerable brain energy, collaboration with others, and deadlines. I have figured out a few things that help keep my energy flowing. I usually get 8 hours of restful sleep each night. My chronic pain is at a manageable level through weekly workouts with my personal trainer (since 2007), regular exercise, and nonaddictive medication. Given that my home is now my office, I am creating an environment that gives me more aesthetic pleasure and a sense of calm. I am still working toward a better balance of work and play, of activity and rest, of being with myself and with others.
Practical Body-Mind Interventions in Medical Care
Published in Shamit Kadosh, Asaf Rolef Ben-Shahar, Incorporating Psychotherapeutic Concepts and Interventions Within Medicine, 2019
Shamit Kadosh, Asaf Rolef Ben-Shahar
Chronic pain management strategies include drug interventions, psychological approaches such as CBT, physiotherapy, peripheral nervous system stimulation, complementary medicine interventions, body-mind interventions, and self-management techniques (Mills et al., 2016; Sharif et al., 2010).
Understanding the Experience and Impacts of Brain Fog in Chronic Pain: A Scoping Review
Published in Canadian Journal of Pain, 2023
Ronessa Dass, Mohini Kalia, Jocelyn Harris, Tara Packham
As demonstrated above, pain-induced neurophysiological changes, mental health and emotional contributors, as well as environment/lifestyle contributors can act independently to contribute to the experience of brain fog. However, factors may also act synergistically. For example, mental health comorbidities74 and high pain intensity50,63–65 both use an abundance of cognitive resources, and a combination of the two may lead to cognitive overload. Further, factors can have dual effects, meaning that they influence each other. As an example, the presence of chronic pain has been found to affect brain morphology by reducing gray matter volume in the ventromedial PFC, the insula, and the dorsolateral PFC.77 These morphological changes may in turn affect the ability of these regions to engage in their typical cognitive functioning.77 Additionally, inadequate sleep may contribute to symptoms of brain fog; however, the occurrence of brain fog could also hinder one’s sleep.75,78 The presence of chronic pain could also affect both of these factors.42,53 Similarly, continuous stress from life stressors can contribute to brain fog, and the experience of brain fog can also increase one’s stress.65 The exact causality of these relationships is unclear.
Perceptions of prescription opioid use among rural farming and ranching communities: Preliminary implications for outreach and treatment
Published in Substance Abuse, 2022
Kristine Ramsay-Seaner, Amber Letcher, Meagan Scott Hoffman, Emily Anderson, Charlotte Heckmann
Engagement with both informational resources and alternative pain management strategies were queried among the sample. Participants indicated moderate exposure to prescription opioid-specific informational resources. The most commonly endorsed resources were radio advertisements (n = 718; 65.5%), newsletters (n = 150; 13.5%), and flyers (n = 134; 12.1%). Webinars (n = 37; 3.3%) and in-person presentations (n = 54; 4.9%) were the least commonly used. Half of the participants (n = 550; 49.4%) reported using an alternative pain management strategy. The most common alternative treatment for chronic pain was chiropractic services (n = 242; 21.7%). The second most practiced strategy was massage (n = 164; 14.7%), and the least used strategy was hypnosis (n = 2; 0.2%).
You Make Me Sick: Abuse at Work and Healthcare Utilization
Published in Human Performance, 2022
Merideth Thompson, Dawn Carlson, Wayne Crawford, K. Michele Kacmar, Sally Weaver
During clinic visits, patients had diagnoses entered into their EHR for that encounter. The top two listed diagnoses were extracted to use for data analysis. We worked with a medical professional to categorize these various diagnoses into appropriate groupings. For the current study’s purposes, we focused on chronic illness diagnosis and chronic pain diagnosis. A chronic illness diagnosis entailed a condition that is long-lasting and usually cannot be completely cured (e.g., diabetes, heart disease, arthritis, kidney disease, HIV, lupus, and multiple sclerosis). A chronic pain diagnosis was based on any physical pain lasting more than 12 weeks. (e.g., this pain can occur throughout the body but the most common are back, neck, head, and musculoskeletal) (Merskey, 1986).