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Beyond Chronic Pain Guidebook

There is a hidden epidemic in Missouri that robs one in four people of life’s pleasures. Pain in all of its forms is a problem no matter where you live. The National Institute of Health estimates that pain costs the U.S. economy $100 billion every year due to illness and lost work days. Pain interferes with sleep, social activities, hobbies, sex, and even how you think. Pain isolates a person and takes away dignity and hope. But, there is hope, with treatment.

Taking control of pain can be hard work. The first step is to admit that there is a problem. Pain that lasts for more than two weeks, called chronic pain, is often ignored. Many people suffer silently until it becomes impossible to avoid seeking help. Even then, there are barriers to treatment due to a shortage of physicians that treat pain, limitations of insurance, distance needed to travel for care and other factors.

The good news is that effective medications and procedures to help control pain do exist. It is important to learn about these, as well as other treatments like physical or occupational therapy, massage, and counseling, which are essential. Good pain control improves focus on work, enjoyment of relationships, and participation in social activities.

Be as organized as possible before you visit your provider. Document your pain symptoms in terms of how is it affecting quality of life. For example, what is your pain preventing you from doing that you were able to do before? What time of day is your pain the worst? How would you describe your pain – stabbing, dull ache, throbbing, prickly? List the medications you are currently taking, including over-the-counter and herbal supplements. Write down questions you’d like to ask. Hand a copy to the doctor and keep a copy for yourself. Bring someone with your who can take notes.

Keep a file containing information about every medical visit. Giving the same information to all providers ensures better treatment. Your health care provider bases the intervention and diagnosis on the information provided, so having a file on your care will be very helpful.

Give medications or treatments appropriate time to work, but if the pain is not adequately managed ask for other options. Many pain sufferers feel once a pain pill is prescribed that’s all that can be done. There are many pain medications and non-pharmacological options to try. It can be a process to find what works best. It’s possible to manage most pain. It may not clear completely, but it can be manageable. Addiction rarely occurs when pain medicine is prescribed for a medical condition. If you have concerns about side effects, speak up. If side effects do develop, many can be managed.

(Contrbuted by the Missouri Pain Initiative Public Education Committee and Rebecca Rengo-Kocher, MSW, LCSW)

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