Pain Treatment Centers

Stephen T. Pyles, MD-Spinal Stimulation Therapy for Pain Management

352-861-4600
2300 South Pine Ave. • Ocala, FL 34471
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Pain Management Tips and Advice

Stress Affects on Chronic Pain

Posted on 03.5.15 |

stress-management-300x200There have been several studies proving that stress increases lingering pain. When a person has long lasting pain it can defiantly become stressful. High levels of stress cause the brain to become imbalanced and potentially cause anxiety attacks. Added stress elevates pain levels and decreases the body’s natural ability to defend pain. Emotional pain such as sadness, depression, and anger all contribute to chronic pain.

Stress management is extremely important because most people often have negative shift in emotion which leads to stress and chronic pain. Automatic thought is when someone is going through a tough time and they began to think negatively about themselves. One part of stress managements is dealing with stress by doing some detective thinking. Think about the truth of certain situations both the good and the bad. Then try to focus on the positive things and assure yourself that things are not as bad as they seem.

Just how we experience physical pain, emotional pain is not much different when it comes to stress. Emotional pain is caused by the mind and it may be defined as is the perception of an event that is perceived to be painful. Most emotional pain is created by our own self. There are different ways of dealing with this type of pain and it starts by changing our perception. Just because someone may say something hurtful, those hurtful things don’t necessarily have to be absorbed or taken personal. Sometimes it’s best just to stop and look at that person saying the hurtful things and just watch them. Most time people say and do certain things because they have their own personal problems and it is them who is hurting inside.

It’s also a good practice to forgive people who cause us to stress out because most of the time, people don’t mean to say or do these things get us all worked up. Forgiving people is the like therapy because it helps you release some of that stress and tension from what was said or done to you as an individual. If a grudge is held, it allows you to revisit that emotion stress and pain that you felt in the past which holds you down and does not allow you move forward and grow as a person.

The best way to deal with chronic pain and stress is to practice using your diaphragm. The diaphragm is the primary muscle of inspiration. It has several level of contentious control which helps you processes, feel, and release emotions that are bottled up inside. Deep breathing helps alleviate the stress when dealing with enduring pain.

 

OMG (Observational Mechanical Gateway) Success Stories

Posted on 03.4.15 |

Patients with failed trial Spinal Cord Stimulation converted to successful Spinal Cord Stimulation using OMG device.

Why Emotional Pain Increases Physical Pain

Posted on 03.4.15 |

emotionEmotional pain and chronic, physical pain have a significant relationship between each other. There have been studies comparing the brains of patients with chronic back pain with those of healthy people, finding differences in brain anatomy or the function of certain regions. The human brain is so strong and powerful, we sometimes forget how it can effect our lives.

Our minds and always thinking all the time and some experts say that our minds have a mind of there own. Most people think our thinking minds are who we are but the fact of the matter is that our mind wonders. Weather we are think about the future, the past, what do we need to do, or just trying to remember things, the brain is always thinking. The human body lives in the present moment and it requires our mind and emotions to be living in that present moment with it in order to operate properly. When you’re constantly thinking negative thoughts or have negative feelings about others, your body knows that things are not good. The body cant really interpreted much more than that. The cells in the body are sitting around working for your body and when negative thoughts occur, its send a vibration to our cells. This vibration can be measured with scientific instruments and have been proven to effect chronic pain.

Your body listens to your mind and is able to recognize the different emotions the brain is experiencing. Chronic back pain is affected by all emotions in both good and bad ways due to the power of thoughts. People who know how to control there emotion learn how to control there chronic pain. The reason is because there mind and body are both living in the moment. Some ways you can lean how to control your emotions is by not taking things so personal when someone says or does something to you that is offensive. When people get offended they experience many different emotions such as stress, anger, frustration, or sadness. When these emotions are triggered they send negative though to the body which intensifying pain. If you lean how to roll with the punches of life and take an optomisticle way of thinking, your mind will experence less negative emotions will result into fewer bad signal being sent to the cells in your body.

Eliminating negative thinking is extremely imperative for pain alleviation. As you become aware of your thoughts, start catching the negative thought and cancels them out. You also want to replace negative thing with statement sent in the present tense with a positive vain to it such as “I am an asset to my company and I do a great job”. This is called positive affirmation and is extremely important when creating a positive attitude. Another tip is to practice deep breathing when you are feeling stress. More precisely, practice using your diaphragm.  The diaphragm is the primary muscle of inspiration. It has several level of contentious control which helps you processes, feel, and release emotions that are bottled up inside. Once you practice gaining control over you emotions, you will begin to feel less chronic pain.

Tips on Living With Chronic Pain

Posted on 03.3.15 |

chronic-painChronic pain can be very challenging for even the most Zen personality to live with, as it can cause not only physical pain, but also mental anguish. Dealing with chronic pain in Ocala, FL requires a variety of techniques, sometimes including medicinal assistance, to get through it on a daily basis. Consider a few tips on living with chronic pain to help you get through your every day without living with depression and a lack of energy or luster for the activities of daily living.

 

  • Learn to breathe deeply: Deep breathing not only helps to calm your mind, but also is can ease pain by helping your body to relax overall. After all, tension from chronic pain in Ocala, FL can cause your body to feel tighter and tenser than the pain even causes. Deep breathing eases this and helps you relax in every way.
  • Reduce stress in every way possible: The more stressed you are, the more likely you are to be tense much of the time. Avoid this by reducing stress when possible and learning stress-reduction techniques.
  • Get exercise when you can: Exercise releases endorphins, which can make you feel better and lift your mood. Chronic pain in Ocala, FL can make it hard to get a workout in, but even if you can simply take a walk around the block each day, you will make yourself feel much better. Walk as slowly as you need to in order to make the chronic pain easier to bear while you get in some activity.
  • Get involved in a support group: This makes it easier to bear regular bouts of pain because you find other people like you. Not only does it help to find others that can not only understand your struggle, but it also allows you to share ideas on how to cope with the pain.

Try to eat as healthy as possible: It might be hard to do when you don’t feel like meal planning or shopping for healthy ingredients, but the healthier you can eat, the more your body will reward you as a result. You might also research ways in which certain foods can help your particular condition. The more you can do to mitigate your chronic pain in Ocala, FL through healthy and natural methods, the more likely it is that you can manage your chronic pain issue.

Pay Close Attention to Back Pain

Back pain can manifest for any number of reasons. However, among the most common is the presence of misaligned vertebrae, which can result in ensuing pain just about anywhere in your body. Pain Treatment Centers can help to mitigate this type of pain, but first you have to identify the cause of the back pain, figure out where the symptoms are occurring so the doctor can determine where the vertebra may be misaligned and then determine a course of treatment from that point.

Pain management is an important part of this process, as it is equally important to get the pain under control as it is to treat the core problem. Many patients cannot even stand the treatment process without some sort of pain management  first. Over-the-counter medications don’t always work for this type of pain and sometimes, it may take certain adjustments or even a different kind of stimulation to get the nerves around the misalignment to calm down enough to fix the issue. This is why it is always best to work with a pain management specialist to fix back issues instead of self-treating and to bring associative pain under control.

Depending on where the misalignment is located, you can end up with any number of health issues, from numbness in your extremities to searing pain along your hips, lower back, buttocks and thigh areas, where the nerve feels pinched. You can end up with severe neck pain from a bulging disc due to the misalignment or just feel weaker overall because your body is not properly aligned to operate at optimal efficiency.

It is important not to ignore lingering back pain. After all, you know the difference between soreness from an activity you may have done earlier in the day and the persistent pain that spread to other areas of the body. Read your body’s signals and make sure to address them promptly so that if a misalignment is the issue, you can get it taken care of as soon as possible. And if the pain is unbearable, it’s always good to consult with a pain management professional to find ways to get the pain under control. You can’t take steps to fix anything with doing that first, so it is bearable enough to even get through your activities of daily living.

Living a Full Life With Chronic Pain

Posted on 03.2.15 |

pain1Having chronic pain is not something that anyone would understand unless they were going through it themselves. It is very easy for others to tell someone living with chronic pain to get help, take medication, think positively, or even stop feeling sorry for themselves. It takes a toll on everyone, not just those living with chronic pain, but also the family members and friends that are frequently around. This is primarily because chronic pain is definitely not something that is psychological in nature, however real pain that these individuals are going through.

Chronic pain will cause other life changing conditions. People living with chronic pain will often be very irritable, angry, depressed, have difficulty concentrating, and become less active. Although the pain is not just in their head, the mindset and how they think can make the difference in the world. The way of thinking will determine how much of an effect the pain will have on your life.

Although chronic pain is indeed devastating to live with, the main thing chronic pain patients tend to overlook is that many people are still able to live with this condition on a daily basis. A good way to live with the pain is to maintain a healthy lifestyle, continue to be not only being productive but also relentless in things they want to accomplish, despite the annoying pain. Chronic pain patients manage their pain through various or combinations of the options such as taking medication and/or other alternative treatments. Alternative treatments for chronic pain include massages, magnetic therapy, energy medicine, acupuncture, and herbal medicine.

Making sure that you have the right medication for your condition is crucial in successfully living with chronic pain. As everyone is different, it may take several trial and errors to find the right medication for you. It is important to discuss with your doctor all the side effects and pros and cons of each medication. Don’t hesitate to report any adverse affects or problems you have with the medications. Also be aware of side affects associated with switching from one medication to another.

Other than medication, there are many helpful things to do and to avoid when living with chronic pain in Ocala, Fl. The main thing to do is to relax, and avoid stress. Stress leads to muscle tension which intensifies the pain. When the muscle is relaxed, it decreases the strain as well as the pain. This is so important to practice since relaxing can actually help manage pain to the point where medication is not required.

Relax

Relaxation is considered to be a pain management tool. Some relaxation activities include yoga, guided imagery, and meditation. These activities will decrease muscle tension and calm your mind.

It is tough to come to terms with not being able to freely do the things that you normally are capable of doing on your own. It is also very difficult to ask for help and support. However, asking for help and support of others will not hurt, especially with some of the more stressful tasks. Attending a support group to get insight on how others cope with pain on a daily basis is also helpful. They may also be able to share some ideas, tips, tools, techniques and products or medication that work for them. Seeking continued support and knowledge of your conditions will enable you to better manage the pain and live a better life.

Getting Back to Work

Working is another way to help manage pain. It helps to keep a good mindset and stay motivated while living with chronic pain so continue to be in the workforce. Working is a great way to boost the self esteem. Studies shows that those who work are able to better manage their pain. Studies also show that 9 out of 10 people with chronic pain choose to remain working rather than stay home.

It is often difficult to be a productive and effective employee when it comes to dealing chronic pain. The condition often prevents people from performing their job functions, however it is not impossible to manage pain and be successful at work. The most important thing to do is to be proactive in the challenges that come.

To effectively cope with chronic pain at work you want to talk to human resources department about work accommodations which will help minimize pain and in turn maximize productivity. An ergonomic work station, special chairs and keyboards, foot rests, etc. Communicate to your managers and co-workers about your pain so they have a better understanding. Set you priorities and know your limitations so you don’t over do it. Take breaks regularly as a way to manage pain at work. Focus you breathing, take walks, meditate, and stretch as needed.

Healthy Habits

Adopting healthy habits and exercising always helps. Keep in mind that there are programs offered by some companies that support a healthy lifestyle. Also take medications on time to help manage the pain. Keep abreast of new ways to deal with pain. Communicate with your doctor and occupational therapist about ways to make “on-the-job” pain manageable. They can suggest and provide exercises that will help ease the pain.

Chronic pain is difficult to live with, however with a great mindset you can prevent it from taking over your life. Managing this lingering pain is possible with continued medication, a healthy lifestyle, staying motivated and even continuing to stay in the workforce. If done properly with the tips and strategies provided, you can still be productive and experience less pain while doing so.

Causes of Chronic Pain

Posted on 02.27.15 |

painChronic pain can wreak havoc on your entire life, not only causing physical anguish, but also mental depression as well. This is, in part, due to the lasting nature of this type of pain and also because for some conditions, there is no way out of it. However, it does help to know the reason for chronic pain and what diseases and conditions most commonly cause it. This type of pain affects up to 1 in every 10 adults and generally most commonly associated with back-related issues, though a number of other conditions can be to blame, as well.

Chronic pain is characterized by pain that does not go away as it normally would after an episode of being sick or a specific injury. This type of pain is often described as a burning or electrical-feeling, as well as aching and/or shooting. It can be soreness, tightness, a stiff feeling or just plain uncomfortable. Symptoms of chronic pain include an inability to sleep because the pain is keeping you up at night, withdrawal from the activities of daily living, depression, an immune system that is significantly weakened, moodiness, a sense of helplessness of hopelessness, irritability and more.

However, the good news is that this type of pain doesn’t have to stop you in your tracks. There are ways to deal with, mostly starting with understanding how to manage it and what causes it. Back pain is one of the major causes of chronic pain. From spinal stenosis, which is characterized by a narrowing of the canal in the spine, to a slipped disc, there are a number of back injuries that can cause lasting pain.

Compression fractures are also contributes to chronic pain as is spinal deformities and damage to the soft tissue around the spine. Another common cause of chronic pain is headaches, brought on by excessive fatigue, stress and injuries around the neck of back. Migraine headaches are a common cause of chronic pain as are cluster headaches, which are caused by overly large blood vessels that lead into the head area. Headaches are considered to be chronic if they occur at last half the days in the month for three months at a time.

Another common cause of chronic pain is join pain, mostly related to arthritis. This is not only felt by elderly individuals, as younger people can struggle with arthritis as well. Pain signals coming right from the brain is another cause of chronic pain. This can be caused by nerves that are in the midst of a healing process, as they tend to over-fire and cause more intense feelings of pain. This can result from diabetic neuropathy, which is a common side effect of diabetes, and sciatica, which is the nerve that runs from the back all the way down to your feet. If this nerve is damaged or compressed in any way, the shooting pain that results can be downright debilitating.

Additional diseases that can cause chronic pain include cancer, in which the pain is caused by tumors that can develop just about anywhere on the body, as well as fibromyalgia, which can also cause extreme fatigue and sleeping disorders. Depression is another common cause of chronic pain, which may come as a surprise to some people to know that mental imbalances can cause this kind of pain, but this is a fact and it can be challenging to resolve without resolving the depression itself.

Chronic pain in can be managed, particularly if the cause of the pain is identified. From medicinal options to meditation and other holistic methods, there are ways to manage this pain so that it doesn’t take over your life. Pinpointing the cause and attempting to treat it is just the first step in the process. Resolving not to give up and working closely with medical professionals to reign in the pain is the best way to stay persistent in taking on this issue and winning over it.

 

Traumatic Brain Injuries Contribute To Issues Elsewhere In The Body

Posted on 02.26.15 |

brain2A traumatic brain injury can be a life-altering experience that can leave a person suffering a number of residual effects as a result. There are various types of traumatic brain injuries, with one of the most common being a concussion. A concussion is a short-lived occurrence of brain function that occurs when there is trauma to the head. However, this type of injury is characterized by an interruption with a lack of actual damage to the brain itself. Nonetheless, a concussion and other traumatic brain injuries can make back pain worse over time.

Traumatic brain injuries can also have an impact on other functions in the body, as well. From neck pain to severe headaches, these injuries are often slow to heal and may even be slow to present in many patients. They can occur after an acute episode or injury involving the head, most often an accident of some sort.

The fact that back pain can get worse over time when it comes to a traumatic head injury may be so for a number of reasons, However, among the more common is the fact that, at least in part, many people with this level of head injury report at least a temporary or minimal level of cognitive impairment. This can affect a person’s ability to deal with back pain in as well as other forms of chronic pain. A possible reason for this may be the reduction of gray matter in the brain, which is associated with the ability to process pain, as well as the ability to control emotional issues related to pain, such a depressive thoughts and anxiety.

It is also worth noting that when it comes to traumatic brain injuries, the symptoms may be fairly minimal for the first 24 hours. In fact, back pain as well as neck pain may among the first signs that the injury is present and may necessitate further medical attention.

When this occurs, it is best to seek the advice of a medical professional to ensure that the injury to the brain is not serious or debilitating. Since brain injuries are often slow to heal, back pain might be present for some time, leaving the individual to deal with chronic pain when they might not be used to doing so.

Dealing With Chronic Pain Caused by Head Injuries

Posted on 02.25.15 |

face downHead injuries are among the more serious injuries you can sustain in an accident or physical episode. They take quite a bit of time to heal, can affect all areas of the body – depending on the injury in question – and may result in chronic pain, depending on the extent of the injury. Dealing with a head injury of any type takes patience and a willingness to endure medical intervention on many levels, including frequent check-ups with a doctor, physical therapy to overcome chronic pain and sometimes even a rearrangement of lifestyle choices to accommodate the injury and the result of it.

Working closely with your family physician is a start to this process. This is the person that can guide you through the healing process and suggest the proper medications and healing techniques that you can utilize until you get well. This is also the person to whom you can go for advice as you deal with the repercussions of the head injury.

Additionally, get as engaged in any physical therapy you are undergoing as well, whether it’s prescribed by your doctor or self-induced. The harder you work to overcome the effects of a traumatic injury, the sooner you will see results and the more encouraged you will be about the process overall.

However, one of the most important things about dealing with head injuries is facing the chronic pain that often accompanies them. Because the brain controls the rest of the body, you may be facing both physical and emotional pain elsewhere that you hadn’t experienced before. For instance, many head injury patients tend to have chronic heads, back pain and other forms of chronic pain. Nerve damage can also occur from a head injury, depending on where the injury occurred and what other parts of the body were affected as a result. In fact, the more areas of your body injured and impacted, the more likely it is that you will face lasting and chronic pain.

Because this pain is lasting, these patients tend to get frustrated and set themselves back emotionally in the healing process as a result. Understanding where this pain is coming from and learning how to deal with it on a regular basis can facilitate a healthier attitude about dealing with chronic pain and the time it may take for your head injury to heal properly. Depression is also a common side effect of chronic pain, so it is important to be aware of what the signs of depression are and seek medical attention if you feel down or blue for more than a few days. There are a number of medications on the market that can help you to function, even if temporarily, as you deal with a new life that includes chronic pain.

Relaxation techniques are also generally helpful for dealing with chronic pain, whether this pain was caused by a head injury or not. Massage therapy, acupuncture, chiropractic care and restorative exercises are all great ways to keep the body moving after a head injury. However, it is always advisable to talk over these plans with your doctor before embarking on a new plan in order to ensure that it is safe for you to do. If the doctor gives you the green light, then choose an activity that both moves your body and soothes your mind. This is a great way to deal with chronic pain without letting it get the best of you.

Head injuries can be scary and residual effects even more so; the more educated you are about your injury, the more involved in your care plan and the more willing you are to fight to overcome it, the better your chances of a full recovery. Chronic pain can be a lasting effect of your injury and it can be life-changing, but that doesn’t have to be for the negative. Dealing with chronic pain can leave you a stronger individual than you were before your injury, taking on challenges and completing them with strength you never knew you had.

Pain: Tricking the Brain

Posted on 02.24.15 |

brainManipulating the brain to process pain differently is a huge science, especially for those studying chronic pain and those living with chronic pain in Florida.

Recent research has emerged showing the use of video games to distract the brain and convince it that there is no pain.

New research has found that video gaming is an effective way to reduce anxiety and acute pain caused by medical procedures and could be a useful treatment for chronic pain.

“Virtual reality produces a modulating effect that is endogenous, so the analgesic influence is not simply a result of distraction but may also impact how the brain responds to painful stimuli,” said Jeffrey I. Gold, Ph.D., associate professor of anesthesiology and pediatrics. “The focus is drawn to the game not the pain or the medical procedure, while the virtual reality experience engages visual and other senses.”

Pain Management specialists in Ocala, Florida like Dr. Pyles are well aware of the power of the brain and how it process sensory information. I’m sure somewhere along the way you’ve heard of someone who was suffering from chronic pain, even cancer, who spent a few weeks in Hawaii or on a lavished vacation, only to come back feeling 100%, cancer in remission and ready to take on the world. It’s no urban myth; tricking the brain, distracting the body from stress and feeling happy can do wonders for your pain.

Want to learn more about Pain Management in Ocala, Florida? Call 352-861-4600

Peripheral Field Nerve Stimulation

Posted on 02.23.15 |

nerves2Peripheral field nerve stimulation

Subcutaneous stimulation of named and unnamed branches of nerves in the area of pain has been found to be therapeutic and has generated a number of interesting therapies. Occipital nerve stimulation is one such technique that will have a great future in transforming severe headache management such as migraine, cluster headache and hemicrania continua. Electrodes are threaded subcutaneously unilaterally or bilaterally at the level of the nuchal line from midline to above mastoid so picking up the branches of occipital nerves. Other peripheral nerves such as ilioinguinal and genitofemoral can also be subcutaneously stimulated in this way and used in post-surgical traumatic neuropathies after groin or gynaecological surgery.

Low back pain can also be treated by placing transverse electrodes in the low back, presumably stimulating perforating cutaneous nerve branches. This can even be combined with SCS to optimise back coverage in those difficult to achieve with SCS alone. Clinically anecdotal work supports the notion that many localised but difficult to treat chronic pains may be helped by peripheral field nerve stimulation techniques. This is an area to watch as it develops.

Bibliography

Simon Thomson, M. F. (2013, March 12). Spinal Cord Stimulation for Neuropathic Pain. Retrieved January 9, 2013, from International Neuromodulation Society: http://www.neuromodulation.com

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Pain Treatment Centers-2300 South Pine Ave, Ocala, FL 34471

(352) 861-4600