Managing the pain

There are many techniques for pain management that are very effective, both while we are in treatment and afterwards, if we just give them the chance to do so. Listed below are just some of the many useful and effective tools. A qualified physician should approve all techniques before you attempt them:

1. Physical Therapy: This is the most effective treatment of all. Most of us have been through many forms of physical therapy before, but chances are good we were abusing chemicals at the same time, nullifying or weakening the therapy. The form of treatment can also strengthen other parts of our bodies that can be used to physically support the pain area, such as back, leg and stomach muscles. Posture exercises are essential in chronic pain therapy.
2. Heat or Ice Therapy: I have two reusable ice packs in the freezer at all times. Ice is fast acting and very effective. Heat is very soothing to sore muscles. Always follow the suggestions of a physician, to be sure this type of therapy will help you and is safe.
3. Relaxation Techniques: Stress causes pain and pain causes stress. Relaxation helps reduce stress while helping reduce muscle spasms. There are various methods of relaxation, and some are more effective than others, depending upon the source of the pain. Deep breathing exercises can work wonders, since deep breathing is the body’s natural way to relax.
4. Biofeedback: This is a specialized form of relaxation that can help you relax the area that is the source of pain. This is taught by pain management programs or professionals in private practice.
5. Massage Therapy: This works well when used alone or combined with other pain management techniques. The majority of us suffer from muscle pain even though our injury sites may be elsewhere. It is usually the responding muscles that hurt the most.
6. Alternative Medicine: Many of us receive relief from alternative sources such as chiropractic adjustments, acupuncture, reflexology and other forms of alternative medicine. This type of treatment is usually done when in-patient treatment is complete, however your particular program may make exceptions.
7. Proper Diet: Depending upon the person, a nutritionist can be consulted for healthy eating habits. If we are overweight, chances are we are making the pain worse by putting extra strain on the body.
8. Psychological and Psychiatric Support: Any program specializing in addiction and chronic pain will have appropriate counselors and psychiatrists to aid in pain management. Counselors and psychologists give emotional and spiritual guidance. They can also provide healthy support in therapeutic activities such as group therapy. Psychiatrists can prescribe antidepressants that can relieve depression and contribute to pain relief.
9. Medications: All treatment programs of this nature have staff physicians than can provide pain relief by prescribing appropriate non-mood-altering medications that are just as good as, if not better than narcotics and benzodiazepines. It may take some trial and error before the best overall medication is found for each individual. Just remember, mood-altering medications are not effective once tolerance builds, and chances are the medications you abused stopped providing physical relief.
10. Occupational Therapy and Vocational Guidance: Many of us are distressed because we can no longer function at work. Some of us must make occupational changes because of our chronic pain. Pain management treatment should include services that can help you return to work, or guide you toward new trades. Occupational therapy may be required if you intend to eventually return to your line of work. This involves training your muscles so they can cope with the stress of a particular job. Vocational counseling can help you change careers. These counselors specialize in this form of therapy, which includes a variety of testing and guidance.
11. Setting Goals: Once we have arrived at a level of acceptance of our pain, it is imperative that we begin setting specific goals that, once we reach, gives us hope and raises our self-esteem. Setting specific goals is a major function of treatment planning. Your counselor will provide guidance and help you set these goals.
12. Family Therapy: This is an essential part of treatment because the family plays such an important role in addiction and chronic pain. This form of therapy will help the family work through fears, and help them understand how they enable destructive behaviors in both areas.

Drug addiction symptoms or behaviors include:

• Feeling that you have to use the drug regularly — this can be daily or even several times a day
• Failing in your attempts to stop using the drug
• Making certain that you maintain a supply of the drug
• Spending money on the drug even though you can’t afford it
• Doing things to obtain the drug that you normally wouldn’t do, such as stealing
• Feeling that you need the drug to deal with your problems
• Driving or doing other risky activities when you’re under the influence of the drug
• Focusing more and more time and energy on getting and using the drug

Narcotic painkillers
Opioids are narcotic, painkilling drugs produced naturally from opium or made synthetically. This class of drugs includes heroin, morphine, codeine, methadone and oxycodone (OxyContin).

Signs of narcotic use and dependence can include:

• Reduced sense of pain
• Sedation
• Depression
• Confusion
• Constipation
• Slowed breathing
• Needle marks (if injecting drugs)

Recognizing drug abuse in teenagers
Possible indications that your teenager is using drugs include:

• Problems at school. Frequently missing classes or missing school, a sudden disinterest in school or school activities, and a drop in grades may be indicators of drug use.
• Physical health issues. Lack of energy and motivation may indicate your child is using certain drugs.
• Neglected appearance. Adolescents are generally concerned about how they look. A lack of interest in clothing, grooming or looks may be a warning sign of drug use.
• Changes in behavior. Teenagers enjoy privacy, but exaggerated efforts to bar family members from entering their rooms or knowing where they go with their friends might indicate drug use. Also, drastic changes in behavior and in relationships with family and friends may be linked to drug use.
• Spending money. Sudden requests for money without a reasonable explanation for its use may be a sign of drug use. You may also discover money stolen from previously safe places at home. Items may disappear from your home because they’re being sold to support a drug habit.

Source: The Mayo Clinic

People looking for treatment for prescription drugs in Florida are basically addicted to three categories of drugs. The first types of drugs are opiates. They are taken to relieve pain. Codeine, Demerol, Dilaudid, Morphine and Vicodine are some of the commonly prescribed drugs under this category. Anyone taking these medicines over a longer period of time can easily get addicted and treatment for addiction is necessary, especially in the initial stage of withdrawal. The second category of drugs is CNS depressants. It can be divided into two sub-categories – barbiturates and benzodiazepines. Nembutal and Mebaral come under barbiturates and are given to people suffering from anxiety and sleep disorder. Halcion, Librium, Valium and Xanax come under benzodiazepines and are taken for panic attacks and anxiety. Stimulants belong to the third category. Ritalin and Dexedrine are examples of the Stimulants that are commonly used today. They are provided to stimulate the brain in order to make a person more agile and active. Treatment for prescription drugs should immediately the initiated once the addiction is detected.

Treatment for prescription drugs in Florida involves inpatient therapy, outpatient therapy and group therapy. The inpatient treatment requires patient to be admitted to a detox treatment facility. The patients are carefully examined by physicians and taken off of their particular drugs safely and securely. The whole procedure may take 7 to 10 days. After the detox treatment is complete patients are referred to counselor who then makes further arrangements for individual and group therapy. They are subjected to number of educational lectures and group discussions in order to make them understand the drug addiction and its consequences. This helps them to rehabilitate successfully. In the outpatient program patients are treated through various interventions that include detox treatment, massage therapy, acupuncture sessions and hydro-therapy. Patients are required to visit the treatment facility from time to time in order to be examined and to determine the extent of their addiction and the progress of their individual treatment plan. Patients are also encouraged to take part in various recreational activities like swimming, running, exercising, playing outdoor games and others that are provided at the treatment facility. In group therapy patients are encouraged to participate in meetings that are designed to educate them about Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) programs. Emphasis is laid on social interaction as most take to drug addiction because of the feeling of loneliness.

Treatment for prescription drugs in Florida is based upon the philosophy that every individual is important and unique and should be treated with distinction and respect. The main purpose of the treatment is to help the individual to become healthier and lead a drug free life.

By Gen Wright

When treating pain, health care providers have long wrestled with a dilemma:

How to adequately relieve a patient’s suffering while avoiding the potential for that patient to become addicted to pain medication?

Many doctors underprescribe painkillers because they overestimate the potential for patients to become addicted to medications such as morphine and codeine. Although these drugs carry a heightened risk of addiction, research has shown that providers’ concerns that patients will become addicted to pain medication are largely unfounded. This fear of prescribing opioid pain medications is known as “opiophobia.”

Most patients who are prescribed opioids for pain, even those undergoing long-term therapy, do not become addicted. The few patients who do develop rapid and marked tolerance for and addiction to opioids usually have a history of psychological problems or prior substance abuse. In fact, studies have shown that abuse potential of opioid medications is generally low in healthy, nondrug-abusing volunteers. One study found that only 4 out of about 12,000 patients who were given opioids for acute pain became addicted. In a study of 38 chronic pain patients, most of whom received opioids for 4 to 7 years, only 2 became addicted, and both had a history of drug abuse.

The issues of underprescription of opioids and the suffering of millions of patients who don’t receive adequate pain relief has led to the development of guidelines for pain treatment. This may help bring an end to underprescribing, but alternative forms of pain control are still needed. NIDA-funded scientists continue to search for new ways to control pain and to develop new pain medications that are effective but don’t have the potential for addiction.

Assessing Prescription Drug Abuse: Four Simple Questions

By Carol & Richard Eucstice

If you have been using pain medication, benzodiazepines, heroin or any other addictive street drugs than I suggest that you check into an inpatient detox center where you will receive 24 hour medical attention from a trained nursing staff.  It is essential to have the help of a doctor who can slowly wean you off of the addictive substance that you have in your body in a closed environment.  I know that for me the temptation of using drugs was too great when in an outpatient detox center.  I would begin to feel the slightest withdrawal symptoms and my mind would convince me that I could use just one more time to help myself through the detox.  Of course this was part of my sick thinking as an addict not only our bodies become ill but our minds as well.  Inpatient detox’s are equipped to handle people who are suffering from withdrawal symptoms and adjust their detox medication dosages accordingly.

Inpatient detox is much more effective because of the daily structure and comprehensive medical care that is provided. Inpatient detox comes with round the clock nursing and physician assistance while in an outpatient detox program you can only see a doctor by appointment and you are on your own when you return home every evening. In addition to the lack of structure people in outpatient detox are exposed to the same elements as when they were using. In an inpatient detox program, the only people you see are approved by your therapist with your consent. Always look towards inpatient drug detox when looking to discontinue your drug use.

There is hope! With the proper medical care and the right attitude anyone can get clean.  If you want it bad enough then nothing will stop you from achieving your goal.  Just remember to take each day at a time and that if I could do it so can you.

When taken in pill form, OxyCotton is a slow-release narcotic prescribed for pain caused by cancer, severe arthritis, sickle cell disease, and nerve damage. The active ingredient in the drug is a morphine derivative, the same as that also found in Percodan.

Oxycotton has become big on the street when resold by the drug dealers.  Drug addicts are crushing and snorting it and smoking it to get a powerful and fast high that many users say is better than heroin.

Oxycotton has even grabbed a hold of many people that have never been addicted to a drug.  It is tricky and sneaky.  People start out taking oxycotton for pain relief and before they know it they are taking 50 pills per day.

Oxycotton has created an entire slew of new drug addicts and has given the average recovered heroin addict an easy way to slide back into addiction.  If this is you then we only hope that you find a way to detox off this drug as soon as possible.

You might try going to some Narcotics Anonymous meetings.  If you have insurance or a way to pay for detox seek out detox treatment as soon as possible.  If you do not have insurance or a way to pay then their are plenty of state detox and treatment facilities that will service you if you are willing.  Above all remember there is a way out and you do not have to stay addicted to oxycotton.

Suboxone is a new drug that aids the detox of narcotic and opiate drug addiction. The cold turkey detox off of full opiate agonists like vicodin or heroin can be excruciating and the fear of the pains of detox is more than enough to keep a lot of people using for far too long. What suboxone can do is lessen the intensity of these pains, making a short detox far more bearable. The detox may still be uncomfortable but nowhere near as tough as it would be unmedicated.

Patients go into detox and as soon as they enter into the beginning of full withdrawal they are given either suboxone or subutex which once appropriately dosed takes away all of the immediate and intense withdrawal symptoms of the more severe withdrawal from pain pills or heroin. Patients are stabilized at a dosage of suboxone for a few days and then the dosage of suboxone is gradually tapered off  down to nothing within a day of the end of a detox period.

Patients will still feel withdrawal pains because suboxone is an opiate and therefore has a syndrome of withdrawal of its own.  By transferring onto the longer acting and less intoxicating opiate the transition through withdrawal  pains of detox become far more manageable.

After about 10 days the worst of withdrawal symptoms from the suboxone will have ended, although some lingering symptoms can endure for a month or more. Following the end of detoxification, most patients transition into a residential treatment phase, learning strategies they’ll need to stay clean over the long haul, and avoid another painful period of detoxification.

Using suboxone for a transition detoxification off of opiates of abuse makes the process far more humane, and by ending suboxone therapy within days, you lessen the need for an intense and difficult detox off of the suboxone…truly the best of both worlds.

Detox is never easy, and although suboxone can help a lot, it’s still a challenging period; but with suboxone you can make it, and once you’ve detoxed you’re truly ready to participate in the therapies and education of relapse avoidance that will ensure that you’ll never get hooked again.  You can get clean, suboxone can help.