5 Tips for Coping with Chronic Pain

(Family Features) Pain can impact nearly every aspect of your daily life from cleaning the house to going to work or playing with your kids. In fact, according to the Institute of Medicine, 100 million Americans, or more than 30 percent of the population of the United States, suffer from chronic pain, which is pain lasting 3-6 months or longer.

Most often, chronic pain is treated using prescription opioids. However, the National Institutes of Health estimates 2 million people in the U.S. suffer from substance use disorders related to prescription pain relievers, while 60 people die every day as a result of opioid overdoses, according to the National Safety Council.

"The country is facing intertwined crises of opioid misuse and chronic pain management. Non-opioid, non-pharmacological treatments such as acupuncture and other similar interventions can be essential in handling patients' pain management as a complement to lessen dependency on opioid prescriptions and serve as a more effective holistic therapy for chronic pain," said Dr. Kory Ward-Cook, chief executive officer of the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM). "The care provided by NCCAOM National Board-Certified Acupuncturists is essential in continuing the movement toward greater integrative and complementary pain care, especially as a non-pharmaceutical alternative to harmful opioid prescriptions."

To help treat your pain with a non-opioid solution, consider these tips:

Set Goals for Yourself
Setting realistic, measurable goals that focus on functional health and quality of life is essential to managing chronic pain. Outline specific, measurable goals you hope to achieve, such as exercising for 30 minutes three days a week or cleaning at least one room in the house twice a week and track your progress toward reaching them.

Use Relaxation Techniques
There are a variety of techniques, including meditation and deep breathing, that can help your body relax by slowing breathing, lowering blood pressure and instilling feelings of well-being. Giving your muscles a chance to relax can release tension, which may ease pain. Practicing yoga or tai chi, which involve a series of physical postures in addition to breathing and relaxation techniques, may also help reduce pain.

Consider Non-Pharmaceutical Treatment Options
With concerns mounting about the prevalence of opioid use and abuse in the U.S., complementary, natural treatments such as acupuncture can help alleviate pain and reduce the number of opioids prescribed. Using practices derived from traditional Chinese medicine, acupuncturists stimulate specific points on the body, most often by inserting thin needles through the skin. For example, National Board-Certified Acupuncturists, whose credentials can be verified through the NCCAOM, are affirmed to have the education and training necessary to competently deliver acupuncture services. To learn more about how acupuncture can help with pain management or addiction, or to find a practitioner in your area, visit nccaom.org.

Focus on Nutrition
A well-balanced diet is vital to overall health and well-being and can also influence chronic pain. As food choices can increase or decrease inflammation, which leads to many chronic diseases, consider a diet low in sugar and carbohydrates that includes fresh, organic fruits and vegetables; lean, grass-fed meats; legumes; nuts; whole grains; and organic dairy products.

Keep Track of Progress
To effectively manage and treat your pain, consider keeping a journal to note your pain level on a scale of 1-10 each day. Also track your activity during the day - including time on your feet, exercise and even sitting at your desk - so you can identify patterns based on what you do and how you feel afterward. Then use the connections you've made to modify your environment and schedule as necessary.

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There is No One-Size-Fits-All Breast Cancer

(Family Features) Breast cancer. It is a simple phrase representing a complex journey thousands of women travel each year. Even during October, when Breast Cancer Awareness Month brings attention to the disease, many people don’t realize breast cancer is not just one disease; it’s extremely complex and classified into different types. Understanding the many types of breast cancer is important – not just for the 1-in-8 women who will be diagnosed in their lifetime, – but for those who love them, too.¹

Laura Ross knows first-hand. She was diagnosed with triple-negative, stage I breast cancer when she was 41 years old.

“No one in my family had breast cancer and I had no information,” Ross said. “I had not even heard breast cancer had different types until the results came back from my biopsy.”

Unprepared and in shock, she relied heavily on her support circle, which in addition to her doctor and healthcare team, helped her learn more about her diagnosis. Empowered by this information, Ross had the confidence to make informed treatment decisions with her doctor.

You or someone you love may be affected by breast cancer in your lifetime and have to help make a treatment decision. To change the perception that breast cancer is just one disease, Living Beyond Breast Cancer, Genentech and ThirdLove created the “Not One Type” campaign, which offers these tips:

1. Understand the basics. Breast cancer is classified into different types based on the unique characteristics of each tumor (size, lymph node status, stage and subtype, among others). The tumor’s size, the status of whether the cancer is in the lymph nodes and the cancer’s stage, which indicates whether or not it has spread, are important factors in helping determine a diagnosis. The subtype, which is determined by studying the cancer cells using diagnostic tests, more specifically defines the type. Some common breast cancer subtypes include hormone receptor-positive, HER2-positive and triple-negative. These are example subtypes. A patient could also have a combination of subtypes, and/or other factors contributing to cancer growth.

2. Ask your doctor specific questions. If you or a loved one is faced with a diagnosis, knowing some questions to ask a doctor makes all the difference. Consider these questions to start:
   • How large is the tumor?
   • Has the cancer spread to the lymph nodes?
   • What is the stage?
   • What is the HER2 status? Hormone receptor status?
   • Why do you recommend this particular treatment plan? Are there other treatment options to consider?
   • Can you explain what these medicines do to the cancer in the body?
   • What are the common side effects of treatment?

3. Pass it on. Share this information with a loved one or friend. Understanding that breast cancer is not a one-size-fits-all-disease can help those directly affected by breast cancer and those who may be impacted in the future make more informed decisions.

During October – and year-round – arm yourself with knowledge about the different types of the disease and use that information to be a more empowered patient or caregiver. Visit NotOneType.org to learn more.

Photo courtesy of Getty Images

¹ American Cancer Society. Cancer Facts & Figures 2018. Atlanta: American Cancer Society; 2018.

² Kohler BA, et al. Annual Report to the Nation on the Status of Cancer, 1975–2011, Featuring Incidence of Breast Cancer Subtypes by Race/Ethnicity, Poverty, and State. J Natl Cancer Inst 2015;107(6):djv048.

Waking up to go to the bathroom multiple times per night? It’s not because you’re ‘getting old’

(Family Features) It’s a common misconception: the older you get, the more frequently you need to use the bathroom at night. Did you know waking up more than once per night to urinate is a medical condition known as nocturia? Shockingly, 64 percent of American adults do not know.

A recent Harris Poll of more than 2,000 U.S. adults, endorsed by The Simon Foundation for Continence, National Association for Continence (NAFC) and the Prostate Conditions Education Council (PCEC), found that approximately one-third of them suffer from nocturia. Nocturia, which forces individuals to get up more than once per night to urinate, is a leading cause of sleep loss and can put one’s health at risk.

“Before receiving treatment for nocturia, I typically wound up making five trips to the bathroom each night, which I knew wasn’t normal,” said Jack Fagan, a 67-year-old resident of Sewell, NJ. “Treatment has made a noticeable impact on my quality of sleep. I find myself more refreshed and have the energy to enjoy time with family and friends.”

Most people living with nocturia (72 percent) reported they are negatively impacted by the condition at night; 43 percent of whom have trouble falling back to sleep, 12 percent indicated they wake up their partners and 10 percent expressed nervousness about tripping or falling while walking to the bathroom. The impact of nocturia-induced sleep loss can be wide-ranging, affecting physical and mental health. Sixty-one percent of nocturia sufferers experience daytime issues as a result of nighttime urination, including: drowsiness, irritability and reduced productivity and concentration.

Sixty-six percent of nocturia sufferers surveyed have never discussed their symptoms with a healthcare professional; half of respondents reported they thought it was a normal part of aging, and 27 percent believed nothing could be done to remedy the problem.

“We see patients who have suffered with nocturia for many years, as it slowly progresses from getting up twice to over four times per night to urinate,” said Roger Dmochowski, M.D., a nocturia sufferer and professor within the department of urologic surgery at Vanderbilt University Medical Center. “In my personal and professional experience, nocturia can have serious implications for an individual’s emotional state and daily life, due to sleep disruption, if not diagnosed and treated. Up until recently, we didn’t have effective treatments.”

For more information on nocturia, visit www.whatisnocturia.com, or  www.simonfoundation.org/nocturia.

The Harris Poll survey was funded by Avadel Pharmaceuticals and Serenity Pharmaceuticals.

Photo courtesy of Getty Images