Archive for the ‘Pain Management’ Category

Top 4 Tips for Baby Boomers with Chronic Pain

Thursday, July 21st, 2011

1. Be wary of scams and offers of bogus cures

Boomers with chronic pain are especially vulnerable to marketing schemes and scams promising “quick-fixes” or “cure-alls’. When you are in pain, often you are taking medications, the quality of your sleep is compromised, and your judgment may be negatively affected. Combine these factors with a fierce desire to be healed and you become an easy target for those who wish to profit from your condition.

If you watch daytime or late-night television, you’ll see all sorts of commercials pushing special drinks, herbal cures, magnets, and other questionable health products. If you are on the Internet, you’ll see an even wider variety of scams, offering you miracle cures at a special price.

Be smart. Never invest your money or your time in anything offered for sale without first discussing it with your physician. Most doctors are open to alternative health practices like acupuncture or massage therapy as a compliment to traditional medical care, but will steer you away from dangerous medications or practices.

Before you buy that healing bracelet, special Amazonian drink, or colon cleansing system, talk it over with your physician to ensure that it is right for you. Your health and your finances will be safer if you do.

2. Increase your mental strength

Since your body is in pain, your physical strength diminishes. To compensate, increase your mental power.

Read, watch game shows like Jeopardy, do crossword puzzles or Sudoku, and play card or board games. Be sure to stimulate your brain and give it a good workout every day. Start dialing your phone instead of using the memory function. These practices and many other simple exercises will help your memory stay sharp.

Living well with chronic pain takes mental skill and agility. The more you can increase your mental strength, the better you’ll be able to create strategies to live a satisfying life, in spite of that pain.

3. Don’t be upset by the latest and greatest medical research

It seems like a new medical research study comes out every week and the results are mixed. First, they tell us a certain food is good and then the following week we hear that food is bad. It’s very confusing.

Medical researchers are studying foods, medications, and treatments at a fast pace. I’m glad they are, since innovation in medicine is always important.

However, my Boomer patients are often concerned about news of the latest research breakthrough. They wonder if they should stop taking certain medications or start taking others they’ve heard about on the news or in a commercial.

While it is important to pay attention to what’s going on in medical science, it is equally important not to over react to the latest results.

When you learn of a new medical research study, evaluate it. See if you can determine who the test subjects were, the size of the sample of people who participated in the study, and the objectivity of the results. Don’t make any changes in your medications or daily routines based on the study until you’ve discussed it with your physician.

4. Decide to take charge and live well in spite of chronic pain

You are not your pain.

You are not your disease, dysfunction or diagnosis.

You are not invisible or worthless.

You are a person, valuable and important, who happens to have chronic pain.

My Boomer patients need constant reminders that they are worthy and life is always worth living. It’s hard not to feel less than others or disappointed that you can’t always do the things you want to do.

Dealing with chronic pain isn’t for the weak. It takes courage, guts, and fortitude. Some days you may wallow in self-pity, unable to get out of bed because you can’t see any point to it.

But every day you decide to get out of bed, you’re a winner.

Making a decision to live well, no matter how much pain you feel, calls on every bit of resolve you have inside you. When you do make that decision, you’ll find a new sense of power. You’ll be in charge of your pain, instead of it being in charge of you.

Sign up for the FREE newsletter and recive a complimentary report on The 8 Essential Components of a Healthy Nutritional Lifestyle. Just click or paste the following link, http://tinyurl.com/6b9zs2v

To Your Health,

Dr. Michael Kaye
www.aboomersguidetochronicpain.com

The Power of a Second Opinion

Sunday, June 26th, 2011

For the last few weeks I have had the opportunity to treat a very pleasant man, a Baby Boomer, who had unfortunately fallen on ice back in February.

He complained of pain throughout his lower back, left hip, and knee. When he came to my facility he was using a walker because he could barely walk. He could not shower or dress without help. I developed a treatment program to help him walk better and to decrease his pain.

This man had been examined by an orthopedic surgeon before coming to my facility. The surgeon took X-rays of his hip, prescribed anti-inflammatory medication, and told him to return a couple of weeks later. When he returned, the doctor told him that he needed a hip replacement because he has osteoarthritis (loss of cartilage of the joints). He was escorted to the front desk and scheduled for pre-operative blood work and a complete cardiologic workup.

As you can imagine, the patient and his wife showed up in my office significantly distressed about the idea of having a hip replacement.

I asked him two simple questions. Did you have this pain six weeks ago? His answer was “No.” Are you getting better? The answer was “Yes.”

I referred the patient to another orthopedic surgeon. After a careful evaluation, he did not recommend the surgery. He felt that the patient should continue with treatment since he was improving.

What do you think would have happened if the patient had not gone for a second opinion? He probably would have had an unnecessary surgery.

I have often referred patients for second opinions (and sometimes third opinions, if necessary). If you do not feel comfortable with a doctor’s recommendation, it’s time to get a second opinion. If a doctor is treating you and you are not getting better (experiencing a decrease in the frequency, intensity, and duration of your pain or managing your condition), it’s time to get a second opinion. You can’t depend on your doctor to refer you to another doctor for a second opinion; sometimes you just have to get one on your own.

Doctors are extremely busy and overworked. Quite often they have a tendency to rush in and out of an appointment without focusing on the patient’s needs.

When doctors are rushed, they may fail to answer patients’ questions. Sometimes patients think of other questions after the visit.

I suggest that you prepare a list of written questions for your appointment. When you get home, write down any further questions that you may have thought of after the appointment. If the questions are urgent, call the office and speak with the nurse or physician’s assistant.

If you do not feel comfortable with the answers and recommendations of your doctor, get another opinion. It’s always helpful to have a second pair of eyes look at and evaluate your situation.

To Your Health!

Dr. Michael J. Kaye

When Pain has Turned Your Life Upside Down

Sunday, May 22nd, 2011

One of the major roadblocks to happiness and success is pain.

I have the opportunity to treat the chronic pain population. I
am sure you can imagine how hard it must be to think of
becoming a success while suffering with pain. Your ability to
concentrate is limited by the distraction of the pain. If and
when you have periods of time when the pain is not so bad, you
have to determine whether you should play with the kids, do a
load of laundry, speak with your spouse, exercise, sleep, or
work on your business. 

I treat individuals whose lives have been interrupted by a car
accident or a work injury. They are forced to spend much of
their time dealing with actions related to their
accident/injury.  Things that they were able to do easily prior
to the accident may be difficult. In addition to pain and
problems with daily living, many have to learn to deal with
attorneys, insurance companies, claim adjusters, human resource
departments, doctors and the medical system.

If you have been involved in an accident or suffered an injury,
please click on this link to discover the Accident
Documentation Kit. This kit was created to help close a giant
gap in understanding how to manage life after you’ve been
involved in an accident.
http://tinyurl.com/yc3cdmd

Although it may be hard to concentrate, you must take back
control of your life. This kit will help you deal with doctors,
therapists, insurance companies, and lawyers.

Now is the time to take charge.

Please feel free to forward this link to a friend or relative
who has been in accident. 

http://tinyurl.com/yc3cdmd

Here is a testimonial from one of my clients who purchased the
kit…
“Being a do-it-yourself kind of person, I have bought packages
of forms before from various sources, such as paralegal stores
and discount online venues. And I can tell you Dr. Kaye’s price
for this kit, which not only gives you the forms but also helps
you navigate the maze of insurance, medical and legal dealings,
is incredibly generous.”  -C. Blankenship, Travel Writer

Wishing you Health & Happiness!

Dr. Michael Kaye
Knowledge, Action, Results
P.S. Click here now to learn more about The Accident Documentation Kit

Streamline Your Doctor’s Visit

Sunday, February 14th, 2010

One of the biggest complaints I hear from patients is the amount of paperwork that is required for completion prior to being seen by the doctor-especially if you are a new patient.

After the initial paperwork is completed, a medical assistant, physician assistant, nurse, nurse practitioner or maybe even the doctor will then gather additional information. The normal questions are related to the what, when, where, who, how and why of your current complaint.

After the current complaint is shared, you’ll be asked questions regarding your past history or you may have completed a questionnaire about your past history in the waiting room.

If you are a baby boomer (born between 1946 and 1964) your past medical history may be very involved and you don’t always have the opportunity to share your complete history.

It seems that many doctors are pressed for time. Some patients complain they are shuffled in and out of the office like cattle, that the doctor or assistant spends less than five minutes for the appointment. Quite often the doctor is weighed down with paperwork as well.

The piles of paper work may fall by the wayside in the near future with the advent of electronic health records. Soon there will be no more paper files and doctors will be able to view your complete medical history on their PC Tablet or some other like computer equivalent.

With the electronic health record system the doctor will be able to scan any reports or letters into your file-your electronic record.

One of the action steps you can perform is to create a “Chronological History of Treatment” before being seen by the doctor.

A chronological history of treatment should consist of your past medical history from childhood diseases, medications, allergies, surgeries, hospitalizations and sicknesses to your current complaint. Many patients present to my office approximately 12-20 weeks after the onset of injury. By the time the patient presents to my office he/she has seen a myriad of doctors. When creating this form, record all doctors/therapists you have seen, type of treatment, length of time treated, medications prescribed and outcome (worse, better, same)

To best utilize the time in your initial visit fax or e-mail a copy of this document to your doctor or deliver it to the office the day before so it can be added to your chart or scanned into your electronic health record.

That’s it for now.

If you have any questions please feel free to comment on this post.

Dr. Michael Kaye

Knowledge, Action, Results

Avoid Shoveling Snow

Tuesday, February 2nd, 2010

How much is your pain worth? This is the question I ask those who are in chronic pain. Back east we are experiencing winter. At the writing of this post, another wintery storm is upon us bringing twelve plus inches of snow.

Most folks have shovels. The lucky ones have snow blowers, plows or better yet, someone who does the shoveling for them. I hope you are one of the lucky ones.

In my neighborhood we had a couple of teenagers who are willing to shovel for twenty-five dollars.  This was a definite bargain.

I told my neighbor and he said, “Nah, not worth it. I’ll just do it myself”. And then I replied, “How much is your pain worth?” Given the fact he has hypertension (high blood pressure) and a bad back, his investment of $25 is a lot cheaper than his co-pay visits for the doctor.

He’ll spend way less money on having the kids shovel his driveway than paying several co-pays to his doctor for treatment on his lower back.

Sometimes we don’t have the luxury of having someone come over and shovel. If this is the case and you are on your own I suggest shoveling in blocks of time. Remember to warm-up first, take breaks, bend at the knees and lift a little snow at a time(it’s better to lift a lighter load of snow multiple times versus a heavier load a fewer times); and cool down afterwards.

Snow shoveling is a very hard activity on your heart and muscular system, especially if you are overweight and/ or suffer with heart issues. The act of shoveling can easily exacerbate shoulder pain, arm/leg pain, and neck and back pain.

Some of my patients use heat patches over their affected areas of pain while they are shoveling. They report less pain as their muscles feel warm.

After you shovel, it’s important to take a hot shower and ice the sore areas to reduce any irritation/inflammation. This can be followed by moist heat.

Before you retire for the night consider performing mild stretches for the lower back and hamstrings (back of the legs).

If you experience any jaw pain, arm pain chest pain or any difficulties breathing, stop your activity immediately and report to the hospital emergency room.

That’s it for now.  Be careful out there.

Dr. Michael J. Kaye