NMSS Clinical Bulletin wrote:Self-taught techniques of mindfulness, meditation and behavior change strategies empower pain
coping (Molton, 2009). Mindfulness is the awareness and acceptance of the present moment and
any feelings, thoughts, and sensations that may arise (Ludwig & Kabat-Zin, 2007). Acceptance and
commitment therapy are behavior change strategies leading to psychological flexibility, better control
of thoughts, feelings, emotions, sensations, and memories of pain. Learning to transcend self and to
clarify personal values are strategies practiced to self-manage pain (Hayes et al., 2011).
Behavioral self-management includes: relaxation training, cognitive-talk therapy, adaptive coping,
pacing and behavioral activation. Engaging in social and physical activities decreases the intensity of
pain (Jensen, 2011; Ehde, 2006). Taking a painting class, participating in yoga, tai chi, hippotherapy,
riding a bike on a beautiful day are examples of behavioral activation. Participating in counterirritation
such as massage, the use of heat or cold, acupuncture, and application of pressure, as tolerated, act to
affect pain perception.
Hypnosis is a technique studied to modulate the pain experience in MS. Hypnotic analgesia (Jensen,
2009, 2011), attempts to focus attention on a single stimuli, such as a voice to induce a relaxed state
and decrease the pain to unpleasantness, while altering the sensations of burning to a sensation of
warmth. The goal of hypnosis is to increase comfort and control over pain.
Guided imagery, breathing and progressive muscle relaxation techniques practiced regularly can be
utilized when there is a pain flare (Kratz, 2011). Audiotapes are available to assist in meditation,
mindfulness activities and relaxation..."
lovebug wrote:I went to a Pain management class today at a pain clinic and I started talking about finding out more information about block injections. Nobody had even heard of this yet!
Azaeleaprawn wrote:when I went emergency with left-side & middle back acute stabbing pain & a tight feeling around my chest which I said I thought might be an MS hug. - the doctor at emerg said he never heard of an MS hug ...and I thought WTF!
Gave me a muscle relaxant ( I have a sneaking suspicion he went and checked online for some help) and luckily it seemed to work over time - haven't had it again.
Love your attitude about you interviewing the doctors! My fingers are crossed for you and your new doc to get off to a great start and for him to be an eager student.Azaelea wrote:Other GPs that I interviewed in the last year
Also love your sense of humor! But so sorry you had such crappy docs in the past, especially the one who diagnosed you. My 'time of diagnosis' was rocky, and with emotions high, I left my first neurologist and then my second neurologist, too. Seems too many doctors don't listen--actually listen--to their patients.And the neuro who Dxd me is toast as well
HappyPoet wrote: Seems too many doctors don't listen--actually listen--to their patients.
Regarding the Invasive Treatments article, I plan to ask my doctor about this comment which is ten years old; hopefully, things have changed for the better. More current sources, such as WebMD, don't carry this strong of a message, and I wonder what, if anything, has changed.Invasive Treatments wrote:SUMMARY: nerve blocks are never permanent and may result in worse pain: they should be reserved for patients with a terminal illness.
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