Fibromyalgia (FM)Fibromyalgia (FM)

Understand the state-of-the-art treatment for Fibromyalgia (FM). Below you will find excellent videos as well as a link to the best self-help tool for CBT for Fibromyalgia.

Summary

Understand the state-of-the-art treatment for Fibromyalgia (FM). Below you will find excellent videos as well as a link to the best self-help tool for CBT for Fibromyalgia.

Understanding Fibromyalgia (FM)

Dan Clauw, MD is the Director of the Chronic Pain and Fatigue Research Center at the University of Michigan as well as Professor of Anesthesiology, Medicine (Rheumatology), and Psychiatry. As a leader in Fibromyalgia research, he explains the current understanding and best practices for treating Fibromyalgia and related conditions.

Dr. Clauw’s multidisciplinary team has extensively studied the use of CBT and exercise in context to Fibromyalgia and discusses his findings (in plain language).

Cannabinoids & Opioids for FM

 

Depression, FM, & Centralized Pain

Depression is common among chronic pain and Fibromyalgia. However, it’s also important to pay attention to what Dr. Clauw calls the 800 pound gorilla in chronic pain – centralized pain – which he believes will be a primary focus of the future of pain research and treatment.

Computer-based (free) CBT for FM

Dr. Clauw’s research team, including pain psychologist David Williams, PhD, developed an online self-paced version of CBT for Fibromyalgia. If you would like to try a do-it-yourself approach to CBT, this is a wonderful first step.  Go to FibroGuide.  I was part of the clinical research team (when it was based at Georgetown University) that tested an earlier, face-to-face version of CBT modules for FM.

Understanding Pain 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Find CBT-trained Therapists

If self-help is not enough, contact me at drcary@mac.com or look for CBT providers in the CBT Directory for providers near you. Also, many providers will conduct CBT using teleconferencing.

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Auto Draft 1Chronic Back Pain

Pain, in the U.S., is the most common complaint in healthcare and an enormous public health challenge. One in 3 adults have it. It causes the most disability. It costs us up to $635 billion/year. By far, pain is untreated or under-treated.

Summary

Pain, in the U.S., is the most common complaint in healthcare and an enormous public health challenge. One in 3 adults have it. It causes the most disability. It costs us up to $635 billion/year. By far, pain is untreated or under-treated.

The National Problem of Pain

Dr. Mackey is Chief of Stanford’s Division of Pain Medicine, Director of the Systems Neuroscience and Pain Laboratory (SNAPL) and Redlich Professor of Anesthesiology, Perioperative and Pain Medicine, Neurosciences and (by courtesy) Neurology.

In this video, Dr. Mackey kicks off the 2016 Back Pain Day by discussing pain as a chronic disease itself and a how we can address it clinically and as a public health problem. He broadly describes what’s involved in pain management – a team sport. Then, the other 8 Pain Medicine faculty members describe their roles on the pain team in their videos.

Sean Mackey, M.D., Ph.D

Dr. Mackey explains, in terms patients can understand, the state-of-the-art understanding about how pain actually works.

Beth Darnall, PhD

Clinical Professor in the Department of Anesthesiology, Perioperative and Pain Medicine, Dr. Darnall is a pain psychologist and scientist. Her research investigates how to best treat and prevent chronic pain. She is a principal investigator for $14M in federal research awards.

Dr. Darnall explains the importance of using CBT to manage ‘catastrophizing’ – a common reaction to chronic pain.

Heather Poupore-King, PhD

Clinical Assistant Professor, Anesthesiology, Perioperative and Pain Medicine, Dr. King’s interest is in providing interdisciplinary care and specializes in comprehensive functional rehabilitation for chronic pain patients, using Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (a form of CBT), and Biofeedback.

Dr. King explains how care team members work together – with you at the center – to manage chronic pain best.

Fiona Barwick, PhD

Clinical Assistant Professor in Psychiatry & Behavioral Sciences – Stanford Center for Sleep Sciences and Medicine, Dr. Barwick specializes in the assessment and treatment of insomnia, sleep apnea, circadian rhythm sleep-wake disorders, and parasomnias from a Health Psychology perspective.

Dr. Barwick explains the role of CBT and augmented therapies for addressing problems with sleep and chronic pain.

Ming-Chih Kao, MD, PhD

Clinic Chief at Stanford Pain Management and Clinical Assistant Professor, Orthopaedic Surgery, Dr. Kao’s mission is to offer all of his patients comprehensive interdisciplinary diagnosis and treatment, leveraging the full extent of what is known in state-of-the-art Pain Medicine.

Dr. Kao discusses the variety of meds used and their role in pain management.

Michael S. Leong, MD

Clinical Associate Professor of Anesthesiology and Pain Medicine and Neurosurgery (by courtesy), Dr. Leong’s clinical foci are in radiculopathy; spinal, abdominal, and cancer pain; postherpetic neuralgia; and workers compensation cases.

Dr. Leong explains the role of the use of spinal cord stimulation and how it works to reduce chronic pain.

Jordan Newmark, MD

Dr. Newmark is the pain division’s Associate Division Chief of Education, and Pain Medicine Associate Fellowship Director. His clincal interests are in chronic and perioperative pain management, headache and orofacial pain management, and interdisciplinary / procedural treatment.

Dr. Newmark teaches us about the safe use of opioids for chronic pain.

Corinne Cooley, DPT

Ms. Cooley, a member of the Pain Physical Therapy staff, explains the role of physical movement in managing chronic pain – “Movement as Medicine”

J. Drew Sturgeon, PhD

A Postdoctoral Research Fellow, Dr. Sturgeon explains the importance of managing social relationships and shows their impact on the brain and on chronic pain.

Questions and Answers (Video 1 and 2)

The entire panel participates.

The Future: ‘Personalized’ Pain Management

This video, not part of the 2016 Pain Day, outlines how the Stanford team is developing an extraordinary diagnostic and treatment tool that will inform clinicians (throughout the world) how to better ‘personalize’ pain treatment for their patients. Perhaps your physician could participate with this project, CHOIR, in the future.

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Understanding Pain 3Understanding Pain

If you are one of 100 million Americans with chronic pain, you’re likely under-treated and have not been taught by health providers how to improve your quality of life.

Summary

If you are one of 100 million Americans with chronic pain, you’re likely under-treated and have not been taught by health providers how to improve your quality of life.

Science of Pain

 

At a minimum, the below videos suggest the importance of getting treated by a Pain Medicine specialist who works alongside a Behavioral Pain specialist as part of a care team.  Learning a little about the science of pain may profoundly change how you view your pain condition and what to do about it.

A Roundtable of Pain Specialists

For a good overview on the state of the science of pain, watch the Charlie Rose Brain Series episode on Chronic Pain.

What is Pain?

Dan Bruns, a Pain Psychologist, explains pain in a very understandable way.

 

Catastrophizing + Pain

 

Where’s the Edge of Pain?

Low Back Pain

An Anatomy Professor’s Take on Pain

University of California Professor Basbaum presents a quick course for the public. As he’d say, don’t get bogged down trying to learn details. Just get the gist of how your brain processes the ‘experience of pain.’

An Internist-Pediatrician’s Take on Pain

Dr. Schubiner briefly explains his view of the steps to take to begin to ‘unlearn’ a learned pain brain pathway. It’s important to realize that his belief, that pain can be completely unlearned is as yet a hypothesis – not proven.

Behavioral Treatment of Pain

Living with persistent pain, regardless of what the cause, necessitates some lifestyle management skills. The University of Michigan Chronic Pain and Fatigue Research Center has developed and tested an online self-help series of modules that may help you learn these skills.

Although you may not have Fibromyalgia, these same skills are the basis for the cognitive-behavioral therapy that Health Psychologists use in providing behavioral pain management for chronic pain in general. Check out these skill modules.

 

Virtual Reality (VR) for Pain Management

Another behavioral tool, VR, can help alleviate pain. Watch this short video that see how ‘Snow World’ – a VR Game – helps with pain associated with burns.

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Headaches and BiofeedbackHeadaches and Biofeedback

Daily stress is an unavoidable part of daily life. It’s how you manage the stress that’s most important.

Summary

Daily stress is an unavoidable part of daily life. It’s how you manage the stress that’s most important.

Overview

Then during the nineties, when I was on the Clinical Faculty in Behavioral Medicine at Georgetown University, outpatients with all kinds of pain – head, back, stomach – came into the Biofeedback Lab I directed. I always thought how ironic it was. They rushed through traffic, hassled with parking, and stressed about being late – just to come in to relax.

Thankfully now, Biofeedback is entirely portable. In the quiet of your favorite place, you can teach yourself how to relax tension away and take control of your nervous system  – to access the relaxation response. So, you might want to look into something like the Stress Eraser (I don’t have any stock in their company). It’s a proven tool.

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