Chronic pain lasts for three months or longer and can be so intense it affects sleep, work, and everyday life. It affects 52 million people in the US.

Causes

There are many causes of chronic pain, the most common of which are listed below. Sometimes, though, no exact cause can be found (called idiopathic pain). 

Injury

Injuries, especially those that don't heal properly, can cause chronic pain and inflammation.

Arthritis

Osteoarthritis, rheumatoid arthritis, and gout can cause chronic pain in various joints.

Nerve Damage

Conditions like sciatica and diabetic neuropathy, which affect the nerves, can cause chronic and debilitating pain.

Spinal Conditions

Problems in the back, such as disc degeneration or herniated discs, can be a major cause of chronic pain.

Autoimmune Disease

Certain autoimmune diseases, like lupus, can lead to inflammation and chronic pain.

Fibromyalgia

This condition causes pain all over the body (widespread musculoskeletal pain).

symptoms

Chronic pain affects people in different ways, but some common signs to watch for include:

Persistent Pain

The most obvious sign of chronic pain is that it lasts for months or years. The pain may be constant, or it may come and go, but it doesn’t go away completely.

Fluctuating Intensity

The pain can sometimes be mild and at other times become severe or debilitating, often without an obvious cause.

No Improvement With Treatment

Chronic pain often doesn’t respond well to standard pain relief methods (medications, rest, or physical therapy). Even if treatments seem to help for a short time, the pain comes back.

Fatigue

People with chronic pain may find it hard to sleep comfortably or may feel tired even after getting a full night’s sleep. 

Mood & Appetite Changes

Chronic pain is emotionally stressful and can lead to anxiety, depression, and irritability. Some people may even lose interest in eating. 

Weight Gain

Weight gain may happen in some since it’s tough to be active if you’re constantly in pain.

DiagnosIs

The tricky thing about chronic pain is that there isn’t a simple blood test or imaging scan that can pinpoint a cause. To understand what is going on, providers will often start with your medical history and a physical exam. 

Sometimes, imaging tests (like MRIs or X-rays) can be helpful. Your provider may also order blood tests to rule out infections or autoimmune diseases. In some cases, nerve studies might be used to see if there’s nerve damage causing the pain. 

Treatment

There are several ways to manage pain. In many cases, a combination of the following therapies can help to provide relief.

Pain Medication

Over-the-counter painkillers like Tylenol or Advil are usually the first treatment to try. If pain is more severe, your provider might prescribe stronger medications. Antidepressants or anticonvulsants can sometimes help nerve pain.

Physical Therapy

For some types of pain, such as a sore back or joint, physical therapy can help. It works by stretching and strengthening the muscles.

Acupuncture

This treatment involves inserting thin needles into specific parts of your body. It can help to stimulate the nervous system and release natural pain-relieving chemicals, like endorphins.

Massage

Getting a massage can relax tight muscles, improve blood flow, and reduce tension.

Chiropractic Care

Chiropractic treatment adjust your spine and improve alignment. It reduces pressure on your nerves and muscles, which can help with back, neck or joint pain.

Lifestyle

Exercise, a healthy diet, and getting plenty of sleep are all important for managing chronic pain. Staying active can help you to maintain flexibility and reduce stiffness. A balanced diet can help to manage inflammation. Plus, losing excess weight can reduce strain on your joints and muscles.


How We Can Help

We take a comprehensive approach to managing chronic pain. During your visit, your provider will work with you to understand the specific nature of your pain, review your medical history, and identify any underlying causes.

Your provider will also work with you to develop a personalized treatment plan. It may include medications, physical therapy, lifestyle changes, or referrals to specialists if needed. For complex or severe chronic pain, your provider may refer you to a  specialist for more advanced care. 

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