{"id":28102,"date":"2021-04-22T09:30:43","date_gmt":"2021-04-22T13:30:43","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=28102"},"modified":"2021-04-21T13:26:32","modified_gmt":"2021-04-21T17:26:32","slug":"living-with-chronic-pain","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/living-with-chronic-pain\/","title":{"rendered":"I\u2019m living with chronic pain, and I\u2019m far from alone"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">As a seemingly healthy person in my mid-20s, most people don\u2019t suspect that I am living with chronic pain. When I tell people about my condition, it feels like many still doubt that I\u2019m serious or assume I\u2019m exaggerating. But truthfully, like many with invisible conditions, I\u2019m probably more likely to downplay the severity of my discomfort on the rare occasion that I do mention it. It\u2019s the kind of thing that seems to make people uneasy: pain that\u2019s frequent or constant, with no means to alleviate\u2014even though I always wish the ibuprofen in my bathroom cabinet would magically do the trick.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">My journey: Living with chronic pain<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">My chronic pain started in my late teens and has been worsening for years. It\u2019s localized most intensely in my neck, shoulders, and back. Along with it are daily headaches and weekly migraines. The cause of it all is the weight of my breasts, wreaking havoc on my body and worsening my pain.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What is chronic pain?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Chronic pain is \u201cany pain that has gone on for more than 12 weeks,\u201d according to <\/span><a href=\"https:\/\/www.krollmedical.com\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Spencer Kroll<\/span><\/a><span style=\"font-weight: 400;\">, MD, Ph.D., physician with the Kroll Medical Group in New Jersey. Though, many live with it for years or decades.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is a common, wide-reaching problem. The <\/span><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/67\/wr\/mm6736a2.htm\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">U.S. Centers for Disease Control and Prevention<\/span><\/a><span style=\"font-weight: 400;\"> (CDC) estimates at least 20% of adults in the U.S. have chronic pain of some type. In other words, many millions of Americans are dealing with invisible and ongoing pain. I\u2019m far from alone in my experience.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Diagnosis<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Large breast cup size is an <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3322448\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">important cause<\/span><\/a><span style=\"font-weight: 400;\"> of upper back and shoulder pain. I wake up off and on throughout the night with shooting pain or headaches. Every morning my shoulders are stiff and achy, sending shockwaves of pain through from my neck through my back and into my head. Doing dishes or walking uphill pulls my upper body forward and leaves my <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/lower-back-pain-treatment-and-medications\"><span style=\"font-weight: 400;\">lower back<\/span><\/a><span style=\"font-weight: 400;\"> and neck completely miserable. Some days I know as soon as I get out of bed that the combination of migraine and neck pain means I just won\u2019t be able to sit at my computer and work for the day.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A good healthcare provider can help you find the root cause of the pain while treating it. This is particularly critical for younger people. Because it\u2019s less common for chronic pain to appear at a young age, a medical issue can usually be uncovered\u2014and providers don\u2019t want lifelong chronic pain to be the diagnosis if it doesn\u2019t have to be. In these cases healthcare providers tend to be \u201ceven more aggressive in looking for the causes of pain,\u201d prioritizing things like MRIs, CAT scans, and bloodwork, says Dr. Kroll. The source of my pain was visually apparent and was diagnosable by a primary care provider and a physical therapist, though more elusive causes require tests like those mentioned above.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With older patients, these diagnostic tests are also fairly routine options, particularly if pain is persistent despite treatment or does not have a clear cause. However, there is often some pain to be expected during the normal aging process, so it\u2019s more typical to see older patients with chronic pain issues or for the cause to be clear (<\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/arthritis-treatment-and-medications\"><span style=\"font-weight: 400;\">such as arthritis<\/span><\/a><span style=\"font-weight: 400;\">).\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Causes<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cOftentimes there was physical trauma, emotional trauma, or chemical trauma that initiated the [pain] process\u201d for patients, says <\/span><a href=\"https:\/\/nonadjavid.com\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Nona Djavid<\/span><\/a><span style=\"font-weight: 400;\">, doctor of chiropractic and nutrition expert. With my case, my primary care provider and physical therapist came to the same conclusion: My large chest was causing my pain. Other common <\/span><a href=\"https:\/\/www.ninds.nih.gov\/Disorders\/All-Disorders\/Chronic-Pain-Information-Page\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">causes of chronic pain<\/span><\/a><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Inflammation, like that caused by arthritis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Infection, such as an ear infection<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Illness, such as cancer\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscular dysfunction<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chronic repetitive motion<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Autoimmune diseases, such as fibromyalgia or rheumatoid arthritis<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">However, this list does not cover every possible origin. There are a massive variety of causes, locations, and intensities of chronic pain conditions. This can make the nebulous condition hard to categorize or track.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Treatment<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The options for treating or reducing chronic pain are nearly as vast as the potential causes. This can often delay relief if the first treatment is ineffective. In my case, I was sent to physical therapy first and went for many months, but found no relief from this route other than a confirmation of cause, so I\u2019m now exploring alternatives.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Medications for chronic pain<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Certain <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/current-and-upcoming-chronic-pain-management\/\"><span style=\"font-weight: 400;\">prescription medications<\/span><\/a><span style=\"font-weight: 400;\"> can provide relief, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nerve pain medications, such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/neurontin\"><span style=\"font-weight: 400;\">Neurontin (gabapentin)<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/lyrica\"><span style=\"font-weight: 400;\">Lyrica (pregabalin)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antidepressants, such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cymbalta\"><span style=\"font-weight: 400;\">Cymbalta (duloxetine)<\/span><\/a><span style=\"font-weight: 400;\">, which have a pain-relieving effect for many patients<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Controlled substances with less addictive potential than opioids, like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ultram\"><span style=\"font-weight: 400;\">Ultram (tramadol)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Corticosteroids such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/dexamethasone\"><span style=\"font-weight: 400;\">Decadron (dexamethasone)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Analgesic injections<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Many physicians hesitate to prescribe opioid painkillers for chronic pain because of their addictive potential. However, non-opioid solutions can be effective.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/prp-injection\/\"><b>What are PRP injections?<\/b><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Alternative treatment options for chronic pain<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Medication is far from the only possible solution. Other treatment options for chronic pain include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physical therapy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Acupuncture<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Local electrical stimulation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Brain stimulation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Surgery<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chiropractic treatment<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The best cure for my personal predicament is surgery (not without its costs, time commitments, and anxieties). I\u2019ve tried some other pain-alleviating routes in the meantime (including physical therapy and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/migraine-treatment-and-medications\"><span style=\"font-weight: 400;\">migraine medications<\/span><\/a><span style=\"font-weight: 400;\">) and have been slowly investigating more options recently (like chiropractic treatment and acupuncture).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ultimately, what works for each person may be one of these things, a combination of several, or something else altogether. Some people may get some relief from treatments like these but need surgery or deeper medical intervention to fix the root condition causing the pain.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For a lot of people, myself included, just being aware of the range of options for treatment, and the fact that so many other people are in a similar boat (be it one we can\u2019t see), provides the first bit of relief.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>As a seemingly healthy person in my mid-20s, most people don\u2019t suspect that I am living with chronic pain. When I tell people about my condition, it feels like many still doubt that I\u2019m serious or assume I\u2019m exaggerating. But truthfully, like many with invisible conditions, I\u2019m probably more likely to downplay the severity of [&hellip;]<\/p>\n","protected":false},"author":94,"featured_media":29000,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8318],"tags":[790,808],"coauthors":[20754],"class_list":["post-28102","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-community","tag-chronic-disease","tag-pain-management","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>I\u2019m living with chronic pain, and I\u2019m far from alone<\/title>\n<meta name=\"description\" content=\"At least 20% of adults in the U.S. are living with chronic pain. It\u2019s tricky to diagnose and treat. 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