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Pain Management and Migraine Relief

Chronic pain affects an estimated 86 million American adults to some degree. Approximately 45 million Americans suffer from chronic headaches. Indie Cooper-Guzman RN shares information and advice about migraines and headaches, their causes, triggers, and treatments.

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WebMD Health News

Wednesday, July 30, 2008

Complimentary and Alternative Medicine for Pain Relief
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While recently reading the Spring 2008 edition of The Pain Community Newsletter of the American Pain Foundation, I was pleased to see the focus on complimentary and alternative medicine (CAM) for relieving pain. I am glad that people are beginning to consider the benefits of various alternatives. I remember years ago when I would talk about certain alternatives, people would laugh and call them bogus and fake. It is good to see that they are now being explored and tested more seriously.

The article, The Evolving Role of Complementary and Alternative Medicine for Pain Relief, includes a scale that shows back pain as the main condition being treated by CAM. The use of these alternatives for other conditions such as headache, recurring pain, and insomnia remains low. This is a very good article and I encourage folks to check it out. Share your responses with me on my Pain Management and Migraine message boards. What complimentary and alternative medicine approaches have you tried? What conditions were causing your painful symptoms? Did you find them helpful? I look forward to hearing from you!

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Posted by: Indie Cooper-Guzman, RN at 8:34 AM

Tuesday, July 15, 2008

Reconnecting: The Importance of Friendships & Faith
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An opportunity to see a dear friend of mine presented itself this weekend. I hadn't seen her in over four years since she moved from New Jersey to Georgia. To see her, I needed to drive to Delaware where she was visiting family. I am so glad I had the chance to take that trip.

At first I was reluctant to travel due to a variety of issues, including physical limitations, but in the end I decided seeing my friend would be worth the effort.

My friend and I both suffer physical difficulties so we planned our time together with a lot of flexibility. We managed to travel into Baltimore Harbor and see some sights and enjoy some great food. We didn't push it. In fact, I was pro-active and put in an extra set of clothes right below my heating pad in my suitcase. I was determined to be prepared in case I needed to stay an extra night...and it turned out to be a good thing because I did indeed need to take the extra time and use it to relax with meds and pad after the events of the busy day. But it was worth it.

We had a wonderful time. Over the couple days, we talked like teenagers for hours about all the different things we had encountered over the past four years. We also enjoyed laughing at some of the crazy things we remembered as colleagues and coworkers. It was all good.

Our faith is very important to us and we found a place to worship Sunday morning before I headed home. While driving back, I had time to contemplate the importance of reconnecting with friendships and faith. All relationships take work. And it is important to make the effort to nurture them. I came home feeling refreshed. Although I may have physical discomforts, this past weekend was needed and deserved and I am thankful I made the right decision and went. It raised my spirits and added energy to my coping reserves which have been tested.

If you have a close friend or family you haven't seen in a while, find some way to reconnect. A phone call, a visit, an email, whatever way you can, reach out and make that connection. Perhaps your faith has been challenged. Seek to reconnect with that part of your life. Find positive people to be around and among. It will help you build strength and coping energy to deal with the painful areas and conditions you may have in your life.

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Posted by: Indie Cooper-Guzman, RN at 3:54 PM

Thursday, July 10, 2008

Formal Education, Regardless of Pain
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For one reason or another, many folks find the need and/or the desire to return to school. It may be that physical challenges and life events or disabilities require them to rethink and adjust their career. Maybe life has taken them down a path of reflection and the need and desire to grow in certain areas of life lead them to further education. Work and professional credential renewals may also mandate it.

A course or two or an advanced degree in a person's life is seldom met with isolation. More often than not these people already have busy lives and full platters and school becomes yet another item to juggle.

If you are a person who is juggling life, work, and school, I applaud you. If you are challenged by pain and physical limitations as well, I am inspired by you. And I thank your families for any support they offer you as you work your way down your life path and master your educational pursuits.

I started my summer semester toward my Ph.D. this weekend. It is the first time I am taking three online courses simultaneously. Some may think it foolish. And it may in fact prove to be more than I can bear right now, but I have my reasons and I pray I am able to meet my goal to complete them all successfully at the end of 10 weeks.

At this moment, I am faced with the reality that the time has come and responsibilities are now. I was initially filled with panic as to how I would manage on top of all of the challenges that I am personally facing and the sleepless nights of pain and worry. For a moment at least, the mountain seemed insurmountable at best. But this is not the time to belly up...

After a good look, a deep breath, and a reminder that I am not alone, I began to look at the big picture and break it down into manageable pieces. One thing I knew for sure - I needed to get organized. So I took the time to look at each course: assignments, special activities, projects, other requirements, etc. And I noted the due dates for these items on a calendar.

Once I noted the major features and requirements of each course, I took time to specifically review those assignments due this week. And I made copies of those things. I created folders for each course and I entered the information into each one. On the fronts of the folders I noted specific components: texts, journals, posting requirements and project descriptions for quick reference.

Next I noted all non-school responsibilities and events on the same calendar. For all entries I placed a tentative time frame so I could get an idea how everything was fitting together.

Probably one of the most important things for people with pain and limitations like myself, I made time for rest periods, noted usual times of heightened pain and discomfort and I made space for flexibility in my busy calendar. I noted the word "negotiable" next to these because they may change. I want to feel I can adjust my routine to accommodate them as needed. For people with pain and discomforts, handling busy schedules requires us to be sensitive to our personal needs and limitations as well as our strengths and ambitions.

I also printed out one last item before retiring last evening - the time line and deadlines for making enrollment adjustments. This is the first time I have ever attempted 3 courses simultaneously and it may prove to be too much for me. And that is okay. I won't know unless I try however, and I am willing to give it my best.

The one good thing for me is the fact these are online courses so I can take them from home. This helps a lot. I opted for this type of learning for a number of reasons. I can continue to work and go to school. I can work on my homework sitting in a recliner or laying in bed when I can't sleep at night if necessary, etc. I can use my heating pad whenever I want. The flexibility is of great importance and a necessity.

Get the most out of the technology you use. My computer has the capability of voice recognition and I am setting that up. I have neurological deficits in my arms making typing almost impossible at times. During those times, I will consider the voice recognition capabilities of my laptop to keep on keeping on if necessary. The investment in software to make learning easier is well worth it if a person plans to complete a degree online.

And don't forget ergonomics, especially for the person with pain syndromes and physical limitations. Be sure your study area is comfortable and accommodating. If you are most comfortable working with a laptop on a sofa or in a recliner with legs elevated, then consider doing so for brief periods. But make sure to stop, get up and move around periodically and stretch. If you tire, leave school work alone for a little while and go back to it later when you are refreshed. You will accomplish more in less time. Try to keep balance. Your school work is only part of your daily routine. Don't neglect other responsibilities to family, work, and community.

So if you have had a desire to explore the path of continuing education, don't let your limitations stop you from doing so. The key is to be flexible and organized with your time and energy. Don't allow yourself to over-tire or get so over-stressed you begin to feel ill. Be conservative at first. Try one course and see how it goes. Later on, you may desire to test your limits. And be forgiving if you find that you may have to step back and re-evaluate your plans and time lines. It is okay to do so. It is not a sign of failure by any means.

How many of you out there are online students or busy adults juggling with school on top of everything else in life? Let me hear from you! What have you done to make this workable for you? What advice can you share with others who need to forge on in the wake of other life challenges? Create a post with "School Challenges" in the title on either my Pain Management or Migraine message board and together let's forge on! I look forward to hearing from you!

~Indie

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Posted by: Indie Cooper-Guzman, RN at 6:31 AM

Wednesday, July 02, 2008

Celebrating Independence
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Well, here we are preparing to celebrate Independence Day when in fact many people struggle with the fact they no longer have independence. People with chronic pain and disabilities often long to experience independence they may never see.

What is independence for many who rely on wheelchairs or assistive devices and don't have the luxury to take a trip to the beach and walk along the sand? How about wading in water? Playing in the surf?

Some people may dream of cooking on a BBQ grill and having friends over for a picnic to celebrate the 4th of July but are unable to manage the tasks required of it. Some will try very hard but may hurt desperately later on. Others have too may barriers to even try.

This blog post starts out sounding rather depressing. However, it is important to try and think of the positives in life. And yes - people with chronic pain and physical limitations can continue to enjoy some independence in their life, although they may have to accept the support of others in order to enjoy it.

How about getting together with some true friends and watching fireworks at a public place? Most public places are required to be handicap accessible, so take advantage! Maybe you can't get right on the sand, but how about getting to a boardwalk and overlooking the sand and surf? Enjoy the sounds and smells of the seashore. Picture in your mind the sounds of seagulls flapping their wings and screeching at the people as they wait for food scraps to drop.

Can you enjoy a caramel apple or some cotton candy? How about some popcorn or a slice of pizza? Funnel cakes are one of my favorites.Oh they are messy - but that is okay...bring some moist towelettes along and use them to freshen up and clean up any sticky powder sugar and such.

What about using your backyard to host a few friends? You supply the grills and some food and they bring along anything they like to cook. Maybe you or some one in your family can make a great salad and assist with the side dishes while someone else runs the grill!

Be creative! Sure there maybe some things you will have to forfeit this 4th of July. But remember the things you can do and set out to do them.

To avoid the inevitable aches and pains that come with extending yourself, consider taking a little medication prior to events so you can feel more comfortable during and require less meds after. Put in a plan to rest briefly between major events like traveling and eating or eating and then watching fireworks. And how about planning that nice warm tub of bubbles to end your day so you can feel refreshed and relaxed when you do hit the sheets for the night.

If you travel, plan to break up the trip with short stops to get out and walk about rather than driving non-stop for hours. Plan your timing to help avoid the heavier travel hours. Give yourself plenty of time.

Even though you may need to be creative and cope with a few barriers, it is okay to get out there and celebrate independence. There is so much to be thankful for. Focus on those things. Try it! You may be surprised and pleased at just how great a holiday weekend you may have! I look forward to hearing about your holiday on either my Pain Management or Migraine message board here on WebMD.

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Posted by: Indie Cooper-Guzman, RN at 12:23 PM

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