More people call out sick from work because of chronic pain than call out sick because of the common cold. Chances are you or someone you know suffers from chronic pain. Pain is a necessary part of life. It alerts us when something is wrong with our bodies. It’s normal to experience pain with an illness or injury. Normally, this pain fades as the injury heals or the sickness goes away. This is referred to as acute pain.

Pain becomes chronic when it continues after the healing time of the injury. This pain can hang on for months or even years and often causes depression in its sufferers. Chronic pain can also occur as the result of an ongoing condition, like fibromyalgia, arthritis, or cancer. Back injuries, carpal tunnel syndrome, and migraine headaches are some other examples of conditions that cause chronic pain. Some pain can result from injury to the nerves causing them send false signals to the brain. How massage affects your pain is partly dependent on its source.

If your pain is caused by a muscle injury massage can not only help ease the pain but also help speed the healing process. Acute or chronic – these are the two words that describe pain. Acute goes away easily and rarely lasts long. Chronic is its exact opposite. Chronic pain can last for six months and is expected to recur at anytime. The main cause of it is very hard to pinpoint. And it doesn’t help if doctors were more interested in addressing the pains rather than knowing what is actually causing it. As such, chronic pain relief can be elusive to patients.

But then again, there are certain medicines and therapies that are deemed effective for chronic pain. There are also a lot of medicines sold over-the-counter, which can truly help. While chronic pain is a major problem, patients do have options to treat it. Doctors normally prescribe medicines, antidepressants, and anticonvulsants, to address chronic pain. Chronic pain relief is also possible with physical therapy. Physical therapy corresponds to the low-impact exercises like swimming, walking, and stretching. If done regularly, these simple exercises can help your body a lot. It can help lower the intensity of the pain you’re going through.

However, these exercises are best performed along a trained physical therapist. Both occupational and behavioral therapies could also help. In occupational therapy, patients are thought how to pace and condition themselves when doing everyday tasks. Don’t get discouraged if you are one of the chronic pain sufferers for which a cause cannot be found. An unknown source doesn’t make the pain any less real. Fibromyalgia, for example, causes widespread pain in muscles and joints.

Yet, a person with fibromyalgia may not know the cause of the pain A healthcare provider may be able to link fibromyalgia to an injury or virus; but in other cases, a specific cause may go unidentified. Irritable bowel syndrome is another example of chronic pain for which the specific cause may not be known. Chronic pain may be related to changes in your nerve signals after a healed injury. Chronic pain may also be related to heightened pain sensitivity when your body produces lower than normal levels of painkilling endorphins. If you suffer from chronic pain do not ignore the warning signals. If you try to tough it out, the disease, illness, or injury may get worse. Left untreated, chronic pain can also mentally wear you down. Making massage therapy part of your treatment routine could help ease your pain and lessen your dependence on pain killing drugs. In the long run this will lead to less drug side effects and better health.



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Chronic pain is no laughing matter. Whether it’s arthritis or a back injury or poor circulation or some other disease or condition that causes it, chronic pain can cause the sufferer to feel emotional pain along with their physical pain. It can make on feel depressed and isolated and very lonely. But for some, there is hope in the form of Tramadol, a treatment option for chronic and constant pain. What is this medication and how does it work?

Tramadol is not a medicine that will correct whatever condition you have that is causing you pain. In other words, it will not fix your arthritis but simply numb your body’s response to it. Tramadol shuts off the pain receptors in the nerve endings of the affected area so that the pain is technically still there, you just don’t feel it. It’s kind of like numbing a sore with ice – you just can’t feel the pain any more.

There are some side effects with Tramadol including headaches, dizziness, sleepiness, difficulty staying asleep, and a few others, but these are usually very moderate. Very few people who experience side effects with Tramadol report that they want to stop taking the medication because of it.

Some people are of course hesitant to take any type of pain medication, fearing that they will become dependent upon it. This is always a concern, however, it may be worth the risk if it means being able to live your life without chronic pain. Using Tramadol to treat your pain may make it possible for you to return to many of your normal activities and to live your life, if not pain free, then with much less discomfort than before.

For more information from Bill Johnson about Tramadol and back pain please check http://www.tramadolhome.com/lowbackpain.htm



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Perhaps the hardest part of having arthritis or a related condition is the pain that usually accompanies it. Managing and understanding that pain, and the impact it has on one’s life, is a big issue with most arthritis sufferers. The first step in managing arthritis pain is knowing which type of arthritis or condition you have, because that will help determine your treatment. Before learning different management techniques, however, it’s important to understand some concepts about pain.

No. 1: Not All Pain is Alike

Just as there are different types of arthritis, there are also different types of pain. Even your own pain may vary from day to day.

No. 2: The Purpose of Pain

Pain is your body’s way of telling you that something is wrong, or that you need to act. If you touch a hot stove, pain signals from your brain tell you to pull your hand away. This type of pain helps protect you. Chronic, long-lasting pain, like the kind that accompanies arthritis, is different. While it tells you that something is wrong, it often isn’t as easy to relieve.

No. 3: Causes of Pain

Arthritis pain is caused by several factors, such as (1) Inflammation, the process that causes the redness and swelling in your joints; (2) Damage to joint tissues, which results from the disease process or from stress, injury or pressure on the joints; (3) Fatigue resulting from the disease process, which can make pain worse and more difficult to bear; and (4) Depression or stress, which results from limited movement or no longer doing activities you enjoy.

No. 4: Pain Factors

Things such as stress, anxiety, depression or simply “overdoing it” can make pain worse. This often leads to a decrease in physical activity, causing further anxiety and depression, resulting in a downward spiral of ever-increasing pain.

No. 5: Different Reactions to Pain

People react differently to pain. Mentally, you can get caught in a cycle of pain, stress and depression, often resulting from the inability to perform certain functions, which makes managing pain and arthritis seem more difficult. Physically, pain increases the sensitivity of your nervous system and the severity of your arthritis. Emotional and social factors include your fears and anxieties about pain, previous experiences with pain, energy level, attitude about your condition and the way people around you react to pain.

No. 6: Managing Your Pain

Arthritis may limit some of the things you can do, but it doesn’t have to control your life. One way to reduce your pain is to build your life around wellness, not pain or sickness. This means taking positive action. Your mind plays an important role in how you feel pain and respond to illness.

Many people with arthritis have found that by learning and practicing pain management skills, they can reduce their pain. Thinking of pain as a signal to take positive action rather than an ordeal you have to endure can help you learn to manage your pain. You can counteract the downward spiral of pain by practicing relaxation techniques, regular massage, hot and cold packs, moderate exercise, and keeping a positive mental outlook. And humor always has a cathartic effect.

No. 7: Don’t focus on pain.

The amount of time you spend thinking about pain has a lot to do with how much discomfort you feel. People who dwell on their pain usually say their pain is worse than those who don’t dwell on it. One way to take your mind off pain is to distract yourself from pain. Focus on something outside your body, perhaps a hobby or something of personal interest, to take your mind off your discomfort.

No. 8: Think positively. What we say to ourselves often determines what we do and how we look at life. A positive outlook will get you feeling better about yourself, and help to take your mind off your pain. Conversely, a negative outlook sends messages to yourself that often lead to increased pain, or at least the feeling that the pain is worse. So, “in with the good, and out with the bad.”

Reinforce your positive attitude by rewarding yourself each time you think about or do something positive. Take more time for yourself. Talk to your doctor about additional ways to manage pain.

Bruce Bailey, Ph.D.

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If you have not experienced back pain as yet, count yourself lucky. The fact is that 80% of us will experience back pain at some stage of our lives. The level of pain experienced from person to person often varies from small twinges that last for only a few days, to severe paralyzing chronic pain that will go on for months.

Separating Myths From Facts

The first common mistake that most people make is to treat all back-related pains as resulting from the same source and having the same pain level. This could not be further from the truth.

There are really only two kinds of back pain.

Acute – The most common of back pains. Usually does not last for very long (a few days or a few weeks at the most). The pain level is mild but could get worse if not treated properly.

Chronic – Will last for a few months or longer. It is very persistent and hard to determine the real cause. Will flare up occasionally with very high pain level.

Some Of Causes

Back pain can result from a lot of things. Some are self-inflicted and some result from a medical condition. Over stretching when the muscles are still cold or lifting an object in an incorrect manner can quite easily “throw out” you back. Medical conditions like kidney infections or arthritis can also contribute to back pain.

The Bigger The Pain The Bigger the Damage

People often associate the damage that has been caused to the back to the level of pain experienced. This is again another one of those myths. If you are experiencing severe pain in your lower back, often it will be simply due to a back strain or just muscle spasms. These two causes are enough to inflict pain so bad that you would find it very hard to walk or even stand straight. To put matters in real perspective, a very dangerous injury such as a degenerated disc can often go un-noticed.

Your Doctor Will Definitely Find The Cause.

While it is definitely a good move to see your doctor if you are experiencing any kind of back pain, the source of the problem often remains hidden. The reality is that 90% of back sufferers may never find the real cause for their back pain. This does not mean that the pain is something that is only in your head but rather that the back is so complex and that there are so many things affecting it, that a real reason is often too hard to find.

Stay In Bed And The Pain Will Go Away.

If I had a dollar every time I heard this, I would be a rich man. While staying in bed will not make the back worse, prolonging your stay for more than two days will most probably slow your recovery. It is much better if you get your back working fairly quickly after experiencing back problems. This is by no means a green light to start weight lifting or going to the gym, but rather a very slow build up to normal activities. This way you will be getting your back into shape much quicker.

I Cannot Exercise If I have Injured My Back

Research shows that doing simple exercises will not only make you pain-free sooner but exercising has also the ability to strengthen your back muscles making a re-occurring injury much less probable. But again, take it slow and better still see a physiotherapist who will be able to recommend specific back strengthening exercises for you.

Rest And Your Back Pain Will Go Away

Although there is a ounce of truth is the above statement, if you have a nagging back pain that has been there for days, you should contact your doctor to find out whether more specialized treatment is needed.

Dangerous symptoms that you should take notice of.

Your legs getting weaker and weaker

Bladder or bowel dysfunction

Really bad low back pain or abdominal pain

Chills together with fever and pain to the back

Sudden weight loss if you have a history of cancer

Trauma

If you are ever struck down with back pain, at least now you know the basic facts but please always consult a professional to be on the safe side.



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Arthritis, at its core is simply an inflammation of the joints. However, there are a lot of diseases associated with arthritis; such as osteoarthritis and rheumatoid arthritis. They range from mildly painful to intensely painful. For some of the mild cases simply taking a few aspirin gives enough comfort. But more intense cases require stronger medication. That’s where Tramadol stands out in the crowd. Everyone has, at some time in their life, had a doctor ask them to rate their pain on a scale of 1 to 10. Pain is such an individual experience that it’s difficult for an outsider, who is not experiencing it, to really understand how bad it is. Not only does it vary in intensity, it can have a wide range of sensations as well. One person might have sharp pains while another could be having a dull ache. Worse, are the cases of the intense, persistent, throbbing pain. That’s the kind of pain that Tramadol attacks. It’s important for sufferers to be able to accurately describe their pain. The more accurate they can be, the better. There is often more than one doctor involved in a patient’s care. A family practitioner may refer the patient to a specialists. The specialist may ask a collegue’s opinion. There are any number of reasons to be sure your description of the pain you’re feeling is accurate. The treatment of arthritis is not as simple as taking one form of treatment and following that one form. Several factors play into arthritis and several factors need to be addressed when treating it. Diet is one of those factors. Weight loss can have a healing effect on arthritic conditions. It reduces stress on the joints and takes some of that wearing pressure off. However, diet can have more of an impact if the arthritis sufferer goes beyond just trying to lose weight. Eating a lot of marine oils from cold-water fish have proven to reduce inflammation in many joint conditions. Diets high in fish such as salmon, mackerel, and tuna can have a big impact on arthritis. Exercise is another important factor in treating arthritis. Unlike joint injuries which need to be immobilized, joint diseases get a lot of benefit from keeping mobile, active, and limber. There are numerous activities that are great for people suffering from arthritis. Among them are stretching, walking, and swimming. In addition, physical therapists will introduce patients to a variety of range-of-motion exercises. All this exercise keeps the joints active and protects against them freezing up. The third treatment is to control the pain. Losing mobility in your joints due to arthritis can be very frustrating, but the pain that accompanies it can be downright agonizing. Sometimes a simple anti-inflammatory will do the trick, but for bigger arthritis pain you need something powerful. That’s why many doctors turn to Tramadol to help their patients cope with the intense pain associated with arthritis. While there is no cure for arthritis, the combination of these factors allows people with arthritis to live a relatively normal life, taking part in activities they’ve enjoyed all their lives.



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