Pain Management

The Alexander Technique can help you (literally) unwind

Eva Selhub MD
Eva Selhub MD, Contributing Editor

The Alexander Technique (AT) was developed by a Shakespearean actor who discovered that muscle tension and poor posture caused him to lose his voice when he performed. His methods are still used today to help people unlearn negative habits and patterns of movement and learn how to return the body to a relaxed state. Although AT still enjoys a lot of popularity among artists and performers, it can help anyone move through life with more ease and less pain.

Can the weather really worsen arthritis pain?

Robert H. Shmerling, MD
Robert H. Shmerling, MD, Faculty Editor, Harvard Health Publications

Many arthritis sufferers notice a link between the weather and their symptoms. Research supports a connection, though the precise causes and effects aren’t clear. While there is little one can do to control the weather, there is a lot that can be done to relieve the pain and stiffness of arthritis. Don’t put up with arthritis symptoms in any weather — see your doctor to discuss treatment options.

Healing through music

Beverly Merz
Beverly Merz, Executive Editor, Harvard Women's Health Watch

Music therapists are trained and certified to help patients in many ways. Research suggests that music therapy is more than just a nice perk. It can offer real benefits in reducing pain, anxiety, and improving quality of life for people with dementia.

Complementary therapies for neck pain

Robert H. Shmerling, MD
Robert H. Shmerling, MD, Faculty Editor, Harvard Health Publications

Neck pain is a common, and often frustrating, condition. Although there are many causes of neck pain, in many cases, it can be hard to know the exact reason for the pain. There is no one treatment that is reliably helpful, and treatments can take a long time to work. But a new study suggests that two complementary therapies — acupuncture and the Alexander Technique — may offer a way for neck pain sufferers to find genuine and lasting relief.

The placebo effect: Amazing and real

Robert H. Shmerling, MD
Robert H. Shmerling, MD, Faculty Editor, Harvard Health Publications

Many people believe that the placebo effect is solely a psychological phenomenon. But for some people, a placebo can have real, measurable therapeutic benefits. The power of the placebo effect is significant enough that it can actually skew study results. Additional research is needed to better understand how to leverage the placebo effect and when doing so might offer real benefits to patients.

The problem with prescription painkillers

Wynne Armand, MD
Wynne Armand, MD, Contributing Editor

Opioids are effective pain relievers. But sometimes people can develop a tolerance to these drugs, requiring increasingly higher doses of medication to achieve the same pain relief. And physical dependence — withdrawal symptoms when the drug is stopped — is also common. The increased availability of these drugs has put many people at risk for addiction, overdose, and even death.

Is it hard to decide about total knee replacement? Totally!

Robert H. Shmerling, MD
Robert H. Shmerling, MD, Faculty Editor, Harvard Health Publications

If arthritis in your knee means you can’t do everything you want, whether that’s walking the dog or playing a game of tennis, you may be considering a knee replacement. But are the benefits “as advertised”? A study published in The New England Journal of Medicine suggests that they may be, but it’s more important to weigh the risks and benefits with your personal preferences in mind.

Physical therapy as good as surgery and less risky for one type of lower back pain

Howard LeWine, M.D.
Howard LeWine, M.D., Chief Medical Editor, Internet Publishing, Harvard Health Publications

One type of lower back pain, called lumbar spinal stenosis, can be painful and potentially disabling. An operation known as laminectomy or decompression is sometimes done to ease the pain of lumbar spinal stenosis. Physical therapy can also help. Researchers compared the results of laminectomy to those of a special physical therapy program among nearly 170 Pittsburgh-area men and women with lumbar spinal stenosis. The two approaches worked equally well — pain declined and physical function improved. There were more complications in the surgery group. Since there are no hard and fast rules for choosing the right treatment for lumbar spinal stenosis, the results of this study offer some guidance — try a well-designed physical therapy program first.

Report highlights the dangers of opioid painkillers

Daniel Pendick
Daniel Pendick, Former Executive Editor, Harvard Men's Health Watch

Opioid painkillers like hydrocodone and oxycodone offer blessed relief from pain. But the body gets used to them, requiring ever-higher doses. They are also addictive, cause side effects, and can kill. A report in the New England Journal of Medicine says prescription painkiller abuse accounts for about 17,000 deaths a year. Doctors are learning to say no to opioids, but have limited scientific guidance on when and how to best use them for chronic pain. Ideally, these drugs should prescribed for the shortest time possible and, if pain persists, a transition made to a non-addictive form of pain control. This may be other medications or specialized counseling from a pain specialist that might include complementary and alternative treatments, like acupuncture and meditation.

Cold hands: Could it be Raynaud’s?

Patrick J. Skerrett, Former Executive Editor, Harvard Health

If your fingers turn ghostly white and numb when they get cold, you may have Raynaud’s syndrome (or disease or phenomenon). This common condition Raynaud’s is an exaggeration of the body’s normal response to cold. It usually affects fingers and toes, but may also affect the nose, lips, ears, and nipples. Named after the French physician who first described it in 1862, Raynaud’s is a problem in the body’s arteries. They spasm and collapse in response to cold or stress. Without a steady supply of warm blood circulating through them, the affected body part becomes pale. When the spasm ends and the arteries reopen, allowing blood to flow again, the finger, toe, or other body part turns pink or red. It may throb or tingle. Prevention—staying warm—is the best medicine. It’s possible to cut an attack short by running your hands under warm water, putting them in your arm pits, or waving your arms in circles to get the blood flowing. Other options include thermal feedback and relaxation techniques. More experimental options include Botox injections and sildenafil (Viagra).