Headache and migraine Archive

Inpatient, outpatient, and at-home rehab all aim to restore your function and independence.

Have shoulder pain? Recovering from traumatic illness, surgery, or a bad fall? Your doctor may well recommend physical rehabilitation or physical therapy to get you back to your daily routine and the activities you love. There are several options available, depending on your needs.

1. Inpatient rehab

Inpatient rehab is prescribed after a hospital stay, when you're not well enough to go home. It offers comprehensive care from doctors, nurses, therapists, and other health professionals. There are two types of this rehab.

Antidepressant medications are frequently prescribed for chronic pain, particularly neck or low back pain and certain types of arthritis — though other treatments are usually tried first. An analysis of past research considered how effective antidepressants are for these types of pain, but the results are not encouraging.

Myasthenia gravis (MG) is a rare neuromuscular disease that impairs the transmission of nerve signals to muscles, causing temporary weakness of affected muscles. While treatment is complex, recently updated guidelines have added to the understanding of MG and are improving approaches to treatment.

The ideal workout program for osteoporosis combines weight-bearing, muscle-strengthening, flexibility, and balance exercises.

Mindfulness can help soothe short-term and chronic pain.

Your mind is a powerful pain remedy when given the chance. Science continues to show how mindfulness can manage pain — and it doesn't take years to master.

"Using mindfulness is a way for older adults to treat ongoing chronic pain and the occasional flare-up without having to always rely on medication," says Ellen Slawsby, director of pain services at Harvard-affiliated Benson-Henry Institute for Mind Body Medicine.

We’ve all experienced the feeling of sluggish, fuzzy thinking and a lack of sharpness, possibly caused by an illness or a medication. But what if that feeling didn’t go away and your thinking didn’t return to normal? That’s the situation for some people who have recovered from COVID-19, and there can be long-term effects on other organs as well.

it is becoming increasingly clear that COVID-19 affects the nervous system along with the respiratory system. Research is suggesting that this may result in long-term neurologic damage in those who survive a COVID infection, including evidence of effects on cognitive function.

Research we're watching

There are a number of different approaches to treating a condition called adhesive capsulitis, better known as frozen shoulder. This common condition causes significant shoulder pain and reduced mobility. While it generally goes away on its own over time, it can take up to a year or longer to heal. But there hasn't been consensus on whether any particular therapy leads to more rapid pain relief and full range of motion.

A study published online Dec. 16, 2020, by JAMA Network Open looked at various treatment options for frozen shoulder to determine which was the most effective. Researchers analyzed 65 different studies with more than 4,000 total participants and found that the first line of therapy should be to inject a steroid directly into the joint to reduce inflammation. This treatment helped to reduce pain and led to the fastest recovery. The study authors said the steroid injection should be accompanied by a home exercise program that includes stretches and exercises to improve range of movement in the shoulder.

Exercise and recreational balls can play an important role in recovery and pain reduction.

A golf ball to ease foot pain? A kids' playground ball to recover from a knee injury? The combinations may sound foreign, but they're familiar approaches in the world of physical therapy. Here's how these tools of the trade (and the toy box) can help you.

A playground ball

This is the kind of inexpensive rubber or plastic ball (less than $10) you'll find at a grocery or big-box store. It's about the size of a soccer ball, but lighter. "We commonly use that type of ball for knee rehabilitation. We'll have someone do mini squats against the wall with the ball between the knees. Squeezing the ball strengthens the quadriceps muscles," explains Clare Safran-Norton, clinical supervisor of rehabilitation ­services at Harvard-affiliated Brigham and Women's Hospital.