Pain Archive

Mindfulness can be an effective adjunct to medication for chronic pain.

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For a long time, people with chronic pain have had to make a trade-off—enduring the discomfort stoically or taking medications that pose additional health risks, including dependence and addiction. But in the last few years, medicine has added another approach that has no troubling side effects: mindfulness.

"Mindfulness is basically paying attention to the present moment without judging," says Dr. Sara Lazar, a neurologist at Harvard-affiliated Massachusetts General Hospital. It is a component of many relaxation techniques, including yoga, deep breathing, tai chi, massage, reflexology, journaling, and prayer.

Opioid painkillers are commonly prescribed for chronic low back pain. However, a new study suggests that the drugs offer only modest, short-term relief, and should probably be used in conjunction with nondrug therapies or different drugs. 

These options may help you find relief from constant discomfort.

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Knee pain is one of the top reasons men visit their doctor. While the pain and soreness often can go away with rest, ice, and over-the-counter pain medications, if it becomes too severe or fails to abate in a timely manner, you may need to take further action.

"If your knee pain is not a result of some kind of structural or mechanical issue that requires surgery, or due to osteoarthritis, there are other options that may help eliminate or better control the pain," says Dr. Lars Richardson, a sports medicine orthopedic surgeon with Harvard-affiliated Massachusetts General Hospital.

A few simple exercises can preserve the strength and flexibility of your hands and wrists.

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There's a reason that "having a good grip on the situation" is used as a metaphor for mastery. In physiological testing, grip strength is one of the indicators of health and vitality. Yet, although we may exercise to strengthen our cores and limbs, most of us don't make an effort to strengthen our forearms and our hands. "We use our hands continually, but we don't take the time to deliberately exercise them," says Joanne P. Bosch, a physical therapist and certified hand therapist at Harvard-affiliated Brigham and Women's Hospital.

That said, it's not a good idea to rush out and buy a device promoted for building a "crushing hand grip" or to start squeezing a tennis ball. "Doing the wrong exercise can actually exacerbate some problems, particularly carpal tunnel syndrome," Bosch says.

This old standby may not be your first choice for pain relief, but it still has an important role in disease prevention and first aid.

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We have a lot to thank aspirin for. It's cheap and plentiful. It does a good job of relieving pain and bringing down fevers. It has also been shown to reduce the risk of heart attack, stroke, and colon cancer. It can even stop heart attacks and strokes in their tracks. In fact, if you're in your 50s or 60s, you may want to think about taking a low-dose aspirin every day.

After evaluating the results of scores of studies, in April 2016 the U.S. Preventive Services Task Force (USPSTF) recommended that women and men ages 50 through 69 who have a 10% risk of a heart attack or stroke in the next 10 years take 81 milligrams (mg) of aspirin daily. Under the previous recommendations—which, were different for men and women—daily low-dose aspirin was advised for women ages 60 through 79 who were at increased risk for cardiovascular events. The recommendation was revised to reflect a new method of calculating the risk of heart attack and stroke and of increased risk of bleeding in older people.