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Pain Management Cheat Sheet

Pain management is one of the oldest areas of medicine. And just as there are many different causes of pain, there are many different treatment options. One of the most controversial options is pain-relieving drugs, especially the long-term use of opioids for chronic pain. One thing is for sure – all patients should have access to a variety of pain management options. Pain-relieving drugs may be the right choice in some cases, but they should never be the only option on the table. A recent bill sponsored by Wisconsin congressman Ron Kind serves to highlight this issue. Many veterans receive only drug therapy for their chronic pain. The bill, called the Chiropractic Care Available to All Veterans Act, would make chiropractic care a standard benefit of Veterans Affairs health care, and require chiropractic care and services at every VA medical center by the end of 2016. The bill is also supported by the Veterans of Foreign Wars, Paralyzed Veterans of America, the American Legion, Vietnam Veterans of America, National Chiropractic Leadership Conference, and the American Chiropractic Association. Pain management is a major health care issue in America. According to the National Institutes of Health (NIH), pain affects more Americans than

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Acupuncture and Back Pain

Does acupuncture work for pain relief? It’s a question that’s been debated by the medical community for some time, but of late, more and more physicians have come down on the side of supporting it, or at least maintaining that it does no harm. In 1998, the National Institutes of Health (NIH) stated that there was enough evidence to show that acupuncture has beneficial, pain-relieving qualities for adults suffering from postoperative dental pain, the nausea of chemotherapy, lower back pain, headache, myofascial pain, osteoarthritis, and carpal tunnel syndrome. There have been several important studies that report acupuncture is effective in reducing chronic pain. Most recently, a study in the Journal of Clinical Pain suggests that people being treated for lower back pain with acupuncture are less likely to gain benefit from treatment if they have low expectations for its effectiveness – an interesting twist to the earlier findings on pain relief. Emotion and attitude seem to have quite an impact on acupuncture’s efficacy. Dr. Felicity Bishop, author of the study, wrote: People who started out with very low expectations of acupuncture – who thought it probably would not help them – were more likely to report less benefit as treatment

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