As chronic pain patients, we dream of complete relief from pain. However, the sad fact for most of us is that total freedom from pain is probably an unrealistic goal. If that's the case, what then is a realistic goal? Just how much pain relief is it reasonable to expect? And a perhaps equally important question is, what outcomes other than a decrease in pain intensity are important to us? For the past seven years, a multidisciplinary group of international experts has been meeting and working to develop recommendations for improving clinical trials of pain treatments. One important focus of this group – called the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) – has been on how effective treatments for chronic pain can be defined, measured and translated into meaningful outcomes for patients. Measuring Improvement in Pain Intensity Not surprisingly, the primary measure of a treatment's effective...
When I do my strengthening exercises, should I be training for large, bulky muscles, or smaller muscles for endurance?
Safely strengthening the muscles around painful joints is one of the best ways to alleviate joint pain and keep the pain from returning. In fact, keeping muscles strong and flexible is one of the best ways to keep joint pain from occurring in the first place. The question posed at the top of this blog belies an understanding that there are different types of muscle fibers in a muscle.
There are in fact two important types of skeletal muscle:
Type I muscle fibers is also called "slow-twitch" muscle. It is composed of small fibers. Type I muscle is used to carry light loads over long distances. A marathon runner has an abundance of type I muscle fibers. Picture the marathon runner - lean and toned. Type II muscle fibers are also called "fast-twitch" muscle fibers. Type II muscles are large and used for lifting heavy loads. Type II muscles are powerful bu...
Acupuncture - pain relief; Hypnosis - pain relief; Guided imagery
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Rossman ML. Guided imagery and interac...
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