Pain Archive

Sit up straight, keep electronic screens at eye level, and try some strengthening exercises to reduce pain and feel better.

Looking down at a computer screen for prolonged periods may lead to neck pain.
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If your day involves using a smartphone or laptop, reading a book or magazine, or curling up on a couch to watch TV, your day may also include some nagging neck pain. That's because you may be bending your body in an unhealthy position for a prolonged period of time. "It's an overuse injury. Your body was designed to move, but you're forcing your neck and shoulders into one static position for too long," says Dr. Clare Safran-Norton, a physical therapist and clinical supervisor of rehabilitation services at Harvard-affiliated Brigham and Women's Hospital.

News Briefs

The CDC wants doctors to stop treating chronic pain by prescribing opioids, such as oxycodone (OxyContin). The CDC published guidelines on opioid prescription March 15, 2016, in The Journal of the American Medical Association. Opioids are powerful painkillers typically used to treat severe pain after surgery or pain with terminal illness, and sometimes used to treat chronic pain. But long-term use of these drugs comes with the risk of dependence, addiction, overdose, and death, as we reported in March.

The CDC is recommending that doctors instead treat chronic pain with non-opioid painkillers, such as acetaminophen (Tylenol) or ibuprofen (Advil); anticonvulsants (gabapentin or pregabalin); tricyclic antidepressants; or serotonin-norepinephrine reuptake inhibitors. The CDC also suggests treating chronic pain with nondrug therapies, such as physical therapy. If you and your doctor feel the benefits of opioid therapy outweigh the risks, the CDC urges doctors to prescribe the lowest effective dose, and reassess risks and benefits at least every three months. The recommendation is not intended for people taking opioids for terminal illness or palliative care.

News Briefs

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A small study published in March 2016 in The Journal of the American Medical Association appears to support two nondrug options for treating chronic lower back pain. Researchers found that mindfulness-based stress reduction (MBSR), which includes yoga and mindfulness meditation (focusing on the moment), and cognitive behavioral therapy (CBT), which redirects pain-related thoughts and behaviors, were better at lowering back pain than usual care (other treatments received, if any).

Researchers randomly assigned more than 300 people (average age 49) to usual care or to eight weekly sessions of either MBSR or CBT. Six months later, researchers found that 45% of both the MBSR and CBT groups had less back pain, compared with 27% of the usual-care group, and about 60% of both MBSR and CBT participants had more back function, compared with 44% of those getting usual care.

Low back pain has many different causes, including the normal wear and tear that comes with aging. While you can't turn back the clock or prevent every type of painful back disorder, in most cases there are things you can do to help keep your back healthy.

1. Stay fit

Weak back and abdominal muscles — due to deconditioning or age — cause or exacerbate many cases of low back pain. That's why stretching and strengthening both your back and abdominal muscles is important not only for treating low back pain, but also for helping to prevent a recurrence of the problem.

Your knee aches from time to time. Or maybe your fingers don't seem as nimble as they used to be. Could it be osteoarthritis?

Osteoarthritis, the most common form of arthritis, develops when cartilage, the flexible tissue lining the joints, deteriorates. As a result, the space between bones gradually narrows and the bone surfaces change shape. Over time, this leads to joint damage and pain.

Poor lifestyle habits can trigger chronic neck pain that impedes daily activities and raises your risk of serious health issues.

Muscle strains caused by poor posture and sleeping positions often trigger neck pain.
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Neck pain is a nagging ailment that affects everyone at some time. In fact, approximately 80% of people experience neck pain during their lifetime, and 20% to 50% deal with it annually, according to Dr. Frank Pedlow, an orthopedic spine surgeon at Harvard-affiliated Massachusetts General Hospital.

Intermittent tension-type headaches may seem like a consequence of everyday life. Yet you can minimize and even prevent them.

Tension-type headaches can be annoying, but they can often be nipped in the bud by using nonprescription pain relievers.
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Compared to migraines, tension-type headaches are a mere annoyance. They tend to be relatively mild and usually aren't accompanied by nausea or oversensitivity to light or sounds. Yet they can occasionally disrupt your day, making it difficult to concentrate on work or enjoy leisure pastimes.

Research We’re Watching

Cognitive behavioral therapy has been shown to be effective in treating chronic back pain, but it requires regular visits with a psychotherapist and can be expensive. A team from the University of Washington designed a study to determine whether mindfulness stress reduction—a technique that can be learned and practiced on one's own—is as effective in relieving pain and restoring function as cognitive behavioral therapy or conventional treatment with drugs and physical therapy.

The researchers enrolled 342 people ages 50 to 70—two-thirds of whom were women—who'd had back pain for an average of more than seven years. They randomly assigned the participants to one of three equal groups: one group was taught to practice mindfulness stress reduction, the second received cognitive behavioral therapy, and the third received conventional treatment as needed.