Mirror Athlete Blog Articles

July 23, 2009

Marijuana Addiction, Government & Industrial Greed

When you digest the information I’ve provided within “Marijuana Addiction “Lay Your Bet! Part 1,” See MAE HealthBlog, www.mirrorathlete.com.  One can only assume, the government is more concerned about retaining control and power over the people.  Let me provide you some interesting information with regard to Marinol (HMO Legal cannabis oil prescription).  A month supply costs the patient, or your HMO health provider $300-500 per month.  Also, the 13 states that allow medical marijuana scripts with a state approved medicinal marijuana card allow patients to grow a specified number of plants per year for harvest and personal use.  If you do not want to grow your own script, you can purchase the THC in food products, or purchase cannabis by the ounce for a fraction of HMO legal Marinol through state sanctioned medical marijuana distribution centers.  Currently, our federal government does not recognize “voter approved” states rights to distribute medical marijuana.  I believe this is because the federal government has not figured out how to control the revenues, which not done correctly will have a diminishing impact on their power and control base.  Or is it our government is concerned about our children’s potential addiction through access of our parents legalized medical marijuana scripts, or recreational health risks, or is it more in line to say, “It’s all about the money!”  Let’s continue the money, control and power assessment of what’s really going on here.

Marijuana consumption does not appear to be dwindling in use, per “The Street and journal reviews.”   I’ve talked with many parents about this issue, received mixed reviews, but on the whole parents accept the notion that legalization of marijuana for use by chronic pain patients should be a voter approved statewide mandate recognized by the federal government as intended by congress passing of the Compassionate Use Act, 1996 and revisions thereafter (see MAE Marijuana Use, Pain Benefits, Part 1).  Aside from state legal medical marijuana use many believe marijuana should be legalized for recreational use, much like alcohol (a social drug with NO medicinal property and HUGE health risks).   Then those that did become addicts could receive help and support much like an alcoholic and prescription addict receives state and health insurance covered rehabilitation and cessation services.

Alcohol and cigarettes have caused more damage to families and societies overall health than our government will ever admit.  To allow a drug to enter the market legally without full government control would begin “a shrinking” of the federal power base by giving too much control back to the people, such as we see in the struggle to bring medical marijuana to market.  Be patient, I will explain this concept very soon.   Please do take a little time and do your due diligence to see what’s going on in the world around you with regard to the legalization of marijuana.  Don’t take my word or insight as gospel with what you are about to read, instead use this insight to “incite” your curiosity and further educate yourself on these matters.  If marijuana was legalized as a recreational drug much like alcohol, I fear much crime, unnecessary deaths, overcrowded jails, addiction, etc., to include tax payer burden for rehabilitative support programs would still occur, “but I believe significantly less than if the drug was fully legalized!”  Yes, you heard me right.  My educated insight tells me if marijuana was legal and regulated much like alcohol many problems in our country would be significantly reduced.  And if you are wondering, as I stated in my medical marijuana MAE video, “I have not requested a medical marijuana card from my Oregon physician as part of my pain management program, although I could; I see no reason at this time to do so.

You see if an individual is bent on self destruction, or is predisposed to become addicted to a drug… This will occur regardless of whether cannabis is widely accepted and legalized as a recreational drug, or solely legalized and distributed as medical marijuana.  This is because children and adults will find a legal or illegal drug when they need to find relief from their stress realities and justify bad behavior through intoxication.  The biggest problem in self medication with recreational drugs (legal, or not), we don’t know whom among us is genetically wired to become addicted to any specific substance, “including prescription medications, tobacco or alcohol!”

Let’s not mince words here, although I’m speaking from a pain patient perspective where I see benefits based on science, the fact is cannabis medicinal properties have been known for thousands of years.  However,   have the potential for addiction, much like our prescription pain killers, alcohol, or tobacco.  Why our federal government released prohibition of alcohol in the early twentieth century as a social recreational drug as opposed to cannabis, which has medicinal properties, one can only speculate the interest in one legalized social, or prescribed drug versus the other, which I feel I know the answer to my own question.  Quite the opposite health effect is true of alcohol; it causes much illness, disease and destruction within our minds, bodies, employment, family and society at large where much statistical information proves this fact.  Marijuana use statistics on the other hand are literally unknown since this is not a general population “legal” consumption drug.  Recreational Marijuana negative impact on society and personal health can only be statistically known once legalized for the general population.

I believe alcohol like cigarettes and marijuana can be very addicting, very profitable and can be easily controlled by our state and federal agencies, “with the exception of cannabis.”  “With all the scientific evidence regarding alcohol and cigarette use health risks, addiction, societal and family harm, why are they not banned from public consumption?” “Or better yet, why not controlled like our legal pharmaceuticals if there is a health benefit-risk aspect?”  After all, when you pick up drug prescriptions at a pharmacy, why are they so concerned about how much you take, while consulting the risks and symptoms to watch out for if you experience a negative reaction?  Since you are not asked specific health questions before you purchase alcohol and cigarettes, does this mean there is no immediate health risk?

Do you get these kinds of questions when you walk into a liquor store to pick up your products… Or when you’re in a bar, does the bar tender ask you if you have a heart, diabetes, high blood pressure, cholesterol condition, etc., before he/she pours your drink?  Is it just me, or is this all fickle?  And why is it so easy for our children to become alcoholics, or pot heads?  I believe this is an easy question to answer. Alcohol in general is accepted as the gold standard recreational drug while marijuana is tolerated as a recreational closet drug.  Remember, there’s big potential money here for our government if they can figure out how to control recreational use marijuana, much like what’s happening with medical marijuana.  Why do you think marijuana possession and confiscation of miniscule amounts have very low conviction and mostly civil penalties?  Or do you honestly believe just because one drug is accepted by our government for sale to the general population it’s better for you? 

Many of our high school and college students are allowed by many adults to party hardy to relieve stress.  Don’t parental and societal role model actions speak louder than words?  What do most American adults and teenagers consume in one form or another as a recreational drug of choice (prescription drugs, alcohol, cigarettes and marijuana).  Since this appears to be the case, it is very important to understand marijuana will eventually receive full regulation and control by our state and federal governments as they are drooling over a potential multi-billion dollar industry to fatten their coffers, much like alcohol and tobacco has done to grow government services (jobs).  Does it not sound like a money thing to you yet?  “If it doesn’t, it soon will.”  Does it not sound like a nice budgetary balance sheet and debt reducer catering to thousands of government jobs and/or more tax revenues that are controlled by our legislators leading to bigger government?  Examples, FDA (Food & Drug Administration), DEA (Drug Enforcement Agency), FTC (Federal Trade Commission), ATF (Alcohol, Tobacco, Firearms & Explosives) to name a few and countless other government organizations in existence that want a piece of the action.  Or better yet, new jobs yet to be created by the government.

Come on, let’s be real and smell the money trail.   If cannabis was legalized “wholly” many government jobs would disappear and new ones would appear, hence government control and power shift.  Does it appear our government cares about our children’s marijuana addiction and health probabilities?  No, unfortunately it appears our government is concerned about programs to fatten coffers, grow government jobs, control, regulate and provide penal and other tax-based industrial services while lining pockets of our politicians and special interest groups!  How else am I supposed to see our government’s activities and behaviors regarding any government sponsored, or controlled program, or service?  Think about it, if we become addicted to any drug, legal or not, we pay a price through our societal government controlled systems.  Who pays for the addiction, criminal and penal services?  We the tax payer!

Reviewing addiction studies, predictable behavioral patterns are statistically derived in part from alcohol, tobacco, prescription drug sales, DUI arrests and fatalities, AA support group attendance, incarceration, cessation programs, depression medications, battery drug related arrests, etc., we “the consumer” unknowingly provide the government annual data to forecast a budget.  Many state and federal appropriated dollars are used and paid by the tax payer for these governments owned and controlled services.  This is not so easy to accomplish with cannabis as statistics cannot forecast and justify government tax paid marijuana services to regulate and control recreational marijuana.   In part, this is true because medical marijuana users can grow their own prescription taking away the government’s ability to control and regulate the proceeds of a multi-billion dollar industry.  And if they cannot figure out how to capture and control the revenues, they will not fully legalize marijuana because some government tax payer services may become unnecessary, may be reduced in scope, political power shift wars within government, or shift a balance of power back to the people!

If voters and legislation fail to pass other tax increases to keep government growing and states out of debt, the marijuana lobbyists will continue to capture the attention of politicians, the tax payer and voter.  California is now considering the legalization of marijuana as it nears bankruptcy.  So you can’t honestly tell me you still believe our government restricts recreational marijuana because it is concerned about our children’s health and addiction possibilities!  Or medical marijuana has no medicinal benefit and pain patients should be thrown into jail.  This is ridiculous!  If you believe this, then you should believe anyone in the possession of alcohol should be incarcerated as well!  Remember, in the early 20th century both were used as recreational drugs.  The biggest reason alcohol made the recreational drug use cut is because our government figured out how to control and regulate the money while growing government (Legal history of cannabis in the United States, “Prohibition of cannabis arose in many states from 1906 and onward,” www.wikipedia.org ).

A multi-billion dollar cannabis industry will create less need for “status quo” government services (e.g., fewer incarcerated jail services, policing,  border drug trafficking-smuggling activity, reduced deaths & investigation related to drug trafficking; including less government cash cow industry sales: Alcohol, tobacco and pharmaceuticals, less DEA & ATF services etc.).  These shifts are certain to happen as our government is slowly losing power and control over states rights.  I believe the cannabis industry and Universal health care must be controlled by the federal government in order to maintain its power base due to an inevitable global power base shift.  The legalization of recreational marijuana without federal control would definitely create a downsizing of federal services; while increasing the size of state power and control back to the people!

 

I believe the governments interest to control and gain power over the cannabis industry has nothing to do with concern for any child that may become addicted, or suffer from any illness, or disease caused by marijuana, “this I’d lay a bet I’m right.”  Instead the governments concern is “how can we control and regulate a product that can be grown on the resident’s property?”  If this is the case how will the government fully legalize recreational marijuana when it understands this means reduced government taxed based dollars, fewer required federal government services, hence power control shift back to the people and state?

 

Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2009 Copyright, All rights reserved.  Mirror Athlete Enterprises Publishing @: www.mirrorathlete.com, Sign up for your free eNewsletter.

June 19, 2009

Medical Marijuana Use Pro’s and Con’s

It is very concerning after speaking with local youth in two states (California and Oregon) regarding marijuana use; there is a nonchalant attitude regarding this drug.  The common answers to my questions, “don’t you think marijuana will harm you in any way if you continue to use this drug?”  Or, if you keep smoking the stuff, aren’t you afraid of addiction and associated health risks?  Much like laying a bet, are you assured you are not gambling with your health or future life endeavors?   The common answers in reply, “Marijuana is no more dangerous than alcohol.”  “As a matter of fact, alcohol is responsible for hundreds of thousands of deaths, broken families, job loss etc., where with cannabis this is not the case.”  The other common answer, “I can quit anytime I want to, it’s not addicting, it’s not a gateway drug and I don’t drink; I choose this drug as my recreational drug of choice as I prefer this vice opposed to drinking.”  Others simply state, “For me there are no problems regarding my use of this drug, therefore, no harm.”  Our youth and many adults don’t appear to regard cannabis as a harmful substance as it like many of our controlled drugs are derived from mother earth, mostly to be tainted by man-made processing chemical manipulation and sold as approved prescription drugs, or recreational drugs (tobacco, spirits, wine and beer).

In other words, “on the street,” cannabis untouched by man appears to be a safer alternative for medicinal purposes (chronic pain alleviation) and recreational use (opposed to alcohol), even though most seem to understand there’s an inherent risk toward addiction (but don’t want to admit it outright) and health risks (e.g., cannabis smoke carcinogens).   My sampling of these queries is rather small, around 50 discussions on this topic where 80-90% concedes (teenagers and adults), cannabis is probably the least harmful of the illegal drugs that should be fully legalized.  And almost all adults within this sampling seem to acknowledge the medicinal properties and benefits for chronic pain sufferers.  I can see the medicinal benefits through the scientific studies, however “all” drugs must have some form of state and federal regulation or greater health and/or addiction problems “will” significantly impact our youth as is with our legal drugs.  Our youth should be of great concern with regard to cannabis legalization.  Any drug including cannabis can have a negative impact on growing minds and bodies especially if one should become addicted during the developmental stage of their lives.  This fact alone can destroy a life before it begins.

I felt it was very important to add two addiction articles to the MAE Health repository since I wrote two previous articles on “Medical Marijuana Use, Part 1 (pain benefits) and 2 (scientific support data) for chronic pain sufferers.”  As you read the two articles, there is a very good case to continue research and development while easing up on state and federal laws for chronic pain sufferer’s use of cannabis.  There is some very good science based around severed or damaged nerve endings where only the THC receivers at the nerve endings provide pain relief through cannabis use.  Science also shows these damaged nerve endings do not respond to the typical opiate prescription; hence pain alleviation through the pharmaceutical prescription gold standard has little to no effect in many chronic pain controlled studies.

Now you are figuring out possibly where I’m going with this.  We must be very vigilant with our children while our states continue to relax marijuana use laws.  I’m in favor of legal marijuana use by chronic pain sufferers.  I’m also very aware and concerned about our children’s access to marijuana should it be fully legalized.  There is a greater probability that distribution abuse and use will occur because of easy access to chronic pain patient’s medicinal prescriptions, or full legalization as an adult recreation drug.  We must not and cannot depend on our government agencies to protect our children from abusing any drug.  It is our responsibility as parents to educate our children, knowing the differences between right and wrong with an understanding of the possibility of addiction and consequences of drug use regardless of whether our society and government deem the substance legal, or illegal.

Control and regulation is very important when dealing with any drug as all forms of mind altering substances have the potential for abuse, health risk, societal harm and addiction.   If there is no, or limited state-federal regulation, control, such as, quasi-legal medical marijuana (read previous MAE achieved Medical Marijuana articles “Pain Benefits,” www.mirrorathlete.com/blog) then our government supports a quasi-illegal black market operations by turning a blind eye to states rights and the science backing cannabis pain alleviation.

In other words, if science supports the pain alleviation benefits of any drug including medical marijuana then our federal agencies should recognized the benefits and legalize the drug.  Our federal government should fully recognize states rights for pain patients as opposed to potential imprisonment for those that fall outside of federal guidelines.  Until this is done, like alcohol which we know has the same access and abuse potential by our children… Without federal recognition of cannabis as a controlled substance for medicinal use, substance abuse of the drug will not be monitored and addiction, carcinogenic health risks, with associated mental health probabilities will not be addressed correctly, or adequately.  Instead many cannabis users will possibly be subjected and directed through the penal system for rehabilitation if convicted; which we all know is not the best treatment and rehabilitation course for any drug addict.

Why, because our penal system incarcerates and holds prisoners for breaking the law which is big business unto itself… Incarceration appears to incorporate treatment and rehabilitation for addicts inside, but how successful are these programs really?  And is treatment and rehabilitation this industries main focus?  It sounds like a business that is dependent on law breaking convicts more so than a rehabilitation center for drug addicts.  So, I ask again is this the best course of action to rehabilitate an addict?

I really don’t know since I’ve never been incarcerated, or exposed to these rehabilitation programs.  However, I believe any government run programs are inferior to a third party source.  Really, what am I to think?  Our government has proved time and time again it only knows how to spend money with inefficient government service programs.  It would appear our government is more interested in taxing the American people for unnecessary or inefficient services to grow government.  If the financial rewards and power out weight any human benefits then “We the People,” will come second to power and corruption.  It’s all about power, control and a human trait that cannot be tamed, ‘greed!”

With any drug, “ANY Drug,” there is always the potential for substance abuse.  Cannabis will eventually be fully legalized on a national level, first as is occurring through medical marijuana permits.  The major marijuana composition THC is already legally sold (Marinol) & prescribed by our medical providers.  However, most consumers don’t know this information.

Marinol is listed and classified by the DEA (Drug Enforcement Agency), as a class III legal prescription.  So instead of smoking the cannabis which is the illegal part, you are legally able to ingest the THC oil prescribed by most HMO’s for pain management.  Maybe our government within its infinite wisdom determined it would be easier to control marijuana distribution to our children in this format.  In fact, since Marinol must be refrigerated, it seems to me, it would be easier for our children to get their hands on the tiny capsules, conceal and consume.  If the government was truly concerned about a chronic pain patient wellbeing they would fully legalize cannabis and provide the choice to ingest, or inhale their script.

Part 2, “Marijuana Addiction, Lay Your Bet!” is continued and will be published within July09 issue.  I will post information regarding legal marinol and government greed that will knock your socks off!  You’ll not want to miss the continuation of this article!  Really, is this multi-billion dollar industry concerned about our children’s potential addiction, or is it really about government greed, power and control?

Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2009 Copyright, All rights reserved.  Mirror Athlete Enterprises Publishing @: www.mirrorathlete.com, Sign up for your free eNewsletter.

April 23, 2009

Medical Marijuana & Pain Relief, Pain Benefit

I’ve been asked this question many times “what do I think about the use of medical marijuana to relieve pain?”   I believe that chronic pain patients have a unique physical and mental pain challenge regardless of pain disorder that most don’t understand, or could relate to unless they experience something similar.  Relating to a chronic pain patients problem daily is difficult for those that have never walked in their shoes.  It is also common for loved ones to pass judgment and become frustrated with decisions that are made, “or not” by those that are trying to find pain relief.  The best example to make a comparison… Most would begin to understand, or relate to a pain patients dilemma if you’d ever experienced an acute and severe low back pain episode.  For those that have been fortunate enough not to have experienced a low back strain let me provide a different analogy.

Imagine if you could never get pain relief from a cough or head ache.  Instead the cough or headache became more chronic and would not go away for days, weeks, or even months!  How would you feel if you couldn’t get relief?  Can you imagine going to work each day, taking care of your family, let alone yourself?  I know you’ve had this experience and can imagine if you could not get rid of this bug, what would you do, how would this change your life?  Most of you have experienced a terrible bout of the common cold or flu.  So there is some common ground in relating to what would you do if you had to learn to live with these symptoms on a daily basis.  You’d look for all options that are legally available to you to remove, or alleviate this pain.  If you can’t find relief your quality of life suffers and so does all around you.

Let’s continue on with this example, when the symptoms are really bad, what do you do?  You go to the doctor, they give you antibiotics, you then might also go to the local drug store, load up on cough syrup-drops, AM/PM relief medications, Tylenol, aspirin.  Some do all of this while hitting the local sauna in hopes of sweating out the bug, then take a couple of days off of work.  Others may do all of this while suppressing the cough by sipping on brandy until they fall asleep.  Okay, now you get the ideal.  You search out pain alleviation modalities that are legal and available to you that suppress any number of pain type flue, or cold symptoms.  When pain exceeds physical and mental tolerances, humans will always look for the best way to customize a pain alleviation program that works best for them.  All legal choices should be available for consideration and use within a pain management program.  In many cases, chronic pain patients suffer far worse than those that have infrequent bouts with the flu, or common cold. Chronic pain for a pain patient does not go away and varies with frequency- severity dependant on pain disorder and daily work load (activity, exercise, daily tasks, etc.).   Those that don’t experience chronic pain daily are typically not able to understand why a person would choose to smoke medical marijuana.

It must be noted I don’t, or would never advocate a 100% use of any pain modality application, but instead advocate combinations, or a balance of holistic approaches for chronic pain relief and customized differently within each pain management program.  As such, a chronic pain patient requires all the information possible, understanding benefits and risks in order to make an informed decision to live the “best” quality of life style possible.  Pain management programs may consist of any treatment modality combination(s) that may, or may not include pharmaceuticals, herbal, alternative modality treatments, supplemental, exercise; activity program(s) that will provide pain relief.  Medical marijuana choices to treat chronic pain are now “legal” (dependant on state).

Medical marijuana has been better than a “quasi” legal pain alleviation alternative since the birth of the “Compassionate Use Act,” passed in 1996.  I’d say better then quasi-legal because, although 13 states authorized medical marijuana cards, this does not mean there aren’t conflicting federal laws with regard to each state “use” authorization.  Currently, laws that effectively remove state-level criminal penalties for growing and/or possessing medical cannabis:   Alaska, California, Colorado, Hawaii, Maine, Maryland, Montana, Nevada, Oregon, Rhode Island, Vermont and Washington.  Let’s dig up some facts first by providing some scientific data, testimonials, risk to benefit and finally legal aspects of medical marijuana use.  Without going into the physiological depth of how pain receptors work, or doesn’t work, depending on your pain injuries, or diagnosis, let me break this down for you the best way I know how.

People that suffer with chronic pain either have severed, or damaged pain receptor nerve endings.  Scientifically proven, if an opiate nerve receiver is not available to block pain because of nerve damage, or severed nerves, opiates such as morphine, or codeine would have little to no effect on the pain area. Scientific studies further point out, although an opiate nerve ending receiver may be  severed, or damaged, the THC (marijuana nerve receivers) are intact  and do benefit the pain patient by alleviating pain.  This is because the nerve cannabinoid receptors appear to maintain functional pain blocking receivers regardless of damage at a pain trigger point which also benefits neuropathic radial pain (radiating pain to distal portions of the body through neural conduit highways).  Continued…

Be sure to look for Medical Marijuana and Pain Relief, Part II which focuses more on the science through medical journal citations as medical Marijuana studies strongly support the pain patients benefits through daily cannabis use.

Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2009 Copyright, All rights reserved.  Mirror Athlete Enterprises Publishing @: www.mirrorathlete.com, Sign up for your free eNewsletter.

March 19, 2009

Alleviate Pain-Movement Based Therapies

In many of my articles I have stated the importance of movement specifically through physical exercises or activity.  For without movement activities, the body and mind will quickly deteriorate creating more aggravating pain while increasing risk for more illness or disease.  There is a direct connection between the mind-body (psychosomatic) neurological meridian connections.  I like to refer to these meridians as the “health highways” electrical conduits throughout the body.  This is because mobility or lack of it can have an impact on positive “healing” nerve-holistic body stimulation, delay, or worsening of the healing process through these connections.

There are two fronts where lack of motion or mobility can impact overall health byway of these health highway connections.  1)  Mind-Body connection – Depression can and does contribute to pain disease if you allow it to motivate a sedentary lifestyle; opposed to pain tolerance learned and applied appropriately provide greater mobility and health benefit.  On the flip side, 2) Body-Mind – You “may not” be depressed but have severely limited your activities due to body function pain.  In either case, lack of activity creates a negative impact on motivation, self-esteem, disease mitigation, quality of life and other health risks.  Both ends of the “mind-body/body-mind” connection can turn full circle limiting activity, causing depression and can cause serious or grave harm to your overall health.

You must never give up on finding some form of activity, therapy and/or exercise within your day to offset further body degradation while maintaining a pain management program.  Depression is a pain patient’s worst enemy (MAE Health Blog, “Dealing with Depression,” M.T. Woodard, 25 Aug 08).  In my opinion, incorporation of a movement based therapy program is essential toward a holistic pain healing, or health maintenance program.  For without a daily movement program it is very difficult for a pain patient to thwart off depression and worsening of pain!  I do realize there are some that are completely incapacitated where my recommendations to increase activity or mobility may not be practical.  However, I encourage and highly recommend you consult with your doctor, or specialists to see if they could assist, direct, or refer you toward specialized movement based therapy resources relative to your chronic pain condition.

Some examples of non-specialized movement based activities if your pain tolerances will allow full or partial participation:  Gym membership, task specific exercise, i.e., walking, riding a recumbent stationary bike, low impact aerobics, e.g., treadmill, hand pedal stationary unit, bicycle and daily stretching exercise, etc.  Hobbies/social – Camping, fishing, community involvement, church choir, hiking, travel, home and garden, etc.  Find something that will get you excited about life and within acceptable pain tolerance that does not cause severe aggravation, or further damage to existing pain problems.  Discuss these movement based activities with your pain specialists, etc., to assess your pain conditions before you incorporate any of these recommendations into your pain program.  Just because you have varying levels of chronic pain, does not mean you are 100% “movement” disabled (MAE HealthBlog, “Disabilities & Public Perception,” M.T. Woodard, 7 July 2008).

Listed below are specialized movement based therapies to further your research and consideration of such program (s) within a customized pain management program while working with pain specialists and/or doctors.

1.  Physical exercises or activity.  Physical activity provides benefits to strengthening muscles, joints, ligament, tendons; oxygen-enriched blood to all cellular structures; improved structural alignment and release of natural feel good endorphins.

“You’re body produces natural and addictive chemicals that are optimally activated during exercise, or during increased activity:   1) Adrenaline a neurotransmitter and hormone produced by the adrenalin gland just above the kidneys, also known as norepinephrine and epinephrine (provides attention focus in brain).  Together these chemicals activate your fight or flight stimulation designed to get the body out of a stressful situation, or survive an injury scenario.  It acts as a natural pain killer, boosts oxygen and glucose fuel to brain, muscles and suppresses depression.  2)   Dopamine is produced and synthesized in the brain which boosts positive behavior, cognition, motor activity, motivation, sleep, mood, learning and attention.  3)  Serotonin is synthesized within the CNS (Central Nervous System).  This chemical is also found in many mushrooms, plants, fruits and vegetables.  Research shows Serotonin plays an important role in liver regeneration and induces cell division throughout the body (important for repair and healing of the body).  Serotonins role as a neurotransmitter of the brain is to modulate anger, mood, aggression, sleep, sexuality, appetite and metabolism.”  (MAE HealthBlog, “An Addictive Chemical to Stimulate Will Power,” M.T., Woodard, 22 Jan 2009).

“I know a lot of you out there are hurting with disabling pain thinking there is nothing more you can do to increase your physical activity, receive further health benefits and/or improve your health condition, or quality of life.  There are solutions, but you have to want to become a mirror athlete as your number one goal.  Remember a mirror athlete will use health management techniques customized within a pain management program to improve posture, alleviate pain, while improving, or contributing to overall health through daily activities and/or exercise maintaining a healthy mind, body and soul.”

My contention, if you can move segments of your body, you “can” receive a health benefit.  If you suffer from depression, there is group support within the medical community and much information to be found in libraries or the Internet.  If you’re on a pain management program, you “may be able” to reduce your daily pain prescription to allow focus on activities for periods of time in a day.  (MAE HealthBlog, “Disabilities & Public Perception,” Woodard, 07 July 2008).

2.  Physical Therapy – Since movement is central to good health, physical therapy focuses on rehabilitation, promotion of body movement, or exercise.  The major pain alleviation modalities are manual handling, electrotherapy, massage, physical medicine, ultrasound, etc.   Other areas of physical therapy specialization include:  Health limitations due to cardiopulmonary, geriatrics, neurologic, orthopedic, pediatrics problems, burn patients and post surgical treatment in assisting with focus in habilitation, or rehabilitation (enable take care of oneself; restore to former state).  Physical therapy includes the use of many variations, or singular pain treatment modalities to assist and stimulate healthy movement, while working through pain issues, recovery, rehabilitation, etc.  Other areas of physical therapy specialization focus on psychological and emotional well-being activities.  Therapy is performed by a licensed physical therapist (PT) or an assistant acting under PT direction.  Offices and practices vary by demographic and specialties mentioned above, settings include:  Hospices, industrial workplaces, outpatient clinics, offices, inpatient rehab facilities, extended care facilities, private homes, and education, also research centers.

3.    Specialized and assisted movement programs.

a.  Yoga, Indian meditation posing and stretching – Purification of the physical body or mind to strengthen the body, or well being as a whole unit.  I will not go into the detailed specifics behind various Yoga philosophies as this is beyond the intent of information I’m providing you.  If you want to learn more about Yoga philosophy and techniques I highly recommend you contact a Yoga studio, read books on Yoga, or research the Internet to become better informed how Yoga could benefit your well being.  Yoga posing and stretching techniques have positive health benefits on the mind and body while alleviating pain.  Positive mind focus through concentrated and careful body movement focuses energies on piece of mind while stimulating the natural physical healing cycle of the body.

b.  Pilates, strengthening core muscles through resistive exercise routine – The premise of Pilates uses the mind to control the muscles.  Since the program focuses on postural muscles; abdomen, lower back, hips and buttocks, there is great benefit in body balance through strengthening these “core” major muscle groups which is essential to spine health.  This program concentrates on breathing ensuring proper alignment of the spine while strengthening deep torso muscles.  Pilates breathing techniques teaches the importance of continuous and deep breathing techniques as essential to remove toxins and provide oxygen enriched blood to maintain overall health and pain alleviation.  Those with disabilities can apply a customized Pilate’s program to better aid in and improve overall function.  One should “only” participate in a Pilate’s program while under the supervision of a certified instructor.  If interested in learning more about the Pilates program research the largest certified Pilates program worldwide, Stott Pilates.  Also see Pilates Method Alliance (PMA), which is an umbrella organization attempting to standardize certification worldwide.

c.  Tai Chi, Chinese practice of slow movement and focus on balance.  This program makes use of Soft Chinese internal martial arts where “chi” energy makes use of an opponent’s strength against them – Instead of using overpowering muscular force and strength to defend against an opponent, the body’s chi energy is effectively tapped where brute force is not necessary to protect oneself.  The opposition’s strength is applied against forced assertion through focus and fluid motion during the defense.  Tai Chi has many health benefits associated with this form of concentrated, low impact and fluid motion just through practicing concentrated movement techniques.  The health and fitness benefits of Tai Chi exercise are well recognized worldwide without the physical strains associated with intense exercise.  The benefits associated with the practice of Tai Chi’s relaxed movement techniques:  Lowers stress levels, slows down aging, improves postural alignment, better breathing technique, pain alleviation, improved blood circulation, flexibility, etc.  Disease prevention and/or health disorder mitigation: Arthritis, diabetes, osteoporosis, cardiovascular, etc.  The theory of Tai Chi is based on traditional Chinese medicine, through the body’s electrical Chi meridians (neurological “health highways”) much in the way acupuncture is used to remove blockages that create pain in order to heal disease.  Tai Chi exercises can be used to achieve the same results.

d.  Feldenkrais – Efficiency of movement through specialized therapy. Physical well-being is established through movement patterns.  Therapy focuses on assistance in re-learning more proficient movement behaviors as opposed to inefficient and negative health impact movement that may lead to further body degradation.  Moshe Feldenkrais believes the mind and body are inseparable and as such every action is a single process of thinking, feeling, sensing and moving.  As each action impacts ultimate health transmitted through the nervous system, therapeutic movement can reinforce, or even reinstate better health and well-being by activating healthy movement patterns by triggering past feeling and thinking behaviors.  By shaping the body through active movement the whole (holistic) body, mind & soul receive the benefit.  As prior to therapy, one may have been confused, fixated and maybe lacked purpose of being.  Through Feldenkrais exercises a more relaxed and stress free holistic body creates a greater zest for life.

Common exercises include stretching, strengthening and aerobics.  However a fundamental drawback is these exercises… They do not effectively improve our characteristic movement.  In other words, you may be able to go through exercise where precision and exact movement may not be fluid, or within your pain range tolerance to perform certain moves, or movement characteristic of an unimpeded person.  However, you do receive a health benefit by participating!  General exercise routines very rarely improve useful functionality, while often aggravates habitual movement throughout the day.  Inefficient action or movement can lead stiffness, aches and pains, arthritis, fatigue and limitations.  Pain alleviation through Feldenkrais bases exploration of movement possibilities integrated with flexibility, strength and cardiopulmonary health is well worth consideration as a movement therapy incorporated into your pain management program.

By learning to sense self through proper relaxed movement one can sense proper balance, articulation, felt movement, tissue tension, pressure and pain.  Hence if tension and aggravation is felt through improper movement, one can learn to correct the pattern that is creating pain through sensory feedback to the brain.  Since Feldenkrais derives effortless pleasure in motion and holistic improvements compared to conventional stressful exercise those that participate in a program such as this want to continue to improve their abilities and overall well-being.

The key point I want you to take away from this read… Stay active; find an alternative movement based therapy, hobby, or interest to improve your quality of life through motion and/or exercise.  Although there is a balance of pain tolerance one must learn to overcome during movement based therapies… Specialized movement techniques are well worth the exploration and research to consider participation.  Through movement, one can relearn to mobilize and heal themselves through acceptable, low impact pain sensory rehabilitative feedback exercises, and/or activity.   I believe any movement therapy, or activity has a direct connection between the mind and body through neurological “Health Highways” establishing healing energy (Chi) to damaged tissues while alleviating pain and mitigating illness and disease.  Using non-stressful movement techniques or other activity participation “in my opinion” will improve well-being and should be included within any pain management program if at all possible.

Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2009 Copyright, All rights reserved.  Mirror Athlete Enterprises Publishing @: www.mirrorathlete.com, Sign up for your free eNewsletter.

January 22, 2009

Fibromyalgia Relief an Unexplained Pain Disorder

Unexplained pain disorder diagnosis is commonly & medically transcribed “characteristic of fibromyalgia pain.” However, the worse thing about unexplained pain depression is not knowing where the pain disorder originates and how to effectively alleviate, or remove the pain. So we seek medical help to resolve our pain disorder issues commonly treated with strong “mental health” prescription drugs.

In this case, instead of “status quo” pychosomatic (mind-to-body) pain connection; a “not so well known” reversal of “undiagnosed (not medically substantiated)” neurological soft tissue damage creates the opposite pain pathology… In which physical pain can cause great depression effecting mental health. This my friends is much harder for medical specialist to diagnose and agree upon actual causes of any particular “unsubtantiated pain disorder(s).” And in many cases, unexplained physical pain disorders are now receiving a fibromyalgia diagnosis which is an easy out for much of our medical community; good for the pharmaceutical companies and horrible for these unique pain disorder outpatients.

In otherwords, it’s much easier “in many cases, not all” for physicians to prescribe psycotropic drugs for mental health conditions believed to be the cause of physical pain (mind-body neurological pathology connection). But when unsubstantiated physical acute pain becomes chronic… Much pain depression occurs from the body-mind connection pathology. This in turn causes depression of the mind originating from the body (non diagnosed origin).

In many of those suffering from physical pain seek pain alleviation to no avail because the pain never originated from a mental health cause pathology problem. Now if this undiagnosed physical problem continues on too long without the necessary intervention; a mental health ill-health condition begins to surface, then “can cause” phycosomatic health issues. The bottom line… substantiated pain origins must be determined to not worsen encompassing health issues in these unique outpatient situations.

This is a whole different ballgame for which our HMO’s don’t handle well. I know this from personal experience. I know our medical community has the technology to provide appropriate diagnosis in many pain disorder cases. However, HMO specialist disagree all to often and always seem to subjectively diagnose, label and prescribe medications all too often that are not effective and potentially cause further harm to patients. Once given a “labeled” diagnosis through subjectivity makes it very hard for some patience to receive further appropriate and timely referals; and other necessary help, i.e., further safe/healthy treatment, state services, e.g., Financial disability assistance, etc.

Tell your story in the comments section about pain depression, fibromyalgia experiences/connection, disability support, or lack thereof so we can help steer each other to pain free bodies and minds. If interested in a fresh chronic pain forum to discuss this issue I can start one under a unique Face Book discussion topic (Click on MA Blog Article at Top of this page, click on FB Fan Badge and start a topic of interest, or chime in here.   

Fibromyalgia Basics:  Fibromyalgia is a chronic condition that causes pain and stiffness in the muscles, tendons and ligaments.  Although an exact cause of this condition has not been directly identified, it is thought that a major player to this chronic condition resides within the brains serotonin levels which affects mood.  Lower levels of serotonin are known to stimulate depression and with depression psychosomatic illness occurs (we get depressed for long periods of time, our bodies get sick & physical illness often ensues).  There seems to be a direct correlation between depression, lack of sleep, restlessness, disturbances in bowel function and super sensitivity with touch and key trigger point pain receptors transmitted via the central nervous system (brain).  Fatigue combined with depression can trigger infection, or other trauma and disease to the body. 

    This condition is tough for many physicians to nail down and diagnose as fibromyalgia.  This is because unlike rheumatoid arthritis or systemic lupus there is no swelling, external-internal tissue damage, or joint-muscle deformity.  The patient is healthy otherwise but suffers from chronic muscular pain and stiffness without swelling, deformity or bruising.  Apparent common denominators of those that suffer from fibromyalgia are as follows.  Researchers find elevated levels of “Substance P” (Chemical Nerve Signal) and “Nerve Growth Factor” (Found in the spinal fluid) and lower levels of “serotonin” (Brain Nerve Chemical) from laboratory specimen fluid samples.  The effected populace tends to be women between the ages of 35-55.  This condition rarely takes a toll on men, the elderly or children, although it does occur.  Women with fibromyalgia in the U.S. represent over 80% of those diagnosed with this condition.  The total populace affected by fibromyalgia in the US represents 2% of our population.  Fibromyalgia was formally known as fibrosistis (a group of disorders characterized by widespread body aches and pains in muscle, connective tissue, joints and bone).   Other triggers that can activate the fibromyalgia condition include exposure to dampness, or cold and certain infections.  Pain is usually worse in the morning. Fibromyalgia is not considered a psychological disorder.

Recommendations
1.     See your doctor if you experience any/combination of the conditions listed above, or below.
        a.     Chronic body pain for more than 3 months above and below the waist.
        b.     Feel pain in at least 11-18 possible tender points when light pressure is applied.
        c.     Where depression and thoughts of suicide are common (psychosomatic illnesses).
2.     If family member exhibits: Panic attacks, hostility, restlessness, hyperactivity, sleeplessness, etc.
3.     If prescribed anti-depressants, a family member should watch for adverse character changes.
        a.     Adverse behavior risk is more prominent within adults under 24 and children.
        b.     A 2 month watch if prescribed anti-depressants to combat fibromyalgia is recommended.
4.     Hot showers-spray localized area, use heating pads, whirlpool, hot compresses, gentle message.
5.     Stretching and conditioning, relaxation, alleviate stress, biofeedback for contracted muscles.
6.     Aspirin, acetaminophen or ibuprofen. Cortisone and local anesthetic injections “trigger points.”
7.     Antidepressants – Per doctor recommendations, Serotonin Reuptake Inhibitors (SSRI).
8.     Avoid caffeine and alcohol as these interfere with sleep.
9.     Prevention – Get adequate sleep and general conditioning and exercise, proper nutrition.

 Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2009 Copyright.  All rights reserved, Mirror Athlete Publishing @: www.mirrorathlete.com,  Sign up for your Free eNewsletter.

 
  

 
 
 
 

 

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