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Patient Control Improves Pain, Depression Scores

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People who suffer from chronic pain may also experience depression. A new study suggests that when patients have greater control of their therapy it is likely to produce better outcomes. Veterans with pain in the low back, hips or knees were randomized to either usual care or a special intervention. This treatment consisted of individually tailored antidepressant therapy for three months followed by six sessions of pain self-management training over the next three months. They included strategies for physical activity, muscle relaxation, deep breathing, distraction, getting a good night’s sleep and coping with fear. The intervention group had substantially better scores on both the depression and pain assessment scales at the end of a year compared to those receiving usual care.

[JAMA May 27, 2009]
http://jama.ama-assn.org/cgi/content/full/301/20/2099

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I have a degree in math/computer science with a minor in biochem. I also have chronic pain. I have done a lot of research. I'm tired of doctors with their "god" attitude who won't listen to me!

I have been managing my own chronic pain for 10 years using gua sha. This is a massage technique which removes congested blood from the tissues. It also separates adhered tissue allowing it to function properly again. This technique will not help everyone but is a godsend for the large percentage of people whose pain is muscular in origin. it is fast, long lasting, simple to learn and employ, and costs almost nothing. I have used it thousands of times on myself, my clients (massage therapist) and my students (MT instructor). IT WORKS.

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