Pain Archive

In the journals

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Low back pain? Try yoga. A study published online July 20, 2017, by the American Journal of Preventive Medicine found that low back pain sufferers who completed a 12-week yoga program reported less pain and better quality of life compared with those who received standard care, such as medication, physical therapy, and exercise.

The study specifically looked at military veterans, average age 53, 74% of whom were men, who had experienced chronic lower back pain for at least six months. The 12-week program consisted of two hour-long instructor-led yoga sessions per week, with home practice encouraged. The sessions emphasized poses to stretch and strengthen the core and improve joint mobility. Relaxation and breathing techniques helped to reduce tension and pain perception.

Stay ahead of foot problems by inspecting your feet regularly, keeping them flexible, and wearing the right shoes.

Feet are the unsung heroes of mobility, and it's crucial to keep them healthy. Even minor problems with your feet — such as an ingrown toenail or a small cut — can leave you sidelined. "Breaches of the skin can quickly become problems, whether it's a scrape, ulcer, or blister that gets contaminated or becomes infected," says Dr. Christopher DiGiovanni, chief of foot and ankle surgery at Harvard-affiliated Massachusetts General Hospital.

Be proactive, and care for your feet the way you'd maintain any valuable equipment you rely on for mobility. Here are seven ideas to help.

Pain from migraines, cluster headaches, and other types of headaches require very different treatments.

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Pain around the eye and throbbing on one side of the head — they're common headache symptoms, but what do they mean? "Many times people assume a headache is due to sinusitis, and they put up with it for years," says Dr. John ­Pettinato, a neurologist with ­Harvard-affiliated Beth Israel Deaconess Medical Center.

Understanding your pain can help you find the best approach to treatment.

Do your gym shoes hurt your feet? Before you call the podiatrist, try the simple trick of adjusting your laces.

The average pair of human feet travels some 75,000 miles by the time they turn 50, according to the American Podiatric Medical Association. So, it's no wonder many women experience some foot pain from time to time.

If you're one of them, you might want to try a simple solution that may bring relief — adjusting your shoelaces, especially on your athletic shoes. Today's mass-produced shoes often don't accommodate the quirks of individual feet, which may be wide or narrow or have arches that are high or low. Retying your shoes can make adjustments for those differences, and in some cases, ease your pain.

When you live with physical pain, changing your reaction to it can help you better manage discomfort and obstacles.

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Dealing with chronic physical pain, no matter the source or severity, is a constant challenge, but sometimes the emotional pain that comes with it can be just as trying. In fact, more than half of people with pain feel they have lost control of their lives, according to the American Academy of Pain Medicine.

"In general, men tend to be less verbal about seeking help with their physical pain," says Dr. Ellen Slawsby, director of pain management at the Benson-Henry Institute for Mind Body Medicine at Harvard's Massachusetts General Hospital.

Q. What exactly happens when I eat something cold and get an ice cream headache? Is it harmful in any way?

A. Ice cream headache, also known as "brain freeze" or cold-stimulus headache, is a headache some people get when they consume a cold food or beverage quickly. The pain is usually in the forehead or both temples, and it usually lasts less than five minutes.

Pain in this joint can curb your independence. Catch problems early, build strength, and avoid injury.

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It's easy to take your shoulders for granted. You don't think about them when you put your arm through a sleeve or reach out for something. But weak or injured shoulders can limit your daily function and rob you of your independence. You may not be able to open a door, push up from a chair or a couch, or tuck in your shirt without wincing in pain.

"Shoulder pain is common among older adults. Studies suggest it occurs in up to 31% of adults," says Amy Devaney, a physical therapist with Harvard-affiliated Massachusetts General Hospital.

Ask the doctors

Q. I'm currently taking a pill that combines 5 milligrams (mg) of oxycodone and 325 mg of acetaminophen. It keeps my pain under control and doesn't seem to interfere with other medicines I'm taking. However, I was reading about opioids and wonder if it falls in that category. If it does, should I be taking it?

A. Oxycodone is an opioid, but acetaminophen, the generic form of Tylenol, isn't. A combination of the two, sold as Endocet, Percocet, and Roxicet, as well as in a generic version, is a popular medication for pain control. Both oxycodone and acetaminophen should be used with caution. Oxycodone should be taken for the shortest time possible because long-term use of oxycodone has been associated with addiction and dependence. High doses of acetaminophen can cause liver damage.

Physical therapy may be an effective alternative to surgery in relieving joint and back pain.

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Exercising may be the last thing you want to do when you have a sore knee or aching back, but it might be the first thing you should do. Physical therapy has long been recommended following surgery. But for some, trying physical therapy before opting for surgery may be the better choice.

"You may be able to spare yourself the expense, pain, and recovery time of surgery," says physical therapist Karen Weber, clinical supervisor at Harvard-affiliated Spaulding Rehabilitation Outpatient Centers in Braintree and Quincy, Mass.