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Just published in The New England Journal of Medicine: A recent article brings up dietary supplement issues you need to be aware of and discusses how dietary supplement side effects could be monitored better. A PDF of the April 3rd article is available free online.

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Filed under: Pain

TENS (Transcutaneous Electrical Nerve Stimulation) for pain?

HPRC Fitness Arena: Mind Tactics, Total Force Fitness
Many different types of pain respond to transcutaneous electrical nerve stimulation, or TENS—read on to find out if this therapy might be appropriate for you.

Transcutaneous Electrical Nerve Stimulation (TENS) is a sort of "electrical massage" that works by sending increased “traffic” to the brain to block pain signals. It may provide short-term relief for neuropathic/phantom, chronic, post-surgery, and arthritis pain, but it rarely offers long-term relief. For more in-depth information, read HPRC’s InfoReveal on TENS for pain management.

A pain in the…shin?

Shin splits can sideline you from your regular exercise routine, but proper treatment and rest can get you back in action sooner rather than later.

If you exercise regularly—or plan to start an exercise program—chances are you’ll experience shin splits at least once. That sharp, achy, sore, and/or throbbing feeling that runs down the front of your shin, also known as “tibial stress syndrome,” is a common condition among athletes, especially runners. The pain of shin splits can come from any number of underlying causes, such as overuse injuries, “flat feet,” or a more serious injury—stress fractures—usually from excessive and/or repetitive force on your legs. Usually shin splits will heal on their own with rest and basic self-care treatments, but it’s important to recognize the symptoms early on and to give yourself time to fully heal before easing back into your usual workout. See a doctor if the pain does not seem to improve with rest, if your shin is hot and inflamed, or if the swelling gets worse. To prevent shin splits, make sure that you wear the appropriate shoes for your type of foot, warm up before working out, vary the types of surfaces you run on, and address symptoms of pain early.

Navy focuses on better pain management

HPRC Fitness Arena: Mind Tactics, Total Force Fitness
The Navy’s Pain Management team met recently to improve their existing pain management strategies for Warfighters and their beneficiaries.

What’s a top health complaint by service members and their beneficiaries? Pain. Pain has a huge impact on performance and can lead to loss of workdays, function, and quality of life. Pain affects not only the individual experiencing it, but also his or her family. In August 2012 the Navy Comprehensive Pain Management Program (NCPMP) had a brainstorming meeting to discuss the best ways to treat pain and improve access to various pain treatments for Sailors, Marines, and their beneficiaries. The results?

  • Both Warfighters and beneficiaries will have access to pain treatments.
  • The Navy will use alternative methods to treat pain, including non-medication treatments.
  • Individuals will see multiple healthcare providers as needed to treat pain effectively.
  • The focus will be to improve quality of life and reduce pain as much as possible.

For more information, read "Chronic Pain Management to Benefit the Beneficiary" as well as NCPMP's 2011 summary presentation.

And stay tuned for more—HPRC will be adding a new website section on pain management.

Meditation can improve pain tolerance

HPRC Fitness Arena: Mind Tactics, Total Force Fitness
Recent research indicates that meditation may help you deal with pain and related anxiety.

When you’re in pain, any relief is welcome. The good news is that researchers have found pain can be managed and alleviated, to a degree, by employing strategies that have you put your focus elsewhere. Meditation is one such strategy. A recent small study examined the experience of pain from fourteen experienced meditators and fourteen inexperienced participants. It turns out that the old adage is true: Practice makes perfect. The experienced meditators experienced pain to a lesser degree and got used to the pain more quickly. They also registered less anxiety than the unpracticed participants. The message? Practicing meditation regularly may improve how your brain handles pain.

For more information see the write-up on the University of Wisconsin's news page or the research article.

And tune in again later for HPRC’s new section in Total Force Fitness on pain management—coming soon.

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