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The pain antidote : the proven program to help you stop suffering from chronic pain, avoid addiction to painkillers--and reclaim your life PDF

324 Pages·2015·11.63 MB·English
by  Pohl
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Preview The pain antidote : the proven program to help you stop suffering from chronic pain, avoid addiction to painkillers--and reclaim your life

Praise for The Pain Antidote “An authoritative, caring guide offering concrete suggestions—and hope—for anyone stuck in the tenacious grip of opioid pain medication addiction.” —SHARON WEGSCHEIDER-CRUSE, AUTHOR AND EDUCATOR, AND JOSEPH R. CRUSE, MD, ADDICTION MEDICINE SPECIALIST “Dr. Mel Pohl and Katherine Ketcham are intimately acquainted with chronic pain and know the road to freedom. This is the roadmap for anyone who wants their life back.” —DEBRA JAY, AUTHOR OF IT TAKES A FAMILY AND NO MORE LETTING GO Praise for Mel Pohl “Dr. Pohl’s quarter of a century as an addiction specialist, combined with his hands-on experience with patients teaching them drug-free solutions to their agony, and his five-year struggle to recover from his own terrible bout with pain give this book its unique perspective and authenticity . . . A Day Without Pain [offers] a realistic expectation of improved functioning, reduced pain, and more enjoyment of life.” —HEALTHNEWSDIGEST.COM Praise for Katherine Ketcham “In the nearly 20 years since Ketcham coauthored Under the Influence, it has become a classic in identifying and treating alcohol addiction . . . This book offers a plethora of timely information; a blow to old stigmas, myths and stereotypes; and hope for a future in which many senseless tragedies can be avoided and lives saved.” —PUBLISHERS WEEKLY ON BEYOND THE INFLUENCE ALSO BY MEL POHL, MD A Day Without Pain Pain Recovery (with Frank J. Szabo Jr., LADC, Daniel Shiode, PhD, and Robert Hunter, PhD) Pain Recovery for Families (with Frank J. Szabo Jr., LADC, Daniel Shiode, PhD, and Robert Hunter, PhD) ALSO BY KATHERINE KETCHAM Beyond the Influence (with William F. Asbury) Teens Under the Influence (with Nicolas A. Pace, MD) Under the Influence (with James R. Milam, PhD) The Spirituality of Imperfection (with Ernest Kurtz) Experiencing Spirituality (with Ernest Kurtz) Copyright © 2015 by Mel Pohl, MD, and Katherine Ketcham Illustrations by Eduardo Vazquez All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. Printed in the United States of America. For information, address Da Capo Press, 44 Farnsworth Street, 3rd Floor, Boston, MA 02210. Designed by Trish Wilkinson Set in 11-point Goudy Oldstyle STD by the Perseus Books Group Library of Congress Cataloging-in-Publication Data Pohl, Mel. The pain antidote : the proven program to help you stop suffering from chronic pain, avoid addiction to painkillers—and reclaim your life / by Mel Pohl, MD, and Katherine Ketcham. pages cm Includes bibliographical references and index. ISBN 978-0-7382-1804-5 (e-book) 1. Pain—Treatment—Popular works. 2. Chronic pain—Treatment— Popular works. 3. Pain medicine—Popular works. I. Ketcham, Katherine, 1949– II. Title. RB127.P644 2015 616'.0472—dc23 2014049017 First Da Capo Press edition 2015 Published by Da Capo Press A Member of the Perseus Books Group www.dacapopress.com Note: The information in this book is true and complete to the best of our knowledge. This book is intended only as an informative guide for those wishing to know more about health issues. In no way is this book intended to replace, countermand, or conflict with the advice given to you by your own physician. The ultimate decision concerning care should be made between you and your doctor. We strongly recommend you follow his or her advice. Information in this book is general and is offered with no guarantees on the part of the authors or Da Capo Press. The authors and publisher disclaim all liability in connection with the use of this book. Some names and identifying details of people associated with events described in this book have been changed; in such instances, similarity to actual persons is coincidental. Other names have been used with permission. Da Capo Press books are available at special discounts for bulk purchases in the U.S. by corporations, institutions, and other organizations. For more information, please contact the Special Markets Department at the Perseus Books Group, 2300 Chestnut Street, Suite 200, Philadelphia, PA 19103, or call (800) 810- 4145, ext. 5000, or e-mail [email protected]. 10 9 8 7 6 5 4 3 2 1 Contents How to Use This Book PART 1 UNDERSTANDING ONE All Pain Is Real Everything You Wish You Never Needed to Know About Chronic Pain TWO Brain Matters How Chronic Pain Changes the Brain THREE Emotions Drive Pain Painful Experiences Are Emotional Experiences FOUR Am I Addicted? Understanding the Difference Between Dependence and Addiction PART 2 OVERCOMING FIVE Discovering the Power of the Mind Challenging Assumptions and Achieving Realistic Expectations SIX Restoring Physical Balance Creating a Safe Pathway Between Extremes SEVEN Regaining Emotional Equilibrium Balancing Your Emotions with Mindfulness EIGHT Reviving the Spirit Finding Meaning and Purpose in Your Life PART 3 MOVING FORWARD NINE The Jump Start Plan Keeping It Simple TEN Eating Right to Reduce Your Pain Foods That Hurt and Foods That Heal ELEVEN Final Words Awareness, Courage, Diligence, Hope, Faith, Joy, Compassion, and Wonder Appendix: Delicious and Nutritious Pain-Reducing Recipes RECIPES Beverages and Breakfast Banana-Blueberry-Cranberry Smoothie Creamy Coconut Oatmeal Homemade Almond Creamer (for coffee) Lots-of-Energy Crackers No-Fail Popovers Oatmeal Pancake à la Markus Sausage, Hash Browns, and Egg Casserole Slow Cooker Ginger Tea Slow Cooker Granola Bars Slow Cooker Omelet Vegetarian Soups and Meals Asparagus and Spinach Risotto Billy’s Black Bean Stew Curried Butternut Squash Soup Hearty Split Pea Soup Rustic Roasted Tomato Soup Sweet Potato Lentil Soup Meat-and Fish-Based Meals Baked Shrimp Scampi Buttery Turkey Breast Chicken Piccata Cook-Ahead Chicken for Quick Meals Garlic and Lime Fish Fillets Baked in Foil Roast Chicken with Artichokes Homemade Chicken Broth Salmon with Creamy Avocado-Mint Sauce Slow Cooker Beef Stew Turkey and Brown Rice Chili Salads and Sides Broiled Tomatoes with Parmesan Buttery Carrots and Red Potatoes Cauliflower “Mashed Potatoes” Green Salad with Walnuts, Feta, and Pears Lemon-Garlic Green Beans Sweet, Sweet Potato Fries Zucchini with Butter and Parmesan Desserts Cranberry-Peach-Apple Crumble Gluten-Free Peanut Butter Cookies Resources Acknowledgments Index How to Use This Book WHO IS THIS BOOK FOR? In short, The Pain Antidote is for anyone with chronic pain. When Kathy and I started to conceptualize this book a few years ago, our compelling intention was to reach out to a broad audience of people suffering with chronic pain. Some of our readers will be using opioid drugs to relieve their pain. You may take them infrequently. “At most I take one or two Vicodin a day, exactly as my doctor prescribed for me, and in five years, I haven’t increased the dosage —is this book for me?” Perhaps you are taking high doses of multiple drugs. Your drug use may be causing problems for you, and you may know that you are dependent on the drugs for relieving your pain. “I need the drugs to relieve my pain, but am I addicted? How can this book help me?” Or perhaps you do not take any opioid drugs at all. “Well, I took OxyContin when my doctor prescribed it, but I stopped years ago. Yet I still have pain. Why should I read this book?” We wrote this book for all such readers—for anyone who lives with chronic pain. We also wrote this book for family members who seek to understand the nature of chronic pain and how to help their loved ones. We wrote this book for physicians and other health-care professionals as well. Many doctors anticipate poor outcomes for their patients living with chronic pain and for their addicted patients. And yet for most physicians, these patients constitute a large percentage of their practices. Understanding how opioid drugs affect the brain and body helps dismantle many of the myths and misconceptions and clarifies the rationale for treatment methods and setting realistic goals. Reading the dozens of case histories in the pages that follow will help doctors and other health-care practitioners understand the devastating personal cost of chronic pain as well as the courage and determination required to learn how to live and thrive drug-free. I have treated hundreds of people with chronic pain and watched them transform themselves from drugged, disabled, and depressed to alert, awake, and truly joyful for the first time in years. This is the closest thing to miracle work I’ve ever done in my thirty-eight years as a physician. I travel and lecture all around the country about this topic and after being away from the treatment center for three or four days, I can see the astonishing changes that take place in men and women, some in their teens and others in their eighties, who were once severely debilitated by physical and emotional pain. I’m greeted with smiles, laughter, hugs, and stories detailing their progress—and my heart swells. WHAT WILL I LEARN? You will learn that you can live a rich and full life with chronic pain. In these pages I share stories about the successes I have witnessed and offer details about the techniques and strategies that have proven most effective for people living with chronic pain. The program set forth in these pages is eminently practical and easily adapted to your individual lifestyle. Most important of all, these methods work. They can work miracles, if you do the work. “Why do I have pain and why won’t it go away? What’s going on inside me?” you may be wondering. These questions are often expressed with a sense of hopelessness and despair. Being well informed about the nature of chronic pain will help you break through your confusion and fear. Thus, Part 1 focuses on the physiology of pain, the powerful role emotions play in chronic pain, and provides clear answers to questions about drug dependence and addiction. In Part 2 you will find the most effective techniques and strategies, all of which you can learn and practice on your own, in your own home, to help you live and thrive with chronic pain. You will also find information and advice about professional therapies, such as acupuncture and physical therapy, with details about the basic philosophy and techniques to help you understand why these methods work for so many people in chronic pain. The Jump Start plans detailed in Part 3 are packed full with practical and useful suggestions, and we devote an entire chapter to the connection between food and pain, again with practical, detailed information (and an appendix filled with dozens of healthy recipes). If you find yourself in a rut, this information will help you choose between the many options available to you to create week- by-week recovery and meal plans that you can proceed with at your own pace.

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