Health & Wellness Newsletter by Marketplace Wellness
Health & Wellness NEWSLETTER The Newsletter About Your Health & Caring For Your Body
PAIN MEDICATION? Afraid of Taking
INSIDE • Afraid Of Taking Pain Medication? • When “PT” is Better Than “Rx” • Exercise Essentials • Pain Medication Is Not Your Only Option
Health & Wellness NEWSLETTER The Newsletter About Your Health & Caring For Your Body
AFRAID OF TAKING PAIN MEDICATION?
A simple question, should you take a pill to mask your pain, or should you try to fix the underlying cause? It seems like almost every news broadcast these days features a story about a disturbing cluster of drug overdoses, with the word “opioid” prominently featured. So why are these prescription drugs -- which after all, are legal if they were prescribed to the user -- so much in the news these days? And what can you do if you’re torn between not filling your own prescription, versus seeking relief for your very real pain? Why Opioid Overuse Matters. Both opioid prescription rates and deaths fromopioid overdoses have quadrupled in the last two decades. Given these identical statistics, one can’t escape the obvious conclusion: Reliance on painkillers has gotten out of hand, and the consequences can be literally fatal. According to the Centers for Disease Control and Prevention (CDC), doctors now write so many opioid prescriptions each year that it translates to one bottle per adult living in the U.S.Of the 330,000 people who died from drug overdoses in 2015, 50 percent involved prescription painkillers. Just as ominous is the discovery that people who become addicted to prescription opioids are 40 times more likely to become addicted to heroin. Beyond extreme physical risk, over-reliance on prescription painkillers can have other detrimental effects on your health. Withdrawal symptoms can be harrowing. And while you’re still using them, opioids can lead to
depression, which sets up a vicious cycle of self-medicating in order to feel better emotionally as well as physically. How Physical Therapy Counters the Problem. It’s important to get real about the reason people seek prescription painkillers in the first place -- the pain. These patients are not to be condemned for seeking relief for injuries, arthritis and other degenerative conditions, or for post-surgical discomfort. At the same time, however, it’s becoming increasingly obvious that medications like Percocet, Vicodin, Opana and OxyContin are extremely addictive. Physical therapy, on the other hand, is so effective because it provides a multi-pronged attack to pain relief. First, therapists can help lessen the immediate pain through heat or ice therapy, lasers, as well as low-pulse electronic equipment. Targeted massage and gentle stretching also eases extreme discomfort when tension or stiffness is part of the problem. In addition, physical therapy works to eradicate the actual source of your pain. So, if weak muscles aren’t supporting an aching body part, for example, your therapy will address this underlying cause. Flexibility moves can also contribute to pain relief because stiffening joints often exacerbate discomfort, or lead to over-reliance on nearby, overstressed muscles.
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WHEN “PT” IS BETTER THAN “RX” It’s important to remember that not every prescription is bad or dangerous, and that you don’t have to “suck it up,” refusing all painkillers. But there are specific conditions under which the CDC recommends trying physical therapy first:
• The pain has persisted for threemonths. After the 90-daymark, pain is considered chronic, meaning that painkiller use would also hit the dangerous 90-day mark. This can certainly lead to addiction. • The source of the problem is in the knees, back or hips, or stems fromfibromyalgia. Physical therapy has proven especially effective in these situations. • The “risk vs. reward” question tilts more heavily toward “risk.” There are certainly diseases which cause intense pain and for which opioids help patients to function, or at least to remain comfortable. But when the condition could be better managed with physical therapy or other treatment, as opposed to addictive pills, the “reward” of taking the painkillers doesn’t merit the risk. Are you wondering whether your pain should be addressed with PT first? We will give you a thorough evaluation for your specific condition. Should our trained staff determine that physical therapy canmake a real difference in eradicating your pain, we’ll give you an honest timetable and a safe strategy to avoid prescription painkiller overuse.
RIVERSIDE 3191 B. Mission Inn Ave. Riverside, CA 92507
RIVERSIDE / CORONA 4270 Riverwalk Pkwy Riverside, CA 92505
CHINO 14682 Central Ave Chino, CA 91710
REDLANDS 500 N. Orange St. Redlands, CA 92374
BEAUMONT 1620 E. 2nd St. Beaumont, CA 92223
Pain Medication Is Not YOUR ONLY OPTION
5 Important Reasons To Choose PT FIRST Over Opioids According to the Centers for Disease Control and Prevention (CDC), sales of prescription opioids have quadrupled in the United States, even though “there has not been an overall change in the amount of pain that Americans report.”
supporting exercise as part of a physical therapy treatment plan for those familiar conditions. 4. Opioids are prescribed for pain. Even in situations when opioids are prescribed, the CDC recommends that patients should receive “the lowest effective dosage,” and opioids “should be combined” with nonopioid therapies, such as physical therapy. 5. Pain lasts 90 days. At this point, the pain is considered “chronic,” and the risks for continued opioid use increase. An estimated 116 million Americans have chronic pain each year. The CDC guidelines note that nonopioid therapies are “preferred” for chronic pain and that clinicians should consider opioid therapy only if expected benefits for both pain and function are anticipated to outweigh risks to the patient.
You should choose physical therapy FIRST when: 1. The risks of opioid use outweigh the
rewards. Potential side effects of opioids include depression, overdose, and addiction, plus withdrawal symptoms when stopping opioid use. Because of these risks, “experts agreed that opioids should not be considered first-line or routine therapy for chronic pain,” the CDC guidelines state. 2. You want to do more than mask the pain. Opioids reduce the sensation of pain by interrupting pain signals to the brain. Opioids make it so you can’t feel the pain, but, they do not treat the source of your pain. Physical therapists treat pain by finding the source and restoring movement and function. 3. Pain or function problems are related to low back pain, hip or knee osteoarthritis, or fibromyalgia. The CDC cites “high-quality evidence”
“Physical Therapy vs Opioids: When to Choose Physical Therapy for Pain Management.” American Physical Therapy Association. N.p., 15 June 2016. Web. 10 Feb. 2017.
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READ IT BEFORE YOU EAT IT
HOW TO DECODE FOOD LABELS AND MAKE HEALTHIER CHOICES EVERY TIME
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April 9th @ 3191 Mission Inn Ave Suite B . Riverside CA . 92507 April 10th @ 500 Orange St . Redlands CA . 92374
Exercise Essentials Try these exercises to keep your body strong and flexible...
MINI SQUAT Stand with feet shoulder width apart. Perform a squatting motion initiated by bending at the hip. Only bend knees slightly, do not bend knees beyond 45 degrees. Rise up by straightening at the hip. Repeat 8 times.
QUADRUPED ALT. ARM & LEG RAISE While on your hands and knees, slowly raise up an arm out in front of you. Then, slowly raise the opposite leg behind you, while keeping your back straight. Hold for 10 seconds. Repeat 3 times on both sides.
Exercises copyright of
Stretches Back
Stretches Lower Back
Healthy Seasonal Recipe VEGGIE BURRITO BOWL
INGREDIENTS • 1 (3.5 oz) brown rice • 2 tbsp olive oil • 1 tsp ground cumin • 3 garlic cloves, minced • 3/4 tsp kosher salt • 1 (15 oz) can unsalted black beans • 1 tbsp chopped chipotle chiles
• 1 cup chopped cherry tomatoes • 1/3 cup finely chopped onion • 1/4 cup chopped fresh cilantro • 1 1/2 tbsp fresh lime juice • 1 jalapeno pepper, seeded & chopped • 1 1/3 cups thinly sliced red cabbage • 3 oz queso fresco, crumbled • 1 ripe avocado, peeled & sliced
DIRECTIONS Cook brown rice according to package directions. Drain. Heat amediumskillet over medium heat. Add 1 1/2 tablespoons olive oil to pan; swirl to coat. Add cumin and garlic; cook 1 1/2 minutes, stirring frequently. Stir in rice and 1/4 teaspoon salt. Partially
drain black beans. Place beans and remaining liquid in a small saucepan; stir in chipotle chiles and 1/4 teaspoon salt. Bring bean mixture to a boil; reduce heat, and simmer 5 minutes. Combine remaining 1/4 teaspoon salt, tomatoes, onion, cilantro, 1 tablespoon lime juice, and jalapeño; toss to combine. Combine remaining 1 1/2 teaspoons oil, remaining 1 1/2 teaspoons juice, and cabbage; toss well. Divide rice mixture evenly among 4 shallow bowls. Divide bean mixture, tomato mixture, cabbage mixture, cheese, and avocado evenly over rice.
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