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Are Pain Medications Preventing You from Healing?

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We all know that pharmaceutical painkillers are much stronger than nearly anything you can find in nature. There’s no comparing cannabis, cloves, or magic mushrooms to powerful drugs like fentanyl and isotonitazene. So why are a growing number of people turning away from opioids in favor of milder treatment options? Aside from obvious safety issues with the former, the answer to that lies in part in how we, as a society, view pain in the first place.

Is pain something that should be immediately and completely masked, or are there some healing components to allowing our bodies to feel discomfort? Is our culture of hiding from anything that feels bad, keeping us in a perpetual state of illness?

Pain defined throughout history

Pain is not a condition in and of itself, but rather a symptom of many other diseases or disorders, indicating something is wrong with our bodies. Pain is incredibly complex and can vary significantly between people, even those who share similar illnesses or injuries. Pain can also range in severity, as well as in the way it’s felt. Some variations of pain can include pricking, tingling, stinging, burning, soreness, aching, and many other unpleasant sensations.

The entire spectrum of pain consists of hundreds of different types of disorders and syndromes. For instance, you can experience pain following an injury, or chronic pain related to aging. Pain can also be neurological, like migraines. Heart attacks, cancer, and childbirth all cause different forms of pain. When it comes to clinical diagnoses, healthcare providers typically group pain into one of two categories: acute or chronic. Acute pain comes on suddenly and intensely, and is usually the result of a traumatic injury or surgery.

Chronic pain persists over a longer period of time, and can be difficult to manage. Chronic pain affects very 50 million American adults, and it’s one of the most common reasons people seek medical care. Although some medical professionals consider chronic pain to be its own medical disease, there is always an underlying cause.

Again, pain is our natural warning sign that something is not right. The purpose of feeling pain is to change our course of actions – be it limiting certain activities, eating different foods, doing certain exercises, and so on. It’s remarkably specific in letting us know what activities will further aggravate an area, and in preventing us from doing said activities.


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What the research says

Pain is something that has long-confused physicians, so in an effort to better understand it, they started tracking their patients’ discomfort at all times. For a while, pain was even referred to as “the fifth vital sign”, officially declared so in 1999, but the move was met with great controversy and continues to be a point of contention in the healthcare industry to this day.

Regardless, the goal was for doctors to take more cognizance of pain because it can be an important factor in determining the overall health and mental state of a patient. The problem was that, the quest to gain a better understanding of pain eventually turned into a mission to mask pain entirely, not necessarily treat its root causes.

Some issues come along with masking pain, the most obvious being that if you don’t feel any pain, you may not take the correct actions to manage and heal your ailment, leading to further injury. Another problem that is rarely discussed, is the role of pain management medications in the actual treatment of pain. For a long time, it was commonly believed that pills helped, but recent studies show that many frequently used pharmaceuticals actually hinder the healing process.

It is well established in scientific literature that NSAIDs can impede the healing of broken bones, damaged ligaments, and other musculoskeletal tissues. Many surgeons many avoid suggesting or prescribing these medications because of the growing concern in how they negatively impact callus formation and decrease the activity of COX isoenzymes that decrease the synthesis of prostanoids.

Another drug of great controversy – opioids. How much are these incredibly dangerous drugs that have caused hundreds of thousands of overdose deaths over the last decade, even aiding in the healing process? Short answer, not very much at all – according to recent studies.

A study published in 2017 found that patients who were treating wounds with opioid doses over 10mg per day exhibited slower rates of healing than patients who took less than 10mg or none at all. Other studies have also suggested that opioid use may negatively impact wound healing by reducing immune activation, impacting tissue oxygenation and angiogenesis, and altering myofibroblast recruitment as well as impacting keratinocyte cytokine production, endothelial proliferation and angiogenesis.

Other drugs that can slow wound healing are cytotoxic antineoplastic and immunosuppressive agents, corticosteroids, and anticoagulants. Additionally, all drugs in the pain relief category can theoretically interfere with healing by masking pain and thus allowing you to continue to hurt yourself without immediately realizing it.

My personal experience with pain

To not sound completely tone-deaf here, I do understand that certain levels of pain can make life unbearable. I’ve been blessed in not having to experience chronic, debilitating pain personally, but I have had a handful of injuries and surgeries in my life that left me in pain or discomfort for a few weeks to a few months at a time.

I also suffer from frequent migraines and cluster headaches, which come on strong and fast. Normally, I try to take it easy, drink a lot of water, eat food, and avoid smoking until it goes away. Admittedly, I’ll pop an Excedrin occasionally if I don’t have time to tend to naturally, but I try to avoid that as the regular use of any acetaminophen-based drug can cause significant damage to the body, particularly the liver.

Right now, I’m drawing from my experience of giving birth, comparing how it went when I received epidural versus a natural birth. First, it’s important to note that babies whose mothers receive an epidural are more likely to develop respiratory distress syndrome once the child is born. Epidural anesthetic is sometimes combined with opioid drugs as well, which can cross the placenta and add to the risk of developing respiratory depression.

Babies who have are exhibiting such problems likely end up going to the hospital’s neonatal intensive care unit (NICU). While staying in the NICU may not seem harmful on the surface, it means that mother and baby are separated immediately after birth. And when you use epidural, you can’t move your legs for a couple of hours after giving birth, so if the baby is not in the same room with you, that’s even longer spent away from them during their first moments on this earth, and this can have profound effects on the emotional and physical well-being of both baby and mom.

This is what happened to me when I gave birth to my first son with epidural. The labor was about 10 hours, I had to be put on oxygen at numerous points during the process, and my baby was born with some breathing issues that made it difficult for him to breathe through his nose while eating. He was taken to NICU right away, but even while there he had issues for a couple of weeks. At one point during a feeding, he stopped breathing completely for a few seconds and turned blue, it was the most terrifying thing I’ve ever experienced.

Were these issues causes by the epidural? It’s hard to say, but very possible. Especially when comparing that ordeal to the birth of my second son, which was done completely naturally. No problems during the labor which last less than one hour from start to finish, baby had absolutely no issues, and we were discharged in about 1 day.

In my opinion, that’s very telling of the types of complications that can arise when unnecessary medical intervention is at play.

Final thoughts

Pain management is a complicated and sensitive subject for many people, patients and medical professionals alike. Pharmaceuticals have their place in modern medicine, but it’s important to take a closer look at their overall role in treating pain over the long term. These recent discoveries place greater importance on treating the root causes of pain, in order to get patients off their medications as quickly as possible.

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American Heart Association

Naps Done Right Can Make a Huge Difference

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Weekends are made for naps, but done right they can make your week better also!

The body is a machine which needs fuel, maintenance and downtime.  Around 30% of people don’t get enough night sleep during the week, which can cause problems during the waking hours. There has been a stigma around napping as being lazy, but often those “judging” are not giving their own body enough time to rest, refocus and beenergized for the challenges of day to day life.  Data shows it is good for you and naps done right can make a huge difference.

RELATED: Does Hitting The Snooze Button Help Or Hinder Sleep

Everyone is different and bodies need certain things to function, enough rest is one. Healthy sleep is one of the American Heart Association’s Life’s Essential 8, their guide for improving and maintaining health.  Naps can reduced fatigue, increased alertness, improve your mood and performance, and help with memory.  But there are some guidelines…don’t sleep too long, don’t nap to close to your bedtime, and the following key lessons.

Tired Night GIF - Find & Share on GIPHY

Figure out the right nap for the moment

The National Sleep Foundation shares there are three kinds of naps, each with their own patterns and effects. Planned napping, emergency napping and habitual napping. The first is when people sleep before they get tired, the second is when they nap because they’re exhausted and they have to, and the third is when they make a habit out of daily naps. Find the option that works best for you and you needs.

Naps should be short.

Productive naps are between 10-20 or so minutes. While we think of the more sleep the better, this is a case of a little goes a long way. Studies show a 10 minute nap can make people feel rested and prepared for the rest of their day. In fact, sleeping for over 30 minutes can disrupt in nightly sleeping patterns, which can alter your nights and productivity. Set an alarm for your naps, keeping them to a defined time, especially if you’re napping habitually and are not catching up on missed sleep.

Tired At Home GIF - Find & Share on GIPHY

Once awake, start moving

Weekends can be made for lounging around and being lazy. Spend all day in bed or lounging in the couch and end up sleeping on and off.  But hese sessions can result in blurry days where the hours fly by and you end up feeling exhausted. It results in having trouble sleeping at night and not being rested. Days like these disrupt your circadian rhythms. Naps work best when they’re planned, with some activity and movement before and after.

Develop a schedule

Going to sleep at the same time every night provides plenty of positive results, helping you maintain a schedule and develop better sleeping habits. It’s the same with naps. “The brain prefers to anticipate something, not react to it. A nap is no different, which is why a scheduled nap always works better over the long haul when compared to a random nap.” This schedule shouldn’t force you to nap everyday, instead, it should help you nap more easily and feel more rested. Hope you can use the tips to make the most out of naps.



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Cannabis

Can Marijuana Give A Break From All The Drama

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It is a summer of political news, students protests, family gathering and just every day drama – can marijuana help with a temporary break?

This summer will be filled with ongoing political news as the presidential election is in the fall. Add oversees wars and campus protests and conversations with some people could be fraught with drama. And summer is the time of family gatherings, birthdays, weddings or a 4th of July picnic, it can be stressful. Can marijuana give a break from all the drama. The answer is heck yes! And you will feel better than overindulging in booze.

RELATED: Beer Sales Flatten Thanks To Marijuana

While taking a break, breathing, or going for a walk can help, sometimes you get overwhelmed. Avoiding putting yourself in these situations by reducing your news and social media input, putting boundaries around certain people and other healthy habits are import, a quick, easy solution is needed in some situations. Cannabis can provide a temporary relief as it is a proven help against anxiety. To use this tool, there are a few things to know and also not to be over reliant on it as a solution.

Photo by Anton Petrus/Getty Images

Part of the way marijuana chills you out with the active cannabinoid THC. It acts through cannabinoid receptors which activates the brain’s reward system. These includes regions that govern the response to healthy pleasurable behaviors.  It also adjusts perception of time, which is what makes movies and music sound better as it allows you to stop and really absorb the moment.

The younger generation has taken advantage of consumption methods to have marijuana on-the-go.  Vaping is the second, and trends show soon to be first, most popular method of use.  Like gummies (the third most popular way to consume), it is easy, discreet and portable for those with an active lifestyle. You can also manage dosing so you are not too high or suddenly have couch lock.

Done right, a high, even a moderate one, can last 2-10 hours.  Smoking a joint provides the quickest and most powerful, while a gummy takes 30-45 minutes to kick it, but it is much easier to manage the dosage. Vaping is a way to maintain a steady chill.

RELATED: 8 Ways to Enjoy Marijuana Without Smoking It

One good thing about taking a “time out” and breathing from the drama, it is a better on our mental and physical health.

One recent survey discovered

  • 1 in 5 had lost sleep over politics
  • 20 percent reported feeling fatigued because of political news
  • 29 percent reported losing their temper over politics
  • One quarter said they felt hateful toward those with opposing political views
  • More than 20 percent have had political disagreements damage their friendships

However you do it, be mindful of where you are and make sure you don’t let outside forces squash you happiness and enjoyment of each day.



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BDSA

Consumer Spending Validates Marijuana Rescheduling

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It is a historic move for a country which had prohibition, but consumers are using their wallets to show they support it,

Culture wars have been an American tradition – from the battle over TicTok to the alcohol prohibition in the 1920s. It was said the only thing to come out of the anti-liquor period was it taught good citizens how to break the law.  But in general, if the public wants it, the public will have it, legal or not. The perfect is example is the Pornhub ban in Utah and Texas, which has sent VPN sign ups sky high. And consumer spending validates marijuana rescheduling in a major way.

RELATED: Beer Sales Flatten Thanks To Marijuana

Some politicians and leaders believe in the nanny state option.  Those include a few governors lead by Ron DeSantis, Mitch McConnell, and a few other special interest groups.  But the Biden’s administration’s decision to reschedule cannabis lines up with public opinion. Over 85% believe it should legal in some form, and more importantly, they are putting their money toward what they want.  Leading analyst firm, BDSA, shared the public’s spending habit’s match their thoughts on rescheduling.

Photo by Anton Petrus/Getty Images

Following the tradition, cannabis sales moved higher again this year. Sales on 20 April 2024 sales were $167M, a 33% increase over the previous year.  Trends like California sober are going strong and Gen Z continues to move away from alcohol and move toward marijuana vapes and gummies. Lifestyle habits are starting to adjust slightly away from alcohol and more low alcohol drinks, mocktails, and cannabis eat away at the traditional market.  Alcohol is much rougher on the body, so many are opting for a semi-healthier option.

It is a benefit for fully recreational states as even Missouri makes significant tax income on cannabis. Most governors are on board with rescheduling at it is not only the public’s will, but it helps the state’s coffers and actually helps in other areas. Even New York State, with over 1,500 non tax paying illicit stores making money, made some income.  They have less than 100 licensed dispensaries generating over $175 million.

RELATED: How To Microdose Marijuana

On an interesting sidebar, like holidays, there are some holidays where cannabis use is up. Here are the largest for 2023

  1. 420
  2. Green Wednesday
  3. Black Friday
  4. St Patrick’s Day
  5. Veteran’s Day

In comparison, alcohol’s largest days are:

  1. New Year’s Eve
  2. St. Patrick’s Day
  3. July 4th
  4. Day Before Thanksgiving/ Blackout Wednesday/ Drinksgiving
  5. Black Friday

Let’s see how the next 12 months works for the industry, the government and the public.

 



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