AREA NEEDS MORE TREATMENT PROVIDERS

Perhaps the closing of a local pain clinic associated with the spread of
OxyContin abuse in this area, as well as nationally, can help generate a
needed dialogue in both medical and community circles about non-drug
approaches to chronic nonmalignant pain. OxyContin was originally developed
for and is very effective in the treatment of cancer and other types of
severe intractable pain. However, it and similar narcotics have frequently
been prescribed for other types of chronic nonmalignant pain, including
conditions associated with chronic stress (whether recognized or not). This
has increased the supply and availability of OxyContin, contributing to the
current problem. Unfortunately, those who truly need this drug may find it
difficult to obtain, while those who do not run the risk of habituation or
addiction, to which the many gradations of stress predispose. Numerous
studies have documented the association between chronic pain and persistent
chronic stress, which may be related to neurochemical imbalances in the way
the brain and body process the mental component of stress. This has lead to
a resurgence of interest in the benefit of non-pharmacological
self-directed, active patient participation techniques such as Stress/Pain
management programs which utilize behavioral-cognitive therapies and other
Mind/Body methods that attenuate the chronic stress response. Included in
these types of treatments are patient education and exercise programs,
relaxation techniques, cognitive restructuring, as well as self-help
courses and psychological counseling when indicated. Such strategies
involve lifestyle changes and are time- and effort-consuming, but provide a
healthier alternative to drugs with long-lasting benefits if initiated
early and maintained over time. Even though improved outcomes have occurred
with less reliance upon drug therapy, these important self-management
aspects of chronic pain treatment have often been neglected or downplayed
by many pain clinics. We can no longer afford to have a one-size-fits-all
approach to chronic pain. The different origins of these conditions need to
be recognized, diagnosed and treated early, especially since refractoriness
to treatment is often associated with duration of symptoms. In this region,
there is a need for more behavioral health providers [including those
trained in the latest Mind/Body techniques], health educators, and
instructors of exercise and other self-management programs. The lives of
many patients within the spectrum of chronic nonmalignant pain can be
improved, while dependence upon potentially addicting drugs in these
vulnerable individuals, as well as illegal substance abuse, substantially
reduced. The writer is from Myrtle Beach.