Comprehensive Pain Management
(Formally known as Franklin Pain and Wellness and Warwick Pain)

Attleboro, MA(508) 236-8333
Franklin, MA(508) 507-8818
South Kingstown, RI (401) 234-9677
Warwick, RI(401) 352-0007

Franklin, MA • (508) 507-8818
Warwick, RI • (401) 352-0007
South Kingstown, RI • (401) 234-9677

Franklin Pain and Wellness Center

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Treatment Plans for Chronic Back Pain Can Include Options in Addition to Medication – Kingston, RI

Joseph Coupal - Thursday, March 02, 2017

People should try non-drug treatment options like massage or stretching in cases of chronic low back pain before choosing treatment with over-the-counter or prescription drugs. Often, drugs and medication have a place in conjunction with other treatment.

If the pain began recently, the guidelines recommend superficial heat, massage, acupuncture or spinal manipulation. If patients wish to take medication, they should talk with doctors about nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, or skeletal muscle relaxants prescribed by a doctor. Acetaminophen and steroids are not recommended for low back pain.

However, for chronic low back pain - defined as pain that's lasted more than 12 weeks according to the American College of Physicians (ACP),- these new guidelines apply to low back pain that does not radiate to other parts of the body like the legs. Patients with low back pain that radiates to other parts of the body need further evaluation.

Low back pain is one of the most common reasons people visit U.S. doctors' offices each year. About a quarter of U.S. adults report low back pain at least one day during a three month period.

Most back pain is self-limited. It's common, will go away given enough time and patients can help themselves initially by trying some heat and stretching or getting help with a pain treatment plan.

The new guidelines are based on a review of studies that looked at the use of drug and non-drug therapies for low back pain. Based on the review, the ACP recommends that people who have been suffering with chronic low back pain (non-radiating) try non-drug therapies such as exercise, acupuncture, mindfulness-based stress reduction, tai chi, yoga, biofeedback, cognitive behavioral therapy or spinal manipulation.

If those methods don't work, other medications, treatments and opioids should be considered, and only prescribed after doctors discuss their risks and benefits with patients.

If you're going to have to use opioids, use them in the smallest dose possible with the least frequency and smallest prescription. The new recommendations are very reasonable.

Anything you can do with these non-pharmaceuticals that can get you moving faster is going to get you better in the end.

Patients should understand that a lot of these non-pharmaceutical treatments can have a lot of success. Consider a pain treatment clinic like Franklin Pain and Wellness Center. Contact Comprehensive Pain Management for more information.

Source: Fox News

Causes and Treatment for Chronic Back Pain – Franklin, MA

Joseph Coupal - Thursday, January 26, 2017

Back pain is very common among adults of all ages, but it doesn’t have to be. Below you will find the most frequent causes and types of back pain, and some tips for treating and preventing it. Back pain is often due to soft tissue injuries in the form of muscle, ligament, and tendon strains. These injuries are often caused by activities that include lifting, twisting or bending, and falling. If your back pain occurs after lifting or bending incorrectly, it can be treated with anti-inflammatory medications or muscle relaxants, though participating in physical therapy can prevent the pain from reoccurring.

Physical therapy works well to treat back pain and has both immediate and long-term benefits. Along with teaching patients to properly stretch affected muscles for relief, physical therapy also helps to build core muscles that are vital for stabilizing your back and supporting your spine. Building these muscles can help prevent future strains and pains in your back.

To further reduce your risk of back injury, exercise regularly with specific emphasis on building core strength. Maintaining a healthy weight to prevent excess strain on your back and avoiding tobacco products are also very important. Those who have jobs that contain a lot of vibration—for example, truck drivers and operators of heavy machinery—are at a higher risk of experiencing back pain and therefore should be sure to take preventative measures.

Those with mental health disorders such as anxiety and depression are also more prone to back pain and should work to prevent injury, as it can lead to a cycle that worsens their psychological symptoms. When people have chronic back problems, there is a large psychological component to it. Being depressed causes pain, and being in pain makes you depressed.

While back pain is exceedingly common—one in every ten people experience at least one instance of severe back pain in their lifetime—it is preventable and treatable. Identifying if you are at a higher risk of suffering a back injury is vital in preventing one from occurring, and simple tips like exercising and strengthening core muscles are an easy way to avoid pain.

For more information on treating and preventing back pain, contact Franklin Pain Center.

New Treatment for Chronic Pain – Franklin, MA

Joseph Coupal - Monday, January 16, 2017

Many suffer from chronic pain. What is it? Chronic pain is pain that lasts more than a few months. Some types can’t be cured. But treatment can help you find relief.

How you treat your chronic pain depends on a few factors:

  • How long the pain has lasted
  • How bad it is
  • What's causing it
  • Where you hurt

Treatments have changed a lot over the years. There are more options than ever.

Doctors may use many options together to help you feel better.

Radiofrequency Ablation (RFA)

RFA targets the nerves that send pain signals to your brain. Your doctor will use a needle with a tip that heats up. The needle is placed very close to the nerve. The heat zaps it so that it can’t send the pain signal.

The treatment helps with many types of pain, including arthritis and neuropathy. Research shows it can also ease lower back and hip pain. It can also help your knee and neck.

A newer type of it, called “cooled RFA,” may offer more precise relief. Research is underway to see if cooled RFA is more effective than the regular kind.

What are the results?

Studies show that the average pain relief for Radiofrequency Ablation is about 15 months and can last up to two years. These results last much longer than steroid injections. Radiofrequency Ablation can provide patients with greater range of motion, lower the need for pain medication and the procedure itself has a very short recovery time.

For more information from experts in RFA, contact Franklin Pain and Wellness Center.

Happy New Year 2017 from Franklin Pain and Wellness Center

Joseph Coupal - Friday, December 30, 2016

Fraklin Pain and Wellness Center, Franklin, MAA fresh new year has arrived once again. It’s the time to be thankful for everything we have and for everything we have achieved in the past year. But it is also time to start new, start strong, and accomplish everything we want to do this year.

It is also time for us to say “Thank You” for our success last year. If you are an existing associate, we have enjoyed working with you. If we are just embarking on a new relationship with you in 2017, we look forward to the opportunity. We are excited for what we all can achieve in 2017.

The New Year stands before us, like a chapter in a book, waiting to be written. We can help write that story by setting goals. – Melody Beattie

Happy New Year from Franklin Pain and Wellness Center.

Happy Holidays from Franklin Pain and Wellness Center

Joseph Coupal - Tuesday, December 20, 2016

Franklin Pain and Wellness Center, Franklin, MAIt is once again "end-of-year" blog post reflection time.  If you are reading this blog post, you care enough about us and our business to invest a minute or two reading here.  That means a lot to us.  The primary reason for this blog is to educate and inform our readers; as an ongoing act of giving thanks for the privilege of earning your continued trust and continued professional partnerships. So we're glad you're here.

We reflect today on the blessings that so many of you bring to both our personal and professional lives. Over the course of 2016, we hope that we have made a difference in many personal and professional lives. This is the true essence and a key measure of professional reward and business success.

It is our sincere wish that all of you bask in the joy of reflection and within the warm confines of family and friends throughout this Holiday season and throughout 2017. Cheers!

Happy Holidays!

-from all of us here at Franklin Pain and Wellness Center.

Kyphoplasty to Treat Spinal Compression Fractures – Franklin, MA

Joseph Coupal - Monday, November 21, 2016

Vertebral compression fractures are the most common type of spinal fracture and cannot heal on their own. If left untreated, these fractures can cause serious health problems. Kyphoplasty is a minimally invasive spine surgery that restores lost vertebral height and decreases back pain in individuals with vertebral compression fractures.

What conditions can kyphoplasty treat?

Kyphoplasty may relieve chronic pain in advanced osteoporosis patients with severe vertebral compression fractures. Osteoporosis causes bone to lose its density, mass and strength, leaving the skeletal structures porous and highly susceptible to fractures.

In some cases, pain may gradually worsen over time, while other patients will notice a sudden onset of sharp pain. Symptoms of a spinal compression fracture include sudden, severe back pain, pain when twisting, pain when bending down, loss of range of motion and loss of spinal height.

What to expect during the procedure?

The patient will lie face down, and local anesthetic is administered to reduce pain felt during the procedure. A tiny incision will be made, through which the physician will insert a small balloon catheter and a fluoroscope, which projects a live x-ray image onto a screen to assist the medical team.

As soon as the balloon is in place, the doctor inflates it to elevate the fracture. This returns the bone to a normal position and height and creates a space inside the vertebrae. Once the balloon has been inflated to the maximum level, it will be deflated and removed.

The pain management doctor will then fill the cavity with medical-grade bone cement to restore bone height and stabilize the spine. After surgery, the patient will spend a short time in recovery before being allowed to return home.

Benefits of kyphoplasty

Kyphoplasty has many benefits, including short recovery time, minimal blood loss and short procedure time. Many patients are able to return to normal activities very quickly following the procedure.

Are you a candidate for kyphoplasty?

This procedure is usually recommended for those suffering from symptoms including chronic or severe pain, limited mobility, decreased lung capacity and difficulty sleeping. Kyphoplasty may benefit those with recent osteoporotic compression fractures (fractures that have occurred within 8 weeks).

Unfortunately, kyphoplasty cannot rectify previous and already-established spinal deformities, and certain types of osteoporotic fractures may not qualify for treatment.

For more information contact Franklin Pain and Wellness Center.

High-Frequency Stimulation Better for Chronic Back and Leg Pain – Franklin, MA

Joseph Coupal - Thursday, November 03, 2016

More research is showing that high-frequency spinal cord stimulation (SCS) provides “superior clinical outcomes” compared to conventional SCS stimulation for people with chronic back and leg pain.

The high-frequency stimulation is called “HF10” and offers lasting reductions in back and leg pain after other treatments have failed.

The study followed 171 people with moderate to severe back and leg pain that had tried a myriad of other treatments without success. The participants had chronic pain for an average of 14 years and were treated at 11 pain clinics in the US. The vast majority – almost 90% – had had previous back surgery, and about the same number were currently taking opioids.

Study participants were randomly assigned to one of two groups. One group was treated with the stimulation delivered to the spinal cord at a rate of 10 kilohertz for short periods of time. The other group was treated with traditional SCS therapy, where stimulation is delivered to the spinal cord at a lower frequency and for longer periods of time.

At three months, scores for back and leg pain decreased by at least half in more than 80 percent of patients receiving HF10. Those who received conventional SCS achieved similar responses in back pain for 44 percent of patients and in leg pain for 55 percent.

At two years’ follow-up, the HF10 group still had higher response rates: 76 versus 49 percent for back pain and 73 versus 49 percent for leg pain.

On a 0-to-10 rating scale, average back pain score decreased by 5 points with HF10 versus about 3 points for traditional SCS.

Extending follow-up to two years provides physicians, patients, and payers with rigorous evidence demonstrating the durability of SCS in treating chronic pain. They note that the results are “particularly impressive” given the patients’ long history of pain and lack of response to other treatments, including back surgery.

For more information on spinal cord stimulation for leg and back pain, contact Franklin Pain and Wellness Center.

Epidural Spinal Injections for Treating Chronic or Acute Pain – Franklin, MA

Darren Kincaid - Thursday, October 13, 2016

Epidural spinal injections may be better known as “epidurals”. Epidurals are a non-surgical treatment for treating acute or chronic back pain.

Spinal nerves can become irritated or inflamed and cause a pinched nerve. This is often results in a slipped disc or spinal stenosis. These conditions cause severe acute or chronic back pain, as well as pain and numbness and muscle weakness in other parts of the body, namely in the hips, glutes, or legs.

Before you consider surgery or chronic pain medications consider one or more non-surgical treatments. An epidural spinal injection is an option.

What Is an Epidural Spinal Injection?

An epidural spinal injection delivers medication directly into the area around the irritated spinal nerves that cause the pain. This is the space around the protective membrane (or dura) that covers the spinal nerves and nerve roots. This is the epidural space.

An epidural is not a "cure" for symptoms of spinal compression, but it is a treatment. It is often used when the actual cause of the problem is being treated by physical therapy or exercise, or while you are considering surgery.

Talk with Franklin Pain and Wellness Center about the benefits of epidural spinal injections.


Radiofrequency Ablation to Treat Joint Pain without Surgery – Franklin, MA

Joseph Coupal - Tuesday, October 04, 2016

Imagine pain relief, without the surgery or dangerous prescriptions. A new treatment can help those plagued by joint pain, with just physical therapy.

78-year-old Dan Marks saw his friends getting joint replacement surgery and wanted to try to prevent that. He is now the biggest supporter of radiofrequency ablation.

He was always on the go, until like millions of Americans, severe knee pain sidelined him. Although knee replacement surgery was an option, he wanted to avoid the long recovery.

That's when Marks found a Pain Clinic that offered radiofrequency ablation. He became a patient.

Mark underwent a small invasive procedure for five minutes that relieved the pain by deactivating certain nerves in the knee. He says the ablation lasts for 8 to 10 months and now gives him the energy he needs to do the things he loves.

For more information on radiofrequency ablation for chronic joint pain, contact Franklin Pain and Wellness Center.

Chronic Pain Diagnosis and Treatment to Restore Quality of Life – Franklin, MA

Joseph Coupal - Monday, September 26, 2016

Chronic pain is devastating. Many people feel like they’re fighting for their lives, because chronic pain can be torturous. If you have chronic pain, you know what it means to feel caught in a cycle of such terrible pain that even the thought of getting out of bed can seem more than you can stand.

Estimates put the number of people suffering from chronic pain in the U.S. at 116 million each year. Each person can be impacted differently, but it often results in sharply decreased levels of activity that literally change the way people live.

It takes away the simple freedoms of functioning in daily life and the ability to enjoy the activities that define quality of life. It often leads to depression and anxiety because of its disabling affects.

Chronic pain can carry a pretty hefty price tag. The annual cost associated with treating it comes in at a range of $560 billion to $635 billion in the U.S. alone. That’s the price for medical treatment, along with the cost of lost time at work and the loss of paychecks that goes with it.

But, the real cost is immeasurable. It’s the cost of a daily struggle that few people can begin to really imagine, and that’s why it’s important to understand what chronic pain is, what causes it and various treatments, in concert, can play a critical role.

Medical professionals very often call pain that lasts more than three months chronic pain.

Chronic pain occurs when your body is sending signals to your brain that leads your brain to decide that your very health and welfare is being threatened.

It’s not like the alert your body sends from a typical or acute pain sensation that lets you know you probably have an injury. Chronic pain can continue indefinitely, and it can trigger other problems, including sleep disruption, diminished appetite and mood swings.

One of the tricky issues associated with chronic pain is that there are so many causes. For the largest number of people coping with chronic pain, the cause can be a traumatic injury. It can also result from a sprained back or chronic headaches, such as migraines and cluster headaches.

Illness and diseases, such as osteoarthritis, diabetes mellitus, fibromyalgia, rheumatoid arthritis, cancer, neuropathy (pain that comes from nerve or tissue injury) and amputations are among the several other causes of chronic pain.

Frustrating doctors and patients both is the fact that there are many cases of chronic pain where there is no clear cause. When it occurs, the body’s response is a sort of scream for help that doesn’t seem to stop. The question is how do you answer that call for help?

The first step is determining exactly what’s going on, and that means seeing a doctor to get a proper diagnosis. Health professionals may use a combination of methods to determine if you are, in fact, suffering from chronic pain or if there is another problem at work.

Go to your appointment prepared with all the information you can provide to help your doctor determine your specific problem. Doctors will likely ask about your pain history, so write down when your problem began and try and describe your pain.

Every person feels pain in their own way so think of how you can best help your doctor understand. Where does the pain occur? Is it a stabbing, ongoing pain? Is it a dull pain or is it a sharp pain? Is it a burning sensation or an aching sensation? Does the pain come and go, or is it going on all the time?

Remember to write down your medical history, the types of medications you may be taking and any supplements, including vitamins. With all that information, the doctor has a better profile of your situation. Expect that your doctor may order tests to help reach a conclusive diagnosis.

There is no one-size-fits-all answer to treatment for problems like these. With the goal of reducing your pain and giving you back the ability to function as normally as possible, treating chronic pain can require a variety of approaches, including medication.

Your doctor may also call on a number of other health professionals, recognizing that tackling chronic pain often can require a combination of expertise including anesthesiology, acupuncture, physical therapy, massage, pain management and more. This helps with ongoing chronic pain management and restoring movement and functionality.

Expect your pain management team to work closely with your doctor to create a treatment plan to address the specifics of your problem.

The goals of your thorough treatment plan is helping to get control of your chronic pain and healing. It’s about addressing pain-causers and your pain response, restoring your flexibility and normal functioning and enriching your quality of life.

For more information on diagnosing and treating chronic pain, contact Franklin Pain and Wellness Center.

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