Not all pain relief has to come from medical treatment. There are some natural pain relief options that can go a long way in helping you cope with and manage chronic pain.
While many of these treatments will not work for everyone, sometimes gaining even a little more pain relief makes it worth a try.
Any of the following natural pain relief options are generally easy to try, inexpensive, and have the potential for reducing your pain. Hopefully one or a few will work for you!
- Release your inner endorphins. Endorphins are the natural pain relievers produced by your body. They work by binding to the opioid receptors in your brain to block the perception of pain, similar to opioid pain medications, such as oxycodone or morphine. Spurring increased production of these natural hormones can substantially help reduce your pain, as well as produce profound feelings of pleasure and satisfaction.1
Any activity that gets your blood pumping for a sustained period will release pain-relieving endorphins into your system. The obvious problem is: How do you exercise if you're in too much pain to exercise? For many, the solution is to pick an exercise that is tolerable and start with help from the right type of health professionals, such as a physiatrist, chiropractor, or physical therapist.
For example, water therapy is gentle on your body because the water supports the weight of your body and provides gentle resistance. The exercise is done in warm water, which is also soothing. There are many land-based exercise programs that can provide a gentle, endorphin-producing form of exercise, such as tai chi, or yoga programs designed for people with chronic pain conditions.
- Find support and understanding. Unlike a broken leg or other obvious sign of injury, chronic pain is usually unseen. It is a profoundly personal—and often lonely—experience. For many, it is difficult to find support and understanding from family and friends who may be well-intentioned but don't really get what you're dealing with. If this is the case for you, we encourage you to find your own group of people who can be supportive and understanding. There may be a chronic pain support group at your local hospital or church. Or you may prefer to interact online. You may get started with a local or online forum seeking help, and then go on to find that you have a lot to contribute, and helping others is also a way to help yourself.
Members of the Spine-health.com Back Pain and Chronic Pain discussion forums say that it is quite simply "free therapy."
- Enjoy essential oils. Essential oils have long been valued for their analgesic effects in many cultures. There are many ways to benefit from essential oils—some people inhale them (aromatherapy), others include several drops in their massage oil and enjoy as part of a therapeutic massage. Several oils, in particular, are thought to have an analgesic effect, including peppermint oil, rosemary, and lavender.
- Soak in warm water. Soaking your body in warm water can alleviate many forms of muscle pain and muscle spasm, as well as many types of arthritis. There are many options for a warm soak, including a deep bathtub, a whirlpool tub, or a warm pool for water therapy.
Some people find that adding essential oil or Epsom salts improve the muscle-relaxation benefits.
Sometimes soaking in a warm tub is the best way to warm up the muscles before stretching—making stretching and exercise more tolerable and beneficial.
- Try heat therapy. Applying some form of heat can go a long way in easing your pain. Try a hot water bottle, gel-filled pad heated in the microwave, electric heating pad, or hot bath.
The benefits of heat therapy are twofold: it increases the flow of healing oxygen and nutrients to the damaged area, and it suppresses pain signals. Some find that wearing a heat wrap, such as those from ThermaCare, is best because it releases a low-level heat for several hours and can be worn under clothes so you can remain mobile. You can also combine the benefits of aromatherapy and heat by adding essential oil to the hot pack; you can experiment by making your own microwaveable heating pad at home and adding different essential oils to see what works best for you.
- Try massage therapy. Studies have shown that massage therapy not only helps with relaxation but can also help diminish the body's perception of pain. A high-quality therapeutic massage spurs blood flow, which in turn helps nourish and heal the soft tissues throughout your body. Massage also releases endorphins, which are your body's natural analgesics. Massage therapy is defined as a soft tissue—muscles, tendons, and ligaments—manipulation through hands-on massage by a qualified massage therapist. Like many complementary therapies, there is no substantial agreement in terms of how much massage therapy can help reduce pain, or which type of massage is best for which type of pain, so you may need to try more than one approach to find what works best for you.
In addition to traditional massage techniques, such as Swedish massage or deep tissue massage, there are some techniques that involve the use of instruments, such as the Graston Technique or other instrument-assisted methods.
- Loosen up. Almost everyone can benefit from stretching the soft tissues (the muscles, ligaments, and tendons) in and around the spine. Your back is designed for movement, and if your motion is limited because you are in pain, it can make your back pain worse.
If you suffer from chronic back pain, you may find it takes weeks or months of stretching to loosen up your spine and soft tissues, but meaningful and sustained pain relief will follow the increase in motion. Warming up your muscles by applying a heating pad for 15 minutes before stretching can help make the stretching more tolerable.
It is best to work with a physical therapist or another health professional before starting any type of stretching routine, as the type of stretching should be tailored to your specific condition; e.g. the form of stretch will be very different if you have lumbar spinal stenosis versus a herniated disc.
- Enjoy the outdoors. 10 to 15 minutes of sun exposure a day can help the body produce vitamin D. People who got the recommended daily 400 to 800 IU of vitamin D experienced less pain than those who didn't, according to a Boston University study of 221 men and women with knee osteoarthritis.
In one recent study, the 200 study participants with chronic lower back pain that had no identifiable cause were had significantly lower levels of vitamin D than the 200 people in the control groups without lower back pain, indicating that insufficient vitamin D levels may contribute to or worsen chronic pain.2
Other research shows increasing vitamin D may help soothe the pain: out of 150 people with unexplained persistent musculoskeletal pain, 93% were recently found to be deficient in vitamin D levels, according to recent research at the University of Minnesota.3
- Imagine yourself in a better place. This option has to do with a form of meditation - called guided imagery - harnesses the power of your mind to devalue pain signals. Guided imagery allows you to hear and internalize therapeutic suggestions that help you feel better.
In one study of 28 women with osteoarthritis pain, half of the women listened to a 10 to 15-minute recorded script twice daily that guided them through muscle relaxation techniques. Women in the guided imagery group showed statistically significant improvements in their pain levels and mobility within 12 weeks, versus women in the control group who did not see any improvements.4
Guided imagery can be learned with a practitioner or on your own using audiotapes or CDs.
10. Reduce the inflammation that's contributing to your pain. It may seem obvious but it bears repeating; inflammation is a contributor to most forms of chronic pain, and reducing the inflammation will help reduce your pain. A simple way to address inflammation is to regularly apply a cold pack or ice to the local area of pain. Ice also helps by acting as a local anesthetic and by slowing nerve impulses, which in turn can interrupt the pain signals generated in the affected area.
11. Meditate twice daily. Meditation comes in many varieties, some complex, others simple. One common approach is just to find a sound that is pleasing to you but has no particular meaning (like "som"), close your eyes, sit still and comfortably, and repeat the sound in your mind. When your thoughts wander, notice that they have wandered and returned to your sound. If you feel your pain, notice the pain and return to your sound.
You don't have to sit up straight with your legs crossed—any position that you find comfortable is fine. You can sit in your recliner with a heating pad on your back if that is best for you. You can sit back and soak in a warm bathtub.
Start with a few minutes, and gradually lengthen to thirty minutes. You will find yourself refreshed and reinvigorated, with less pain overall.
12. Laugh more often. One study showed that social laughter actually increases pain tolerance. Laughing along with others was shown to have the highest positive impact. Laughter has many positive effects, including increasing circulation and oxygen and raising your body's level of endorphins (the body's natural pain killers). There is a whole movement called "laughter yoga"—which helps people enjoy the many benefits of laughter without having to need a reason to laugh—it just focuses on laughing for its own sake.
13. Get enough restorative sleep. Getting enough sleep is critical to managing pain and promoting healing, so it's important to employ a variety of sleep aids to help you get a healthy amount of sleep. Regular exercise that physically exhausts the body helps promote deep sleep. Visualization, meditation, and other psychological techniques can also help you get to sleep and stay asleep.
14. Stay well hydrated. It is common knowledge that drinking enough water throughout the day is good for you, but did you know it can also help reduce pain? For people with back conditions, staying well hydrated helps the intervertebral discs stay healthy. Drinking enough water also helps reduce stiffness, it helps your blood carry healing nutrients and oxygen throughout the structures of your body, and helps flush toxins out of your muscles and other soft tissues. It will help prevent constipation (a side effect of many pain medications).
All of the above are not prescriptive; rather, they are intended as ideas for you to consider on your personal journey with managing chronic pain.
Precision Pain Care and Rehabilitation has two convenient locations in Richmond Hill – Queens and New Hyde Park – Long Island. Call the Richmond Hill office at (718) 215-1888, or (516) 419-4480 for Long Island office, to arrange an appointment with our Interventional Pain Management Specialist, Dr. Jeffrey Chacko.
