{"id":4749,"date":"2016-06-07T00:00:00","date_gmt":"2016-06-07T06:00:00","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/2016\/06\/07\/reaching-beyond-the-pill\/"},"modified":"2021-08-03T09:35:23","modified_gmt":"2021-08-03T15:35:23","slug":"reaching-beyond-the-pill","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/reaching-beyond-the-pill\/","title":{"rendered":"Reaching beyond the pill"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><p>During what was supposed to be the prime of Jason\u2019s life, he found himself flat on his back. An MRI revealed that the 23-year-old\u2019s severe pain stemmed from three injured discs in his lower back. The once straight-A welding student with a shining future was now facing a life of chronic pain.<\/p>\n<p>Jason shuffled between doctors and medications, spent days under stacks of Medicaid and disability paperwork. Struggling with the side effects of medications, Jason felt isolated and alone. The situation was also hard on Jason\u2019s wife. It wasn\u2019t until she left him to go and stay with family that he decided he had to find a better system for managing his pain.<\/p>\n<p>He turned to an innovative pain clinic that had just been created by UCHealth Family Medicine Center, UCHealth\u2019s family residency program, in Fort Collins.<\/p>\n<p>\u201cOur goal here is to address pain in a different way \u2014 focusing on function rather than pain medications,\u201d said Dr. David Marchant, medical director for FMC.<\/p>\n<p>FMC developed a new pain clinic that focuses on improving function by providing alternative pain management methods, such as yoga and massage, educational classes on everything from pain addiction to acupuncture, mental health sessions and consistent provider appointments.<\/p>\n<p>\u201cIf we focus on pain meds, then they focus on pain meds,\u201d said Kathy Randall, pain clinic nurse manager. \u201cMany people choose to taper off their meds, but that\u2019s their choice. Our goal is that each patient is able to function better in their daily life.\u201d<\/p>\n<p>It starts with a multidisciplinary team approach. During the patient\u2019s first visit, he\/she meets with a nurse, a substance abuse counselor and behavioral health specialist, an FMC provider, a wellness counselor and a pharmacist. The team lays out the rules and expectations of the program and sets goals.<\/p>\n<p>\u201cWe want them to set functional goals. We want our treatment to make a difference in their lives. We don\u2019t want them to just be satisfied because we are treating their pain,\u201d Marchant said. \u201cHaving them make and keep goals helps them to see themselves in a different light \u2014 that they can do things. They again start to see themselves as capable people.\u201d<\/p>\n<p>Just one result of the goal-setting structure: There has been an average 54 percent decrease in participants who smoke cigarettes.<\/p>\n<p>Randall has worked hard to find community partnerships to provide drug-free alternatives to pain management. Most recently, clinic participants had an opportunity to join in a Colorado State University-led yoga program. Instructed by certified yoga teachers with occupational therapy degrees, the classes allowed CSU to study yoga\u2019s effect on pain management and function while patients got free yoga sessions.<\/p>\n<p>\u201cWe felt education was a powerful tool for patients to manage their own pain,\u201d Randall said.<\/p>\n<p>Randall set up a similar relationship with the Institute of Business and Medical Careers College to provide patients with free, weekly massages.<\/p>\n<p>\u201cWe could hold classes on the benefits of massage or yoga, but if patients don\u2019t have access to these alternatives, then we are wasting our time,\u201d she said.<\/p>\n<figure style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28144802\/EXT_pain20clinic_yoga2.webp\" alt=\"patient yoga\" width=\"300\" height=\"200\" \/><figcaption class=\"wp-caption-text\">FMC Pain Clinic patients practice yoga, which is offered to 150 patients through a partnership with Colorado State University. CSU is researching the effectiveness of yoga for occupational therapy. Photo by Kati Blocker, UCHealth.<\/figcaption><\/figure>\n<p>And it\u2019s working. Jason and his wife, who has returned to their home, are seeing a significant difference in Jason\u2019s life. Where before he struggled to stand for more than 15 minutes at a time, he\u2019s now doing yoga and has become \u201cbody aware,\u201d he said.<br \/>\nAnd for his wife, the educational classes have helped her understand better what her husband is going through and how she can help.<\/p>\n<p>\u201cI\u2019m able to understand his pain so much more,\u201d she said. \u201cI understand that he does need to rest when he\u2019s hurting. I know that he needs to drink more water and how eating right affects him. I get it now.\u201d<\/p>\n<p>Jason is still on medication, but he has support from the pain clinic to make sure he\u2019s managing it properly, as well as many other aspects of his life.<\/p>\n<p>The clinic also encourages philanthropy and volunteerism. The meeting room in the clinic has a \u201cgratitude tree,\u201d and each leaf represents a patient who has recently given back to their community.<\/p>\n<p>\u201cPain clinic has become its own community,\u201d Randall said. \u201cEveryone tries to help each other. Here they are understood. It\u2019s hard for many of these people to even get up in the morning, but yet in pain clinic they do so much and take on such great goals.\u201d<\/p>\n<p>For Jason, the pain clinic has provided him the support, understanding and direction he so needed from day one of his accident.<\/p>\n<p>\u201cWhen you get injured, everything changes in your life,\u201d Jason said. \u201cIt\u2019s hard when you don\u2019t have a visible injury. Your friends change because they don\u2019t understand why you don\u2019t want to go do things with them. Your family asks you to help, and they don\u2019t understand when you say you can\u2019t. It helps to be around a group that understands what you are going through. The support I\u2019ve gotten here has changed my life.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>During what was supposed to be the prime of Jason\u2019s life, he found himself flat on his back. An MRI revealed that the 23-year-old\u2019s severe pain stemmed from three injured discs in his lower back. The once straight-A welding student with a shining future was now facing a life of chronic pain. Jason shuffled between [&hellip;]<\/p>\n","protected":false},"author":2164,"featured_media":2772,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[65,401],"class_list":["post-4749","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-pain-care-and-management","tag-family-medicine-residency-program"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Pain management: Reaching beyond the pill - 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