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Pain is one of the greatest deterrents to pursuing wellness and achieving an improved, happy, functional healthspan. It affects everyone differently erratically, undefined, but it can take a toll on lives, adversely effecting quality of life: mentally, physically, emotionally, economically. Pain has a negative bearing on mental health and has an extremely adverse impact, impairing one’s ability to achieve wellness, improve healthspan, and function.
The managing of acute and chronic pain involves not only balancing pain treatments, drug interactions and side-effects, but also includes addressing the challenges of despair, depression, hopelessness, and deaths brought on by the human conflict with pain.
A holistic route, away from pain, can lead to a celebration of wellness of mind, body, and spirit achieved by being empowered with information that can help
The following information will assist in setting goals, improve an approach to controlling pain, and help change your life for the better by managing pain safely and effectively. The objective is to contribute to shaping a personal formula for quality pain management, and open a safe road to a functional healthspan, with pain under control.
Be proactive.
The side panel shows some ossicles that can arise with pain. The path to healing requires that these roadblocks be confronted and a plan be set to restrict them.
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Part 1
This discussion of pain will be a gathering of material on the science of pain, the body’s reaction to it, the defining pain types, assessment tools, multimodal-complimentary approaches for non-drug therapies, a review of different prescription and non-prescription medications, and an introduction to Nuwell Pain Relief Powered by Copper (NWPR)analgesic as a part of an advanced pain treatment plan that offers a safer, better choice, and improved outcomes. Remember, it may take different approaches, combinations, and trials to get a personalized plan that works for your pain management. Look for support when you need it or if your plan is not working. Always check with your pharmacist for drug interactions when adding any type of Rx or OTC medication.
Our objective is to contribute to helping everyone shape an individualized formula for quality pain management and open a safe road to a functional healthspan with pain under control. The following information will assist in setting goals and improving an approach to control pain. The celebration will be about achieving wellness of mind, body, and spirit through the use of the provided information that can be a guide along a holistic route leading away from pain and changing your life for the better by managing pain safely and effectively.
Take control of your pain with #1 Natural pain relief product: Nuwell Pain Relief Powered by Copper topical analgesic.
With advanced technology, it opens a new path and invites you on a journey towards a pain free day and a healthier, more functional life.
We recommend using Nuwell Pain Relief (NWPR) advanced pain relief topical analgesic throughout any type of pain management treatment, for any type of pain and stiffness, acute or chronic; or to help protect a previously injured area.
If severe pain persists for more than two weeks, especially from an unknown source or condition, contact a physician or healthcare provider.
Pain is one of the greatest deterrents to pursuing wellness and achieving an improved, happy, functional healthspan. Pain management has become immensely important due to prescription and OTC safety issues that have come to the forefront, the opioid crisis, the lack of good treatment options, and some resulting negative effects on mental health. We also see pain as having an extreme negative impact on wellness and a roadblock to health improvement due to its detrimental effects, both physical and mental. Pain has direct, adverse effects on quality of life.
About NWPR: This analgesic is a composite of natural adaptogenic substances employing a multifaceted approach that addresses the entire pain cascade, supporting the relief of pain and stiffness due to injury and inflammatory conditions. This analgesic aims to address problems of the disease state, not just symptoms.
Most products for pain are chemicals that may block a pain pathway or inhibit the production of certain pain inducing reactions. NWPR’s developers evaluated the entire pain process across the pain cascade and how the body reacts. It is this understanding of this process that has led to the development of this original analgesic and the choices of its natural ingredients. The product was built to assist the body by providing natural elements which the body recognizes and can quickly utilize, working synergistically, which leads to a multifaceted approach to relieving pain, stiffness, and inflammation.
The product is a patented, proprietary active organic-complex with an independently published clinical trial (from Tufts University) that showed it to be safe and effective, as a first-line or adjunct treatment, demonstrating up to a 68% reduction in pain level. Superior to most analgesics. A reliable course to take when pain first strikes or has been unsuccessfully contained. This clinical trial data can be added to the many positive outcomes reported in hundreds of anecdotal success stories from patients who have used this analgesic and found relief from all types of pain.
Consider this analgesic a part of the restorative process, assisting you on a journey to achieve a pain free day. Use this product as a valuable tool in fighting pain, along with information on how to expand or develop pain management treatment options.
NWPR, a deep penetrating analgesic, assists in the easing of inflammatory pain disorders, in the following ways:
A. Helps calm, soothe, and alleviate painful conditions;
B. Aids in the relief of pain and stiffness;
C. Helps promote muscle recovery and relaxation;
D. Serves to hasten healing times, by reducing pain.
Pain overview: An analogy will be used that may be an oversimplification but is somewhat helpful for the understanding of this overview of pain:
Consider your body as your personal city, which houses a private chemical plant that keeps the city functioning. It is a vibrant city with the main business of running the chemical plant that supports the life of the city as it grows and flourishes. Externally, there is the structure with a facade (skin) of wood, stucco, and concrete, keeping things secure, having windows and places for incoming and removal, etc. The infrastructure of bones, muscles, and tendons gives the structure stability and form. All of this is sustained by the highly automated chemical plant, which has many hundreds of chemical reactions occurring every minute, automatically reacting to daily needs or problems that are encountered. Your genes and lifestyle dictate the condition of the equipment that must function to maintain the city body. The brain is the dispatch/control center. It knows all of the functions and responds to external and internal events. All systems receive messages from the brain and react to the brain’s signals spontaneously. The gut is the processing/fuel center, sorting what comes in and sending it to where it is needed, in a proper form, or pushing it out. The gut has other helper organs in communication: the liver, kidneys, pancreas, etc., and a special connection along the gut-microbiota-brain axis. It has contact and a direct relationship with all areas and workings of the city. The vascular system acts as a highway for distribution to all locations. The heart is the power pump that keeps things moving. The nervous system (neurotransmitter) is the electrical system that delivers powered communication signals, coordinates and maintains functions. Of course, intake of fluids (hydration) and export of waste (bowel movements) are vital to the operation and must work on a regular daily schedule. The spirit is the glue, vision, and hope that the city can flourish.
So, what does all this have to do with pain? As we go on, it will become clearer and easier to understand.
What is Pain
We discuss it, see it, measure it, and struggle with it—pain is real and relentless. Pain is defined by the NCCIH as: “…the most common reason for seeking medical care. It is also a common reason why people turn to complementary and integrative health approaches…” “The medical profession, too, has often declared itself frustrated at pain’s indescribability. “It would be a great thing to understand Pain in all its meanings,” Peter Mere Latham, physician extraordinary to Queen Victoria, wrote, before concluding despairingly, “Things which all men know infallibly by their own perceptive experience, cannot be made plainer by words. Therefore, let Pain be spoken of simply as Pain.”” From the New Yorker: The Neuroscience of Pain, By Nicola Twilley; Annals of Medicine; July 2, 2018, Issue “Brain imaging is illuminating the neural patterns behind pain’s infinite variety.”
Pain is a significant public health problem and is clearly a major contributor to escalating healthcare costs. It is poorly addressed, lightly discussed, and highly ignored. Seven-in-ten Americans feel that pain research and management should be among the medical profession’s top priorities.
The CDC reports that one-third of people in the U.S. will experience severe chronic pain in their lifetime. Five (5%) of children and thirty-eight (38%) adolescents are a part of the thirty-nine 39% of those with chronic pain that are diagnosed with high-impact chronic pain. Chronic pain affects vastly more Americans than any other health condition—over 100 million, plus the additional twenty-five million experiencing short-term acute pain. The cost to society is roughly $635 billion annually.
People receiving medication or a procedure for chronic pain report only 25-30% relief. Nearly half of American adults have received a prescription medication in the past month, and about half of patients receiving prescription medications are also taking OTC products, which can be hazardous when mixed. Drug overdose deaths from pain medications continue to rise, with the elderly being more vulnerable to the hazards of medication.
Analgesics are by far the most popular class of OTC medication. Over 60% of pain sufferers self-medicate. Children and the elderly seem to receive inadequate pain treatment; women are more likely to have pain disorders than men; and pregnant women are typically excluded from pain management trials.
Aside from the misuse, abuse, and diversion of pain medication, many people suffer from inadequate control of acute or incessant chronic pain. The management of acute and chronic pain involves balancing pain treatments, drug interactions, side-effects, and other health issues/conditions, but also includes addressing the challenges of despair, depression, hopelessness, deaths brought on by the human conflict with pain.
Pain treatment is important because pain can adversely affect wellness, healthspan, function, the quality of life; mentally ((ADD, anxiety, stress, PTSD, loss of self-respect, fear, addiction, psychosis, etc.), physically (loss of mobility productivity and lifestyle, premature aging, altered oxygen consumption, inadequate tissue perfusion, impaired wound healing, hemodynamic derangement, hormonal imbalance, hyperglycemia, altered immune function, eating disorders/poor gut health, other health issues, death from medication), emotionally (depression, insomnia, hopelessness, loss of friends, isolation, anger, suicide, etc.), economically (costs of medication and healthcare, loss of work, etc.). Pain can be devastating to mental, physical, and spiritual wellbeing, especially if addiction has stepped in.
Managing pain requires engaging in a steadfast approach because it can be a long process since the damage causing pain does not vanish overnight, nor does the trauma it may have produced.
So exactly what is pain? Pain is a body’s warning system (the fire alarm) and part of the defense mechanism that is a result of external or internal negative stimulus to the body’s structure. Negative stimulus can be any type of trauma, tissue injury, injury to joints or soft tissue, muscle damage, disease, infection, other sources. This trauma leads to pain, acute or chronic, and produces inflammation. Where there is inflammation there is pain.
No matter what the negative stimulus is, the body responds in the same manner and uses the same mechanisms/chemical reactions. Some responses need to be greater than others—a cut, a broken leg, sinus infection, arthritis, back pain, bladder infection.
There can also be disorders where good inflammation can turn into a serious form. This is one that hangs undetected in the body and can contribute to devastating conditions such as heart disease, stroke, cancer, dementia, diabetes, autoimmune diseases, and others. We will only deal with pain.
This assault on areas of the body/city triggers a series of automatic chemical reactions that rush through the city’s system and alerts each section. With all of the city’s systems healthy and on ready, pain lets the brain know there is a problem, and help is needed. The brain receives the message from the nervous system’s neurotransmitters. Recognizing the problem, the brain alerts the vascular system and sends out vascular triggers throughout the circulation which starts the many chemical reactions and gathers help essential to defend the structure, fight the injury/destruction, and recover/rebuild.
The inflammation (to fight at the site of injury) and anti-inflammatory (to clean up and heal) responses go directly to the site of the injury.
The body’s inflammatory response releases inflammatory mediators (collects and releases bioactive vasoactive amine modulators promoting inflammatory responses from multiple systems of the body). There is ongoing tissue damage and pain due to the continuing complex chemical reactions, along with tissue necrosis, immune reactions, swelling, heat, irritable nerves and muscles, and more.
Injury/inflammation is characterized by this complex process moving to the site of pain. This increases vascular permeability and fluid exudation, plus a series of actions that are part of the chemical reactions to negative stimuli that will produce inflammation.
Though some of this can be looked at as a negative because there will be redness, swelling, more damage, and increased pain at the site of injury, a response is needed to fight the cause of the negative stimulus or damage. If there is bleeding or an organism causing an infection, this reaction will try to stop it. If it is an internal injury, it will try to keep the area/city protected.
Also, in response, the body sends out an anti-inflammatory control response, to limit and stop the pain and inflammation. This response is for cleanup and healing, with its own series of reactions. Simply put, the anti-inflammatory control response is sent to clean up, reduce pain, promote healing, and continue to control the accumulation and activation of other inflammatory cells. It works to heal bone breaks, clean up sores, repair muscles and tissue, fight invading organisms, remove what is causing destruction and pain.
These processes are maintained by the body until the damage is repaired and pain is relieved. Sometimes the negative impact goes on too long and becomes too difficult for the body to clean up and overcome. This is where the problem can become chronic. Acute injuries, if unattended, can become chronic. Before this point, pain treatment and management are important. It becomes even more important if the pain is chronic, so that further damage can be avoided.
Defining Pain
Tissue injury and subsequent inflammation represent a complex series of pathophysiological events resulting in the characteristic signs of heat, redness, swelling, and pain. Inflammation is present in virtually all pain syndromes, which include arthritis, bursitis, tendonitis, muscle sprains and strains, low back pain, TMJ disorder, and RSI such as carpal tunnel syndrome, neuralgia, etc. Also, trauma damage, over-use, and diseases are types of injuries to the body that provoke the inflammatory process. There is a subjective pain sensation at the site of injury, with nerves detecting changes in the tissue and sending electrical signals to the brain. Then there is sensory pain discrimination from the tissue injury, which is a result of the release of multiple inflammatory mediators. Inflammation impacts many pain pathways, activating the vascular and neurotransmitters, resulting in pain sensation. This can lead to the destruction of cells at the site of injury.
All pain triggers an inflammatory response. Limiting inflammation is a key part to limiting pain, lessening damage, and promoting healing.
Acute pain comes quickly but does not last more than 6 months. Some examples are jaw pain (TMJ); smashing a finger in the door; tennis elbow; golfer’s shoulder; long bouts of typing at work and your wrist is stiff and sore (RSI); back hurts from carrying the kids all day; hands hurt from many hours of hammering; feet are sore from standing all day; too much bending or walking; sprained ankle; strains; tired muscles; tendonitis; sciatica; all types of acute sports injuries/sprains, delayed onset muscle soreness (DOM), etc. These varieties of pains can pop up unexpectedly but can turn into chronic pain, if unattended.
With immediate attention and the deep penetrating action of NWPR, you can quickly, easily, and safely address the symptoms before they progress, and promote a quicker recovery.
Chronic pain neurons in the pain pathway remain in a state of high reactivity, for over 6 months. Arthritis, neuralgias, low back pain, joint pain, soft tissue injury, headaches, past traumatic injuries and accidents, long-standing RSI or TMJ, pain in knees, hips, shoulders, fibromyalgia, sciatica, some pain from unknown origin These are the persistent pains you live with and treat on a daily basis. You will note that some of them can start as acute but can lead to chronic pain if ignored. They can range from mild to severe. An estimated fifty million Americans suffer from chronic pain.
Either acute or chronic, pain can be described in many ways—steady, throbbing, stabbing, aching, pinching, shooting, numbing, just an annoyance, etc.
High Impact pain is chronic pain that is debilitating and is linked to major limits on one’s ability to work or perform daily duties. Almost 20 million Americans have high impact chronic pain. Along with severe pain, there can be mental health problems, diminishing cognitive ability, and an association with higher and more diverse health care needs.
NWPR, a deep penetrating analgesic, can be used at any time with any pain management treatment. It is best used daily and regularly, when chronic pain and stiffness persist, and at any time when break-through pain occurs.
Nociceptive pain is the most common physical pain caused by a negative stimulus. Nociceptors are the pain receptors located all over the body. The pain can be acute or chronic. Throughout the body (skin, internal organs, muscles, etc). they send electrical signals to the brain, resulting in the feeling of pain. This pain can also be grouped as visceral or somatic.
Visceral pain is a result of injuries to internal organs and is sometimes hard to pinpoint. Appendicitis and irritable bowel syndrome are examples. The pain can be accompanied by nausea, vomiting, temperature, blood pressure, blood sugar increases, etc.
Somatic pain is due to stimulation of the pain receptors in tissues, are easier to pinpoint, but can be deep or superficial and constant. Examples are skin, muscle, joint, and would include tissue tears, cancer, sores, fractures, osteoporosis, cuts, arthritis.
Neuropathic pain is caused by a damaging dysfunction of the nervous system. Not necessarily a response to a specific injury, but a misfiring of nerve signals, like an electric shock. Diabetes can be a source of neuropathic pain, but also accidents, infections, nerve compression, etc., and could accompany somatic pain.
Pain will put all systems in the city on alert and start the defense and rebuilding process.
The following information is put together as a guide to help you find where you are with pain management, what your body is doing, and how to help fuel and improve your body/city and chemical plant.
*Start by assessing your pain level with a pain scale and monitoring your pain daily.
*Use the enclosed pain rating scale.
*Go through the steps to find where you are on the path to pain management.
*Define what you feel. Is it achy, tingling-numb, sharp-stabbing, burning, shooting? Does it result in nausea, vomiting, incapacitation, sweating? Is the pain better or worse at various times of the day? Does your pain prohibit you from doing the things you enjoy, or everyday tasks? Are you taking too many pain medications and not getting satisfactory relief? Are you stiff when you get up in the morning? Do you want to reduce the use of so many oral medications? What parts of your pain management treatment are missing? Can you go back to doing reasonable daily activities? If you have a healthcare provider, make sure they know exactly what problems you face, and how effective you are at managing your pain. If you are managing your pain on your own, it is very important that you define and monitor your pain and know what problems you face.
#1 Choice: Nuwell Pain Relief Powered by Copper is the first new technology in a natural topical pain relief is always safe and effective.
The treatment approaches to be discussed will include pharmacological measures such as analgesics, antidepressants, and anticonvulsants, either prescribed or non-prescription medications; non-pharmacological measures and interventional procedures, chiropractic therapy, physical therapy, occupational therapy; acupuncture, physical exercise; therapeutic and self-massage; devices and braces; Yoga; Tai Chi; limited application of ice and/or heat, braces/splints/etc.; mind-body techniques—psychological/psychological measures, such as biofeedback, cognitive behavioral therapy, art/music therapy, reading poetry, replenishing the spirit, aroma therapy; and natural complimentary products for body health from gut to brain.
#1 Choice: Nuwell Pain Relief Powered by Copper is a natural topical pain relief shown to be a safe and effective
This analgesic aims to address the problems of the disease state, not just the symptoms.
It was built through intense research and strong science encompassing the body’s pain/inflammatory systems. By using new technology and a novel approach using the study of mechanisms addressing components of the pain cascade, this analgesic evolved to help the body, at the site of pain, working synergistically to aid in the fight against pain producing elements by bringing materials to augment cleaning and rebuilding. This generated a multifaceted path to relieve pain, stiffness, and inflammation—naturally, safely, effectively, and get one pain free more quickly. Changing People’s Lives for the Better
Additional information following in Part 2, will provide some well-established pain relief techniques that can be used to help manage pain and show how NWPR can be used as a complimentary and effective solution when added to all pain relief techniques. Acute and chronic pain can be managed. NWPR can become an active part of one’s personal goal for defending, recovering, and rebuilding a healthy body/city and can be added to all treatment approached.
Part 2
The following remarks describe some well-established pain relief techniques that can be used to help manage pain and will provide information on how to use NUWELL PAIN RELIEF POWERED BY COPPER (NWPR) as part of a complimentary and effective solution when added to all pain relief techniques.
#1 Choice: NUWELL PAIN RELIEF POWERED BY COPPER for a clearer path to a full and active life and a pain free day
Some treatment approaches to be discussed will include pharmacological measures such as analgesics, antidepressants, and anticonvulsants, either prescribed or non-prescription medications; non-pharmacological measures such as interventional procedures, chiropractic therapy, physical therapy, occupational therapy; acupuncture, physical exercise; therapeutic and self-massage; Yoga, Tai Chi, limited application of ice and/or heat; braces/splints/etc.; pain reduction devices; mind-body techniques and meditation; psychological/psychological measures such as biofeedback, cognitive behavioral therapy, art/music therapy, reading poetry, aromatherapy; and use of natural complimentary products.
You have assessed your pain in Part 1, so now we look at supporting the body, your personal city that has been worn by pain, and refueling all of its parts. The initial assessment should include diet and sleep. Of course, it needs to be revitalized since it is the processing-fueling center for all the body’s functions. With this, it is to be understood that all of the pain relieving processes depend on the body having the ability to function properly and having the fuel necessary to complete the job. A poorly nourished gut, resulting from a decrease in good microbes brought on by poor eating habits, the intake of destructive ingredients or substances, and a decrease in prebiotic intake, will lead to metabolic deficiencies and a break in the body’s communication and other systems. The gut-microbiota-brain axis keeps communication open along the nervous system. This will not only limit the body’s ability to fight pain but also to maintain other organs that fight diseases. How is the body doing? Once you know this and fix what may be crucial, you can address the pain with some confidence in better outcomes.
As you read on, the various steps and options that are expressed explain how they impact parts of the events or problems that occur and how they are used by the body to block pain.
Some options and steps to take.
1. Identify and define the underlying trauma-injury or pathology. In cases of chronic pain, there will usually be a physician’s diagnosis along with an evaluation and treatment plan. In less serious cases, there may be a self-defining of a known problem, such as the result of an injury or accident. Most people self-treat painful conditions. In any case, it is important not to continue traumatizing or reinjuring the area. Hot/cold packs, along with NWPR analgesic, are sound first-line choices when acute pain due to sudden trauma-injury occurs. Limit hot/cold exposure time in order not to damage skin tissue.
2. Include a multifaceted approach to ease the anguish and improve the quality of life when
living with chronic pain:
*Medication-prescription (Rx) or non-prescription (OTC) should be taken only as directed and not mixed with other pain medications unless reviewed by your physician or pharmacist, because there can be drug interactions and adverse events when Rx and OTC products are indiscriminately mixed. Medication treats injury and its pathology to enhance and speed healing and treats difficult symptoms, such as pain, to relieve suffering during the treatment and healing process. When a painful injury or pathology is unaffected by treatment and persists, when pain persists after healing, or when the continued cause of pain cannot be identified, the mission is to engage every method to relieve the hurt safely. You may be prescribed oral Rx and OTC (NSAIDs and/or Omega Fatty Acids). We will list some of the medication options below. Any other medication you take or wish to add should be evaluated by your physician or pharmacist.
Talk about your problem, the medications that you are taking, and what you wish to add. If you are taking prescription medications for problems other than pain, discuss adding any OTC pain medication with your pharmacist. It is important to know whether the OTC product will have any adverse effects or interact with any of your other medications. When taking multiple medications throughout the day, be safe, use a pill organizer to help eliminate accidental overdoses.
NWPR analgesic is always a safe addition to any pain management treatment, especially when there is breakthrough pain, but it can also be used alone as a first line treatment. It is imperative, in order to stay on track with one’s pain management goals, that a personal breakthrough flare up plan be initiated.
* Self-massages is a highly effective treatment. This works exceptionally well with NWPR. There are also many distinct types of massage devices. They work differently, so you should study their value before investing in one, discuss them with your healthcare provider, but understand that appliances are not essential. Do take the time to incorporate the benefits of massage. Massage therapist can help you get started—use it along your NUWELL PAIN RELIEF POWERED BY COPPER.
*Chiropractic treatment may be recommended or prescribed by your physician, especially when there are problems with the back. Acupuncture can also be included along with ultrasound to help gain some additional positive results. NWPR can be used prior to your treatment in critical areas, or have your chiropractor apply it.
* Physical therapy or occupational therapy, massage therapy, along with specific prescribed exercises, keeps the affected area mobile, relieves pressure on the injured areas, works to alleviate pain, and improves healing. Specific exercises address different pain locations and types: back pain, frozen shoulder, feet, post-surgery, bone breaks, inflammatory diseases, RSI, etc. They should be continued regularly at home according to a physician’s or therapist’s instructions. Use NWPR analgesic pre-exercise or with therapy to aid in relieving the additional pain that can be produced during treatment. NWPR can assist in delivering optimum outcomes and faster healing times.
* Orthopedic bracesrelieve pressure, prevent continuing injury, help support traumatized areas, and are used to protect distressed areas. Braces, compression wraps, splints, or other supports can be used for acute or chronic conditions. Use them safely. NWPR can be applied before and after using supports. Only use compression when you are active. Maintaining proper circulation is essential.
* Exercise or other physical activity is vital and beneficial for a healthy lifespan, but it plays an especially significant role for pain patients and has been shown to offer improved pain control. Exercise can increase the pain threshold and reduce pain intensity. Immobility for more than 2 days has never been shown to be favorable. Physical activity reduces joint stiffness and muscle tightness, helps blood circulation, shows some increase in the body’s natural central opioid system, improves mental outlook, improves sleep, and reduces pain.
Tai chi and aerobic exercises are also helpful tools in lowering blood pressure.
Different types of pain need different types of exercises, and exercises can be prescribed for each of the different types of pain. They can include aerobic, endurance, resistance/strength/flexibility movements, pool therapy, stretching, core strengthening, etc. Warm up first. Know your limits. The right exercise balance is important, but do not overdo it. You can include walking, biking (stationary or mobile), swimming, Yoga, Pilates, Tai chi, sitting exercises, and other low-impact exercises. Strength training hinders chronic inflammation, a cause of pain. Training with a resistance exercise band can help deliver many types of low-impact core exercises. These exercises can be done while sitting. Find good, seated workout videos from a reliable source (a university, Silver Sneakers) on YouTube. If you don’t have access to YouTube, ask your pharmacist or other healthcare provider to find some exercises for you. Use NUWELL PAIN RELIEF POWERED BY Copper before and after exercises.
There are also exercises for specific parts of the body, like the spine. Some research shows tuina therapy plus yijinjing exercise is more effective than tuina therapy alone for pain, functional recovery, and anxiety. Tuina consists of soft tissue manipulation (e.g. pressing, pushing, kneading) coupled with spinal manipulation. Yijinjing puts emphasis on the coordination of posture, meditation, and breathing.
* Physical and mental maintenance: eat well (add foods that help fight inflammation and build a healthy body/city), follow good hygiene practices, and get proper amounts of sleep. Engage in a physical activity that you will enjoy and can accomplish without further injury. Indulge in humor. New Virtual Reality devices are coming out that can be considered for chronic pain.
If needed, look into relaxation techniques that can be added to your daily pain management plan: mind-body techniques, biofeedback, TENS unit, cognitive behavior therapy, music, reading, aroma therapy. Aromatherapy is sometimes incorporated into massage therapy for various conditions, has been used in supportive massage therapy for people with cancer in an attempt to relieve pain, anxiety, and other symptoms. Music has been shown to help lessen acute and chronic pain, including pain from dental and medical surgery, labor and delivery, and cancer. How the brain produces pain reduction is unknown, but when played at low intensity, music reduces pain sensitivity. Meditation engages a strong network in the fight against pain that synergistically links the energies of mind and body to help overcome the pain. Take time to learn and use meditation techniques as part of your pain management. Relaxation techniques should be incorporated into your daily pain management treatment. “A team of researchers at Stanford University reports evidence that people who engage in cyclic sighing breathing exercises see a greater reduction in stress than those engaging in mindfulness meditation.”
These techniques are like taking the time to listen to your body’s voice, the sounds of the city and make good judgments about what is happening and how to proceed.
Social connections are very important. It does not have to be a large step. Start small, get out, go to shopping areas and mingle. Progress into other social activities.
Sleep is critical to healing. It allows the body to reorganize and rejuvenate. In a study, a link between pain and overactive pyramidal neurons during sleep showed that good sleep silenced the overactivity and could prevent persistent, ongoing pain. Seek professional support should there be a problem with sleeping or if mental issues worsen.
*Regenerative Injection Therapy, there are several types. Consult with your physician. to determine if this type of treatment can be of any benefit to your type of pain condition.
*Spinal cord stimulation (SCS) is endorsed for the direct inhibition of pain transmission in the dorsal horn, though the mechanisms by which SCS reduces pain cannot be fully explained. The FDA has cleared SCS devices for chronic back pain.
* Surgery is most often a last resort when recommended by a physician to correct a chronic problem. NWPR can be used for post-surgical pain and healing.
3. Protect previously injured areas. Even after healing has occurred and pain is low, use NWPR analgesic and appropriate support to aid in protecting the previously damaged areas from future stress and injuries, and prevent flareups.
4. Coordinate efforts, treatment modalities, and support either by yourself or with others, professionally or at home. Set goals. Coordinate what you have learned into a part of your daily routine: nutrition, medication, hygiene, exercise, relaxation, rest-sleep, for physical and mental wellness. Incorporate anti-inflammatory foods into your diet. Eat chocolate. If you cannot achieve your goals, look for support and start over again. Your pharmacist is always available to review your options, progress, and answer your questions.
5. Make NUWELL PAIN RELIEF POWERED BY COPPER analgesic a part of your daily pain management treatment routine and a basic part of your travel/sports bag or a take-along emergency kit, and Never Lose a Day to Pain.
6. Medication
Always consult with a pharmacist or your healthcare provider, when adding any OTC, herbal, or Rx product to your pain management program in order to avoid adverse drug events or drug interactions.
Aspirin is the standard by which all other analgesic, anti-inflammatory, anti-pyritic medications are measured. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that works similarly to other NSAIDs and it is also an antiplatelet, suppressing the normal functioning of platelets. It is effective in treating pain, fever, or inflammation. It is frequently used after a heart attack to decrease the risk of death; sometimes used long-term to help prevent heart attacks, ischemic strokes, and blood clots in people at high risk; a prevention strategy for certain diabetic conditions; and it may also decrease the risk of certain types of cancer, particularly colorectal cancer. For pain or fever, effects typically begin within 30 minutes.
Dosages, which can be significant, may have side effects that are limiting factors. Aspirin should not be taken by anyone with a history of stomach or intestinal bleeding, a bleeding disorder such as hemophilia, or if one has ever had an asthma attack or severe allergic reaction after taking aspirin or any NSAID. Aspirin should be discontinued by mothers in late stage pregnancy (this is true for all NSAIDs). It can pass into breast milk. It should not be used in combination with other NSAIDs. It should not be given to children or teenagers with fever, flu symptoms, or chicken pox. Salicylates can cause Reye's syndrome, a serious and sometimes fatal condition in children. A physician should be contacted by anyone taking regular doses of aspirin if any of the following side-effects occur: black, bloody or tarry stools; coughing up blood that looks like coffee grounds; severe nausea, vomiting, or stomach pain; a fever lasting longer than 3 days; swelling or pain lasting longer than 10 days; hearing problems, ringing in the ears.
Protect your stomach: take an enteric coated aspirin and with food.
NWPR is a safe addition that can help limit pain and the need to increase aspirin or any other NSAID dosage.
NSAIDS are particularly important and effective in controlling pain and inflammation. Use of nonsteroidal anti-inflammatory drugs (NSAIDs) for over 3 months can be associated with rates of gastric ulceration between 15% and 35%, although many of these ulcers may not be clinically significant. The elevated risk for cardiovascular events associated with NSAIDs recently prompted the US Food and Drug Administration to issue a stronger warning regarding these drugs. It is stated that if taken regularly, NSAIDs can be expected to add seven to eight cardiovascular events per one-thousand patient-years among adults with moderate cardiovascular risk, and there is greater risk associated with the use of NSAIDs among patients with known cardiovascular disease. A recent study published in BMJ demonstrated a 60% increase in the 30-day risk for intracranial hemorrhage in individuals taking antidepressants plus NSAIDs vs. antidepressants alone. Liver enzymes should be checked periodically. The chances of VTEs are increased in patients treated with diclofenac, ibuprofen, and rofecoxib but not naproxen. NSAIDs may be marketed in combination with other OTC medications, so reading ingredient labels is particularly important to avoid overdoses. Other drug interactions also need to be assessed, so contact your pharmacist before adding a new medication.
Protect your stomach, take with food.
The FDA has issued a recommendation for pregnant women to avoid the use of NSAIDs at twenty-weeks or later. NWPR is a safe addition to use with NSAIDs.
Acetaminophen, widely used for pain and fever, has recently earned a black box warning from the FDA due to the association of its use with increased liver disease and failure. Acetaminophen can be used for pain but does not have the anti-inflammatory properties of aspirin and NSAIDs. For those who cannot take NSAIDs or Aspirin, it can be used to help with pain.
It has been stated that one-half of all acute liver failures are caused by drugs, and 80% of those are caused by acetaminophen. Again, read the labels when adding medication to avoid an overdose because many products for other illnesses also contain acetaminophen. A February 2022 study showed that acetaminophen can raise blood pressure when taken regularly. Another study showed that the maternal use of acetaminophen demonstrated a possible increased risk of ADHD in children. Other warnings have been published for pregnant and breastfeeding mothers. Take it prudently. NUWELL PAIN RELIEF POWERED BY COPPER is a safe addition that can help limit pain and the need to increase the acetaminophen dose.
Pain Cocktail prescribed by a physician, especially for neuropathic pain, can include some of these medications—Gabapentin increases GABA synthesis but has new warnings, tricyclic antidepressants, serotonin reuptake inhibitors, pregabalin, and clonidine. These and other medications can be included as part of a pain management “cocktail.”
Lidocaine topical helps prevent conduction of pain by blocking voltage-gated sodium channels within the neuronal cell membrane. The transdermal patch may not be appropriate for patients with diffuse or poorly localized pain. Even at the higher prescription dosage there has been a lack of consistent efficacy data. There can be skin irritation with Lidocaine usage. Use NWPR for better results, but always watch for skin irritation and avoid eyes, broken skin, mucous membranes, delicate areas.
Wash hands after use.
Capsaicin topical reduces pain by interacting with sensory afferents through the vanilloid receptors, depletes substance P, and also induces cellular degeneration in the skin. There is limited evidence supporting efficacy, 63% of patients report erythema, and 42% tell of pain at the application site. It is not effective for all types of pain and can take 2 to 4 weeks for benefit to be seen. A clinical trial showed capsaicin is ineffective for TMJ. NWPR has been shown to be effective for TMJ.
Opioids, one of the most commonly prescribed and effective medications for pain work by binding to opioid receptors at the level of damaged tissue, interacting with the nociceptors to prevent pain signal transduction. Some of their adverse effects have been widely discussed, make the news headlines, and are said to be responsible for more than one death every thirty-minutes, though the largest numbers come from illegally obtained opioids and designer combinations.
Chronic pain treatment may lead to the necessity of prescribing long-term opioids. First, an assessment of realistic goals, appropriateness, and expectations should be set. Because of the serious risks associated with inappropriate opioid use, the CDC has published guidelines on the use of opioids for chronic pain and recommends urine drug screening for patients using opioids. This is not particularly easy, and many pain sufferers who require opioids may be left with untreated pain and a diminishing quality of life.
Common opioids like codeine, hydrocodone, methadone, oxycodone, and tramadol are metabolized by the CYP2D6 enzyme. Differences in the metabolism of these drugs have a philosophical and functional impact on their efficacy and side effects. Ultrarapid metabolizers have shown more analgesia compared to normal metabolizers. Poor metabolizers show less analgesia. This makes the choice of opioid and use of these analgesics important and requires monitoring.
Some of the problems seen with long-term opioid use are tolerance, addiction, abuse, respiratory depression, dizziness, drowsiness, constipation, nausea, vomiting, itching, suicide. Other adverse problems produce poor mental, psychological, and physiological outcomes; some adversely affect other disease states (respiratory, cardiac, decreased immune function); there are drug interactions, withdrawal; long-lasting loss of normal body dopamine response, and death. Respiratory depression is the most severe and life-threatening adverse effect.
Studies have shown that people with dementia have 11 times the risk of dying soon after starting any opioids.
'Landmark' Trial Shows Opioids for Back, Neck Pain No Better Than Placebo
Megan Brooks June 29, 2023
Opioids do not relieve acute low back or neck pain in the short term and lead to worse outcomes in the long term, results of the first randomized controlled trial testing the efficacy and safety of a short course of opioids for acute nonspecific low back/neck pain suggest.
Lancet. Published online June 28, 2023
NUWELL PAIN RELIEF POWERED BY COPPER is a safe treatment adjunct that can help limit pain or deal with breakthrough pain, and can be used with a decreasing dose schedule, or MAT or MOUR program.
MAO Inhibitors: Rheumatoid Arthritis (RA) can be associated with neuropsychiatric complications, as can other pain syndromes such as cognitive impairment and depression. There has been research showing that MAO inhibitors can improve cognitive impairment and relieve pain and stiffness in RA patients by blocking a specific inflammatory enzyme found in the joint and passing to the brain. In the past, follow-up studies had been lacking. Current studies with mice found that joint inflammation decreased and cognitive function recovered with certain MAO inhibitors. This is good news for the future treatment of pain in RA patients.
Omega-3: In studies, polyunsaturated fatty acids have demonstrated that oral intake from pharmaceutical-grade fish oil supplements results in pain reduction. This can be an alternative or added treatment that reduces inflammation and pain, when NSAIDs and other prescription pain medications cannot be taken due to extreme adverse medical events. Because of the “blood-thinning” effects of omega-3 fatty acids, patients should be advised to stop such supplements, as well as herbal products with ginkgo, curcumin, or ginger, two weeks prior to any surgical, dental, or other invasive procedures. NWPR is safe to use.
SAM-e S-adenosyl-L-methionine: studies have shown some results in relieving pain similar to NSAIDs. It is a natural component of all cells in the body and affects hormones, neurotransmitters, fatty acids, DNA, proteins, and cell membranes.
It is generally safe and can be used as an analgesic by the elderly (over 75) and those with GI bleeds. Things to consider when taking SAM-e: it can worsen underlying agitation, panic, or anxiety; it has not been studied in children or in pregnant or breast-feeding women; there are no known drug interactions; SAM-e may help prevent other drugs from interacting with the liver.
“SAM-e patients taking selective serotonin reuptake inhibitors (SSRIs), monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants, or other drugs that affect serotonin levels should avoid taking SAM-e without the supervision of a physician due to case reports of mania and serotonin syndrome, a serious condition, and other side effects.
Use of this supplement should be avoided if taking other supplements such as 5-HTP or St. John’s Wort because these products may also affect serotonin levels.
If you have a bipolar disorder, there have been case reports of mania in patients with bipolar disorder taking SAM-e.
If you are immunocompromised: there is a theoretical risk that SAM-e could enhance the growth of a microorganism called Pneumocystis carinii.”*
*https://www.mskcc.org/cancer-care/integrative-medicine/herbs/sam-e
NUWELL PAIN RELIEF POWERED BY Copper is safe to use with SAM-e.
Vitamins, minerals, nutrition, hydration: research has shown some gain with the use of vitamins and minerals for specific types of neuropathic pain—Vit. B12, Zinc, Vit. E, Riboflavin; for specific types of chronic pain, Vit. C, Vit. D, Magnesium have been studied. Taking benfotiamine, which is similar to thiamine (vitamin B1), with or without vitamin B6 and B12 can improve pain and other symptoms of the nerve pain caused by diabetes. It is also important to support the health of the body and gut function to improve the healing and rebuilding process. Prebiotics, special plant fibers in fruits, vegetables, and grains, will help healthy bacteria grow in the gut. Prebiotics work by improving the gut microbiome to enhance digestion, support the immune system, and protect against inflammation. They enable the gut-microbiota-brain axis communication to work properly by supporting the entire body/city. Gut fiber helps produce short-chain fatty acids which improves muscle function and could assist in preventing some chronic diseases like bowel disorders. There is an immune system controller found in the intestines that reprograms systems to interrupt harmful inflammation. The gut is a crucial point of the body’s control and communication. Increasing anti-inflammatory foods in a well-rounded diet is an effective way to support the body’s ability to fight pain and rebuild.
Remember, regular hydration and bowel movements are vital to the upkeep of the operation and must work on a regular daily schedule.
Many herbal supplements are advertised for pain. Check for drug interactions with any of your current medications before adding any.
There is a bond between physical, mental, emotional, and spiritual wellbeing that needs to be completed, just like properly fitting in all of the components of a building, NWPR is always a good addition.
Medical marijuana: The cannabis species has shown over one hundred cannabinoid compounds. The most recognized cannabinoids are delta-9-tetrahydrocannabinol (delta-9-THC), and less potent delta-8-tetrahydrocannabinol (delta-8-THC), the psychoactive and the non-psychoactive cannabidiol (CBD). Marijuana properties show relaxation, sedation, boosted sociability, distorted assessment of time, an amplified appetite for sweets and fatty foods, and an enjoyable “buzz.” With the push for the growing approval of marijuana as a medicine and a legal intoxicant, there has been an increasing number of patients using marijuana for a wide range of conditions, but particularly for pain. The elderly seem to be the most vulnerable to the sales pitch and its adverse effects.
The risk of interactions, adverse effects, and poor adherence to prescribed therapies is a concern. Speak with your pharmacist regarding the possibilities of adverse effects and drug interactions. Beyond drug interactions, some adverse effects of marijuana are diminished short-term memory; impaired motor skills and driving abilities; depression, psychotic behavior, and reduced cognitive function with high-dose chronic use; dry mouth; tachycardia, palpitations, hypertension, and other cardiovascular incidents; reduced immune system capabilities; uncontrolled hyperemesis; bronchitis and other unknown effects on the lung; and addiction and withdrawal symptoms. If cannabis is used regularly, let your physician know. You may experience worse pain and nausea after surgery and may require more opioid analgesia. The group said: “Other recommendations include delaying elective surgery for at least 2 hours after a patient has smoked cannabis, owing to an increased risk for heart attack, and considering adjustment of ventilation settings during surgery for regular smokers of cannabis.”
Adults using medical cannabis for chronic pain, especially those with cancer or cardiometabolic disease, have a slightly elevated risk of developing arrhythmia, mainly atrial fibrillation/flutter, as found in a Danish registry study suggested.
Also, Cannabis Use Linked to Epigenetic Changes, Scientists Discover
The study has been published in Molecular Psychiatry. HEALTH, July 2023, by Rebecca Dyer
…epigenome functions like a set of switches, activating or deactivating genes to change how our bodies function. Without changing the genomic sequence, (or DNA) it changes the activity of genes, making it harder for cells to read the genome instruction manual with these molecular changes in their way. This can be passed on to future generations.
One marker that has previously been associated with tobacco suggests a potential shared epigenetic regulation between tobacco and marijuana use.
On a positive note, “a recent study has found that a woman's diet during early pregnancy, especially the consumption of apples and herbs can protect the brain health of children and grandchildren.”
Along with other studies showing cannabis increasing aging effects, this study sheds light on the mechanism of multiple epigenetic changes that have been associated with cannabis use: cellular proliferation, hormone signaling, infections, neurological disorders like schizophrenia and bipolar disorder, and substance use disorder.
An increase in hospitalizations has been seen. Marijuana is mostly smoked but is also put in edible and topical forms. Oral is less effective. Topical CBD products have been shown not to have much effect.
Consistent strains and pure CBD products are difficult to obtain and are not regulated. Also, one should understand that the clinical evidence for efficacy under the conditions in which marijuana is used has been seen as limited and inconsistent and has provided inadequate verifiable results. Since wellness, improved lifestyle, and increased functional healthspan are goals and decreasing dependence on opioids is being pursued, it is counterproductive to substitute an unregulated, mentally and physically addictive drug for an opioid. It would be like switching to your neighbor’s homebrew-moonshine instead of “Old Velvet,” thinking it less addictive. Addiction has a direct negative impact on wellness and function.
NUWELL PAIN RELIEF POWERED BY COPPER is always safe and effective for pain management.
Nicotine is pro-inflammatory, so its use should be decreased or eliminated.
#1 Choice: Nuwell Pain Relief Powered by Copper
For chronic or acute pain, apply early and regularly, before the pain worsens.
Think of what NWPR can bring—Relief: Any Time, Any Place, for Any Pain and Any Body; a first-line or adjunct therapy, support when current treatment is not adequate, or during a transition of care to aid in protecting/preventing injury, as a warm-up, or for an emergency.
NWPR analgesic is always a safe and effective deep penetrating choice that can be an addition that can help manage pain and increase wellness and function. A natural solution to pain and stiffness, it is easy to use. Keep a supply at home and in your travel or sports bag for emergencies.
Developed by healthcare professionals and made in the USA in an FDA/GMP registered lab, it has no animal testing and no added colors or scents.
Use it, share it
NWPR analgesic is always a safe and effective choice to help manage pain, and increase wellness and function.
NWPR will not make you a champion skateboarder,
Will not help you play better football,
Will not turn back time,
Will not make you a dance champion,
But what it will do is help you to perform at your very best, have a significantly better day for whatever tasks you are trying to accomplish, put you on the path to a happy, health, functional lifespan, and help rebuild a flourishing body/city.
“A day without pain takes a weight off your brain.”—A.H. Leventoff
Topical analgesics, like NUWELL PAIN RELIEF POWERED BY COPPER, are considered a non-drug approach.
shop: https: //www.thenuwellcompany.com/
Use it, share itNuwell Pain Relief Powered by Copper analgesic is always a safe and effective choice to help manage pain and increase wellness and function. NUWELL
Will not make you a champion skateboarder,
Will not help you play better football, Will not turn back time,
Will not make you a dance champion, But what it will do is help you to perform at your very best, have a significantly better day for whatever tasks you are trying to accomplish, put you on the path to a happy, health, functional lifespan, and help rebuild a flourishing body/city.
“A day without pain takes a weight off your brain.”—A.H. Leventoff
Topical analgesics, like Nuwell, are considered a non-drug approach.
Developed by healthcare professionals and made in the USA in an FDA/GMP registered lab, having no animal testing, and without any added colors or scents.
Shop: www.thenuwellcompany.com
Use your Veterans' discount code
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