Sometimes it may be a good idea to try one or a combination of natural pain relief options for managing your 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.
The following pain management options are generally easy to try. 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
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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 a the right type of health professional, such as a physiatrist, chiropractor, or physical therapist.
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.
- 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.
- Eat cookies. Some research shows that eating sweet foods like cookies, chocolate, or ice cream helps reduce the sensation of pain. Or, just bake the cookies: Enjoying a smell that is both sweet and pleasant has also been shown to reduce the perception of pain.
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- 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 a heat by adding an 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 in throughout your body. Massage also releases endorphins, which are your body's natural analgesics. Massage therapy is defined as 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.
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- 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.
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It is best to work with a physical therapist or other 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.
- Imagine yourself in a better place. 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.
On average, women in the guided imagery group showed statistically significant improvements in their pain levels and mobility within 12 weeks, versus the control group that did not see any improvements.4 Guided imagery can be learned with a practitioner or on your own using audiotapes or CDs.
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.2
Other research shows vitamin D may directly help soothe pain. 93 percent of 150 people with unexplained persistent musculoskeletal pain were recently found to be deficient in vitamin D levels, according to recent research at the University of Minnesota.3
- Cool down the inflammation. 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. Applying a cold pack or ice to the local area of pain is a simple way to do this. Ice also helps by acting as a local anesthetic and by slowing nerve impulses, which in turn can interrupts the pain signals generated in the affected area.
- Meditate twice daily. Meditation comes in many varieties, some complex, others simple. My personal favorite 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. Any position that you find comfortable is fine; there is no need to sit up straight with your legs crossed. When your thoughts wander, notice that they have wandered and return to your sound. If you feel your pain, notice the pain and return to your sound.
- Try acupuncture. The mechanism of action for the ancient Chinese healing technique of acupuncture is still not completely understood, but it has been proven in medical trials to reduce certain types of chronic pain, including back pain. The American Association of Oriental Medicine has a list of trained acupuncturists. P.S.: The needles are super-thin and not painful.
Start with a few minutes, and gradually lengthen to thirty minutes. You will find yourself refreshed and reinvigorated, with less pain overall.
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- 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.
- 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 you body, and helps flush toxins out of your muscles and other soft tissues. It will help prevent constipation (a side affect 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.
- Tsao JC. Effectiveness of massage therapy for chronic, non-malignant pain: a review. Evid Based Complement Alternat Med. 2007;4(2):165-79.
- Lodh M, Goswami B, Mahajan RD, Sen D, Jajodia N, Roy A. Assessment of Vitamin D status In Patients of Chronic Low Back Pain of Unknown Etiology. Indian J Clin Biochem. 2015;30(2):174-9.
- Plotnikoff GA, Quigley JM. Prevalence of severe hypovitaminosis D in patients with persistent, nonspecific musculoskeletal pain. Mayo Clin Proc. 2003;78(12):1463-70.
- Baird CL, Sands L. A pilot study of the effectiveness of guided imagery with progressive muscle relaxation to reduce chronic pain and mobility difficulties of osteoarthritis. Pain Manag Nurs. 2004;5(3):97-104.