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You can treat yourself to pain free living now! 

 

You can learn the simple self treatment methods that work fast to help relieve chronic muscle pain (not caused by pinched nerves), and what we consider to be the best alternative to addictive pain pills or painful surgery.  

 

We know you can!   Because,

 

"You are your own best therapist!

   as Julie Donnelly always says.  

NEWS: 11/3/10 

West Virginia Medicaid Considers Coverage for Spinal Cord Stimulators (Neurostimulators) for Pain Diagnosis for Chronic Pain Sufferers. West Virginia’s Bureau of Medical Services have been conducting a series of meetings to determine whether microelectronic implantable technologies should be added to the state’s list of covered Medicaid devices to treat chronic neuropathic pain and other conditions. Currently there is no PAIN diagnosis code allowing coverage for these life changing devices. See below for complete article.

                             

"Suffering from chronic muscle and nerve pain for over 30 years, a spinal surgery in 2008 that didn't work and only caused complications, doctors telling us there was nothing more to be done, we refused to give up hope and neither should you!  We were blessed to find Julie Donnelly, founder of Julstro International, and by visiting us you are now receiving that blessing.  We made a promise that if her self-treatment methods helped relieve at least some of our pain we would devote the rest of our lives to sharing Treat Yourself to Pain Free Living.   Our gift to you is the knowledge that You can Live Pain Free Now! " 

  - Dawna and David Smith  - June 2009

NEWS: 11/3/10 

West Virginia Medicaid Considers Coverage for Spinal Cord Stimulators (Neurostimulators) for Pain Diagnosis for Chronic Pain Sufferers.

West Virginia’s Bureau of Medical Services have been conducting a series of meetings to determine whether microelectronic implantable technologies should be added to the state’s list of covered Medicaid devices to treat chronic neuropathic pain and other conditions. Currently there is no PAIN diagnosis code allowing coverage for these life changing devices.

The next meeting is scheduled for November 30, 2010. In the meantime, thousands of Medicaid recipients suffering from chronic pain and painful heart conditions anxiously await coverage determination.

What is a Spinal Cord Stimulator (SCS) (Neurostimulator)?

Many patients refuse to take prescribed narcotics for fear of becoming addicted, or take it infrequently, and suffer needlessly. For some others, pain medications bring little relief. Hope may be just around the corner with a device known as a Spinal Cord Stimulator (SCS), also known as a Neurostimulator.

SCS is a microelectronic implantable technology that is REVERSIBLE and used to treat chronic neuropathic pain. The use of minute pulses of electricity delivered directly to nerves, known as spinal cord stimulation, has been used for more than 30 years.

Without the unwanted side effects and long term costs associated with pain medications, spinal cord stimulation is a reversible therapy that has helped thousands find relief from chronic pain. The minimally invasive approach to treating pain helps reduce suffering, improve life function and quality of life, and reduce narcotic use and abuse.

Neurostimulators work by sending mild electrical impulses to the epidural space near the spine. These impulses replace pain with a pleasant tingling sensation. The device is implanted under the skin, with an electrical pulse generator implanted in the lower abdominal area or gluteal region. The conducting wires connect the electrodes to the generator, and to the generator’s remote control, giving the patient the ability to control when and how much stimulation is provided.

SCS have significant analgesic properties and, at the present, are used mostly in the treatment of failed back surgery syndrome, complex regional pain syndrome, spinal cord injuries, and refractory pain due to ischemia.

Past generators’ external power source required replacing the batteries. Newer technology has miniaturized small internal generators that can be recharged internally from outside the body. Some systems even allow patients to control their therapy with a wireless remote control. Now, without having to implant five separate devices, technology allows just one (about the size of a quarter) to help control pain up to five different locations for those who suffer multiple pain locations.

Jerry Lewis’ fall in 1965 resulted in his suffering from chronic pain for forty years, and subsequently led to his Percodan addiction, which brought on nerve damage and pulmonary fibrosis. It wasn’t until the comedian received an SCS that his pain was able to be brought under control safely and without the use of narcotics.

Spinal Cord Stimulation for the Treatment of Chronic Pain report

Dr. Timothy Deer, MD, President and CEO of The Center for Pain Relief, Clinical Professor of Anesthesiology West Virginia School of Medicine, states in his Spinal Cord Stimulation for the Treatment of Chronic Pain report that “In many cases, the failure of a spine surgery to provide pain relief leads to additional spinal surgery. Studies have shown that patients who are candidates for a second spine surgery do better with spinal cord stimulators. Consequently, SCS should come before a second spine surgery when pain is the primary indication.”

Dr. Deer’s report also notes that, “Considering that the cost of a primary complex spine surgery may exceed $89,000 in initial expenses, it is reasonable to consider SCS as a primary treatment option for patients whose odds of a good outcome are uncertain."

Approximately 12% of adults in West Virginia have been diagnosed with diabetes and the estimate is 256,500. Dr. Deer’s report addresses the issue. “Studies have shown SCS to work well in treating diabetic peripheral neuropathy and nerve pain of other origins. In most studies, the chance of a good outcome with SCS in neuropathic limb pain is 85% or higher".

Cost Saving Spinal Cord Stimulators (SCS) not being used FIRST before more costly invasive surgery.

Prescription pain medications are profitable legal and illegal businesses, and addiction is just one of the many side effects, including home invasions being perpetrated on elderly and disabled pain prescription users. Governor Manchin has made combating substance abuse a top priority and requested around $24 million for prevention, early intervention, and treatment programs. West Virginia Public Broadcasting has stated substance abuse costs West Virginia an estimated $470 million each year.

Although pain medications often provide effective treatment methods, evidence has shown there are many cases where SCS devices would be more appropriate, thereby reducing street availability. Less expensive than invasive spinal surgeries, and removable if necessary, the question is why SCS devices are not being used “first”, rather than as a last resort, or not at all.

West Virginia leads the nation in prescription drug abuse, as overdose by pain medication continues to grow.

West Virginia led the nation in 2006 by having prescription drug overdoses being the leading cause of death for adults under the age of 45.

A population-based, observational study by investigators at the Centers for Disease Control and Prevention (CDC), in Atlanta , Georgia , shows nearly two-thirds of all drug-overdose deaths involved prescription diversion, meaning those who died did not have prescriptions for the drugs that killed them. Of the remaining, the patients were taking the drug legally but suffered overdose.

West Virginia Danae Bixler stated in 2008 in a report supplied by The Association of State and Territorial Health Officials Prescription Drug Overdose paper entitled State Health Agencies Respond  that "Our (PDMP) data suggests that the problem is mixed: a substantial proportion of fatal cases had prescriptions for the drugs that killed them -- often from multiple physicians and multiple pharmacies. In other cases, many decedents did not have prescriptions for at least one drug identified in post-mortem toxicology. This suggests that a substantial proportion of decedents are getting prescriptions directly from physicians and the others are getting drugs through diversion [to nonpatients]".

West Virginia ranks #2* in receiving Federal Medical Assistance for Medicaid.

West Virginia Medicaid has the distinction of benefiting from having one of the highest matching Federal Medical Assistance Percentages*, receiving more than three federal dollars for each WV Medicaid dollar supplied. Yet, for years the state has left hospitals, physicians, and pharmacies to foot the bill for recipients’ pace maker and spinal cord stimulator devices, compound medicines, and other items.

West Virginia continues to lag behind other far minded states that receive far less federal dollars, but have recognized the importance of coveraging SCS devices as a safer alternative to failed back surgeries and long term prescription opioids, as has Medicare.

“It is important for a patient to be educated about SCS as a treatment option before considering more invasive and irreversible treatments.”

Dr. Deer clearly states that “SCS has been shown to be cost effective in comparative therapies, and should be considered as a viable option before a second back surgery, high-dose oral opioids, or an intrathecal pump.” He adds that “It is important for a patient to be educated about SCS as a treatment option before considering more invasive and irreversible treatments.”

Who is responsible for educating Medicaid patients regarding alternative pain treatment options, the Bureau of Medical Services or their physician? Physicians, hospitals, and pharmacies continually spend many un-reimbursed hours trying to obtain approval for medically necessary treatment and devices, many times unsuccessfully. As patients are often reminded, only a medical establishment is allowed to appeal to Rational Drug Therapy. If their doctor or pharmacy does not have the time or staff to advocate on their behalf, patients are often left with no voice or options as they wait anxiously for verdicts they will never hear. Patients suffering from pain often do not have the energy or mind clarity to advocate for themselves.

Hospitals, Physicians, and Pharmacies left to “foot the bill” for non-covered Medicaid items and prescriptions.

Hospitals and physicians have continued to suffer financial losses due to the added expense of providing non-covered pace makers and SCS devices to their Medicaid patients. Many have expressed their frustration to BMS over the years with no resolution.

If and when BMS finally approves these life changing devices, not only will hospitals be able to get a reprieve and receive much deserved compensation, but the patients they care for so arduously will finally have the opportunity to potentially live pain free now instead of later or maybe never.

*Federal Medical Assistance Percentage (FMAP) for Medicaid and Multiplier


Rank
(1=high | 51=low)

FY2004

FY2005

FY2006

FY2007

FY2008

FY2009

FY2010

 

United States

50.00%1

50.00%1

50.00%1

50.00%1

50.00%1

56.20%1

56.20%1

 

1. Mississippi

80.03%

77.08%

76.00%

75.89%

76.29%

84.24%

84.86%

2. West Virginia

78.14%

74.65%

72.99%

72.82%

74.25%

83.05%

83.05%

3. Louisiana

74.58%

71.04%

69.79%

69.69%

72.47%

80.75%

81.48%

Bio:  Dawna Smith is a Freelance Writer and Journalist. She can be reached for comment at dawna (at) livepainfreenow.com.  More information regarding pain treatment options and neurostimulators can be found at www.livepainfreenow.com.

###

Dawna Smith

2766 Bull Run Road

Cedarville , WV   26611

304-765-3322

Why do muscles cause pain?

Muscles originate on a fixed bone in our body, cross over a joint, and insert onto a moving bone. It is important to understand that all muscles move from the insertion point going toward the origination point. It is because of the placement of the muscles that we can move, but when a muscle is in spasm, or is contracted we cannot move the joint it affects without pain.  You can learn simple and easy self-treatment methods to help relieve chronic muscle spasms.

How many times have we told a loved one, "I wish I could take your pain away".  Learn how you can "take away the pain" by giving the most heartfelt gift of all ....the gift of Pain Free Living. 

Julie encourages people to ask questions on how to treat certain muscle problems. Click Here to visit her website and ask Julie your question when you visit her forum to learn more. 

Listed below is helpful information provided by Treat Yourself to Pain Free Living , a book written by Julie Donnelly. 

Based on our availability and the number of requests, we can provide FREE workshops to demonstrate the techniques. Please know that we are not massage therapists! We demonstrate the techniques on ourselves that Julie has shown us. During the workshops, attendees follow Julie's instructions as written in her book "Treat Yourself to Pain Free Living", thereby learning to "self-treat" their own muscles. 

For more information, email us at:

dawna  @  livepainfreenow.com.

 


Repetitive Strain Injury

Muscles & Pain - What Happens... Exactly.

Julie encourages people to ask questions on how to treat certain muscle problems. Click Here to visit her website and ask Julie your question when you visit her forum to learn more. 

Joint Pain | Nerve Pain | Tendonitis

Muscles and Joint Pain

bicep muscles

Muscles originate on a fixed bone in our body, cross over a joint, and insert onto a moving bone. It is important to understand that all muscles move from the insertion point going toward the origination point. It is because of the placement of the muscles that we can move, but when a muscle is in spasm, or is contracted we cannot move the joint it affects without pain.

Just as pulling on the end of your hair will cause you pain in your scalp, so too will a muscle pulling on the tendon cause pain at the insertion point on the bone. You can't stop the scalp pain until you let go of your hair, and you can't stop the joint pain until you let go of the tension in the muscle.

Take a look at the graphic of the biceps muscle (left). There are thousands of fibers lying next to each other in straight lines. All muscles run in straight, or slightly curved, lines. The biceps originate at the front of your shoulder, cross over the inside of the elbow, and insert onto the forearm. When the biceps contract your forearm moves toward the shoulder.

tricep muscles The muscle at the back of your upper arm, the triceps (see image at left), originates at the back of your shoulder, crosses over the point of your elbow, and inserts onto the forearm. When the triceps contract your straighten your arm.

muscles and pain

In order for either of the muscles to fully function, the opposing muscle must completely stretch (see image at left). If the biceps (A) are contracting, but the triceps (B) are not stretching, you will only move as far as the triceps will allow. Likewise, if the biceps are held in the contracted state by spasms, you will not be able to full open your arm. In either case, you will lose strength because the muscle fibers are unable to move at their optimum performance level.

When a person feels weak, they often think it is necessary to strengthen their muscles , but the truth is they need to release the spasms and stretch the limiting muscles. Exercise and weight training without doing very specific treatments to release the muscle spasms, and stretch the muscles, will only continue the painful cycle.

How Muscles Cause Nerve Pain

Julie encourages people to ask questions on how to treat certain muscle problems. Click Here to visit her website and ask Julie your question when you visit her forum to learn more. 

scalene median muscles

Nerves travel from the spinal cord, through openings in the vertebrae of the spine, and then out to muscles and organs. When a nerve passes through a muscle it can become impinged as the muscle goes into spasm. This will cause you to have pain, numbness, tingling &/or weakness in any of the muscles that are innervated by this nerve.

For example, a spasm in the scalenes can cause pain to be felt in the upper back, chest, across the shoulders, down the arm and into the forearm (see image below). A common burning pain that is felt in the center of your back, along the shoulder blade, may actually be caused by a spasm in your neck. You can rub your back all day, but until you treat the spasm in your neck you will never get rid of the pain.

 

trigger points Nerves also pass alongside muscles. For example, the median nerve, which gives feeling to the hand, runs between strong muscles in the forearm. If one of these muscles shortens from repetitive strain, you will feel pain and numbness in your hand and wrist. You will rub your hand, shake your hand, and put all your focus of attention onto your hand and wrist, but the source of the numbness is in your forearm - or even as far away as your neck. This same situation happens all over the body, it's called reflective pain, which means that pressure or damage to a nerve will refer pain to a different area, usually where the nerve ends.

Muscles and Tendonitis

Julie encourages people to ask questions on how to treat certain muscle problems. Click Here to visit her website and ask Julie your question when you visit her forum to learn more. 

gluteus muscles Muscles merge into tendons, and tendons attach to moveable bones. The system is beautifully designed, until there is a shortening of the muscle from a spasm or contraction resulting from repetitive use. When this happens the shortened muscle pulls on the tendon, causing it to pull away from the bone. This is most clearly demonstrated in Achilles tendonitis, but may occur anywhere in the body.

The two muscles of the calf, "gastroc" (short for gastrocneimus) and soleus both merge into the Achilles tendon (see image above). The tendon then inserts into the back of the heel. When the muscle contracts it pulls the heel up off the ground, allowing you to stand on your toes. The calf muscles must contract in order for you to push off with your toes as you take a step.

When either, or both, of these muscles are shortened by spasms, they continue pulling on the bone even when your foot is flat on the floor. You are straining the tendon, causing it to overstretch and become inflamed at the insertion, or even to tear from the bone. The pain becomes so severe that unless the two muscles are stretched you will not be able to walk without pain.

Frequently a person is given heel lifts to try to "bring the ground up to the heel", however, it is more logical to release the spasms, stretch both muscles, and "bring your heel down to the floor". Many people know how to do one of the calf stretches - the one that stretches the gastroc. However, most people don't know how to stretch the soleus, as a result the calf is never fully stretched, and the painful cycle returns