Chronic back pain can lead to depression

I can tell you how I helped my lower back but it took two years and I have no idea how you apply this warming up idea to a person neck. Before I tried to get out of bed in the morning, I rolled on to my back and put both hands on my knee of one leg as I raised the leg. I then brought the knee as close to my chest as I could and held it there for about a 10 count. If there is a sharp pain,,, do not do this…… I would do each leg about 10 times. I would put my feet on the floor while on my stomach was sliding off the bed and then used my knees to stand straight up taking the stress off my lower back to get up and start walking. I do not know how a person would apply this to their neck.

 

The neck is serious stuff and your doctor needs to tell you what he/she is going to do about your neck and lower back. Expect help,,, get help or get another doctor. Believe me when I say that some doctors will put up with a condition until the person gets serious about complaining and expecting help. I used to get in that heated pool every chance I got because it does help. You would not be human if you did not get a little depressed about being in constant pain and losing the ability to do some things. The best thing you can do is get started on a better tomorrow with your doctor or doctors,,,, a plan of action to make things better will do more for your spirits than you realize.

 

Doing nothing is what brings on depression or makes it worse. The people in your life that are important to you should have a full understanding of what your day is like and what you go through. In this Christmas season we all end up doing and going more than we would like to. If it makes you worse to do this,,,, Don’t do it and make the people that are important to you realize why. You will find support from many an no support from a few. You will find that the few are less important than they were. I have been the crusty old cocoon and some people think I still am. LOLOL they join the few in my mind and they will for you too.

 

I am saying that many here have been where you are and understand how much a bad back and/or neck changes a persons life. I am also telling you that many will pray for you and your condition today and tomorrow and on and on. May your doctors have their best day in helping you and make sure to tell us as things happen and get better or worse because their are people reading here that will not talk about this problem in their life will gain from what you have to say.

How to control pain due to arthritis?

Researchers also have looked for physiological links between arthritis and depression in the past, but no firm connection has been discovered. Susan Buckelew, a psychologist and fibromyalgia researcher at the University of Missouri-Columbia, said physicians are undecided about the connection between fibromyalgia and depression. The neurotransmitters that control pain for fibromyalgia also modulate psychological distress, Buckelew said. As a result, many physicians now think that these conditions may be linked, Buckelew said.

 

Neurotransmitters are the chemical messengers in the body. Arthritis and depression also may have a hereditary component, but no specific gene has been identified for either disease. “In rheumatoid arthritis, I think the thing that is most difficult is the lack of knowing what is going to happen,” Wright explains. Arthritis may progress to varying degrees of severity, and the uncertainty makes it harder to deal with, she says. Treatment Trials “(In the case of) rheumatoid arthritis, if you just treat the RA , the depression is not going to go away,” Wright said. “But we have found that if you treat the depression, the pain symptoms often get better.”

 

Depression is treated in numerous ways depending on an individual’s needs. For people with arthritis, the most important treatments can be pain management and improved coping skills. Relaxation techniques are a common way to help people control their pain and feelings. One therapy involves listening to tapes of soothing music or someone talking about a relaxing situation. Wright said she also uses breathing and muscle control techniques to help people understand they can control their bodies. Coping techniques help the patients take control of their life again. Career planning and stress management are a few of the programs offered.

 

“If you (can) imagine having a disease where there is nothing you can do about it, you feel like you don’t have control of your life,” Wright said. “We try to give (the patients) a feeling of self efficacy, a feeling of being able to control their life. “When adults learn to treat themselves to a fun, daily ritual, even as simple as taking a bath or reading a book, persons with depression can learn to cope with their pain, Wright explained. “There is no way we can decrease life stress, but we can compensate when we are going through a stressful time by getting extra sleep or ordering dinner in,” Wright said. “We focus on the can do.”

Herbal treatment for major depression

The use of St. John’s wort, an herbal remedy sold as over-the-counter treatment for depression, has taken off among consumers in recent years. And the American College of Physicians-American Society of Internal Medicine (ACP-ASIM) recently stated that the herb may be effective against mild depression, at least in the short term. The results of a new study cast some doubt on the remedy, warning that it is no better than a sugar pill in treating major depression.

 

Researchers from Vanderbilt University in Nashville, Tennessee, presented the results of their St. John’s wort study, one of the first large, government-funded projects to look into the herb’s effectiveness, at the annual meeting of the American Psychiatric Association this week. The team, led by Vanderbilt researcher Dr. Richard C. Shelton, set up a carefully designed, placebo-controlled study of 200 patients with major depression of at least moderate severity from 11 university medical centers. In the end, the researchers concluded that St. John’s wort was no more effective than a placebo in these patients. This is cause for concern because a second study also presented during the meeting shows that more and more patients are turning to herbal therapy for depression relief, investigators note.

 

“They’re fearful,” Dr. Cornelia Lange of the University of New Mexico, said of the survey findings. “They’ll try anything they can to avoid coming to a psychiatrist.” Lange discussed the survey conducted at her clinic that showed high rates of herbal therapy use among psychiatric patients. Herbs may have harmful interactions with more conventional antidepressants and other psychiatric drugs, Lange warned. She advised psychiatrists to be sure to ask their patients, in a non-judgmental way, whether they are using any herbal supplements. It is important to ask the question, researchers note, because herbs like St. John’s wort appear to reduce the effectiveness of antidepressants.

 

The New Mexico survey of 80 patients who had depression, bipolar disorder (manic depression) and schizophrenia found that 69% were using herbs such as St. John’s wort, ginseng, ginko biloba, and chamomile. While the clinic has both Hispanic and non-Hispanic patients, both groups reported using herbs at the same rate, according to the survey. The research also showed that most of the patients said they hesitated to tell their psychiatrist about their taking herbs. Lange counseled her fellow psychiatrists to be approachable and have an open mind so that patients will feel comfortable sharing information about alternative therapies. She also called for more research into interactions between herbs and conventional psychiatric drugs.

depression, stress and RA

I haven’t been around much lately, but I thought I’d post an update of what’s up with me. The recent discussions about stress and RA are very relevant to me. Last fall, I got kind of a “wake-up call”. My husband told me he was unhappy and proceeded to give me a list of my faults :-) I did a lot of reflecting and self-analysis and finally realized that I had been suffering from depression for about 2 years.

 

I think it was just general unhappiness about my career and the failure of a business that I had started that caused it. I had basically become dependent and needy and was using my RA as an excuse to avoid doing things. Once I realized this, I got really angry with myself, because I always swore that I would never let that happen. Getting angry can be really good for you. :-) If you’re not familiar with depression, it isn’t so much that you feel bad all the time, it’s more like you just don’t feel anything. It had a very noticable effect on my RA. Depression can make you feel listless, lethargic and unmotivated, which is exactly the opposite of what people with RA need. It’s hard enough for us to get motivated to exercise without having to overcome barriers that our minds put up. Getting angry gave me the motivation to break out of that. Since October, I have been working out and swimming 3-4 days a week. I’ve lost 15 pounds and dropped my dosage of prednisone a bit.

 

And I feel great! I can’t believe how much better I feel just from a bit of exercise and a more positive outlook. My personal life is still a mess. Things with the hubby aren’t going as well as I wish they were. I really notice a change in my RA on those days when my stress levels are higher. Stress can be a good motivator too, since I find that a good workout can help to dissipate the stress a little bit. It’s kind of humbling when you realize the kind of power your own mind can have over your body. It’s bad enough when you can’t control how your body feels.

 

But, the best thing is that I can recognize it now, so it won’t happen again. I have some friends who have been great support and who have promised to give me a kick in the butt if I start “wallowing” again :-) I just wanted to share this with all of you because I have learned so much from the experiences of others and if anyone else can learn from what I went through, then it’s a good thing. Now that I finally have energy and motivation again, maybe I will be able to finally update the rheumatology web pages (I apologize profusely for them being so out of date

Use of folic acid and depression

Most good, non-prescription multivitamins contain some folic acid. If you or someone you know is not getting the expected response from anti-depressant medication, have them ask their prescriber or pharmacist about folic acid supplements. Oh and you probably know this but spinach contains the highest levels of folic acid. As I am sure you know Sulfasalazine can impair folic absorption, and mouth sores are often your first clue. I am on a large dose of mtx and take 8 mg folic per day. I doubt you need that much but increase to 2 mg or 3 mg is certainly a good idea.

 

When I had mouth sores they were in the corners of my mouth. If you get an Rx for folic it is much cheaper. Sounds like you are on the right track hope that brain fog/ depression clears out soon.I will try that if they return. I skipped one dose of the sulfasalazine and took three 800mcg tabs of folic yesterday and they are much improved, and the depression is lifting. Any Californians know if Medi-Cal will cover the folic if it is prescribed? Or will they not, since you can also get it OTC? Liz G PS I also noticed I’ve been losing more hair than usual when I washed it.

 

Probably the folic too,they must cover folic if the doctor prescribes it. It is cheaper for you and I if a person is going to take 1 mg or more if it is from a prescription for 1 mg pills. I no longer take that much buttttt my hair is not falling out and I do not have mouth sores buttttt if they were, me and my RD would have a talk about it.

Courage to admit that you are suffering from depression

I admire your courage. It takes courage to admit you have a problem with depression and take action to resolve it. My sister has a problem with clinical depression she had the courage to be hospitalized. Her Psychiatrist found the right cocktail for her and she is now a different person. I admire her courage, just as I admire yours. .I can’t say how you will feel taking Dothiepen we are all different and have different permutations of meds to cope with, differing demands upon us but give it a good try for long enough to test it out and at least with you its not forever.

 

I only know that none of our treatments are without calculated risks but if the fulcrum’s fairly set and those scales tip more towards benefits from taking it as they do in my case I can only say go for it Connie. Reach and grab that quality of life you deserve! You will rediscover yourself Connie and we are all with you in your efforts. I have replied on the group not just because you posted to share but in the hope that some of this may also be of some use to others who post or just lurk.

 

In fact if Andy wants to post it for ref on his site I am happy that he does so if you are Connie? Now don’t forget that while I do not have all the same health problems as you I have OA DISH VBI & Sjorgrens I also like you have high BP and other probs. I am on Attenolol, Benflourazine plus for pain Athrotec 50 three times a day Co Proxamol 8 a day HRT and Misoprostal. If you are going to fret then I suggest you discuss any worries about using Dothiepen with your GP.

Depression – Taking help from your family

You have to learn to look after number 1 now. It can be as bad for partners to get their heads round it as it can for us, but just remember they don’t have to put up with the pain, so they still get off lightly. I’ve told all my friends that just sometimes I can’t go out, just because I can’t, and that they have to accept that I might not have a valid (for them) reason.

 

Sometimes I don’t want to go out because I feel good and I want to stay at home and appreciate it, I have just decided that it is better for me to think about me rather than what people think of me. Depression wise I would tell your Doctor exactly how you feel, they can do all sorts of things given the opportunity! Now chin up and you’ll get lots of support from here at least. Having some friends who know exactly what you mean will help some. We’re also an extremely pro-active bunch who like to stay on top of our treatment, with control of the disease process our favorite aim. [What the h*ll, I couldn't think about anything else for quite some time after diagnosis anyway.

 

Informing myself was just an excuse to think about RA constantly ...and the computer just made it easier.] You can get lots of anecdotal advice here, too. So are you being treated by a rheumatologist? Have you discussed your mood with her/him? It won’t be the first time s/he hears about it, either . I found that my mood improves when my arthritic symptoms are most under control.

 

I’ve worked my way through several drug combinations and some worked better than others and some only worked for a while but, when the DMARD really kicks in and starts to lower whole body inflammation, some of the fatigue and pain moderate. What kinds of meds do you use? Welcome to the sandcastle…ignore any fussing you might notice, we’re always having birthing pains. We’re becoming … something. We’re not sure what but, it’s painful. Hope you enjoy the ambiance.

Natural Relief From Stress, Depression And Anxiety

If stress, anxiety or depression are spoiling your life then I know how you feel. It’s like being trapped in a choking fog, feeling like you’re disconnected from reality and you just can’t see a way out of the fog. You feel lost, helpless, absolutely exhausted and my goodness me, it feels like you’ve been hit by a 10 tonne juggernaut. It’s exactly how I felt for 5 unhappy years. It is absolutely harrowing and the longer you suffer like this, the harder and harder it gets to see light at the end of the tunnel.

 

It becomes so hard to function even the most basic tasks are just too much effort and as for getting restful, rejuvenating sleep – forget it. And it doesn’t matter how much you sleep, the exhaustion just won’t go away. You’ll hear many times that single events can trigger a major episode of stress, depression and anxiety. The key word is “trigger”, because that is all a single event is. It doesn’t actually CAUSE stress, depression or anxiety but it does trigger a sequence of behaviors that lead to mental trauma.

 

Let’s look at how this happens and then you’ll find a key skill to show you how to deal with stress, anxiety and depression so events don’t trigger them. Descent into a stressful, depressive or anxious episode happens because of negative and catastrophic reactions to events you are confronted with. One event by itself simply isn’t enough. There are many chain-reactions that take place before a person becomes highly stressed or depressed or anxious, but I’m going to discuss one of the biggest ones: using one event to ascribe catastrophic meanings to all areas of your life – I call it “generalizing”.

Clinical findings of depression in chronic pain

A question though. I have read several journal articles that describe clinical findings of depression in chronic pain sufferers using objective criteria. They indicate an incidence of 80% or more. They also discuss behavioral manifestations beyond the typical findings of disphoria or suicidal thoughts. Am I misinterpreting those findings? I am a health educator, not a psychiatrist, so I am willing to allow that I may be wrong. My psychiatrist, as well as others I have spoken with, describe depression as the presence of specific physical findings, specifically neurotransmitter imbalances, with or without the traditional behavioral manifestations.

 

My understanding is that the neurotransmitters affect all neurological activity, including impairing reasoning, slowing reaction times, and even impairing auditory cognition. Do you disagree? – Show quoted text – I agree. I really blew it here. I guess that I react emotionally from time to time as well. My apologies to Stacy. I guess what I really wanted to say was that depression is so common in this wonderful disease that I really feel that everyone ought to take steps to improve their condition, whether or not a clinical diagnosis of depression exists or not.

 

Meds are one therapy, but there are many other directions to take as well. They can’t hurt, can they. I have seen a lot of people in my support group and in my other associations with arthritis victims who are clearly struggling with depression, but who refuse to accept treatment for it. I think that they are often reacting to the stereotype that still exists of depression being a character weakness. It is not! It isa physical disease, just as much as arthritis or cancer, and we deserve to let ourselves be treated for it, when appropriate.

Depression memoirs?

Writers on Depression, edited by Nell Casey This are a book of selections from writers who have or had depression, or writers with depressed loved ones. I read only one selection, but my girlfriend read the whole book and said it is very good. This is sort of an “American Studies” book but it’s biographical, a family history and part of the author’s family history involves depression. Mary Karr — she wrote two memoirs and the one on her teenaged years are called Cherry.

 

It’s entertaining to read and some of it really hit home with me, the stuff about drug culture in the ’60s and early ’70s and the impact it had on her emotions. Also some of the stuff about feeling very isolated in high school. The first one (I forget the name) is also very good. Sweet Mystery: A Southern Memoir of Family Alcoholism, Mental Illness and Recovery by Judith Hillman Paterson. Little Altars Everywhere by Rebecca Wells (a novel).

 

I dunno, maybe these are really more along the lines of “dysfunctional family” books. I just finished reading Viktor Frankl’s memoir, Man’s Search for Meaning. That’s a very good book for a depressed person to read, although it’s about surviving a Nazi concentration camp, doesn’t stick strictly with the subject of depression. However I found it very useful.