Mastering pain (part 2)

I have become so confident about the effectiveness of the Painmaster™unit that if I am not experiencing great pain relief then I know that it must be because I need to find a different place to put the electrodes (patches). For years I had constant pain in one site on my right buttock with pain extending from there down the right leg into the foot. So originally I could put the Painmaster on the same spots. I used a permanent pen to mark the spots until they were indelibly printed on my mind. (Refer to Mastering pain -part 1)

original position of small round electrodes

   

Nowadays it’s a much more complex issue as the pain has moved and keeps moving to involve other nerves and muscles. Different activities will cause certain areas to become inflamed, e.g., when I garden and do a lot of bending or when I sit too long at the computer. Going on holidays can become a nightmare because I’m sitting in all kinds of chairs which have varying degrees of softness/hardness and have varying angles for the fulcrum between my lower back/pelvis and my legs.The pain can completely flip over to the left side too.

The distributor for Painmaster in Australia and New Zealand has recently produced some great videos that show the versatility of the unit, for instance this video shows how hip pain can involve different areas and how one can move the patches to get the best relief for an individual’s specific hip pain. I want to share with you some of the different places where I put the patches when the pain moves but is still within the buttock and lower back region. I hope this encourages you to experiment with the Painmaster if you are not getting satisfactory results.

position 1
            position 3

position 2

The dominant images (below) from the Painmaster brochure and packaging shows 2 patches either side of the spine.It is probably the best position for treating pain which emanates from the vertebrae, a common place of damage and pain.

across spine   vertebrae pain          cropped image on Painmaster box

Another video produced by Painmaster Australia New Zealand shows the general principle for treating back pain. It also describes my preferred way of getting pain relief. I put one electrode on one side of the spine and the other electrode on the opposite side of the spine. In this way if I am getting a lot of pain around the spine I can calm the nerves and muscles separately on each side of the spine.

2 patches

This is also the set-up I use with 2 Painmasters when I am going to travel long distances on a plane whether the pain is already strong or not. (Painmaster recommends not using more than 4 units at a time.) It seems that my sacrum becomes jammed when I sit for hours in the same seat. I visualise the sacroiliac joints and position the patches close by and then determine where to put the connecting patches to the most painful spot on each of the buttocks. If the pain shifts slightly I can move the patches around until I can sense that the pain is diminishing.

sacroiliac joints

Keeping 2 electrodes over the left and right sacroiliac joints whilst varying the position of the connecting electrodes

electrode above waist

 

For good measure I include this diagram of putting one of the electrodes above the waist. I realised that the muscle running parallel to the spine was tight and painful when a very good massage therapist showed me its link with the strong pain I was experiencing in the top of my buttock.

 

Painmaster Australia New Zealand also provides a great video for placement of patches for lower back pain which might be more helpful than my explanation.

So if you are not experiencing good pain relief using a Painmaster …

  • even though you have read the brochure provided with the product,
  • even if you have looked at all the information and videos on the Painmaster website,
  • even if you have rung the help line – Call Us To Talk To An Expert –                          (in Australia) on 1300 558 252 

                          …  then don’t be afraid to experiment.

electrodes on two most painful points

 

 

 

 

 

 

put electrode where it really hurts

 

 

 

 

Of course I understand that feeling of anxiety about finding the optimum site for the electrodes as soon as possible. I can still get in a terrible mess with lower back pain, especially when I go on a holiday. I might try all the usual places trying to bring the pain level down but still be unable to make any significant impact. I prod all over the the soft and bony parts of the buttock trying to determine the worst places. Sometimes the pain needs to get very strong so that I can’t miss the chief offending spot and at last can set about obtaining pain relief.

I have never encountered another product that takes away the pain while one is actually engaged in the activity or position that is normally guaranteed to escalate the pain. So of course I am an absolute fan of the Painmaster!

But I do acknowledge that not everyone will get the pain relief from a Painmaster that they so desperately desire so I mention my Disclaimer again. I have not yet been able to find a way of using the Painmaster that makes a significant difference to the headaches I get, even though I know they are stemming from my shoulder and neck.(P.S. Don’t put Painmasters on your head! Or the front of the throat where the pulse can be felt!)

However I can assure you that I have found a couple of other ways to significantly alleviate chronic pain which may  help you. So this is not the end of my story …

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Pain relief from manual therapy

Manual Therapists [physiotherapists, chiropractors, osteopaths, massage therapists, acupuncturists]  are genuinely intent on patients experiencing pain relief.  But patients with long-term pain need to realise that therapists can only relieve the pain – they cannot diagnose, fix or cure the whole chronic pain condition!

Therapists ask for and listen carefully to the current symptoms. They differ from most doctors in that they locate the area where the pain is stemming from and they work on the problem with their hands according to their specific discipline. It can really surprise me to find out that the source of my problem is in another part of my body. I often take a permanent marker and get them to mark crosses on my back so that when I get home I can see in the mirror where the offending sites are. Therapists also give valuable recommendations for managing the recovery from a painful episode – certain types of exercise, avoidance of certain activities, applying ice etc. Now that I have a proven way of treating pain with microcurrent therapy I still learn so much from them about the optimal site to place electrodes. This helps me to follow through on the pain relief I gain from an appointment. I highly recommend going to a therapist in times of dreadful pain as the information they supply will help you to manage your pain as much as the treatment they give.

I turned to a chiropractor in 1988 after my GP could not determine what was the matter with me and could only recommend paracetemol which seemed completely ineffective in diminishing the pain. At the time if felt like my right buttock and leg were on fire. In fact chiropractic treatment was the only thing that afforded me pain relief – not massage, not exercise, not tablets, not rest, not physiotherapy. It took years before it became clear that there was an underlying systemic condition and not just unrelated parts of my body breaking down. No wonder therapists would suggest conditions or injuries as they worked piecemeal on my body : whiplash, RSI, piriformis syndrome, sprained ankle, sciatica, stress, all-over muscle tightness, a very tight iliopsoas, tennis elbow and candida. This of course would lead to admonitions about having the correct posture, becoming more relaxed, changing my whole lifestyle, building core body strength, undergoing a course of dry needling, trigger point therapy or direct myofascial release, doing a detox, changing my diet, taking supplements, stretching and lengthening various muscles. I did all of this and more!

I should just say here that different therapists may describe my symptoms differently. Whereas the chiropractor may refer to the L5S1 joint, the physiotherapist will talk about the hip flexor muscle and pelvic girdle and the massage therapist might notice that the gluteus maximus is tight and another might talk about the need to strengthen weak abdominal muscles. I can always look up these terms under ‘Images’ on the internet to get a clearer idea when I get home from an appointment.

Appointments with therapists take time and money, and there can be one massage therapist, for instance, who really helps and another  who is useless. It will be a matter of trial and error. And money. There are additional things therapists may recommend such as taping a part of the body to immobilise it (absolutely the wrong thing for me!) or buying a foam roller (agony for my iliotibial band!) or a special BakBall (2 joined balls) to undo the nerve tension in my spine (too severe!). More money, appointments and frustration.

Examples of therapeutic aids that are ineffective for my condition

Examples of therapeutic aids that were ineffective for me

Here are some other things I spent my money on to no avail:

  • I really couldn’t tell if the Piezo  (needle-less acupuncture device) had any benefit.
  • Dry needling seemed to do nothing.
  • Cupping might have been slightly beneficial but I now steer away from glass fire cupping since I once got burnt – this meant I could not apply the electrodes to that area until the skin healed.
  • Ultrasound seemed to inflame the area and it took ages for the inflammation to subside.
  • Various back supports seemed to push into my spine at the wrong site and accentuate the pain.
  • Cranial osteopathy resulted in severe headaches.
  • Some acupuncture worked slightly and some was too strong and brought on headaches. A ‘course’ of acupuncture seemed to deliver pain relief in the lower half of my body but after I stopped treatment the pain simply regrouped and manifested itself with the same intensity. If I was able to have acupuncture every single day then perhaps …

Some things were worth the money:

  • I bought the Trigger Point Therapy Workbook to understand where pain might be radiating from.
  • A handheld Squirrel Massager for tight and aching muscles has been beneficial.
  • A new kind of tape – Kinesiology tape – which supports the problem area but does not restrict it.
Trigger Pont book and Squirrel Massager were beneficial

Trigger Pont book and Squirrel Massager are helpful for me

When I was still extremely confused about all the pain I was experiencing it was a physiotherapist who suggested that it was not normal for me to have such strong pain for the type of muscle tightness and joint restriction that kept recurring. I got a referral to a Pain Clinic in Auckland and this lead to an initial diagnosis of fibromyalgia. I now have doubts about this diagnosis but it was a help for me to understand that there was ONE actual syndrome to explain all the diverse ailments I was suffering.

In earlier years I would often feel frustrated and disappointed after a physical therapy treatment – either it stirred up the pain or it did not do enough to alter the pain. Now I have different and more reasonable expectations. Why should I expect therapists to make me better when doctors have not been able to? I have come to realise that I must not expect solutions to the pain but that I will probably get some pain relief which will gradually help me to pull out of a very strong episode of pain.

And nowadays I don’t enrol therapists in a detailed history of my chronic pain. I am the person who is most able to manage the different areas of my body that are involved.  I limit myself to the particular site that is giving me the most pain. I get as much information as I can from the therapist and then I go home and experiment with the Painmaster patches until I find the optimal site that will bring the maximum pain relief. See an earlier post on Mastering Pain.

Painmaster

Painmaster

You can also refer back to the Number 1 Principle For Reducing Pain which supports manual therapy if it brings you pain relief. Constant pain is the driver of chronic pain so if you can find any way to reduce pain by a therapist’s treatment then you are allowing your nervous system time to rest. It’s such a blessing to find a good therapist!

Microcurrent units

If you have discovered that Painmasters deliver the pain relief you need you might like to consider a more permanent form of microcurrent therapy. Here are 4 units I have some experience with: Micro 300, Micro 400, Micro 850 and MicroPlus.

different microcurrent units

different microcurrent units

In 2004 I went back studying after a very long break. I had no means of pain relief other than exercise and low-level medication. The few years in Auckland when I was able to purchase a continual supply of Painmasters had long faded away. I realised that attempting the course might bring about a nightmare of pain (mostly from the need to sit at computers) and so I went to the internet and typed in ‘micro current’ in the wild hope that there might be something out there that mimicked a Painmaster.

I was thrilled to discover on http://www.medcareservice.com a device called a Micro 300. This website no longer leads to the page on the Micro 300  device but the same unit can be seen at

http://www.3dhealthstore.com/micro-current-300.html

It was going to cost me more than $100 as well as postage from the U.S. It was a big event 10 years ago to order something online and arrange payment for it while living a whole ocean away from the source. I don’t know how many times I read and reread all the information on the site before I took the plunge – a plausible explanation was given on the website as to how microcurrent could address pain. When the case arrived I was nervous all over again in considering how to adjust the settings to achieve something similar to the Painmaster device. After reading the Micro 300 booklet I chose some settings and switched it on. After only a couple of days of experimenting I found the optimal settings and I was in business! All the different seats in lecture halls, tutorial rooms, library and cafeteria as well as computer chairs no longer seemed an insurmountable problem.

trying to make sense of technical specifications

wondering which technical specifications would match a Painmaster

When you remove the settings cover there are a number of choices to make. I can recommend the following selection however you could track some different settings to come to the optimal solution for your own pain condition. Just note that the MicroPlus has a second dial on the outer surface which I generally set in the range of 0.5 to 1.3 ( the lower end of the spectrum).

different settings to suit chronic pain

examples of settings that suit chronic pain

The Micro 300 model has now been replaced by the Micro 400 model. However Medcare Service no longer sells those models or posts to Australia. This forced me to search again and I found Llhasa OMS, a company which has always provided a very good service and you can arrange by email to have the unit posted to Australia. The units themselves come in hard black cases and mostly seem to be made in Taiwan even though they are sold globally. The case also comes with a battery and lead wires  as well as electrodes – I have not found these electrodes to be very durable. All the units have a small flashing light to show the battery is working.

The one which has become my main backstop is the Biomedical Life Systems Micro Plus which I have ordered from Allegro Medical – https://www.allegromedical.com– in the electrotherapy menu. I emailed them and they arranged to post it economically to Australia using DHL.

Lhasa OMS offers the Micro 850 (http://www.lhasaoms.com/Microcurrent-Units.html) at a very reasonable price. In many years of ordering I have only hit one snag  because there are 2 different models of the Micro 850, one offering a 10, 20, 40 minute length of current, another one providing a C(Continuous) 20, 40. The timer needs to be Continuous to address chronic pain so check this out when you email your order.

chronic pain requires the C (Continuous) setting on the Timer

chronic pain requires the C (Continuous) setting on the Timer

Of course whichever microcurrent unit you purchase there are still going to be occasional dramas and costs. You will regularly need to purchase new electrodes and lead wires as well as 9V batteries. You can try buying a recharger for a rechargeable 9V battery but I found that they never lasted more than 12 hours which was too troublesome. Eventually any microcurrent unit will expire after a few years of continuous use. The hard plastic cover for the settings and battery may also fall off.  Not to mention dropping the whole unit onto concrete floors! As a woman, I found I needed to dress in skirts or pants which ideally had a pocket so that the unit could rest in the pocket while the lead wires were threaded under the clothing. Although a microcurrent unit is a health device I always feel it is better to remove it before passing though airport screening and then reapply it before boarding. I just don’t want to make public explanations as to why I’m wearing something that looks like I’m wired to explode.

Purchasing the accessories can be time-consuming but here are a few tips for electrodes and leads if you don’t want to order them from overseas.

Alpha First Aid – in booths at Westfield shopping centres – sell the most common lead wire which fits into the Micro 400 and Micro 850

http://physioworks.com.au/online-store – under TENS Machines – sells electrodes.

http://whiteleyallcare.com.au sell PALS Valutrode Electrodes as well as less expensive AllCare Electrodes as well as the Lead for Allcare TENS (Product Code: ACTENLEADMK5) which is compatible with the Micro 400 and the Micro 850. The way to order to order these products is via www.myphysioshop.com.au.

By searching for a good price I have most recently ordered replacement electrodes from OPTOMO at https://www.optomo.com.au/category/tens-machines/

At the moment I have put the units into a cupboard and am enjoying the freedom of using Painmasters after a gap of 15 years (See  Mastering pain (part 1). No longer do I need to fiddle with settings, check the battery, purchase accessories online or deal with long wires bunched up underneath clothing. I can wear dresses! I can travel! I have proven to myself over and over that the level of microcurrent in a Painmaster – the original model provided up to 20μA (microAmps) and the latest model says 2.7 vDC @ 49μA  –  is a perfect match for removing the sensation of pain. I am so convinced about this Painmaster MCT patch that if I am not experiencing freedom from pain then I only need to move the patch to a slightly different place on my body. Maybe if I have strong pain occurring in a number of places – my shoulder as well as my buttocks – or if I cannot afford to use more than 2 Painmasters at a time, I will get out one of the above microcurrent units and use it in conjunction with a Painmaster.

Buying one Painmaster is a simple investment in finding out whether your pain responds to microcurrent. If it does then you can consider buying one of the microcurrent devices I have described.( Disclaimer) If it doesn’t work then you may not have the same kind of chronic pain as myself. But you have not wasted your money as it doubles as a device for sports injuries, for tennis elbow, for lower backs that ache from lots of lifting or for necks that ache from working at the computer…

Some doctors are sceptical that such a small current could make any noticeable improvement.

I am not saying that it cures chronic pain.

But I am saying that as long as I am wearing the patch in the correct site then it will render the pain negligible.

Doctors may want you to increase the settings on a microcurrent unit to milliamps in the belief it will give you a better outcome

BUT

 the use of a microcurrent for reducing pain is a surprising and wonderful example of how

less is MORE!