Get an Endorphin Boost: Exercise
It's a Catch-22: You're hurting, so you don't exercise; but without exercise, you may lose muscle tone and strength, making pain worse. Fortunately, even mild exercise releases endorphins, the feel-good brain chemicals that lift mood and block pain. Ask your doctor if aerobic, strengthening, or stretching exercises can give your body the boost -- and relief -- it needs.
Breathing, Meditation, and Biofeedback
It sounds so obvious, but few of us actually take the time to stop what we're doing and calm our minds. Deep breathing, biofeedback, and meditation are all stress management techniques that relax your body, which helps ease pain. Talk to your doctor to learn more, but in the meantime, slow down, close your eyes…breathe in…breathe out.
Avoid Alcohol
You need a good night's sleep to help soothe the stresses pain puts on your body. Although alcohol can help you fall asleep, as it metabolizes, it promotes shallow sleep, reduces important REM sleep, and may even wake you. The result: A less restful night.
Cut Pain: Quit Smoking
Some people find temporary relief from stress and pain with a quick smoke. The irony is that smoking may actually contribute to pain in the long run. It slows healing, worsens circulation, and increases the risk of degenerative disc problems, a cause of low back pain. If you need an incentive to quit, pain relief just may be it. Ask your doctor about programs and medicines to kick the habit.
Give Your Body a Boost: Eat Better
If you're living with chronic pain, you want to do everything you can to help your body, not hinder it. One way to keep your body strong is to eat a well-balanced diet. Eating right improves blood sugar, helps maintain weight, reduces heart disease risk, and aids digestion. Aim for a diet rich in whole grains, fresh produce, and low-fat proteins.
Journal: Help Your Doctor Help You
Keeping a pain journal can be a great way to help your doctor understand and more effectively treat your chronic pain. At the end of each day, record a "pain score" between 1 and 10. Then note what you did that day, and how these activities made you feel. The next time you see the doctor, bring the journal and discuss your findings.
Schedule Relaxation, Set Limits
By taking care of your emotional and physical health, you can better manage your pain. That may mean saying no to events like parties if you need the rest. Or it may mean scheduling regular massages or setting an unbreakable dinner date with good friends to boost your spirits. How you care for you is unique to you -- and it's also up to you.
Distract Yourself
You already know that focusing on pain can just make it worse. That's why one potent prescription for relief is to keep busy with activities that take your mind off the pain. Take that cooking class you've had your eye on, join a garden club, try skiing lessons. Even if you can't control the pain, you can control the rest of your life. Get started!
Know Your Medicines
Understand the medicines you're taking, what they can do for you, and their side effects. Then educate yourself about other treatment options. Your goal is to have a normal mood and activity level -- if you don't, then a different medicine might be better for you. Your job is to be proactive, to ask questions, and look for answers.
You're Not Alone
As many as one person in every three is dealing with chronic pain, so you're far from alone. Reaching out is the most important habit you can develop to help you deal with chronic pain. Tell friends and family what you're feeling because they won't know otherwise. Ask for help. Learn more about your condition. Then share what you know with others.
Reviewed by Andrew Seibert, MD on December 05, 2011
This tool does not provide medical advice. See additional information: 
© 2011 WebMD, LLC. All rights reserved.
Important Safety Information About Cymbalta
The most important information you should know about Cymbalta:
Antidepressants can increase suicidal thoughts and behaviors in children, teens, and young adults. Suicide is a known risk of depression and some other psychiatric disorders. Call your doctor right away if you have new or worsening depression symptoms, unusual changes in behavior, or thoughts of suicide. Be especially observant within the first few months of treatment or after a change in dose. Approved only for adults 18 and over.
Cymbalta® (duloxetine HCl) is not for everyone. Do not take Cymbalta if you:
- have recently taken a type of antidepressant called a monoamine oxidase inhibitor (MAOI) or Mellaril® (thioridazine)
- have uncontrolled narrow-angle glaucoma (increased eye pressure)
Before taking Cymbalta, talk with your healthcare provider:
- about all your medical conditions, including kidney or liver problems, glaucoma, diabetes, seizures, or if you have bipolar disorder. Cymbalta may worsen a type of glaucoma or diabetes
- about all your prescription and nonprescription medicines. A potentially life-threatening condition has been reported when Cymbalta was taken with certain drugs for migraine, mood, or psychotic disorders
- if you are taking NSAID pain relievers, aspirin, or blood thinners. Use with Cymbalta may increase bleeding risk
- about your alcohol use
- about your blood pressure. Cymbalta can increase your blood pressure. Your healthcare provider should check your blood pressure prior to and while taking Cymbalta
- if you are pregnant or plan to become pregnant during therapy, or are breast-feeding
While taking Cymbalta, talk to your healthcare provider right away:
- if you have itching, right upper-belly pain, dark urine, yellow skin/eyes, or unexplained flu-like symptoms, which may be signs of liver problems. Severe liver problems, sometimes fatal, have been reported
- if you have high fever, confusion and stiff muscles, which may be symptoms of a potentially life-threatening condition
- if you have skin blisters, serious or peeling rash, hives, mouth sores, or any other allergic reaction. These may be serious, possibly life-threatening, skin reactions
- if you experience dizziness or fainting upon standing. This tends to occur in the first week or when increasing the dose, but may occur at any time during treatment
- before you stop Cymbalta or change your dose
- if you experience headache, weakness, confusion, problems concentrating, memory problems, or feel unsteady, which may be signs of low sodium levels
- if you develop problems with urine flow
Most common side effects of Cymbalta (this is not a complete list):
- nausea, dry mouth, sleepiness, fatigue, constipation, dizziness, decreased appetite, and increased sweating
You are encouraged to report negative side effects of Prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Other safety information about Cymbalta:
- Cymbalta may cause sleepiness and dizziness. Until you know how Cymbalta affects you, you should not drive a car or operate hazardous machinery.
- People age 65 and older who took Cymbalta reported more falls, some resulting in serious injuries.
How to take Cymbalta:
Take Cymbalta exactly as directed by your healthcare provider. Cymbalta should be taken by mouth. Do not open, break or chew capsule; it must be swallowed whole. Cymbalta can be taken with or without food.
Cymbalta is available by prescription only.
See Prescribing Information, including Boxed Warning about antidepressants and risk of suicide, and Medication Guide.
DD CON ISI 28NOV2011
©Lilly USA, LLC 2012. All rights reserved.
Cymbalta is a registered trademark of Eli Lilly and Company.
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