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 or seek emergency help if you have new or worsening depression symptoms; unusual changes in behavior, such as agitation, irritability, impulsivity, or restlessness; 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 may be associated with serious side effects. Call your healthcare provider right away or seek emergency help if you experience any of the following:
- Itching, right upper-belly pain, dark urine, yellow skin/eyes, or unexplained flu-like symptoms, which may be signs of life-threatening liver problems. Severe liver problems, some fatal, have been reported
- High fever, confusion, stiff muscles, muscle twitching, or racing heart rate, which may be signs of serotonin syndrome, a potentially life-threatening condition
- Abnormal bleeding, especially if Cymbalta is taken with aspirin, NSAID pain relievers (like ibuprofen or naproxen), or blood thinners
- Serious, possibly life-threatening skin reactions, which may include skin blisters, peeling rash, mouth sores, hives, or other allergic reactions
- Abnormal mood (mania), which may include greatly increased energy, severe trouble sleeping, racing thoughts, talking more or faster than usual, and reckless behavior
- Seizures or convulsions
- Decreased blood pressure upon standing, which can cause dizziness or fainting, mostly when first starting or increasing the dose. Cymbalta can also increase blood pressure. Your healthcare provider should check your blood pressure prior to and while taking Cymbalta
- Headache, weakness or feeling unsteady, confusion, problems concentrating, or memory problems, which may be signs of low sodium levels in the blood. Elderly people may be at greater risk
- Problems with urination, including decreased flow or inability to pass any urine
- Changes in appetite or weight. Children and adolescents should have height and weight monitored
Do not stop Cymbalta or change your dose without talking to your healthcare provider, as you could have side effects.
Cymbalta is not for everyone. Do not take Cymbalta if you:
- Are taking or have recently taken a monoamine oxidase inhibitor (MAOI), including the antibiotic linezolid, or Mellaril® (thioridazine). Taking Cymbalta close in time to these medicines can cause serious or even life-threatening side effects
- Have uncontrolled narrow-angle glaucoma (eye pain due to increased eye pressure)
Before taking Cymbalta, talk with your healthcare provider:
- About all your medical conditions, including
- kidney or liver problems, heart problems, or high blood pressure
- glaucoma or diabetes (Cymbalta may worsen diabetes or a type of glaucoma)
- seizures/convulsions, mania, or if you have bipolar disorder
- if you have ever had or been told you have bleeding problems, low sodium levels in your blood, or delayed stomach emptying
- About all prescription and over-the-counter medicines and supplements you take or plan to take, including
- antibiotics or medicines for migraine, mood, or psychotic disorders, to avoid a potentially life-threatening condition when taken with Cymbalta
- aspirin, NSAID pain relievers, or blood thinners, because they may increase risk for bleeding
- About your alcohol use (you should not take Cymbalta if you drink heavily)
- If you are pregnant or plan to become pregnant during therapy or are breast-feeding
Most common side effects of Cymbalta (this is not a complete list):
Nausea, dry mouth, sleepiness, fatigue, constipation, decreased appetite, increased sweating, dizziness. 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 shouldn't 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. Do not open, break, or chew capsule; swallow it whole. Cymbalta is available by prescription only.
See Prescribing Information, including Boxed Warning about antidepressants and risk of suicide, and Medication Guide.
DD CON ISI 02OCT2012
©Lilly USA, LLC 2012. All rights reserved.
Cymbalta is a registered trademark of Eli Lilly and Company.
DD80746 11/2012
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