For decades, Mary Sienkiewicz, now 42, could barely get out of bed in the
morning because of the severe lower back pain that radiated down her legs. This
past summer, however, she was able to Rollerblade through her hometown of
Sienkiewicz's pain, which she describes as a "deep aching and weakness
with pulsating and throbbing," began after a car accident in 1986. "I
lost my 20s and 30s because of this pain. If I ever did anything active, I
suffered for three to four days afterward," says the financial planner, who
recently returned to work after years of disability.
On the night of March 28, 1986, Howard Heit's car was struck in a head-on collision. He left the scene of the serious crash thinking how lucky he was that he hadn't been hurt. "And then four to six weeks later, I started noticing twitches in the muscles of my neck and upper back. These progressed to marked spasms of my neck, shoulders, and upper back," he recalls.
The pain never ceased. All day, every day it plagued him. It became difficult for him to walk -- and almost impossible for him to work...
She didn't take the pain lying down. Since the accident, she had undergone
two surgeries to repair the herniated disc in her back and tried just about
every type of medication and therapy out there. Nothing made a difference for
All that changed when Sienkiewicz entered a four-week "boot camp"
for people in chronic pain at the Rehabilitation Institute of Chicago (RIC),
one of the nation's first multidisciplinary pain clinics.
"It was extremely intense," she recalls. With sessions Monday
through Friday from 8 a.m. to 4:30 p.m., the program is composed of aerobic
exercise to help boost the body's natural painkillers, called endorphins;
individualized physical therapy; biofeedback lessons; psychological counseling
to help the patient accept and function better with pain; and medication to
treat some of the underlying tissue problems and other issues, including
pain-related depression and sleeping difficulties.
"My pain went down from a level of seven or eight --- if not a 10 or
higher --- to a one or a two," she says. "It's not a quick fix, and if
you stop practicing what you learned, the pain will return," she cautions,
but that knowledge gave Sienkiewicz the incentive to continue with her
Integrative Approach to Chronic Pain
Clinics and programs with a multidisciplinary, or comprehensive, approach to
pain management are becoming more popular as people reject the traditional
pill-and-surgery model of treating pain because, like Sienkiewicz, they find
it's not always effective.
In a 2004 survey, conducted on behalf of the American Chronic Pain
Association, 72% of people with chronic pain said they had had pain for more
than three years --- including 34% who had had it for more than 10 years.
Nearly half said their pain was not under control. Such uncontrolled pain has
ripple effects on jobs, relationships, and the ability to lead a normal
"There is no way to be pain-free unless you get comprehensive care. You
just can't, say, inject pain away. It doesn't work," says B. Todd Sitzman,
MD, MPH, director of advanced pain therapy at Forrest General Cancer Center in
Hattiesburg, Miss. "Pain can be well-managed when the whole focus of
treatment is on function. We want to get the patient as active and independent