Oct. 10, 2007

Fresh Approach To Pain Relief

New Treatment Helps Ease The Pain — Without Medication

  • Play CBS Video Video Managing Chronic Pain

    A deep nerve stimulation procedure called "Biowave" is a new alternative to pharmaceuticals for patients suffering from chronic pain. Jon LaPook reports.

  • Video Eye To Eye: New Hope For Pain

    "Only on the Web": Dr. Johnny Benjamin explains a new technology that blocks pain before it gets to the brain.

  • This little electrode patch could be a pain-relief key: It sticks to the skin and emits electrical waves that penetrate the nerves and seem to interrupt pain signals - blocking them before they reach the brain. Photo

    This little electrode patch could be a pain-relief key: It sticks to the skin and emits electrical waves that penetrate the nerves and seem to interrupt pain signals - blocking them before they reach the brain.  (CBS)

  • Quiz Arthritis Quiz

    Test your knowledge about this widespread and painful ailment.

  • Interactive HealthWatch

    Explore health issues including AIDS, cancer and antibiotics.

(CBS)  For golf pro Bob Kameronitz, a nagging back ache was par for the course.

"All of a sudden one day I was out here on the golf course and then I had some pain down my leg," Kameronitz said.

Like 20 million Americans, he has pain caused by osteoarthritis - a wearing away of the tissue around joints, usually treated with surgery or medications, reports CBS News correspondent Dr. Jon LaPook.

"I don't like to take drugs, drugs are not a part of my life," he said.

Kim Paul feels the same way.

"No mother on narcotics can be a good mother," she said.

She didn’t like the "spacey" feeling she got from painkillers for her chronic back pain.

A few months ago they began a new, non-invasive treatment using deep-nerve stimulation called Biowave. Preliminary research found the deep wave reduced pain quickly and significantly. Although relief faded, one week later half the patients were using less pain medication.

"Until now we really didn't really have any good options," Dr. Johnny Benjamin explained. "It was basically good luck and here is a fistful of pain medications and all the side effects and addiction that comes with it."

Benjamin has used it on more than 100 patients and says it’s more effective than other devices he’s tried.

"This is one thing that gives us an option to try to help millions of people," he said.

Patches with electrodes are attached to the pain site. Each has more than a thousand tiny needles that carry electrical currents. Those electrical waves penetrate the nerves and seem to interrupt pain signals - blocking them before they reach the brain.

"A great deal of pain is perception. So if you can block or jam that wave going to the brain then you can trick the body into not feeling that pain nearly as much," Benjamin said.

Each 30-minute, in-office application costs about $300, which is sometimes offset by insurance. Patients get six treatments - one every day or two.

"It's kind of a tingling feeling like little needles going in," Kameronitz said. "And you control the intensity by the dial here."

This treatment doesn’t heal the joint, and we still don’t know whether it works over the long term. But it appears to be safe for people who’d try anything to make the pain go away.

If you have arthritis - there are 5,000 treatments. Why so many different treatments?

"Because there is no golden bullet," said Dr. Peter McCann. "There is not one that works."

"I really don't have time to stop for surgery, so this has been really good for me," Paul said.

© MMVII, CBS Interactive, Inc. All Rights Reserved.

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Add a Comment See all 30 Comments
by j-whitman October 10, 2007 7:17 PM PDT
Fresh approach to Pain Relief ---- Never elect another dime store cowboy for President of anything
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by hwkirby October 10, 2007 7:25 PM PDT
Thank you Kim Paul for stating the fact that "no mother on narcotics can be a good mother" What a great statement. I hope millions heard you and were convicted.
Reply to this comment
by fodereettirn October 10, 2007 7:35 PM PDT
(continuation of foderettirn''s post, due to 1500 character limit)

In fact,I would be worse off without the medications,as I would be so distracted,irritatable, and miserable with intractable pain (the 5th vital sign),I would be quite useless to my patients,coworkers,family,and CHILDREN. Kim Paul, who, while praising Biowave for pain management, made the cruel statement,"No mother on narcotics can be a good mother."Really?By airing this message,CBS News proved it has zero compassion, little accurate knowledge,and probably some financial stake in this scarcely available product.In closing,remember when glucosamine chondroitin (gc) was all the rage in helping arthritic tissue?Did anyone hear the physician at the end of the segment say researchers have now found that patients felt no better with gc than with a placebo?Go figure.To all those who rely on narcotics to function normally,let opinions like Kim Paul''s go in one ear and out the other.And avoid watching CBS News health segments.No wonder they are the lowest rated news program in the US.
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by fodereettirn October 10, 2007 7:37 PM PDT
I have been a young arthritis sufferer for many years.At age 34,I had a total knee replacement,and one year later,had one on the opposite side.I have a disease that eats away at my tissue and causes my bones to flake.It is exceptionally painful,and I am managed by a fantastic pain management physician via nontraditional methods,nerve blocks,nerve stimulation units,over the counter medication,and NARCOTICS.I am a fantastic and very capable mother of 2 children,and have been taking NARCOTICS,including morphine,for the past 5 years,since they were in grade school.While I did have some sensory changes at the beginning of my treatment,properly managed patients,EVEN MOTHERS,on narcotics,can successfully acclimate to these changes and adjust to the side effects of the medication.I am a successful career woman in the healthcare profession,and neither my ever-present fentanyl patch nor my oral NARCOTICS for breakthrough pain have ever hindered my ability to practice safe medicine or MOTHER.

(continued below due to 1500 character limit)
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by fodereettirn October 10, 2007 7:42 PM PDT
hwkirby---"convicted" of what? Being pain free? Obviously, you have never experienced pain that inhibited your ability to walk, sleep, or even get out of bed. Kim Paul''s statement and CBS News''s decision to include it in the segment are both ignorant and insulting to those of us who need medications to survive. I would love to know all the information behind Ms. Paul''s narcotic experience; either she has a very high pain tolerance, "lives" with the pain, or doesn''t experience it badly enough to truly need narcotics. This type of thinking is what makes narcotics taboo and some physicians reluctant to prescribe them. I wonder if she is as well-versed on addiction versus tolerance as she is on the effects of narcotics on parenting, mothering in particular. That sounds like a great article for JAMA.
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by delsberry1 October 10, 2007 8:41 PM PDT
I heard your report and was surprised at the $300.00 CHARGE for the treatment. I had in the past suffered greatly from back pain and was given treatment with a portable unit that gives similar treatment. Its called TENS. Which stands for Transcutaneous Electrical Nerve Stimulation. . Tens devises deliver electrical pulses through theskin to the cutaneous (surface) and afferent (deep) nerves to control pain. .Tens devices are indicated for symptomatic relief and management of chronic intractable pain. It looked very similar to what I saw on tv. The one I have is EPIX XL TENS Device and was programed and set to stimilation intensity by therapist and was portable . I carry in my pocket but it can also be attached to belt and the unit is attached by electrodes to painful area on my body. It was paid for by my insurance and I have to admit removed my back pain for me. I very seldom have to use it now. I recomend it highly and was wondering why the Dr on TV said treatment of this type was $300.00 PER SESSION.
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by tmf784 October 10, 2007 9:05 PM PDT
People are paying $300.00 for one session. When they can get a prescription from their Doctor and get a tens nerve machine that will work the same. They can then use it at home when they need it and not wait till the doctor''s office opens: They can be purchased on-line for under $100.00. I am a Disabled Vet with a lower back disablity for almost 20yrs. I have been using a tens for almost 10yrs in my home and at my convence when needed. And it don''t cost $300.00 per visit.
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by mjsrph-newsletters4134 October 10, 2007 9:28 PM PDT
It''s unfortunate to hear a comment condemning mothers who need narcotics to manage chronic pain. However, keep in mind that news stories omit many comments made by those being interviewed. If Kim has found a treatment that keeps her off powerful medication, and avoids surgery, then it is indeed worthy of consideration regardless of her remarks.
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by edleventhal October 10, 2007 10:10 PM PDT
I had sciatica and a bulging lumbar disc. A TENS unit was of no help ,after weeks of use the pain persisted. But, an electronic machine with a different megahertz output was of such value that after one three hour treatment the pain was totally gone, and in three weeks the bulge from the disc was gone. Pain has not returned! Electronic medicine, the biggest fear of the major brand drug pushers is the wave of the future if the FDA would stop protecting the drug pushers and allow open research in electronic medicine. Read the story of Royal Rife.
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by radiob-2009 October 10, 2007 11:12 PM PDT
I have several bad disc''s in my lower spine along with a few in the upper. One in the lower had to be operated upon in order for me to walk or stand, sit or lay. I went through multiple physical therapys sessions afterwards because of permanent sciatic nerve damage along with the prescription of narcotics and valiums to relax the muscle. This went on for almost 5 years with intermittent flare ups requiring additional medication and therapy. I read extensively on the sciatic and stopped taking the medications as they decrease the amount of oxygen to the area. I still have a "club foot" but yet I walk over 5 miles per day and eat foods high in oxygen content. My pain is better and I live a fairly normal life by taking matters in to my own hands instead of continuing the "pain killer" route.
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by grizmt1 October 11, 2007 12:26 AM PDT
Kim Paul''s statement was a complete insult to what I am guessing is thousands of mothers everywhere that by some unfortunate accident or procedure are on chronic pain medications. I happen to be one of both. I am a GOOD mother and a chronic pain sufferer who HAS to be on narcotics. In fact, before I was on my medications I considered myself to be infact a less than good mother due to the pain. I would suffer from irritability and such horrible pain that I was not able to spend the time I do now, with my children, since I spent most of my time in bed or by myself so my children would not see "mommy hurting". I hope Kim''s statement was said either out of nervousness or because she is uninformed, if she truely meant it then I could honestly say that it was a very ignorant statement. SO Ms. Paul, if you are able to have chronic intractable pain and not use narcotics and also be ''Mom of the Year'' then I quess Kuddos go out to you!
From a GREAT Mom, a better Wife, and a Good Nurse!
Reply to this comment
by fodereettirn October 11, 2007 12:44 AM PDT
Well said, grizmt1! It looks like I omitted a few sentences from my post while I was trying to shorten it (taking out punctuation and all!) to 1500 words. I also realize the media will only report bits and pieces of what the interviewee says, but Kim Paul''s attitude reeked of disdain for MOTHERS on narcotics. Again, she is the type of person who is scaring people away from appropriate pain relief--and scaring physicians from prescribing appropriate pain medications ("Try some ibuprofen...."{sure!}). I am off my soap box now and going to bed. I wonder if CBS or their contributors read these boards?
Reply to this comment
by X5CAT October 11, 2007 12:50 AM PDT
To hear such an idiotic statement makes me want to scream. I have Degenerative Rhemotoid Arthritis. I have had 44 joint replacement surgeries and i need 2 more as i write this. I live in extreme pain and I was a good mother and have had to survive off of pain meds for the past twenty years or so. I have been thru all types of treatment, including the TENS unit, in fact i have one now and it stopped working for me about 15 surgeries ago.

For many these type of treatments work, but for many of us they stop working as our bodies are eaten up by our diseases! To have someone on a show and call it "newsworthy" is plain wrong!

x5cat
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by tnt1954 October 11, 2007 1:40 AM PDT
with all the returning soldiers seeking ''relief'',
i remember how so many people became morphine
addicts after the civil war. part of the introductory
unit in elementary school. they didn''t have all
those d.a.r.e. officers when i was in school.
it was in health class, or they had an assembly
showed movies on the course of heroin addiction.
most kids laughed like heck at it. i didn''t
think it was funny. i thought it was awful what
the subject of the movie went through. most of
my friends were dead by 25 or gone beyond recall
from narcotics, so i know where these people are
coming from. being a narcotics addict is total
pain itself. you''re always ''sick'' unless you
can get ''well''. being hooked on cigarettes myself,
three packs a day is hellish. for over 40 years.
quitting is absolutely impossible. cold turkey
is unbearable, you just don''t know. there are
functional addicts. it''s like refusing to give
a dying in horrible pain person heroin, because
god forbid they should not ''die sober''.
Reply to this comment
by tnt1954 October 11, 2007 1:46 AM PDT
and god forbid, you should get hooked on narcotics
on your death bed.
Reply to this comment
by litchfieldtax October 11, 2007 3:22 AM PDT
Just out of hospital yesterday after my 10th surgery for a seriously injured leg. I''ve tried them all and I''m getting sick and and tired of being sick and tired from paid - Dilaudid, Oxycodone, Vicadin, Morphine, Tramadol - all at some hefty prices. Sorry I missed the TV report but can probably see it here online. I look forward to trying out something that might work and is beneficial to the ''sick'' healthcare system here in the U.S.

Mike In CT
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by njgranny October 11, 2007 10:13 AM PDT
If you have never, ever lived with chronic intractable pain, you have no idea. It has wrecked havoc on all parts on my life. I have tried every treatment, surgery, epidurals, physical therapy, you name it, I''ve tried it. I have Failed Back Surgery Syndrome. Something went wrong with the surgery and a nerve or maybe more have been permentally damaged. I take non-narcotic pain med,use relaxation techniques and use Vicodin when all else fails. There are two sides to every story. Why only present one?
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by rstanley0453 October 11, 2007 11:21 AM PDT
How dare you take someone who is obviously NOT a chronic pain individual and make her state someone on narcotics could not be a good mother. Let me tell you about chronic intractable pain. I have severe degenerative disk disease with facet joint syndrome and osteoarthritis. The facet joints hold the discs together, except mine tear. Then my discs deteriorate. She didn''t have "time" for surgery - she''s not a chronic painer. When you go for back surgery its because you have no choice, not because of time. You should interview REAL chronic pain patients. Your richy rich friends were a sad choice - they were not true chronic painers. Next time get your story straight. I''m not loopy on my meds. But I have some quality of life which I''m entitled to. I didn''t ask for this disease but I have to live with it. That doesn''t make me a bad person or a bad mother. You can ask my daughter.
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by rstanley0453 October 11, 2007 11:37 AM PDT
I''d like to add one more comment - true chronic pain patients are not addicts. There is a Dr. Jennifer P Schneider - why don''t you interview her? She can set you straight. We are no more addicts than the diabetic who takes insulin every day, or the person who takes meds for the blood pressure. Addiction is a mental need for the narcotics - chronic pain is totally different. So don''t anyone call us addicts. Check with an authority on the subject. I gave you her name.
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by siscokid61 October 11, 2007 12:07 PM PDT
I just got thru one the worst bouts with my back that I have ever had. I have arthiris in both hips with bone spurs, that causes bursitis. Along with that I have scoliosis, which has caused a twisted, and compressed disc, which caused intense sciatica pain. The pain was so intense I couldn''t walk. I went to orthopaedic doctor who sent me to 6 sessions of physical therapy. He also prescribed a non narcotic pain reliever. Whoopee! NO Change. The pills did nothing. Someone advised me to see a chiropracter. I thought they were all quacks, but I went to one that was recommended by a co-worker. He put me on a decompression table and muscle stim therapy. First month I was going three times a week, then down to two, now I''m just going for maintenance. It has worked wonders. Like I said, it was my first real bad bout. I''m hoping now that I know what I did (moved furniture) to make it flare up, that I can maintaine a relatively pain free life. I take two Aleve a day, and it seems to take care of it. The bursitis still bothers me, but the back and leg pain is gone. I would recommend a good chiropracter to anyone who asks...especially one who uses the decompression table therapy.
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by siscokid61 October 11, 2007 12:31 PM PDT
After reading all the comments, I''m convinced that the News Media let us see and hear exactly what they wanted us to see and hear. The American People are not as ignorant as the media people think we are. Thanks for restoring my faith in people...real people...who live in pain every day, and are not ashamed of it. Us Boomers may be slowing down, but don''t count us out. AND we are not giving all our money to doctors who have a "miracle cure" and want to charge us an arm and a leg for it (no pun intended). So we are living longer and better. Mos of our parents didn''t live long enough to have ailments like we have now. At least if they did, they didn''t complain about it, it was just considered getting old. I know one thing...if I can feel pain, it means that I am alive. And for that I am thankful.
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by nedlebob October 11, 2007 2:29 PM PDT
Re: Biowave Pain Management. As an acupuncturist, I have been doing electro-acupuncture for over 10 years. I place needles close to nerves and connect a microcurrent-generator at various points to change the pain conduction of the area, call the blood to work on the problem (because you blood is what heals you)and stimulate the immune system. Similar technology, good results for alot less money- I charge fifty dollars or less an hour. Why doesn''t medicare recognise our art as an effective inexpensive way to help our aging population? Sincerely, Bob Boden(nedlebob)LAC. Coquille,OR.
Reply to this comment
by nedlebob October 11, 2007 2:29 PM PDT
Re: Biowave Pain Management. As an acupuncturist, I have been doing electro-acupuncture for over 10 years. I place needles close to nerves and connect a microcurrent-generator at various points to change the pain conduction of the area, call the blood to work on the problem (because you blood is what heals you)and stimulate the immune system. Similar technology, good results for alot less money- I charge fifty dollars or less an hour. Why doesn''t medicare recognise our art as an effective inexpensive way to help our aging population? Sincerely, Bob Boden(nedlebob)LAC. Coquille,OR.
Reply to this comment
by nedlebob October 11, 2007 2:29 PM PDT
Re: Biowave Pain Management. As an acupuncturist, I have been doing electro-acupuncture for over 10 years. I place needles close to nerves and connect a microcurrent-generator at various points to change the pain conduction of the area, call the blood to work on the problem (because you blood is what heals you)and stimulate the immune system. Similar technology, good results for alot less money- I charge fifty dollars or less an hour. Why doesn''t medicare recognise our art as an effective inexpensive way to help our aging population? Sincerely, Bob Boden(nedlebob)LAC. Coquille,OR.
Reply to this comment
by nedlebob October 11, 2007 2:29 PM PDT
Re: Biowave Pain Management. As an acupuncturist, I have been doing electro-acupuncture for over 10 years. I place needles close to nerves and connect a microcurrent-generator at various points to change the pain conduction of the area, call the blood to work on the problem (because you blood is what heals you)and stimulate the immune system. Similar technology, good results for alot less money- I charge fifty dollars or less an hour. Why doesn''t medicare recognise our art as an effective inexpensive way to help our aging population? Sincerely, Bob Boden(nedlebob)LAC. Coquille,OR.
Reply to this comment
by Netterz October 11, 2007 2:33 PM PDT
One thing I havent seen mentioned is the proven FACT-TRUE chronics rarely ever suffer from addiction. The only addiction I suffer from is to have less pain & life with some quality. Diabetics need insulin, Asthmatics need inhalers. The disease we have requires narcotics in the same principle. This ''woman'' who made the obviously idiotic statement is NOT a chronic & WASNT able to function on narcotics because she really didnt need them. If she has to think about making time for the surgery? Shes NOT a chronic if she had a choice. I have had 14 surgeries, which at the time, state of the art surgeries, all but 3 failed. If I wasnt on meds I would be bedridden. I wouldnt be able to get out of bed, live a somewhat normal life go places and do things with my family & friends. I have permanent nerve damage from shattered bones in my neck and lower lumbar, to the left side of my body. Without narcotics, I would be immobile and sick to my stomach with horrid pain. People like THAT ''mother'' & the recreational drug users are the problem with narcotic use. If used the way your pain management provider prescribes, also what they were designed for, there is little problems. Add to my condition, CANCER sufferer now as well, tell me that I can not function as a mother, F/T care provider to my parents, still managing to take care of it ALL. People shouldnt comment on things they dont suffer from.
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by paininmass October 11, 2007 3:32 PM PDT
As a chronic pain sufferer I applaud any treatment that alleviates the constant, daily pain for anyone they may work for. Anyone who does not suffer with pain that is always there, never quits, and wears you down will never understand. To completely eliminate it is the goal of everyone who has daily pain, but unfortunately, due to the cause, or the damage, it may not be possible. Tens, "Biowave", Epidurals, Nerve Blocks, etc, etc, have permanent success in some, limited in others, and no effect in still others. There are successes and horror stories for every treatment and situation. Sometimes meds are all that is available, and because of stupid comments as the one made in this article it causes us added frustration and stress. We not only have to fight with our drs to be listened to and taken seriously, we have to deal with the narrow-mindedness of others. Meds do not make us "not good" to put our effort into anything, or leave us constantly "spacey". For a lot of us it helps us stay functional, and for others it helps others endure yet another day of pain.
I''m glad Paul found a temporary fix for his pain so he can put off surgery until he has time, but for a doctor to claim that no other treatment but his works leaves me scratching my head and wondering if Dr Benjamin can cure chronic pain then why isn''t he being utilized in curing cancer, leukemia, diabetes, etc, etc. He seems to have the answer, in fact, the only answers.
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by tashababy71 October 11, 2007 4:13 PM PDT
I am very upset by this segment. I am a 35 year old mother of two. Before I became a patient under a pain management team, I was pretty much bedridden. I coudnt stand long enough to cook dinner, couldnt concentrate long enough to help with homework. Being in pain 24/7 takes a toll on your mind and your body. Having the pain under control, gives you your life back. So how dare anyone say that taking Narcotics makes you a bad mother, without letting the other side of the coin put in their opinion too.
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by computernew October 11, 2007 4:17 PM PDT
I agree wholeheartedly with Bob Boden. I suffered with leg pain, back pain, and pain in my fingers. I had successful acupuncture treatments. I also went to a Chinese herbal doctor for numbness in my right hand and arm. The herbs worked wonders. I now have minor pain flare-ups. I use a very effective cream called Corium 21. It is an aloe skin healing cream. It works wonders for pain, burns, and itchy skin. I would highly recommend that any chronic pain sufferer contact a licensed acupuncturist, a chiropractor, and a Chinese herbal doctor. Corium 21 can be purchased by going to website www.aloeveracream.com, or by calling 1-877-wellskin.
Reply to this comment
by zookeeper121 October 11, 2007 5:49 PM PDT
While I am thrilled for Ms. Paul that she has found a non-narcotic treatment for her problems, I am horrified that CBS saw fit to broadcast her narrow-minded and ignorant judgment that women on narcotics are not good mothers. This blanket statement is simply unfair and untrue. Before I sought treatment from a pain management doctor, I could not even get out of bed most mornings. Now I am able to get up and cook, do homework with my daughter, work at a responsible and respected career, make fun memories with my family--was I a better mother when I laid in a dark room and cried all day, simply because I didn''t have narcotics in my blood? Of course not. Even with the narcotic medications I take (under a licensed doctor''s supervision, I might add), I will never know what it is like to run in the park with her or walk on my own two feet with her through Disneyland. Sometimes I feel guilty and angry and cheated, but I am NOT a bad parent because of it. How dare Ms. Paul condemn me without having walked a mile in my shoes? As others have pointed out, she had choices--I don''t have any choices or potential cures. Narcotics are the only treatment I have been offered.

And shame on you, CBS, for airing such garbage. I dare you to allow airtime for someone to accuse Elizabeth Edwards or Dana Reeve of being bad mothers because pain pushed them to seek relief.
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