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Pain smarts
People with CPT II deficiency describe the pain of muscle breakdown in many different ways. But everyone agrees it is intense. "It's the worst pain I've ever had." "It feels like my thighs are being ripped apart." "It takes my breath away." 

To help with understanding the mechanism of pain and ways to deal with it, we are providing links to some of the best pain sites and articles available on the web.
How does it feel?
Tips on how to describe your pain from Men's Health.

I feel your pain
How to tell your doctor about pain without feeling self-conscious. 

Randall chronic pain scale
Tool that is designed to help you better understand and communicate your pain to your doctor. Includes printable forms for you to use.

Opioids for the treatment of chronic pain
A consensus statement from the American Academy of Pain Medicine and the American Pain Society.

Men and women respond differently to opioids
UCSF scientists find that a drug called kappa-opioid relieves pain in female rats but not male rats.

The genetics of pain and analgesia
Why does one medication give relief for one person but not for another?

Prescribing opioids
More physicians are prescribing opioids for disabling, chronic pain and transforming their patients' lives.

Patients' pain problems misunderstood
May 2000 Gallup poll report concludes physicians need to be more sensitive to their patients' pain and more open to using opiates and alternative therapies.

Roadblocks to relief

American Pain Society 1999 survey says most patients with chronic pain need more aggressive treatment.

Mind As Medicine
Johns Hopkins pain specialist Peter S. Staats, M.D., discusses how attitude affects pain perception.

American Pain Foundation
North American Chronic Pain Association of Canada
National Foundation for the Treatment of Pain


For more about muscle pain in CPT deficiency, visit When exercise cramps your style.
 

A stubbed toe or burned finger will hurt less on the day you win the lottery than on the day you get fired. In other words, your emotional state affects how you interpret or perceive pain. 
       --Peter Staats, M.D.


The World Congress on Pain two years ago recommended an ``analgesic ladder'' starting with nonsteroidal anti-inflammatory drugs such as aspirin and progressing to such milder opioid pills as codeine, then to stronger opioids in morphine's class and finally to the heavy artillery of corrective surgery, intravenous opioids, microwave therapy and epidural nerve blocks. 
 
       
Physicians are starting to understand that at some point, pain goes from being a symptom to being a disease process. There are studies showing changes in the nerves themselves as a result of a chronic, painful stimulus.
         --Cox News Service


The problem of gender differences, particularly in response to opioid drugs, is extremely important and widely under-appreciated.
      --Howard Fields, MD
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