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	<title>Comments for addiction-free.com</title>
	<link>http://www.addiction-free.com/blog</link>
	<description></description>
	<pubDate>Tue, 07 Oct 2008 19:29:46 +0000</pubDate>
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		<title>Comment on Addiction Recovery and Chronic Pain Management by Dr. Stephen F. Grinstead</title>
		<link>http://www.addiction-free.com/blog/addiction-recovery-and-chronic-pain-management/#comment-1710</link>
		<dc:creator>Dr. Stephen F. Grinstead</dc:creator>
		<pubDate>Sun, 28 Sep 2008 17:02:27 +0000</pubDate>
		<guid>http://www.addiction-free.com/blog/addiction-recovery-and-chronic-pain-management/#comment-1710</guid>
		<description>First of all thank you for your comments and question. 

As a starting point I do agree that  most people do not develop an addiction to their pain medication but from my experience and research findings it is not rare.  I use a conservative 10 percent estimate but it is probably higher for people to have abuse or addiction problems with their pain medication.   

We do know for example that addiction is present in anywhere from 10 to 15 percent of the general population (this includes alcohol as well as other drugs as cited in the NIDA research).  As a starting point I want to refer you to our Research Page on our website by going to http://www.addiction-free.com/news-research.html.  

As you will see in the first posting on that page there are identifiable risk indicators that will predict who will be more at risk for abuse or even addiction. The final posting on that page covers the research I was referring to in my Blog. 

I hope this is  helpful. 

Dr. Stephen F. Grinstead
Senior Consultant/Trainer
Gorski-CENAPS Corporation Grinstead Consultation &#38; Coaching Services
PO Box 340626 Sacramento, CA 95834-0626
Phone (916) 575-9961
Website: www.addiction-free.com  Email: sgrinstead@cenaps.com or drgrinstead@yahoo.com
Blog: http://www.addiction-free.com/blog/ To read our latest Chronic Pain Solutions Newsletter please click here http://www.addiction-free.com/sept-2008-newsletter.html. To sign up for our free Chronic Pain Solutions Newsletter, please click here http://www.addiction-free.com/contact.html. and then input your name and email address. You will then receive an autoresponse email that you need to reply to in order to finalize enrollment.</description>
		<content:encoded><![CDATA[<p>First of all thank you for your comments and question. </p>
<p>As a starting point I do agree that  most people do not develop an addiction to their pain medication but from my experience and research findings it is not rare.  I use a conservative 10 percent estimate but it is probably higher for people to have abuse or addiction problems with their pain medication.   </p>
<p>We do know for example that addiction is present in anywhere from 10 to 15 percent of the general population (this includes alcohol as well as other drugs as cited in the NIDA research).  As a starting point I want to refer you to our Research Page on our website by going to <a href="http://www.addiction-free.com/news-research.html." rel="nofollow">http://www.addiction-free.com/news-research.html.</a>  </p>
<p>As you will see in the first posting on that page there are identifiable risk indicators that will predict who will be more at risk for abuse or even addiction. The final posting on that page covers the research I was referring to in my Blog. </p>
<p>I hope this is  helpful. </p>
<p>Dr. Stephen F. Grinstead<br />
Senior Consultant/Trainer<br />
Gorski-CENAPS Corporation Grinstead Consultation &amp; Coaching Services<br />
PO Box 340626 Sacramento, CA 95834-0626<br />
Phone (916) 575-9961<br />
Website: <a href="http://www.addiction-free.com" rel="nofollow">http://www.addiction-free.com</a>  Email: <a href="mailto:sgrinstead@cenaps.com">sgrinstead@cenaps.com</a> or <a href="mailto:drgrinstead@yahoo.com">drgrinstead@yahoo.com</a><br />
Blog: <a href="http://www.addiction-free.com/blog/" rel="nofollow">http://www.addiction-free.com/blog/</a> To read our latest Chronic Pain Solutions Newsletter please click here <a href="http://www.addiction-free.com/sept-2008-newsletter.html." rel="nofollow">http://www.addiction-free.com/sept-2008-newsletter.html.</a> To sign up for our free Chronic Pain Solutions Newsletter, please click here <a href="http://www.addiction-free.com/contact.html." rel="nofollow">http://www.addiction-free.com/contact.html.</a> and then input your name and email address. You will then receive an autoresponse email that you need to reply to in order to finalize enrollment.</p>
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		<title>Comment on Addiction Recovery and Chronic Pain Management by LABRAT</title>
		<link>http://www.addiction-free.com/blog/addiction-recovery-and-chronic-pain-management/#comment-1649</link>
		<dc:creator>LABRAT</dc:creator>
		<pubDate>Thu, 25 Sep 2008 19:45:05 +0000</pubDate>
		<guid>http://www.addiction-free.com/blog/addiction-recovery-and-chronic-pain-management/#comment-1649</guid>
		<description>I would really love to see your research--or could you point me towards this review you quote? Most of the research I find on this subject say ADDICTION to opiates is RARE in chronic pain patients (?</description>
		<content:encoded><![CDATA[<p>I would really love to see your research&#8211;or could you point me towards this review you quote? Most of the research I find on this subject say ADDICTION to opiates is RARE in chronic pain patients (?</p>
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		<title>Comment on The Role of Relapse Prevention Planning for More Effective Chronic Pain Management by Robert</title>
		<link>http://www.addiction-free.com/blog/the-role-of-relapse-prevention-for-more-effective-chronic-pain-management/#comment-1321</link>
		<dc:creator>Robert</dc:creator>
		<pubDate>Wed, 10 Sep 2008 04:12:09 +0000</pubDate>
		<guid>http://www.addiction-free.com/blog/the-role-of-relapse-prevention-for-more-effective-chronic-pain-management/#comment-1321</guid>
		<description>I'm really glad that I came across your blog and addiction-free website.  Tomorrow, I have an appointment with a psychiatrist to hopefully be put on Suboxone.  I don't take my current pain medications for any high because I no longer feel any euphoria when taking them.  My tolerance has built to the point where Oxycontin 40mg (1 every 12 hours) and Roxicodone 15mg (1 every 8 hours for breakthrough pain) don't seem to work.  This is my first month on Oxycontin, which I didn't want to go on due to the PR all over the news, and I really thought it would finally get rid of my pain.  I've taken everything from Avinza, to Morphine Sulfate ER and IR, to Opana ER, to you name it.  I don't know what it's going to take to get my pain under control but it does cause depression when you're only 37 y/o.  Hell, I act the exact same on my medications, seeing as how I don't even notice I've taken them, and my girlfriend has it in her head that I'm a drugee.  She told me that she used to take that medication and admits that it became a problem for her so she's already made up her mind that I'm the same as her.  I've noticed that pain management doctors (locally anyway) seem to clump all of their patients in the same group as well.  I have a LOT of pride and to know that I don't run out of my medicine early due to wanting a buzz is very frustrating for me.  So, to get people off my back, I made the phone call to talk with the psychiatrist openly and honestly.  I wish I knew what to expect with Suboxone because I don't know anyone who takes it.  I know that your mind plays a huge part in how medicines work and I guess I don't have a ton of faith in it.  I rationalize that based on the fact that it sounds like all pain management doctors would want their patients on Suboxone if they're worried about them becoming addicted or selling them on the streets.  I read that the main ingredient was more powerful than morphine but Opana ER was supposed to be strong too.  I didn't get any relief from that either.  Well, I really didn't plan on writing you a book but I'm glad I found your sites.  I look forward to reading all of the information you have on your websites.  Thank you for being a caring and sharing doctor!  Robert</description>
		<content:encoded><![CDATA[<p>I&#8217;m really glad that I came across your blog and addiction-free website.  Tomorrow, I have an appointment with a psychiatrist to hopefully be put on Suboxone.  I don&#8217;t take my current pain medications for any high because I no longer feel any euphoria when taking them.  My tolerance has built to the point where Oxycontin 40mg (1 every 12 hours) and Roxicodone 15mg (1 every 8 hours for breakthrough pain) don&#8217;t seem to work.  This is my first month on Oxycontin, which I didn&#8217;t want to go on due to the PR all over the news, and I really thought it would finally get rid of my pain.  I&#8217;ve taken everything from Avinza, to Morphine Sulfate ER and IR, to Opana ER, to you name it.  I don&#8217;t know what it&#8217;s going to take to get my pain under control but it does cause depression when you&#8217;re only 37 y/o.  Hell, I act the exact same on my medications, seeing as how I don&#8217;t even notice I&#8217;ve taken them, and my girlfriend has it in her head that I&#8217;m a drugee.  She told me that she used to take that medication and admits that it became a problem for her so she&#8217;s already made up her mind that I&#8217;m the same as her.  I&#8217;ve noticed that pain management doctors (locally anyway) seem to clump all of their patients in the same group as well.  I have a LOT of pride and to know that I don&#8217;t run out of my medicine early due to wanting a buzz is very frustrating for me.  So, to get people off my back, I made the phone call to talk with the psychiatrist openly and honestly.  I wish I knew what to expect with Suboxone because I don&#8217;t know anyone who takes it.  I know that your mind plays a huge part in how medicines work and I guess I don&#8217;t have a ton of faith in it.  I rationalize that based on the fact that it sounds like all pain management doctors would want their patients on Suboxone if they&#8217;re worried about them becoming addicted or selling them on the streets.  I read that the main ingredient was more powerful than morphine but Opana ER was supposed to be strong too.  I didn&#8217;t get any relief from that either.  Well, I really didn&#8217;t plan on writing you a book but I&#8217;m glad I found your sites.  I look forward to reading all of the information you have on your websites.  Thank you for being a caring and sharing doctor!  Robert</p>
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		<title>Comment on 5 Tips for Non-Medication Chronic Pain Management by SOG knives</title>
		<link>http://www.addiction-free.com/blog/5-tips-for-non-medication-based-chronic-pain-management/#comment-438</link>
		<dc:creator>SOG knives</dc:creator>
		<pubDate>Sat, 19 Jul 2008 10:47:35 +0000</pubDate>
		<guid>http://www.addiction-free.com/blog/5-tips-for-non-medication-based-chronic-pain-management/#comment-438</guid>
		<description>&lt;strong&gt;SOG knives...&lt;/strong&gt;

Interesting ideas... I wonder how the Hollywood media would portray this?...</description>
		<content:encoded><![CDATA[<p><strong>SOG knives&#8230;</strong></p>
<p>Interesting ideas&#8230; I wonder how the Hollywood media would portray this?&#8230;</p>
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		<title>Comment on Hydro for Fibro by SOG knives</title>
		<link>http://www.addiction-free.com/blog/hydro-for-fibro/#comment-437</link>
		<dc:creator>SOG knives</dc:creator>
		<pubDate>Sat, 19 Jul 2008 02:44:24 +0000</pubDate>
		<guid>http://www.addiction-free.com/blog/hydro-for-fibro/#comment-437</guid>
		<description>&lt;strong&gt;SOG knives...&lt;/strong&gt;

Interesting ideas... I wonder how the Hollywood media would portray this?...</description>
		<content:encoded><![CDATA[<p><strong>SOG knives&#8230;</strong></p>
<p>Interesting ideas&#8230; I wonder how the Hollywood media would portray this?&#8230;</p>
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		<title>Comment on Chronic Pain &#038; Addiction Recovery in the Desert by detta</title>
		<link>http://www.addiction-free.com/blog/proactive-chronic-pain-and-addiction-recovery-in-the-desert/#comment-238</link>
		<dc:creator>detta</dc:creator>
		<pubDate>Thu, 22 May 2008 09:47:48 +0000</pubDate>
		<guid>http://www.addiction-free.com/blog/proactive-chronic-pain-and-addiction-recovery-in-the-desert/#comment-238</guid>
		<description>The informations given in this article is very useful to me. thanx u

===========

detta

Comprehensive resources for those looking for recovery from addiction. 

&lt;a href="http://www.addictionrecovery.net" rel="nofollow"&gt;http://www.addictionrecovery.net&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>The informations given in this article is very useful to me. thanx u</p>
<p>===========</p>
<p>detta</p>
<p>Comprehensive resources for those looking for recovery from addiction. </p>
<p><a href="http://www.addictionrecovery.net" rel="nofollow">http://www.addictionrecovery.net</a></p>
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		<title>Comment on Chronic Pain &#038; Addiction Recovery in the Desert by julie2008</title>
		<link>http://www.addiction-free.com/blog/proactive-chronic-pain-and-addiction-recovery-in-the-desert/#comment-237</link>
		<dc:creator>julie2008</dc:creator>
		<pubDate>Thu, 22 May 2008 08:48:34 +0000</pubDate>
		<guid>http://www.addiction-free.com/blog/proactive-chronic-pain-and-addiction-recovery-in-the-desert/#comment-237</guid>
		<description>Drugs are spoiled in man's life. This article useful for the drug addiction peoples. thanks.
==============
julie
==============
Comprehensive resources for those looking for recovery from addiction. 
&lt;a href="http://www.addictionrecovery.net" rel="nofollow"&gt;http://www.addictionrecovery.net&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>Drugs are spoiled in man&#8217;s life. This article useful for the drug addiction peoples. thanks.<br />
==============<br />
julie<br />
==============<br />
Comprehensive resources for those looking for recovery from addiction.<br />
<a href="http://www.addictionrecovery.net" rel="nofollow">http://www.addictionrecovery.net</a></p>
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		<title>Comment on Migraine Medication Management by Stephanie</title>
		<link>http://www.addiction-free.com/blog/migraine-medication-management/#comment-188</link>
		<dc:creator>Stephanie</dc:creator>
		<pubDate>Thu, 08 May 2008 17:25:09 +0000</pubDate>
		<guid>http://www.addiction-free.com/blog/migraine-medication-management/#comment-188</guid>
		<description>I have daily headaches and take Zomig once a day. The zomig knocks the headache out within 30 minutes but the headache always comes back the next day. Wonder if it is possible that the Zomig is giving me a rebound headache? Have you heard anything about this?</description>
		<content:encoded><![CDATA[<p>I have daily headaches and take Zomig once a day. The zomig knocks the headache out within 30 minutes but the headache always comes back the next day. Wonder if it is possible that the Zomig is giving me a rebound headache? Have you heard anything about this?</p>
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		<title>Comment on Grief and Loss Impact Chronic Pain Management by Phyllis Klein</title>
		<link>http://www.addiction-free.com/blog/grief-and-loss-impact-chronic-pain-management/#comment-162</link>
		<dc:creator>Phyllis Klein</dc:creator>
		<pubDate>Sat, 03 May 2008 23:10:55 +0000</pubDate>
		<guid>http://www.addiction-free.com/blog/grief-and-loss-impact-chronic-pain-management/#comment-162</guid>
		<description>Thanks for your helpful comments about the grief process for chronic pain and disability.  I like very much your final stage: Reintegration.  As a therapist I have certainly known people who have made it to this stage--it is a deeper level of acceptance perhaps in a spiritual context.  The thing about physical illness is that it does force a response,  and the hoped-for choice is to let the illness help you grow.    "Normal health" is something so easy to take for granted when it is present.  As you say, it is easy to get stuck in denial, anger, and depression.  Thanks for your example of hope and reminder that emotional healing can help when physical healing is not completely possible.</description>
		<content:encoded><![CDATA[<p>Thanks for your helpful comments about the grief process for chronic pain and disability.  I like very much your final stage: Reintegration.  As a therapist I have certainly known people who have made it to this stage&#8211;it is a deeper level of acceptance perhaps in a spiritual context.  The thing about physical illness is that it does force a response,  and the hoped-for choice is to let the illness help you grow.    &#8220;Normal health&#8221; is something so easy to take for granted when it is present.  As you say, it is easy to get stuck in denial, anger, and depression.  Thanks for your example of hope and reminder that emotional healing can help when physical healing is not completely possible.</p>
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		<title>Comment on The Spiritual Component of Chronic Pain Management by Susan Daley</title>
		<link>http://www.addiction-free.com/blog/the-spiritual-component-of-chronic-pain-management/#comment-98</link>
		<dc:creator>Susan Daley</dc:creator>
		<pubDate>Tue, 15 Apr 2008 06:50:16 +0000</pubDate>
		<guid>http://www.addiction-free.com/blog/the-spiritual-component-of-chronic-pain-management/#comment-98</guid>
		<description>I just emailed you about the FMS and neuropathy. I also would like your suggestions for sleep and a muscle relaxant. It's hard to relax when your foot hurts as much as it does. My doc doesn't want me on a muscle relaxant and something for sleep when on everything else. He says that I should just enjoy the extra time I'm awake and use it to my advantage. Unfortunately, the lack of a good nights sleep only makes the pain worse. My Dr. is Chinesse and English is a second language for him. It's his way or no way. Do I need to find another Dr. or is toughing out the sleep problem one I should just deal with it.

Frustrated in California</description>
		<content:encoded><![CDATA[<p>I just emailed you about the FMS and neuropathy. I also would like your suggestions for sleep and a muscle relaxant. It&#8217;s hard to relax when your foot hurts as much as it does. My doc doesn&#8217;t want me on a muscle relaxant and something for sleep when on everything else. He says that I should just enjoy the extra time I&#8217;m awake and use it to my advantage. Unfortunately, the lack of a good nights sleep only makes the pain worse. My Dr. is Chinesse and English is a second language for him. It&#8217;s his way or no way. Do I need to find another Dr. or is toughing out the sleep problem one I should just deal with it.</p>
<p>Frustrated in California</p>
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