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<strong>LOUISIANA</strong> <strong>PAIN</strong><br />

QUARTERLY Vol. 27<br />

FAMILY<br />

PRACTICE<br />

Dr. Neil Jolly Returns To<br />

His Native New Orleans<br />

SUMMER<br />

RECIPE<br />

Chilled Watermelon<br />

Cucumber Feta Salad<br />

THE TOOLBOX<br />

STRATEGY<br />

Top 10 Tools For<br />

Managing Chronic Pain<br />

WORKING<br />

FOR YOU<br />

Navigating<br />

Worker’s Comp


CONTENTS<br />

VOL. 27<br />

6<br />

2<br />

01<br />

02<br />

03<br />

05<br />

06<br />

12<br />

20<br />

WELCOME<br />

A note from our practitioners<br />

RECIPE<br />

Chilled Watermelon Cucumber Feta Salad<br />

HAPPENINGS THIS QUARTER<br />

Events happening in the New Orleans area for July, August, & September<br />

WORKING FOR YOU<br />

Our efficient navigation of worker’s compensation<br />

FAMILY PRACTICE<br />

Dr. Neil Jolly joins his brother Dr. Tarun Jolly at Louisiana Pain Specialists<br />

THE TOOLBOX STRATEGY<br />

Top 10 tools for managing chronic pain<br />

PUZZLES AND GAMES<br />

Try our Sudoku puzzle and word search<br />

12<br />

Editors: Eirik Johnson, Deseri Ireland<br />

Design: Eirik Johnson<br />

Published by: Vektor Media<br />

If you are interested in a magazine for<br />

your practice contact Eirik Johnson at<br />

EJohnson@VekMedia.com<br />

4 5


Vol. 27 <strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY 1<br />

WELCOME<br />

Dr. Tarun Jolly<br />

e hope your summer has been filled with family and fun. We are very<br />

W<br />

excited to welcome a new Physician to Louisiana Pain Specialists, Dr.<br />

Neil Jolly. Dr. Jolly is a New Orleans native returning from completing<br />

his Anesthesia Training from Yale and Pain Management specialty certification<br />

from Wake Forest University. He brings a fresh perspective utilizing the latest pain<br />

management techniques and knowledge.<br />

New Orleans during this time of year is hot and muggy, so make sure you stay<br />

hydrated! In this issue, we offer you a healthy recipe to keep you nourished and<br />

balanced. Be sure to check out “Happenings This Quarter” for some citywide events.<br />

Despite the heat, there’s still a lot going on around town, whether you’re an art<br />

fanatic, a sports lover or an exercise enthusiast.<br />

Dr. Satvik Munshi<br />

In this issue, you can also find out how Louisiana Pain navigates our patients through<br />

worker’s compensation. Chronic pain can also affect you psychologically, so Dr. Mark<br />

Skellie, Psy.D., offers some insight on social behavior and support.<br />

Have a happy, healthy summer!<br />

From our families to yours<br />

Dr. Tarun Jolly<br />

Dr. Satvik Munshi<br />

Dr. Neil Jolly<br />

Louisiana Pain Specialists<br />

Dr. Neil Jolly<br />

KENNER<br />

231 West Esplanade Avenue, Suite B<br />

Kenner, LA 70065<br />

<strong>LOUISIANA</strong> <strong>PAIN</strong> SPECIALISTS LOCATIONS:<br />

NEW ORLEANS EAST<br />

5621 Read Boulevard<br />

New Orleans, LA 70127<br />

NEW ORLEANS<br />

3439 Prytania Street, Suite 501<br />

New Orleans, LA 70115<br />

MARRERO<br />

4520 Wichers Drive, Suite 205<br />

Marrero, LA 70072<br />

METAIRIE<br />

3434 Houma Blvd, Suite 301<br />

Metairie, LA 70006<br />

CONTACT US: 504-434-7750 or LouisianaPain.com


2 <strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY Vol. 27<br />

CHILLED WATERMELON<br />

CUCUMBER FETA SALAD<br />

C<br />

hilled watermelon and chunks of cucumber<br />

are tossed with feta cheese, Kalamata olives,<br />

fresh mint and a drizzle of balsamic glaze.<br />

Fresh textures combine with a sweet and salty contrast<br />

that can be served for lunch, a side at dinner, or a<br />

perfect mid-afternoon snack. Beat the heat with this<br />

cool summer salad that’s as delicious as it is fun. You can<br />

double this to make a big bowl for a crowd, or cut it in<br />

half if you want to serve two.<br />

Directions<br />

1. Divide the watermelon and cucumbers equally<br />

between 4 plates or in one large serving bowl<br />

2. Top with olives, feta and mint<br />

3. Drizzle the balsamic glaze over everything when<br />

ready to serve<br />

Ingredients:<br />

• 4 cups chilled seedless<br />

watermelon, diced large<br />

• 1 medium chilled English<br />

cucumber, peeled and diced<br />

• 1/4 cup kalamata olives,<br />

pitted and sliced<br />

• 1/4 cup (1 oz) crumbled feta<br />

• 1 tablespoon fresh mint (or<br />

basil) leaves, thinly sliced<br />

• 3 tbsp balsamic glaze


Vol. 27 <strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY 3<br />

HAPPENINGS<br />

THIS QUARTER<br />

JULY<br />

1-3 ESSENCE Festival<br />

essence.com/festival<br />

AUGUST<br />

1-31 COOLinary New Orleans<br />

coolinaryneworleans.com<br />

4 Go 4th on the River<br />

Enjoy all-day family activities along<br />

the New Orleans Riverfront ending<br />

with the exciting Dueling Barges<br />

Fireworks Extravaganza!<br />

go4thontheriver.com<br />

8-10 San Fermin en Nueva<br />

Orleans<br />

Lace up your shoes and experience<br />

an iconic Spanish event with the<br />

annual Running of the Bulls! The<br />

Big Easy Rollergirls chase runners<br />

throughout the Central Business<br />

District in a fun, festive race.<br />

Viva España!<br />

nolabulls.com<br />

7-14 French Film Festival<br />

neworleansfilmsociety.org<br />

14-17 Bastille Day Fete<br />

bastilledaynola.com<br />

19-24 Tales of the Cocktail<br />

talesofthecocktail.com<br />

28-30 Festigals<br />

One of the newer festivals on the<br />

city’s cultural calendar, Festigals is<br />

a weekend organized by women,<br />

for women. Highlighting women’s<br />

accomplishments and offering<br />

inspiring events and speakers,<br />

Festigals is a celebration of all things<br />

feminine. Grab a girlfriend and come<br />

check it out!<br />

festigals.org<br />

6 Whitney White Linen Night<br />

cacno.org/wwln2016<br />

5-7 Satchmo SummerFest<br />

The annual Satchmo SummerFest<br />

fills the French Quarter with music,<br />

food, discussions, and exhibitions<br />

regarding jazz music and history.<br />

Best of all, it’s free!<br />

fqfi.org/satchmo<br />

11 Saints at Patriots<br />

The Saints season starts vs the<br />

Patriots Thursday night in the preseason<br />

opener at New England.<br />

6:30 PM FOX


4<br />

<strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY<br />

Vol. 27<br />

SEPTEMBER<br />

1 Ravens at Saints<br />

7:00 PM FOX<br />

13 Red Dress Run<br />

This unique event is open to men<br />

and women alike, and it doubles as a<br />

fundraiser for local charities.<br />

nolareddress.com<br />

13 Dirty Linen Night<br />

Enjoy a leisurely stroll through the<br />

Vieux Carré in Royal Street’s answer<br />

to White Linen Night on Julia Street,<br />

Dirty Linen Night is a showcase of<br />

some of the city’s finest art galleries.<br />

experienceneworleans.com/dirtylinen-<br />

night.html<br />

16 New Orleans Sushi Fest<br />

neworleanssushifest.com<br />

20 Saints at Texans<br />

7:00 PM FOX<br />

26 Steelers at Saints<br />

7:00 PM FOX<br />

Aug 31- Sep 5 Southern<br />

Decadence<br />

southerndecadence.net<br />

2-4 Louisiana Seafood Festival<br />

Louisianans know the real seasons<br />

of the year are crawfish,<br />

shrimp, crab, and oyster. Come<br />

celebrate our state’s rich seafood<br />

heritage over Labor Day<br />

Weekend—but come hungry!<br />

louisianaseafoodfestival.com<br />

11 Saints at Raiders<br />

The Saints visit Oakland to take on<br />

the Raiders in week 1 of the NFL<br />

regular season. Who Dat!<br />

12:00 PM FOX<br />

12-18 We Live to Eat<br />

Restaurant Week<br />

coolinaryneworleans.com/we-liveto-eat<br />

18 Saints at Giants<br />

12:00 PM FOX<br />

24 NOLA on Tap<br />

Now in its seventh year, NOLA on<br />

Tap celebrates the world of beer by<br />

taking over the Festival Grounds<br />

at City Park. With over 400 beers<br />

on tap, the festival features food,<br />

tastings, games, and family fun.<br />

nolaontap.org<br />

26 Saints at Falcons<br />

7:30 PM ESPN


Vol. 27 <strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY 5<br />

WORKING FOR YOU<br />

How Louisiana Pain Efficiently Navigates Worker’s Compensation<br />

orkers’ compensation is a form of insurance<br />

W<br />

that provides wage replacement and medical<br />

benefits to employees injured on the job, in<br />

exchange for the employee’s right to sue the employer.<br />

For someone suffering from a work injury, this can be<br />

confusing, frustrating and time-consuming, and when<br />

it comes to proper care and treatment, time is of the<br />

essence to prevent the injury from getting worse and<br />

getting the patient healed. Fortunately, Louisiana Pain<br />

has an efficient system that gets patients on track<br />

right away– often within just a day. Our medical billing<br />

and insurance specialist handles all referrals – from<br />

physicians, lawyers, and insurance adjusters– and makes<br />

the process as seamless as possible.<br />

From the time that paients are sent to us, our billing<br />

and insurance specialist is the patient’s one contact. This<br />

is crucial, as lines can become crossed when dealing<br />

with too many people. We’ve all had the experience of<br />

“too many cooks in the kitchen” and the concept is extra<br />

frazzling when dealing with health care or legal issues.<br />

But by serving as an efficient, well-organized middleman,<br />

we alleviate patients’ stress and ensures that those<br />

suffering from work-related injuries only need to focus<br />

on healing, instead of cutting through pesky, bureaucratic<br />

red tape.<br />

We contact the Workman’s Comp adjuster for that<br />

patient and get authorization for treatment within 24 to<br />

48 hours for a new patient appointment.<br />

Another reason workers’ comp cases work so well is<br />

because Louisiana Pain has a long-standing relationship<br />

with many insurance adjusters. Many of them give the<br />

clinic a quick response because they are familiar with the<br />

practice and how well we handle patients while under<br />

our care,. We take pride in our personalized care<br />

Suffering through a work injury can be confusing, frustrating<br />

and time-consuming. Louisiana Pain will help you through it.<br />

and relationships with patients, and it’s obvious that<br />

the bedside manner pays off. Patients are offered all<br />

the same courtesies as regular patients. We do our<br />

best to accommodate all that the insurance companies<br />

requests. We ensure that all paperwork is in place and<br />

well- documented.<br />

Many of our patients call during their treatment,<br />

expressing how grateful they are that their pain has been<br />

managed. Those phone calls are always so enjoyable.<br />

The patients become more comfortable when they see<br />

that someone genuinely cares and is working to make<br />

sure they are able to live a better healthy and happy life.


6<br />

<strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY Vol. 27


Vol. 27 <strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY 7<br />

Family<br />

PRACTICE<br />

Homecoming: Dr. Neil Jolly returns to New Orleans<br />

to join his brother at Louisiana Pain Specialists<br />

By Ben Morris<br />

hile ‘family practice’ is an established field in<br />

W<br />

its own right, in many respects medicine is<br />

always a family affair. No matter whether we’re<br />

young or old, the treatment of medical conditions can<br />

affect our whole families, frequently having implications<br />

beyond just the patient themselves. At Louisiana Pain<br />

Specialists, however, the term ‘family practice’ has<br />

another meaning. Originally founded by Dr. Tarun Jolly in<br />

order to serve Louisiana patients encountering issues in<br />

pain management, Louisiana Pain Specialists is proud<br />

to welcome a member of its own Jolly family as a new<br />

full-time physician on staff. This summer, Dr. Neil Jolly,<br />

brother to Tarun, will be joining the practice, and bringing<br />

his expertise to help treat those suffering from chronic<br />

and acute pain.<br />

Dr. Neil Jolly arrives at Louisiana Pain Specialists<br />

with a great deal of experience and cutting-edge training.<br />

Born and raised in the greater New Orleans area, he<br />

moved to Texas and graduated from the University<br />

of Texas at Austin with honors, remaining in Texas to<br />

complete his M.D. and internship at UT Medical Branch in<br />

Galveston and UT Southwestern-Austin. He then trained<br />

at the Yale School of Medicine to receive his residency<br />

degree in anesthesiology, moving finally to North Carolina<br />

where he completed his interventional pain fellowship at<br />

the well-respected Carolinas Pain Institute/Wake Forest<br />

Baptist Health system.<br />

Recently, Louisiana Pain Quarterly spoke to Dr.<br />

Jolly to get to know him better.<br />

LPQ: What got you interested in pain<br />

management?<br />

NJ: My desire to become a pain physician was simple.<br />

I asked myself this question: what medical specialty<br />

encounters a wide variety of medical problems, attempts<br />

to provide patients with a more active and enjoyable<br />

lifestyle, and can put a smile on both the patient and<br />

physician at the end of the day? What attracts many<br />

of us to become physicians in general is the aspiration<br />

to help others through a career that is both rewarding<br />

and challenging. Pain affects people of all backgrounds,<br />

all lifestyles, and all ages. I look around and see family<br />

members, friends, and peers that are all affected by pain,<br />

afflictions that at times limit their ability to enjoy life. After<br />

training in pain management, I can make a difference in<br />

my patients’ lives, and this is what is most fulfilling.


8<br />

<strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY<br />

Vol. 27<br />

“We have the ability to share our expertise together and design treatment plans that will benefit our patients the most.”<br />

I was exposed to the specialty of pain management<br />

at an early age through my brother Tarun Jolly, which<br />

provided me a head start in this field when compared<br />

to my colleagues. Now, the two of us have the ability<br />

to share our expertise together at Louisiana Pain<br />

Specialists and design treatment plans that will benefit<br />

our patients the most.<br />

You’ve just finished your residency and fellowship.<br />

How has the field changed since you completed<br />

your training?<br />

The field has changed dramatically, and for the<br />

better. A decade ago, patients and even physicians<br />

were unaware that ‘pain management’ existed,<br />

meaning that patients often dealt with suboptimal pain<br />

control. Now, however, we are increasingly aware of<br />

the severe consequences of untreated pain, resulting<br />

in a massive amount of published research paving the<br />

way for new therapies. A great example is spinal cord<br />

stimulation (also called neuromodulation), a minimally<br />

invasive therapy that provides excellent relief of various<br />

pain conditions affecting the spine and extremities. When<br />

it was first introduced, neuromodulation was used only<br />

as a treatment for leg pain. Today, however, we have<br />

discovered that it can be life-changing for patients that<br />

have chronic pain in their neck, back, arms, legs, and<br />

even various head pain syndromes! Other examples of<br />

advancements in pain management include the use<br />

of smaller needles, smaller incisions, and more precise<br />

imaging – ultimately meaning safer, quicker, and more<br />

effective procedures for our patients.<br />

Without a doubt, new technologies are a major<br />

part of the field. But are traditional approaches still<br />

valuable in pain management? For patients new<br />

to technology, how do older forms of diagnosis<br />

and treatment still enter in?<br />

Great question. As mentioned earlier, perhaps the<br />

most active research in pain management focuses on<br />

neuromodulation. In this procedure, we implant very


Vol. 27 <strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY 9<br />

small wires that stimulate a patient’s spine through tiny<br />

electrodes, which in turn prevents the perception of<br />

certain pain signals and can ultimately relieve or even<br />

eliminate chronic pain. These treatments by far have<br />

been the most impressive development in the<br />

field. Additionally, radiofrequency lesioning, an old<br />

technique that has become more advanced,<br />

can essentially dissect a painful nerve very quickly to<br />

provide relief in many areas including the back, neck,<br />

hip, knee, foot, and head. With new research identifying<br />

exactly which nerves cause certain types of pain, this<br />

lesioning has become far more effective, providing us the<br />

ability to identify appropriate targets and perform precise<br />

interventions.<br />

Traditionally, we consider the ‘old-fashioned’<br />

approaches to pain management to be medications,<br />

exercise, physical therapy, and dieting, which are all<br />

extremely important components in treating a patient’s<br />

pain. We call this a multi-modal approach, which simply<br />

means that we include interventions, as outlined above,<br />

alongside medications and conservative treatments<br />

such as physical therapy and dieting to treat our<br />

patients. Research has backed this idea for years, that<br />

patients get better using more than one treatment plan<br />

rather than just one alone. While there is concern about<br />

prescribing certain medications safely, my duty as an<br />

ACGME-trained pain management physician is to find the<br />

right medication(s) for my patients and prescribe them<br />

at the right dose, keeping patient safety in mind. Certain<br />

conditions – such as nerve-related pain or joint-related<br />

pain – will require supplemental medications to provide<br />

more complete relief. But we combine this technique with<br />

other approaches such as exercise and dieting to give<br />

our patients the widest path to pain relief.<br />

What types of procedures do you perform?<br />

I can perform safely and effectively everything from<br />

simple joint injections in the office, to highly specialized<br />

procedures including minimally invasive spinal cord<br />

neuromodulation. Pain management is not a field where<br />

one can provide expertise by implementing only one or<br />

two approaches. Instead, we as pain physicians must<br />

utilize every piece of technology and knowledge we have<br />

in order to provide our patients the best opportunity for<br />

success. This means that I apply ultrasound guided


10<br />

<strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY<br />

Vol. 27<br />

“I am committed to bettering the health and lives of my patients through compassion and diligence.”<br />

imaging as well as fluoroscopy to<br />

guide my treatments for precision<br />

and safety, and I always stay current<br />

through a variety of courses offered<br />

nationally and internationally when<br />

new devices or FDA treatments are<br />

approved.<br />

Fluoroscopy is a core part of<br />

treatment options nowadays. For<br />

those who aren’t familiar with it,<br />

can you describe how it works?<br />

Fluoroscopy is essentially an<br />

x-ray that is conducted in realtime.<br />

For instance, as I prepare an<br />

injection for a patient, we have them<br />

lie down on a flat table. Then we use<br />

a machine called a ‘C-arm’ (called<br />

that because of its shape) to show<br />

live X-ray images of the patient’s<br />

targeted area as I insert the<br />

medication through a tiny needle<br />

to the area causing pain. Using<br />

fluoroscopy, we can even show<br />

patients pictures immediately after<br />

the procedure to confirm that we<br />

achieved the desired<br />

result. Finally, by targeting the<br />

precise area of pain, we need only<br />

use a small amount of medication as<br />

we deliver it directly to the correct<br />

location, as opposed to taking<br />

medications orally or through an<br />

IV. Not only is fluoroscopy one of<br />

the fundamentals of performing<br />

pain procedures, but it also provides<br />

patients the satisfaction that their<br />

physician can deliver medication<br />

with minimal side effects. Technology<br />

has brought us a long way!<br />

How do you, as a practicing<br />

physician, regard the evolving<br />

state and federal regulations<br />

regarding pain management?<br />

With the recent media attention<br />

on the potentially dangerous side<br />

effects of certain pain medications,<br />

regulations have arisen that limit<br />

physicians on what they can<br />

and cannot prescribe for their<br />

patients. What this means is that<br />

pain physicians – in particular those<br />

that have completed an accredited<br />

pain fellowship with the ability to<br />

attain board certification – should<br />

now be the primary consultants<br />

when it comes to treating pain. I am<br />

confident in utilizing all the methods<br />

currently available to provide the<br />

best treatment plan. By monitoring<br />

the use of certain medications and<br />

tailoring treatments to each patient’s<br />

needs, our patients are satisfied<br />

knowing that we keep their safety<br />

as our top priority. I know that all of<br />

us will remain at the forefront of this<br />

field by offering new and advanced<br />

treatment options to our patients as<br />

soon as they are approved and safe<br />

to use.<br />

You emphasize physical<br />

exercise as a key part of<br />

preventive pain management.<br />

Are you active yourself?<br />

I played basketball in high school,<br />

and in my earlier years I played just<br />

about every sport you can imagine.<br />

I still stay active with friends on the<br />

weekends – if there’s a gym with a<br />

court nearby, chances are you’ll find<br />

me there. I also enjoy skiing when<br />

and where possible. I take pride<br />

that I never took formal lessons and<br />

instead just learned to ski through<br />

simple observation. It’s still one of my<br />

more enjoyable pastimes.


Vol. 27 <strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY 11<br />

Let’s get to know you a little<br />

better. First, why practice in New<br />

Orleans?<br />

This one is easy. I was born and<br />

raised here through high school.<br />

Once I left for college in Texas, I never<br />

left sight of New Orleans. My goal<br />

has always been to return home and<br />

be around the food, the sites, and<br />

most importantly the people I love. I<br />

do have an extensive “Jolly” family in<br />

the greater New Orleans area, but I<br />

also have friends with whom I have<br />

stayed in touch and a community<br />

that I would like to serve positively.<br />

Much of who I am today comes not<br />

from my training across the nation,<br />

but rather how I was raised right<br />

here in New Orleans. Plus, who<br />

would ever want to live in a city<br />

without Mardi Gras or the Saints?<br />

Can you tell us about yourself?<br />

Of course! I’m recently married to my<br />

wonderful wife, Rena. She’s a nurse<br />

from New York, so even as attractive<br />

as New Orleans is, I’ve had to do my<br />

fair share of convincing to help her<br />

understand that the Deep South has<br />

as much charm as does New York. I<br />

think so far she loves it.<br />

Growing up, math was my<br />

favorite subject. Numbers always<br />

came naturally to me, perhaps<br />

from my father who is a lifelong<br />

accountant. Professionally and<br />

personally, I live with a philosophy<br />

in mind that comes from the great<br />

Dalai Lama: “Our prime purpose in<br />

this life is to help others. And if you<br />

can’t help them, at least don’t hurt<br />

them.” Finally, after thirteen years<br />

of training outside of New Orleans, I<br />

take pride in returning back to serve<br />

a community in a city that I call<br />

home. I am committed to bettering<br />

the health – and ultimately the lives<br />

– of my patients through compassion<br />

and diligence.


12<br />

<strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY<br />

Vol. 27<br />

chronic pain<br />

anxiety<br />

emotional distress<br />

stress<br />

Depression<br />

pain management<br />

hopelessness<br />

THE TOOLBOX STRATEGY<br />

Top 10 Tools for<br />

Managing Chronic Pain<br />

By Dr. Mark Skellie, Psy. D.<br />

f you’ve seen my previous articles, I’m<br />

I<br />

committed to people living with chronic pain<br />

to develop a toolbox strategy for coping. The<br />

toolbox strategy is really simple: If you have a range of<br />

different ways to cope with pain, stress, or other types of<br />

emotional distress when one tool does not work, you can<br />

go back to the toolbox and find another. Individuals who<br />

develop a variety of intentional coping strategies, have a<br />

way to face any problem through trial and error. Like they<br />

say, if you only have a hammer you tend to see every<br />

problem as a nail…


Vol. 27 <strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY 13<br />

For this article, I’ve developed a Top 10<br />

List of great psychological strategies that<br />

work to improve the quality of life for those<br />

individuals living with chronic pain. Obviously,<br />

this list is not meant to be a summary of all of<br />

the possible strategies for managing chronic<br />

pain and I would love to hear from you about<br />

things that I have not included but are part of<br />

your toolbox. The list is also not in any specific<br />

order, but as a psychologist I’m obviously<br />

biased towards number 10.<br />

1LEAN ON YOUR DOC. Your relationship<br />

with your physician and the rest of your pain<br />

management team can make a dramatic<br />

difference in living well with chronic pain. If you<br />

are unsure about something, ask for more information<br />

or where to find good information online. Your pain<br />

management team is your ally in living well, so make sure<br />

to tell them about major changes in your life that affect<br />

your pain management or your current treatments.<br />

It is important for you to understand the medicines<br />

you’re taking, what they can do for you, and their<br />

potential side effects. Then educate yourself about<br />

additive or alternative treatment options. Your goal<br />

should be to have a normal mood and activity level - if<br />

you don’t, then a different medicine might be better for<br />

you. Be proactive, to ask questions, and look for answers.<br />

A great strategy is to write down questions you want to<br />

research and discuss with your pain management team.<br />

Keeping a pain journal can be a great way to<br />

help your pain management team understand and more<br />

effectively treat your chronic pain. At the end of each day,<br />

record an average daily pain rating between 1 and 10,<br />

where 10 indicates the worst pain possible. Then note<br />

what you did that day, and how these activities made you<br />

feel. The next time you see the doctor, bring the journal<br />

and discuss your findings.<br />

Lean on your doc. Ask questions and look for answers.<br />

2<br />

HYDRATE. According to the Mayo<br />

Clinic, dehydration may aggravate the<br />

symptoms of some chronic conditions, like<br />

headaches and back pain. Although it may be<br />

tempting to load up on coffee, soda, or juice, their diuretic<br />

effect makes them poor sources for hydration. Water<br />

keeps you hydrated without the extra calories, sodium, or<br />

caffeine. The recommendation that adults need to drink<br />

an 8-ounce glass of water 8 times per day may not be<br />

accurate for all people and simply drinking when thirsty<br />

may be a better goal. It should be noted that summer<br />

increases our need for water due to the extreme heat, so<br />

8 glasses a day is still a smart goal when it is hot. Also,<br />

you should try to maintain the 8 glass habit when you<br />

are having increased perspiration, high body temperature<br />

(or fever), nausea or vomiting, or diarrhea, which magnify<br />

your fluid needs.<br />

3EAT CLEAN. If you’re living with chronic<br />

pain, you want to do everything you can to help<br />

your body, not hinder it. One way to keep your<br />

body strong is to eat a well-balanced diet and<br />

reduce your consumption of highly processed food (e.g.<br />

fast food, frozen dinners, hot dogs, snack foods, etc).<br />

Eating right improves blood sugar, helps maintain weight,<br />

reduces heart disease risk, and aids digestion. Aim for


14 6<br />

<strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY<br />

Vol. 27<br />

a diet rich in whole grains, fresh produce, and low-fat<br />

proteins. A diet free from processed foods can alleviate<br />

inflammation. Foods that may alleviate inflammation that<br />

leads to pain include<br />

, foods high in<br />

, , and .<br />

Get Spicy. Turmeric is known for its anti-inflammatory<br />

properties. This spice is a beneficial treatment for<br />

chronic pain. It contains curcumin, which provides a<br />

natural way to reduce inflammation in the body, without<br />

harming the liver or kidneys. The National Center for<br />

Complementary and Alternative Medicine explains that<br />

turmeric increases ligament flexibility and boosts the<br />

immune system. Add it to meals, or sprinkle it in your tea.<br />

Another spice, Paprika, has capsaicin, a natural pain and<br />

inflammation fighter. You can also get capsaicin from chili<br />

peppers, red peppers, and cayenne pepper. Ginger and<br />

garlic may also lower inflammation.<br />

4<br />

PUT OUT THE FIRE. Inflammation is a<br />

process by which the body’s white blood<br />

cells and substances they produce protect us<br />

from infection with foreign organisms, such<br />

as bacteria and viruses. However, in some diseases,<br />

like arthritis, the body’s defense system -- the immune<br />

system -- triggers an inflammatory response when there<br />

are no foreign invaders to fight off. In these diseases,<br />

called autoimmune diseases, the body’s normally<br />

protective immune system causes damage to its own<br />

tissues. The body responds as if normal tissues are<br />

infected or somehow abnormal. Inflammation is a<br />

common cause of pain, and certain chemicals in foods<br />

may exacerbate it.<br />

A smart goal is to keep food , that is close to<br />

a natural state with little modern processing. It is a good<br />

idea to generally reduce these possible inflammation<br />

instigators:<br />

• Refined Sugar<br />

• Nightshade Vegetables<br />

• Dairy<br />

• Eggs<br />

• Citrus Fruits<br />

• High-Fat Red Meat<br />

• Refined starches<br />

• Processed Foods<br />

• Red Wine, Coffee, Tea, and Soda<br />

Low-sugar fruits such as pineapple are great<br />

anti-inflammatory foods that may alleviate pain.


Vol. 27 <strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY 15<br />

Stress management techniques<br />

such as deep breathing calms<br />

our minds, relaxes our bodies,<br />

and helps ease pain.<br />

5<br />

BREATHE. It sounds so obvious, but few of<br />

us actually take the time to stop what we’re<br />

doing and calm our minds. Deep breathing,<br />

biofeedback, and meditation are all stress<br />

management techniques that relax our bodies, which<br />

helps ease pain. Slow down, close your eyes…breathe in…<br />

breathe out. It’s important to have patience. Adding new<br />

tools to your pain management toolbox can take some<br />

time before you can really make them work for you.<br />

Yoga promotes both strength and<br />

flexibility while calming the mind and decreasing stress.<br />

This centuries-old practice offers a method of stress<br />

reduction that can help those suffering from chronic pain,<br />

reports the Mayo Clinic. The physical postures of yoga,<br />

breathwork, and meditation are all tools in the painreduction<br />

kit. Stress makes muscles spasm, according to<br />

the National Institutes of Health. Because muscle spasms<br />

are a part of acute and chronic pain, practicing Yoga and<br />

other relaxation techniques helps train your body to relax.<br />

By taking care of your emotional and physical health,<br />

you can better manage your pain. That may mean saying<br />

no to events or parties if you need the rest. Schedule<br />

regular massages or set an unbreakable dinner date with<br />

good friends to boost your spirits. How you care for you<br />

is unique to you -- and it’s also up to you.<br />

6<br />

DISTRACT YOURSELF. You already know<br />

that focusing on pain can just make it worse.<br />

That’s why one potent prescription for relief is<br />

to keep busy with activities that take your mind<br />

off the pain. Take that cooking class you’ve had your eye<br />

on, join a garden club, go on morning walks with a friend,<br />

try a Yoga class. Even if you can’t control the pain, you<br />

can control the rest of your life. Get started!


16<br />

<strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY<br />

7<br />

PERFECT YOUR<br />

POSTURE. Never found<br />

the time to make it to a<br />

Yoga class or just don’t<br />

find the motivation to get on the<br />

mat? There are simple ways to<br />

bring the posture of yoga into your<br />

life. Whether in front of the TV or<br />

using your computer at home or at<br />

work, maintaining correct posture is<br />

essential in fighting pain.<br />

Keep your head directly above a<br />

tall, straight spine to prevent strain<br />

on your back and neck muscles.<br />

Remember, however, that longstanding<br />

postural problems will<br />

typically take longer to address than<br />

short-lived ones, as often the joints<br />

have adapted to your long-standing<br />

poor posture. Those living with<br />

chronic pain can adopt bad posture<br />

as a way to try to avoid aches and<br />

pains. Awareness of your posture<br />

and knowing what is correct will help<br />

you correct yourself. With practice,<br />

the correct posture for standing,<br />

sitting, and lying down will gradually<br />

replace your old posture. This, in turn,<br />

will help you move toward a better<br />

and healthier body position.<br />

• Be more conscious and<br />

aware of your posture<br />

• Shoulders back and your<br />

stomach pulled in<br />

• Earlobes should be in line<br />

with your shoulders<br />

• Try not to sit in the same<br />

position for too long.<br />

Vol. 27<br />

8<br />

EXERCISE? It’s a<br />

Catch-22: You’re hurting,<br />

so you don’t exercise; but<br />

without exercise, you may<br />

lose muscle tone and strength, which<br />

can make pain worse. Fortunately,<br />

even mild exercises such as walking<br />

and yoga release endorphins, the<br />

feel-good brain chemicals that lift<br />

mood and block pain. Light housecleaning<br />

and playing with your<br />

kids are every day activities that<br />

can reduce symptoms. Ask your<br />

doctor if you are healthy enough for<br />

aerobic, strengthening, or stretching<br />

exercises. They can give your body<br />

the boost -- and relief -- it needs.<br />

9<br />

QUIT. Some people find<br />

temporary relief from<br />

stress and pain with a<br />

quick smoke or drinking<br />

alcohol. The irony is that smoking<br />

may actually contribute to pain in the<br />

long run. It slows healing, worsens<br />

circulation, and increases the risk<br />

of degenerative disc problems, a<br />

cause of low back pain. The same is<br />

true when we rely on alcohol to help<br />

manage our pain, because increased<br />

alcohol use impacts good sleep<br />

and increases inflammation, not<br />

to mention can be very dangerous<br />

when combined with common pain<br />

medications.<br />

If you need an incentive to<br />

quit, pain relief just may be it. Ask<br />

your doctor about programs and<br />

medicines to kick the habit.<br />

10 important habit you<br />

DONT GO IT<br />

ALONE. Reaching<br />

out is the most<br />

can develop to help you deal with<br />

chronic pain. Tell friends and family<br />

what you’re feeling, because they<br />

won’t know otherwise. Ask for help.<br />

Learn more about your condition.<br />

Then share what you know with<br />

others.<br />

Talking about<br />

your pain with a behavioral health<br />

professional who understands<br />

chronic pain may help reduce its<br />

effects. Commonly utilized methods<br />

include cognitive behavioral<br />

therapy, biofeedback, and guided<br />

imagery. These techniques<br />

teach stress management and reallife<br />

coping skills. The goal for patients<br />

is to improve their quality of life by<br />

getting better sleep, and reducing<br />

stress. Psychotherapy alone may not<br />

eliminate your chronic pain, but it can<br />

be effective in managing it.<br />

Most of us listen<br />

to the advice or recommendations<br />

of someone who has lived the<br />

experience. Participating in a<br />

support group for other individuals<br />

living with chronic pain can open<br />

unexpected doors in your progress<br />

towards control.<br />

A new FREE chronic pain<br />

support group is forming. Please<br />

contact Jim Walsch at (504) 858-<br />

7933 or painnola.gmail.com for<br />

more information.


Vol. 27 <strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY 17<br />

Got Pain?<br />

If living with pain day after day is negatively<br />

affecting your life.....YOU’RE NOT ALONE<br />

Come Join our FREE chronic pain support group!<br />

Jim Walsh, a 30-year chronic pain patient, is the group<br />

facilitator. Our support group is open to anyone facing<br />

chronic pain in their daily lives. Group members share their<br />

stories, listen to speakers, receive supports in an<br />

environment of hope and encouragement. You will also<br />

learn new ways to cope with the chronic pain in your life.<br />

New Orleans Healing Center<br />

Room 252<br />

2372 St. Claude Ave<br />

New Olreans, LA 70117<br />

American Chronic<br />

Pain Association<br />

New Orleans Chapter<br />

Contact Jim Walsh for more info<br />

504-858-7933<br />

piratesalleyjim@gmail.com


18<br />

<strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY<br />

Vol. 27<br />

PUZZLES<br />

AND GAMES<br />

How to play Sudoku<br />

To solve a Sudoku puzzle you have to use the numbers 1-9 to fill in the blank spaces so that each row, each<br />

column and each 3 x 3 square has all the numbers 1-9 appearing once. The only thing you need to solve a Sudoku<br />

number place puzzle is logic. You don’t need any mathematical knowledge. In the easier puzzles you may be able to<br />

see straight away where a particular number goes. Focusing on one particular blank square at a time, scan its row,<br />

column & block.<br />

Easy<br />

Medium


Vol. 27 <strong>LOUISIANA</strong> <strong>PAIN</strong> QUARTERLY 19<br />

Louisiana Pain Quarterly Word Search Puzzle<br />

Find and circle all the words that are hidden in the grid. The remaining letters<br />

spell an additional summer item.<br />

J U N E S T S S S S Y K S E U L B M<br />

U S M E A U Y E O U H I K I N G S A<br />

S M W E E A N L U B N W A S E T R E<br />

U T W I R R S G I C A B L N A R E R<br />

N S H V M T C C L T E A U D T V L C<br />

T Y U G I M Y S E A D B I R S S K E<br />

A G L C I C I R N N S L R R N D N C<br />

N R E U L F M N A U O S E A R G I I<br />

O E A E J E R S G H S W E A B N R C<br />

S E D A K B R E L L O R O S R I P R<br />

C N A O F L O G T L T B T E E T S E<br />

H G N I H S I F F A E O A E E A H C<br />

O R C A M P I N G T W T H B Z O C C<br />

O A C I N C I P A W A S P S E B A O<br />

L S F L I E S K M O S Q U I T O E S<br />

T S U G U A S I L L A B E S A B B O<br />

G N I N E D R A G S U N S H I N E N<br />

Ants<br />

August<br />

Barbeque<br />

Baseball<br />

Beach<br />

Bees<br />

Bicycle<br />

Blue Sky<br />

Boating<br />

Breeze<br />

Camping<br />

Fishing<br />

Flies<br />

Flowers<br />

Gardening<br />

Golf<br />

Green Grass<br />

Hat<br />

Hiking<br />

Holidays<br />

Hot<br />

Ice Cream<br />

July<br />

June<br />

Mosquitos<br />

No School<br />

Picnic<br />

Roller Blades<br />

Sandals<br />

Skateboard<br />

Soccer<br />

Solstice<br />

Sprinklers<br />

Sunburn<br />

Sunglasses<br />

Sunscreen<br />

Sunshine<br />

Suntan<br />

Sweat<br />

Swimming<br />

UV Rays<br />

Wasps<br />

Water Fights<br />

Watermelon


Dr. Tarun Jolly<br />

The founder of Louisiana Pain<br />

Specialists. Double board<br />

certified in pain management<br />

and anesthesiology, with a strong<br />

background in interventional<br />

therapies for spine disease<br />

and cancer.<br />

Dr. Satvik Munshi<br />

Raised in the New Orleans area, a<br />

comprehensive pain management<br />

specialist with advanced training<br />

in interventional pain therapies,<br />

double board certified in pain<br />

management and physical medicine<br />

and rehabilitation.<br />

Dr. Neil Jolly<br />

Completed ACGME accredited<br />

fellowship and anesthesiology<br />

residency. He performs a wide<br />

variety of advanced interventional<br />

procedures. He prides himself<br />

on returning to New Orleans and<br />

serving the community.<br />

Your Louisiana Pain Doctors!<br />

Interventional Pain Treatments Diagnostic Testing Medication Management<br />

Scheduling An Appointment Is Easy<br />

Call 504-434-7750 or visit us online at LouisianaPain.com<br />

5 Clinic<br />

Locations!

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