TCPC Welcomes Peg Maude-Griffin, Ph.D., L.P.

Please join Twin Cities Pain Clinic in welcoming our new clinical psychologist.

Peg Maude-Griffin, Ph.D., L.P.

“I am committed to helping patients create a self-care plan that will give them confidence in their ability to decrease their pain, restore functioning, and improve their quality of life. My practice focuses on increasing patient’s understanding of centralized pain, teaching evidence-based coping skills to regulate central nervous system arousal and reducing fear of movement and pain”.

Peg is returning to TCPC to conduct preoperative psychological evaluations and provide consultation to the staff on behavioral health concerns.

In her free time Peg enjoys spending time with her husband and adult children. She also enjoys crocheting, binge watching Netflix, and taking her three dogs for long walks.

Education:

Bachelor of Psychology degree at St. Olaf College
Masters and Doctoral degrees in Clinical Psychology at Purdue University
Internship at the University of California, San Francisco School of Medicine, where she later served on the faculty of the Psychiatry department.

Welcome to the team!

Persistent Pain and Anxiety

Does anxiety cause pain, or is the pain causing anxiety? (It’s actually both.) Pain can be a common symptom and sometimes a good indicator of an anxiety disorder, particularly generalized anxiety disorder (GAD). Anxiety is a feeling of worry, nervousness, or unease. GAD occurs when that feeling gets chronic, excessive, uncontrollable, irrational, and associated with surprisingly diverse symptoms. GAD is diagnosed when a person finds it difficult to control worry on more days than not for at least six months and has three or more symptoms.

Excessive and persistent anxiety is a strong root cause for back pain, possibly neck pain, as well as virtually any other kid of persistent pain, and even an array of other physical symptoms. Anxiety almost certainly amplifies pain perception and suffering across the board, but it gets worse: it may actually cause pain we wouldn’t otherwise have, by actually making us more prone to inflammation.

Persistent pain is very common, and, can be a cause and a consequence of anxiety, sometimes equally, sometimes leaning more one way than the other, but to some degree each always influencing the other. For many people with anxiety and persistent pain, solving the pain is the best possible treatment for the anxiety. Other people may have to solve both at once. And a few will find that pain is just one symptom that they are experiencing from their anxiety.

Anxiety from persistent pain

People with persistent pain are three times more likely to develop symptoms of anxiety. Researchers have found that experiencing a chronic illness puts a person at increased risk for developing anxiety or an anxiety disorder. Roughly 40% of people with cancer report experiencing psychological distress that often takes the shape of excessive worry or panic attacks.

 

Even long after a diagnosis, the daily demands of living with a chronic illness can continue to present challenges and generate anxiety. Loss of mobility or other abilities can lead to worry about safety, employment, or financial stability. Others may feel overwhelmed with anxiety and struggle to cope.

Persistent pain from anxiety

Anxiety and the stress it causes is a common source of persistent pain. There are several reasons why anxiety can cause persistent pain. Here are some of the most common reasons.

  • Stress can cause the body to experience pain. Research has found that stress, including psychological and emotional stress, can cause issues with pain anywhere on or in the body. Acute stress can have a reduction in pain sensitivity effect on the body, where persistent stress can heighten sensitivity to pain.
  • Pain stresses the body. Pain is stressful. As the degree of pain increases, the level of stress also increases.
  • Stress causes muscles to tighten. Overly taught muscles can cause pain and tenderness. Persistently tight muscles can become very painful and sore. Muscle tension problems can also affect the body’s joints, which can cause joint problems and pain, tenderness, soreness, and achiness.
  • Stress adversely affects the body’s nervous system, including its nerves and how they function. The body’s nervous system is responsible for receiving and sending sensory information to the brain. This system of communication works efficiently when the body and nervous system are healthy. Problems can occur, however, when the nervous system becomes stress-response hyper-stimulated.

Persistently elevated stress can negatively affect any part of the body, including the skin, muscles, nerves and nerve endings, joints, and bones. As a result, body pains can occur anywhere on the body including externally and internally. For some, the pain and tenderness is also accompanied by general fatigue and muscle weakness.

Persistent pain and anxiety have a strong tie to each other. Persistent anxiety can eventually cause persistent pain for some people. For others, pain can be a common symptom or indicator of an anxiety disorder. Working to overcome persistent pain may sometimes need a variety of approaches.

Know Your Pain: The Different Types of Persistent Pain

Neuropathic Pain

Neuropathic pain is pain caused by damage to or malfunction of the nerves themselves. The peripheral nervous system includes all the nerves that lead to and from the spinal cord. The nerves transmit pain signals to the brain. If the nerves are injured, neuropathic pain may develop – pain caused by injury to the nerves themselves. Persistent neuropathic pain can be challenging to treat because it can be difficult to pinpoint where and how the nerves are damaged.

Nociceptive Pain

Nociceptive pain is caused by an injury or disease to a part of the body and is usually described as sharp, aching, or throbbing pain. It is called nociceptive pain because the injury or disease stimulates the nociceptors, which are the receptors on the nerves responsible for transmitting pain messages from the affected area. In persistent pain, the nociceptors may still be sending pain messages long after the original injury has healed.

Persistent pain is generally associated with one of the following areas:

Persistent back or leg pain

Persistent back or leg pain can be the result of spinal diseases such as arachnoiditis, degenerative disc disease, epidural fibrosis, failed back surgery syndrome, lumbar disc herniation, osteoporosis and spinal stenosis. Back pain is normally in the low back, but it can extend down into the legs or even the feet. Sometimes the areas affected by pain can be sore to the touch and can increase with movement. This type of pain can be felt as a sharp pain, a burning sensation, or a dull muscle ache – and can range from mildly uncomfortable to completely disabling.

Complex Regional Pain Syndrome (CRPS)

CRPS usually affects an arm or a leg after surgery, injury such as a broken bone, the result of nerve damage, a stroke or a heart attack. CRPS is uncommon and its cause isn’t clearly understood. Symptoms may change over time and vary from person to person, but usually includes pain, swelling and redness at first.

There are two types of CRPS. Type 1, also known as reflex sympathetic dystrophy syndrome (RSD), occurs after an illness or injury that didn’t directly damage the nerves in your affected limb. About 90% of people with complex regional pain syndrome have type 1. Type 2, once referred to as causalgia, has similar symptoms to type 1. But, type 2 complex regional pain syndrome follows a distinct nerve injury.

Painful neuropathies

This term covers a variety of neurological disorders resulting from damage to the nerves. The common symptoms include pain, burning, weakness and numbness. These most often appear in the hands or feet. Painful neuropathies may originally be caused by nutritional imbalances, alcoholism, toxins, infections, or autoimmunity, or may be the result of illnesses such as kidney failure or cancer. Treatment will usually focus on the underlying disease or condition if it is known.

Persistent pain isn’t a simple fix, if it was it wouldn’t be persistent. Treating persistent pain takes a team and takes patience. There are many types of treatments out there to help treat many types of persistent pain. The question normally is, what is the right type of treatment for you?

Employee Spotlight: Laila

Meet Laila, a Registered Nurse at Twin Cities Surgery Center. Laila was nominated by her fellow nursing staff for consistently displaying the ability to learn new things quickly and adapt/overcome challenges. Laila is always willing to learn and help out when she can. Thank you for all you do!

What is your role at TCPC/TCSC?

I am a registered nurse at TCSC. I work in all phases of procedural and surgical care, which include: pre-op, intra-op and post-op. I also help educate and inform patients of upcoming procedures and I've learned how to scrub into surgeries as well. Recently, I've taken on the role of safety officer for the surgery center.

How long have you been with TCSC?

I have been with TCSC for 7 months so far.

What are some of your hobbies?

I enjoy walking around the lake, watching movies, going to concerts, trying new restaurants, and spending time with friends and family.

What is your favorite thing about working at TCSC?

My favorite thing about working at TCSC is my team of awesome co-workers! We all come to work everyday ready to do our best for each other and our patients. I am grateful for the experience I am getting working at Twin Cities Surgery Center.

 

 

Twin Cities Pain Clinic has been named a Top Workplace by the Star Tribune. This great award wouldn't be possible without our amazing staff members. Your hard work does not go unnoticed!

Interview with Twin Cities Pain Clinic’s Physical Therapist: Maureen Henderson

In November, Maureen will be celebrating her 12th year with Twin Cities Pain Clinic. She has been a practicing physical therapist for the past 41 years. Maureen attended college at the University of Colorado. She is a very avid outdoor person. Some of her favorite activities are hiking, swimming and skiing. Anything to do with the outdoors, and she is in. She loves to be out in nature. That explains why one of Maureen’s favorite places is our great state of Minnesota. Minnesota has so much to offer from the prairie, to the hardwoods, to the northwoods, that she loves having the opportunity to travel to them frequently.

I was able to sit down with Maureen to talk a little bit more about physical therapy and all it has to offer patients with acute or chronic pain.

How does physical therapy help with pain?
Physical therapy addresses underlying biomechanical causes of pain. It helps address if the joints are in proper alignment and if the muscles are at the right length: too long or too short. Great example Maureen gave: if the pelvis is tilted forward, she can help retrain the hamstring muscles (muscles on the back of the thigh) to contract and help pull the pelvis back into place. Once the muscles are retrained, they should stay that way. And, once the muscles and joints are in their proper place, pain should also be less or eliminated.

What is the most rewarding part of your job?
The most rewarding part is being able to find the underlying biomechanical imbalance a patient has and be able to help fix that. With fixing that, I am helping improve their daily function, which in the end helps improve their quality of life, and I love being part of that.

The most challenging?
The most challenging aspect is the complexity of patients I see. The complexity of the patients brings on a challenging aspect of my job that I look forward to every day. It gives me a chance to use the valuable experience I have gained throughout my career to apply to the patients I see today.

What is your favorite aspect of working at Twin Cities Pain Clinic?
I love working for Twin Cities Pain Clinic, because for complex issues, you need a team to be able to fix that. We have such a great team of providers here at TCPC that I love working with. It is great because the providers are here in the clinic, and if we need to discuss anything they are convenient and always make time for discussion when it comes to the care of a patient.

What is a day in the life of a PT look like?
A typical work day for me is seeing my patients all day. It is great because it is one on one care and my appointments typically last 45 minutes, versus 30 minutes at other facilities. I love having the one on one care to devote that time to that single patient.

What is the most important personality trait that a PT must have?
I think curiosity is. If a patient isn’t improving how I would like, I have to figure out why. Constantly asking questions to help the patient improve is all part of the curiosity. I feel to be successful you always need to be learning. And with learning, you need to be asking questions and wondering why something is the way it is.

What is your favorite piece of wellness advice to offer?
My favorite piece of wellness advice is to inform others that how you breathe is a number one life force. Breathing is at the center of everything you do and can affect other musculoskeletal problems. Breathing is where it is at.

What Physical Therapy Can Do For You

Physical therapists (PTs) are licensed health care professionals who can help you reduce pain and improve or restore mobility. PTs can teach you how to prevent or manage your condition so that you will achieve long-term health benefits. PTs examine each individual and develop a plan, using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability.

Physical therapy is a fantastic treatment option for those suffering from acute or persistent pain. October is National Physical Therapy month and the American Physical Therapy Association (APTA) will carry on raising awareness of physical therapy as a safe and effective alternative to opioids for treatment of chronic pain. At Twin Cities Pain Clinic (TCPC), we incorporate physical therapy as an option of treatment for our patients.

We are happy to offer in-house physical therapy options. Our physical therapist, Maureen Henderson, specializes in the treatment of acute and chronic pain. Maureen has been with TCPC for over a decade. She is highly trained in physical therapy for pain management as well as postural restoration. Maureen collaborates with our pain management providers to coordinate a plan of care which may include physical therapy along with the patient’s medical intervention.

Physical therapy can help people of all ages who have medical conditions, illnesses or injuries that limit their regular ability to move and function. When it comes to pain, physical therapists are not only experts in treating pain, but also its source. They will look for areas of weakness or stiffness that may be adding stress to the places that hurt. They will then treat those areas with certain exercises to ease pain and help you move better.

In honor of Physical Therapy month, here are 10 ways that it may benefit you.

1. Reduce or eliminate pain
2. Avoid Surgery
3. Improve mobility
4. Recover from a stroke
5. Recover from or prevent a sports injury
6. Improve your balance and prevents falls
7. Manage diabetes and vascular conditions
8. Manage age-related issues
9. Manage heart and lung disease
10. Manage women’s health and other conditions

According to the World Confederation for Physical Therapy, this type of treatment benefits not just the physical body. It is concerned with identifying and maximizing the quality of life and movement potential within the spheres of promotion, prevention, treatment/intervention, habilitation, and rehabilitation. This encompasses physical, psychological, emotional, and social wellbeing. Treating pain takes teamwork. At Twin Cities Pain Clinic, we are happy Maureen is part of that team.

Employee Spotlight: Sarah

Meet Sarah, Project Coordinator at Twin Cities Pain Clinic and Surgery Center. Sarah was nominated by her fellow employees for always being so helpful and quick to respond when there is any IT issue or questions in general. Sarah always has a positive attitude and is patient and thorough whenever we need help! Thank you for all you do Sarah!

What is your position / What are your daily responsibilities?

Project Coordinator – Operations/IT department
I am here to help with anything IT related: phones, printers, computers, etc. I am always happy to answer questions, help with troubleshooting issues, or provide training on IT functions.

How long have you been with TCPC/TCSC?

November will be my two year anniversary with TCPC/TCSC.

What are some of your hobbies?

Anything I can do with my dog – hiking, biking, traveling!

What is your favorite thing about working at TCPC/TCSC?

I work with some really great people, and I appreciate the positive energy they bring each and every day.

 

 

Twin Cities Pain Clinic has been named a Top Workplace by the Star Tribune. This great award wouldn't be possible without our amazing staff members. Your hard work does not go unnoticed!

Opioid Epidemic: A Public Health Crisis

In October 2017, the President of the United States declared the opioid epidemic a public health crisis. According to the Center for Disease Control and Prevention (CDC) there were over 60,000 drug overdose deaths in the United States in 2016. That is more than 100 fatal overdoses every day. This number far exceeds the annual loss from traffic fatalities. In Minnesota alone, there were 396 opioid related deaths in 2016. This number has been on a steady rise since 2010. In Hennepin County, the most populous county in the state, a record number of people died from opioid related overdoses last year.

According to 2016 data from the National Center for Health Statistics, drug overdoses are the leading cause of death for Americans under age 50. Death by opioids includes pain relievers, synthetic opioids, and illegal substances such as heroin and cocaine. Minnesota has an Opioid Action Plan in place, but there is room for all of us to do our part.

At Twin Cities Pain Clinic, we are fighting the opioid epidemic by offering a variety of ways to help manage pain. Opioids do have their place in pain management and we make sure our patients are educated and empowered to follow a safe, monitored regime. What makes Twin Cities Pain Clinic different is the advanced technology we use in our treatment options. We are replacing opioids with cutting-edge treatment options to offer a safe, more effective outcome with less side effects.

We have made it our mission at Twin Cities Pain Clinic to help you get back to living your life with less pain. Our team of specialized providers combine compassion with extensive medical knowledge and the most recent technology to give you the best treatment in pain management possible. From the time you check in to our office until you leave, we are dedicated to providing you with the highest level of healthcare while treating your pain.

We provide medication management along with many other services such as spinal cord stimulation, intrathecal pain pump, DRG stimulation, injection procedures, mild procedure, and physical therapy to help you get back to living a life with less pain. The pain specialists at Twin Cities Pain Clinic use a collaborative approach to find the best treatment to manage pain for our patients. Through education and continued efforts, we hope to help decrease the rise in opioid related deaths with cutting edge treatment options.

Drug Overdose Death Data. (2017, December 19). Retrieved September 28, 2018, from https://www.cdc.gov/drugoverdose/data/statedeaths.html

Lyden, T. (2018, May 14). Dying to get high: Tracking Minnesota's fatal overdoses. Fox 9 News. Retrieved from http://www.fox9.com/news/dying-to-get-high-tracking-minnesotas-fatal-overdoses

P. (2018, January 25). Opioid-related deaths set another record in Hennepin County in 2017. Star Tribune. Retrieved from http://www.startribune.com/opioid-related-deaths-set-yet-another-in-hennepin-county-in-2017/470954523/

Twin Cities Pain Clinic Announces Clinical Research Team

September 26, 2018 – Edina, Minnesota, USA – Twin Cities Pain Clinic recently announced the addition of their Clinical Research Team. Twin Cities Pain Clinic is a center of excellence for comprehensive pain management in Minnesota. The company serves patients from across Minnesota with 4 clinic locations in the metro area. The Twin Cities Pain Clinic’s Clinical Research Team focuses on research that with help to improve patient outcomes.

The Twin Cities Pain Clinic recently started a study involving spinal cord stimulation. “We are pleased to be able to provide this added service to help advance science,” states Dr. Andrew Will, medical director at the Twin Cities Pain Clinic. The research team consists of Dr. Will, medical director at the Twin Cities Pain Clinic, Karen Trutnau, nurse practitioner and clinical research coordinator, Megan Rieb, registered nurse, and Allison McElveen, both clinical research assistants.

“We are actively seeking research opportunities for our clinic and look forward to presenting these opportunities to our patients as they become available,” notes Dr. Will. This endeavor illustrates Twin Cities Pain Clinic’s commitment to improving patient care through the advancement of science and medicine. Please contact research@tcpain.com for more information.