Acknowledgments
To: The millions of people who are coping
with Chronic Pain on their own.
And to:
Medtronic: A world leader in medical technology, pioneering pain therapies which restore health, extend life and alleviate pain.
And a heartfelt thank you too!
Contents
Chapter One-Real Character is Who You Are When Nobody's Looking
Chapter Two-Finding Help
Linda's Success Story / Treating Cancer Pain
Chapter Three-Philosophy of a Chronic Pain Program
Chapter Four-Misery Loves Company
John's Success Story / Treating Complex Regional Pain
Chapter Five-Organization-Energy Conservation-Pacing
Chapter Six-Addiction to Prescription Drugs
Larry's Success Story / Treating Arachnoiditis Pain
Chapter Seven-Chronic Pain and How it Affects Others
Chapter Eight-Strategies of Managing Stress
Rita's Success Story / Treating Abdominal Pain
Chapter Nine-Exercise and the Rules of Being Human
Chapter Ten-Pain Behavior
Julie's Success Story/Treating Failed Back Syndrome
Chapter Eleven-Personal Responsibility and Self-Help
Chapter Twelve-Communication Skills & Chronic Pain
Frank's Success Story / Treating Pain Due to Compression Fractures from Osteoporosis
Chapter Thirteen-Conflict Management and Chronic Pain
Chapter Fourteen-Perfectionism and Chronic Pain
Catherine's Success Story / Treating Complex Regional Pain
Chapter Fifteen-Guilt and Chronic Pain
Chapter Sixteen-Acceptance of the Devil's Curse
Sam's Success Story / Treating Pain Due to Arachnoiditis
Chapter Seventeen-Choosing a Pain Management Doctor
Chapter Eighteen-Chronic Pain Syndrome: What is it?
Chapter Nineteen-When Life Depends on Medical Technology
Chapter Twenty-Frequently Asked Questions About
Advanced Pain Therapy
Chapter Twenty-one-How will My Doctor Know if I can Benefit
From Advanced Pain Therapy
Epilogue
Medtronic Helpline
Biography
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The following stories tell the experience of people who are receiving Medtronic Advanced Pain Therapy Neurostimulation or Intrathecal for the treatment of pain. As you read them, keep in mind that the experiences are specific to each particular person. Results vary, not every response is the same.
Foreword
Dr. Kevin C. Murphy, Ph.D.
Many excellent books have been written on the devastating, life-changing effects of chronic pain. Most focus on helping individuals to better cope with the physical, emotional, social, and work-related changes that accompany long-standing pain. Such books are written by those of us who work with people in constant pain and represent an outsider's view of a person who actually has pain that does not go away.
Ms. Willhoff has written an excellent insider's account of her own chronic pain experience from injury through recovery. With great sensitivity and clarity, she takes on the extremely difficult journey of one person caught in the grip of unrelenting pain. Her honesty combined with many useful tips on how to better manage chronic pain make this book a unique contribution.
I believe her information will prove invaluable to anyone having chronic pain. Living Well With Chronic Pain will save sufferers a great deal of time on their own journey toward recovery. It will not only be shortened by the knowledge she shares, but also by showing those in her same situation that they are not alone in the struggle. Her clear message is one of hope and courage. If she has been brave enough to take back her own life against great odds, she suggests that so might we all. I am honored to have witnessed her changes and hope her book lightens the burden of pain sufferers everywhere.
Introduction
Living Well With Chronic Pain is the story of how I regained control of my life from constant, excruciating pain. With a mixture of personal journal entries, and success stories and narrative from others, I tell the story of how I moved from the diagnosis, fear, anger, denial, and confusion in my life to the acceptance and spiritual growth I needed to survive.
Without intervention from a pain management program and Medtronic Advanced Pain Therapy, I would have ended my life. Instead, I chose to empower myself with education to fight back.
Pain is recognized as a major US public health problem. Various studies estimate that chronic pain affects 15 to 33% of the US population, or as many as 86 million people. In fact, chronic pain disables more people than cancer or heart disease and costs the American people more than both combined. Pain cost an estimated $70 billion a year in medical costs, lost working days, and workers' compensation.
Statistics show one out of three people will have chronic debilitating pain. Many people I talk with about this condition either have it or know of someone who is dealing with it on a daily basis.
Incurable pain wears down the body and the mind. It can lead to physical, psychological and financial meltdown. The idea of becoming a burden to loved ones and deteriorating to a point of helplessness is a person's worst nightmare, and indeed, many people who've been diagnosed with a life sentence of chronic pain have committed suicide.
I have written the book I needed to read when I was diagnosed with this condition to help other people who are struggling with chronic pain cope in a positive manner. There is no doubt in my mind that others can learn how to get control of the pain and live a productive life. This is possible through lifestyle changes and the use of Medtronic Advanced Pain Therapies described within this book.
Half of finding out what you are in life is finding out what you are not. The day I was diagnosed, I learned I wasn't invincible. The doctors finally knew what caused the pain in my lower back and down my hips and legs. I was told I have Arachnoiditis, an inflammation of the membrane covering the spinal cord, which causes severe pain by pressing on the nerve roots resulting in Chronic Pain Syndrome (CPS). There is no cure and no more denying it. I'd been sentenced to a life of constant, unrelenting pain. This was to be my future.
Later, after much soul searching and self discovery, I learned something else: There is real help for CPS patients. Medical technology is an amazing thing. After going through a pain management program, I knew how to live with my chronic pain in a positive, successful manner, while staying drug free. Then, in a short time, my disease progressed and the pain became more severe down my hips and legs, and once again, I was nearly unable to walk.
I was lucky. With the huge advancement in medical technology and the recommendation from Dr. Charles Ripp (an anesthesiologist specializing in pain treatments), I found myself a candidate for Medtronic Advanced Pain Therapy Neurostimulation, using an Itrell III spinal cord implant. I had never heard of such a thing. He went on to explain that a small device would be placed in my hip and a lead wire would wind up my spine going directly into my nerves to stop the pain.
Instead of the excruciating pain I was experiencing, after the surgery I would feel electrical pulse rates. I would have a hand-held monitor which I would place over the hip implant and could control the stimulation, deciding whether to increase or decrease it, depending on my pain level.
I talked it over with my husband and decided I had to go for it. Waking up after the surgery, the first words I heard were, "Mom's bionic." I wasn't bionic, but my life had changed yet again. Something foreign had been placed in my body. I could feel the wire going up my spine and the incisions in my hip and upper spine. At first this idea was hard to grasp. It was the kind of thing I read about, saw in the movies or heard on the late news. It didn't seem real, except for the pain from the incisions and the wire going up my spine, which in reality was quite small, but felt like the transatlantic cable.
That was in 1997. Today people don't know I have chronic pain unless I tell them. I thank God everyday for Advanced Pain Therapy from Medtronic and the precision of Dr. Michael Brown's hands when he performed my surgery. This technology is a marvel.
At this time in my life I can't feel the wires and don't even know the implant is there, except when I use my small hand held monitor to increase or decrease the stimulation. Instead of pain, I feel a tingling sensation. What a wonderful invention. No more suffering. I can walk, laugh, and be almost what people call normal. A true miracle, considering where I was coming from.
This technology is a godsend for people suffering with CPS. With the knowledge I gained in the pain management program, and the help of the spinal cord implant, I can live a nearly pain-free existence. There is real help for chronic pain sufferers.
Of course, when I turn the implant off, the pain is still with me. That will never change. However, with the implant I control my level of pain, totally drug free.
Who would've thought I'd have a spinal cord implant? Certainly not me. After all, I was the person who never got sick or had any kind of surgery-until now. And if I can handle the idea of having wires in me and feeling pulse rates running up and down my hips and legs in place of pain, then so can you.
I consider myself extremely fortunate to be one of the few who get to live more freely with chronic pain. My advice is for anyone suffering with CPS to give yourself a chance: Go to a pain management center. Talk to a pain management doctor about this new technology. See if it can help you live a more productive life. With education and Advanced Pain Therapy from Medtronic, there is hope for us all. Life is fragile. Live it everyday to the fullest and cherish those you love. The following is my story-clawing my way out of the darkness and back into the light.
May you be blessed on your journey,
Jude Willhoff - Author/Speaker/Survivor
JudeWillhoff.com
Jude Willhoff
Chapter One
Character is Who You Are When Nobody's Looking
The winter weather matched my mood-bleak and dismal. I watched the freezing rain drizzle from the gray leaden sky outside my bedroom window. My life, as I had known it, had been ripped apart. I had been raised to believe the good Lord never gave us more than we could handle. I questioned my faith. Where was God? Why didn't He answer my prayers? I held the bottle of narcotic pain pills in my shaking hand, thinking how easy it would be to end it all. But the thought of not being with my husband and not seeing my children grow up held me back.
Six months earlier, when I'd bent over the pool table to stroke in the eight ball, a shooting pain rushed down my lower back and right leg. A hush fell over the crowd. The butterflies in the pit of my stomach turned to bat wings. The score was tied ten to ten. This was game point. If I made it, we'd be in the finals of the Billiard Congress of America Women's National Eight Ball Championship. I had trouble standing up, but the place went wild when the eight ball dropped.
Suddenly and without warning everything changed for me. I watched the rain make tracks across the window pane. Joy had left me. My team had started playing for another season without me. They were going to defend the title I helped win. All I had left were memories. I stared at the phone. It didn't ring. Most of my friends had moved on. Like the rain, a tear tracked its way down my cheek.
The pain started as a low back ache. I thought I'd pulled a muscle. When it didn't get any better I went to see my family doctor. After many tests, he told me he couldn't find what caused my constant pain and sent me to several specialists.
Time passed and within a few months I could barely walk without assistance. I was alone with my pain. Life went on around me as my friends and family moved on with their daily business. Each day I could physically feel and see myself deteriorating as I sat and faced my own mortality. This wasn't living. This was existing.
Before I took a step that would be irreversible, I put the bottle of narcotic pain pills down and picked up my personal journal and started writing. Writing was the only thing I could do to help save what was left of my sanity.
Journal Entry, November 18, 1995
At forty-five I feel old and frightened...used up. Understanding why this has happened to me is beyond my grasp. I'm living in a state of shock. I've always been a healthy, active person, and now I'm on my way to becoming totally disabled. The doctors don't know what's wrong with me. One had the nerve to tell me it was all in my head. It's not true, it's in my back, hips and legs, everywhere, but my head.
Each day is a struggle and it's harder to get around in my home. I ask myself, why is this happening to me? There are no answers. I don't want to live...not like this. My mind still works, but my body is giving up on me. With each new day the pain becomes more unbearable. I can't work or take care of my home. I feel as if I'm of no use to anyone.
Being a Christian and loving my family, I know suicide isn't the answer, but when the pain intensifies, I think about ending my life...now with dignity...before it's too late. I hurt badly and I'm fearful of what the future holds for me. God, please give me the strength to endure this pain.
The days dragged after my husband went to work and children left for school. Alone, I sat in my darkened living room with the drapes closed. After taking my narcotics, the only place I felt comfortable was in my recliner. I shouldn't say comfortable. . .nothing was comfortable-but at least there, the pain was bearable.
My nights consisted of tossing and turning. Muscle spasms and unrelenting pain kept me awake. What was happening to my mind and body was beyond reason. I yearned for my old life back.
Each day I sank deeper into depression. My family tried to pull me back, but I stayed out of their reach. Angry at the world for what had happened to me, I took it out on the people close to me, the people I loved. Even in my drugged haze, I knew my family loved me, but for reasons I couldn't understand, I lashed out at them. The anger ate away at my soul.
I hated what my life had become. I hated my helplessness. And I detested the narcotics, but needed to take them to get through each day. Trapped in my pain-racked body there was no way out. Not being able to work or take care of my family, I felt useless. One day merged with the next as my insides shook from the drugs. I wanted to put a stop to the madness.
Through my fogged brain I heard the phone ring. The answering machine picked up. I listened to Dr. Higgins say, "Jude, are you there?"
He knew I was home. Where else would I...could I go? I didn't go anywhere except to his office. I answered, "Hello, it's me."
"Jude, I have some news. I received the results back from the neurologist. I want you to come into the office so we can discuss your treatment."
"What is it? What's wrong with me?" It wasn't just in my head. They had found something.
"Hold on, we'll talk about everything when you get here. Can your husband bring you in this afternoon at about one?"
"Yes. I'll be there." Finally, they knew what caused my pain. Had God sent me a message? Maybe he hadn't forsaken me after all. This was a step toward recovery.
Later in the day Dr. Higgins dashed my glimmering hopes when he told me I had an incurable progressive disease of the spinal cord called Arachnoiditis. He said it was clumping of the nerve roots, which caused muscle spasms and persistent pain. There is no cure. The pain would be constant for the rest of my life with a symptom of my disease called Chronic Pain Syndrome. I was told I would probably be in a wheelchair in the near future. Numbed by this information, I let him make an appointment for me at a pain management center.
While waiting to hear if my health insurance would cover me, life went on and somehow I got wrapped back up into the flow. Perhaps, not a major part, but at least glad I was still with the living. Was this a quiet call for peace coming from my soul? I was lost, but knew I wanted to live.
Journal Entry, December 14, 1995
I sit in my recliner in the living room writing in my journal. Dr. Higgins must be wrong. I can't believe there's no cure. Of course, they can cure it. It isn't cancer. Surely they have a magic pill that will make it all go away.
Today he faxed my medical records and his prescription for treatment to my insurance company. I pray a lot while I wait to hear if they'll take care of my expenses to go into the pain management program. I'm afraid of what will happen to me if they turn me down. I can't afford to attend the program without their financial help. Unfortunately, working with insurance companies can be quite difficult. They are great until you need them...then all kinds of hell breaks loose.
With my medical condition being so rare, the insurance company has to call a special committee meeting to discuss my medical records in order to decide if I'll have coverage. They'll let me know in a few weeks. Does anyone care that the pain increases on a daily basis while I wait for strangers to decide my fate? Waiting is frustrating and infuriating. I'm less important than their bottom line. Their attitude dehumanizes me.
My inability to work is causing a strain on my family. I used to work as a freelance make-up artist, doing hair, make-up, wardrobe, and special effects for movies and commercials, making good money. Without being able to pull my share of the load, things aren't getting any easier. Losing my financial independence is a scary thing.
When Dr. Higgins diagnosed me with Arachnoiditis, he told me I would qualify for Social Security disability benefits. At the time I didn't want to bother with it. I had always worked and earned an income, and I was too proud to ask for money from anyone. Now, any money coming in would help. So much for pride.
I went to the Social Security office with high hopes. Being one hundred percent disabled, with a noncurable progressive disease such as Arachnoiditis, I shouldn't have any problem qualifying for a total medical disability. They'd requested my medical records, and then, I couldn't believe it! But I was turned down. I went back to see Dr. Higgins. He told me not to worry, to keep trying, that sometimes it takes patients three or four times before they get their benefits.
However he did recommend an attorney to take care of my case. Eventually, I would go before a judge. In time, I would get disability benefits. I'd been paying in money for many years and it didn't seem fair that the Social Security Department made it this hard to get benefits. We have health insurance, thank goodness, but everything costs so much! I continue to fight the system, but I can't help wonder if my health insurance company would pay for my one chance to live a reasonably normal life by letting me go into the pain management program.
Journal Entry, January 29, 1996
The holidays passed in a drugged blur. It's been ages since I've gone out, except to see doctors. The pain isn't going to go away. The disease exists inside my body. I'll never be the person I was. Things have changed for me and I have to face it.
I'm angry at the world for what has happened to me; at being afflicted with a disease few people have ever heard of; at having what are supposed to be the best years of my life turn into the worst; at the Social Security Administration for withholding my own money and the insurance company for treating my life so casually. And I'm angry with my family for not understanding. Rationally, I know no one can understand without experiencing chronic pain for himself, but I'm so alone. In my heart, I know I have to be strong for myself, or I'll be lost. Fear of what the future holds in store for me is very real. Can anyone help me? God knows I don't know how to help myself. They're all going on with their lives and I'm stuck in the seventh level of hell.
People I thought were my friends don't have time for me. They have fallen by the wayside and this causes another kind of pain. I quickly discover who my real friends are. They are sticking it out with me by keeping in touch. Unknown to them, these people and my family are my lifeline.
My family tried to show their love and support by caring for me even though it was hard to deal with my moodiness and pain. I knew that, yet I also knew they were going on and I couldn't help but resent them. It didn't matter that it was neither by their choice or mine. Every day reminded me they could and would function without me. Families do it every day, because they have to. Anger, frustration and helplessness ruled my life.
The narcotics kept me on an emotional roller coaster. Not taking the drugs wasn't the answer. Without them I couldn't stand the pain. I was caught in a dark, scary place. I didn't want to live being dependent on drugs and other people. And I didn't want to be mean and hateful to my family. I wanted my life back! The doctors told me I would never know what caused me to get Arachnoiditis and CPS, but it was all I could think about. I was becoming overwhelmed by both imagination and reality.
Still, it didn't do me any good to dwell on the negative. Somehow I had to find a way to regain control of my life. I would lose everything and everyone I cared for if I didn't find a way to help myself. Would the insurance people ever get back to me? It was time to hassle them, yet again. This...I could do.
Unlucky enough to have this disease that destroys people, but lucky enough to still be here, I was eventually approved to go to the pain clinic for testing. The doctors would tell me if I could be helped. To my surprise, they really understood about pain. What a huge relief. For the first time since I became ill I wasn't alone with my anguish. Other CPS patients that had the same sort of problems as me, were there being tested. And like me, they were grumpy and hurting. Not that I'd wish this on anyone, but somehow, just knowing others were feeling what I was experiencing gave me comfort.
By the end of the testing, I was told that with hard work, determination and making lifestyle changes I would be able to control my chronic pain, instead of it controlling me. It was a day of tears, but finally, I had some positive news to hold on too. That day a little corner of my very dark world brightened. I now had HOPE!
Epilogue
9 Years Later
I ask myself, where has the time gone? It's flown by and sometimes I can't believe nine years has passed. The good news is that I'm not in a wheelchair as some doctors had predicted. Sure, I wasn't able to go back to doing the things I did prior to my illness, but I've been able to find other things that I enjoy just as much, if not more.
I enjoy working along side my husband in our real estate investment business and my true passion is that I am able to write books in my free time. Writing is something that ID didn't think about until after my illness. In it's own way the chronic pain was a blessing. At the time I was diagnosed, if someone would've told me that, I would have told them they were crazy, but it's true. I look at life differently and I appreciate things so much more than I did before chronic pain. Our children are grown and now we have grandchildren to enjoy. Life is good.
Today most people don't have a clue that I have health problems unless I decide to tell them. I've learned to pace myself and I'm doing well. I'm on my second Medtronic spinal cord implant and it's a true miracle as to how it's helped me to live a normal life.
When I go back and read my personal journal excerpts in Living Well With Chronic Pain and hold workshops with people who are just being diagnosed with chronic pain, it amazes me as to how far away I am from that very dark time in my life. I love sharing my story and helping others to overcome their pain. It's a battle you can win. Chronic pain can be beaten. I am the living, breathing example and if I can do it, so can you!
Bless you on your life's journey,
Jude Willhoff
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This book offers the hope you need now!
What Others Are Saying About This Book
I met you briefly on Saturday at your signing at Invesco Field in Denver. You don't know, on second thought of course you do, how good it feels to meet someone who has been where I am today. I would say that I am perhaps as close to "ending it" as you can be, after 18 years of chronic pain, the last ten being the hardest. So it was truly wonderful to read your story. Just to hear that you got off all drugs and your life got better again, has given me such hope. Thank you for writing this book. I took it home the day I bought it and finished it by the following evening. I am in the process of being tested to see if the Medtronic Advanced Pain Therapy will work for me. Again, thank you for renewing my hope.
~Jeannie Stephens, Chronic Back Pain
The subject is a universal one and should appeal to a huge audience. Willhoff knows whereof she speaks (having suffered with chronic pain), so she hits the points any pain sufferer would want to hear, including all the attendant feelings, emotions, desperation, social/familial implications. That she found methods to live with the pain is commendable---the reader will want to relate. But she also lives beyond the pain, as do others she highlights, and that is inspiration for any pain sufferer. This book details the control of different kinds of pain and the helpful Medtronic technologies. ~Writers Digest
Jude Willhoff's story is a gift of hope and inspiration to anyone suffering from chronic pain. It has the ability to pull us back from the brink of desperation and give us the strength to on with our lives. If you don't think there is a way out---you're wrong. This book will outline a path to your new life! If your doctor doesn't have a copy of this book, get him one.
~Caprice, Failed Back Syndrome
The book, Living Well With Chronic Pain, adds up to a much-needed message of hope for those caught in the clutches of chronic pain.
~Bill Radford, The Colorado Springs Gazette
The only thing worse then chronic pain is the debilitating frame of mind that you find yourself in when dealing with such a monster. You find yourself depending on the people that you're used to taking care of. And pretty soon, you are not the one in control of your emotions, much less your own life. Jude Willhoff helps us find our wings to fly over the storm that is chronic pain, and land back on our feet, to a life that is just waiting to be re-claimed. This isn't a book just packed with medical information and terminology, this is also a book about a battle that was fought and won!
~ Lisa Riozzi-Shetler, LMT,CNMT
Bravo, Jude Willhoff. At last a book about chronic pain, and the options available told from a lay person's perspective. Ms. Willhoff shares her intensely personal journey so that people living with chronic pain know they're not alone and that they CAN take their lives back. Learn why doctors think enough of Ms. Willhoff's message to buy her book and give to patients and put them on reception room tables. I defy anyone living with chronic pain to read this book and walk away uninspired.
~Donnell A. Bell
Chronic pain can cause patients to alienate those around them and often leads to drug addiction, irritability and depression. This book is a must have for patients who suffer with chronic pain. It could save your life. --Dr. Michael W. Brown, Neurosurgeon
Many excellent books have been written on the devastating, life changing effects of chronic pain. Such books are written by those of us who work with people in constant pain and represent an "outsiders" view of a person who actually has pain that does not go away. Ms. Willhoff has written an excellent "insiders" account of her own chronic pain experience from injury through recovery. This book will save sufferers a great deal of time on their own journey toward recovery. --Dr. Kevin C. Murphy, Ph.D.
Chronic pain may persist for weeks, months or years. Physical, psychological, and emotional stress may worsen chronic pain. By reading this book, the patient will know the emotions they are feeling are normal and that there is help. --Dr. Patrick Higgins
I met you briefly on Saturday at your signing at Invesco Field in Denver. You don't know, on second thought of course you do, how good it feels to meet someone who has been where I am today. I would say that I am perhaps as close to "ending it" as you can be, after 18 years of chronic pain, the last ten being the hardest. So it was truly wonderful to read your story. Just to hear that you got off all drugs and your life got better again, has given me such hope. Thank you for writing this book. I took it home the day I bought it and finished it by the following evening. I am in the process of being tested to see if the Medtronic Advanced Pain Therapy will work for me. Again, thank you. --Jeannie Stephens --A Chronic Pain Sufferer
Jude Willhoff shares her extraordinary journey of how she's dealt with chronic pain from overcoming the darkest depths of depression to finding a meaningful life. Practical tips, anecdotes from fellow pain sufferers, and strength flow from these pages, giving the reader hope that there is life after chronic pain. A must read for chronic pain sufferers and their care-givers. --Book Lover
Anyone suffering from chronic pain must read this book. Jude Willhoff's story is inspiring. Thank you for giving the gift of hope to those suffering from chronic pain and showing them that it is possible to live normal lives once again. --A person with chronic back pain. --Don Jones, A reviewer.
Jude Willhoff's story is a gift of hope and inspiration to anyone suffering from chronic pain. It has the ability to pull us back from the brink of desperation and give us the strength to go on with our lives. Thank you Jude for sharing your story with us! --Carol Maxwell, A chronic pain patient.
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