Any experience with Residential Chronic Pain Treatment Programs?

Posted by alh123 @alh123, Apr 20, 2022

I am in my 12th year of trying to cope with a very disabling post surgical neuralgia near my knee. I am 62 yr old retired physician living in Canada .. My story is posted elsewhere on this site and describes the myriad of physical procedures and psychological approaches that I have tried since 2011. To cap it off I’ve had 4 goes at SCS incl DRG and very recently PNS. It is exceedingly disabling physically and mentally. I’m at the point where my Drs and I think I would best be served by going to a Pain Program that is residential . I’m not really capable of coping in an outpatient situation anymore like the Mayo offers . Does anyone have any experience or advice about where I might find a place like this ? Obviously , it needs to be multidisciplinary ( diet, psychological, medications ,strength and mvt training , possibly some treatment options if available ) with the main emphasis being on coping strategies as I believe I have exhausted most if not all therapeutic options. I need the discipline of inpatient program I believe . I have found one or two online that are perfect ,but are priced for the 0.1%. Any suggestions would be appreciated.

Interested in more discussions like this? Go to the Chronic Pain Support Group.

@francesmharris123

There is a program at Johns Hopkins Phycological Inpatient to learn how to deal and live with chronic pain. I can’t imagine how I can live with this for the rest of my life.

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I’ve just seen a little bit online . Do you know anymore about the John Hopkins program?

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@alh123

Thanks a lot for posting this. I am getting closer to making a decision on going to a program like this. There is no doubt on my end of the need. The question is still which one, how to make it cost efficient enough so my wife and I can still retire and most importantly, putting together a comprehensive program of support for when I come home so that I don’t just fall into the same old habits and situations. This is much appreciated and very well timed.

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@alh123 Concern for a comprehensive plan upon returning home is valid. I was concerned also when I went to Mayo Pain Rehab but I assure you that they provide program manuals that cover every detail of what you learn in 3 weeks from exercise and nutrition, to cognitive behavioral therapy and occupational therapy, and so much more. You create difficult day plans and weekend plans. You go home with a 2 week plan to help you get started. There is email access thru the PRC portal to reach out to nurses, doctors, and physical and occupational therapists for further guidance and support. Also, there is a private PRC Facebook group that follows Mayo PRC guidelines and is a wonderful supportive, inspirational group. Self-regulation and self-correction tools learned along with what family and friends learn through the family day meetings each week, are all part of the comprehensive plan and support system. Mayo Clinic does a phenomenal job at leaving no stone unturned. I'm not familiar with other pain rehabilitation programs, but these are all of things I'd make sure they offer if I went to one.

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@alh123

I’ve just seen a little bit online . Do you know anymore about the John Hopkins program?

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we had been trying to follow the new department; neurogastroenterology but people applied so quickly that they are not taking applications at this time. not sure if this is the one you found of interest

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Haven't had mush help w/ the pain mgt offered at several major hospitals and MDs. None have been successful. Now trying the spinal stimulator which I will tesst for the next week so. So far, no major relief.

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@pwgrimes

I have been to 2 pain clinics. The first one was a 2 week in hospital. That was years ago for Interstitial Cystitis. It was very complete. I had been suffering with extreme bladder pain, most by the damage they did to me as treatment. Using acid infusions to burn the lining out of my bladder and other tortures.
It was hard to let go of all the stress, but the volunteer mentor for each person was a pain clinic veteran. They started with guided imagery sessions that were very good. The tools used are learning how to do relaxation techniques, self hypnosis and meditation. Exercise and talk therapy included. Their were no drugs involved. Afterward I did 3, 1/2 hour meditations sessions everyday for 3 years. I am a controlling person, but did learn the techniques. There is no instant relief, but you can feel the results of the pain/brain connection being effected. Your unconscious brain can do amazing things. If you can make that connection and tell it what you want for your reality it can take you there.
I had had every possible treatment for my bladder, stretching, burning, DSMO instillation, tens machine and finally the doctor telling me I had to many ulcers to laser and I can do nothing for you. Every person has different outcomes. I could not take any pain meds.
11 years ago I had a new medical problem develop. I went to another pain clinic that was different, but based on the same principles. It was 1 week. It got me back into the mind/Body connection. But I needed medical help and 6 Gastroenterologists told me I had IBD and basically said goodbye. It was called pelvic floor dysfunction. Then 2 years of PT that was specifically for that. 1 Year of nerve blocks. Been to Davis, Stanford with no help. 2 years ago another doctor did a celiac test. Yes I have Celiac Disease. None of the Gastroenterologist knew about the Celiac autoimmune disease. I am now dealing with GF eating, but still have symptoms. Also a damaged body living in a state of malnutrition for 72 years.
The first clinic was the most complete and that is what I would look for. Most large Medical Hospitals have them. Also there are private ones. Go for those medical affiliated ones. The internet now is a great source. Most insurance will not pay, so it is very expensive.
If you believe you have everything in your body to make positive medical changes then go to a pain clinic.

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Sorry to take a while to reply .thanks for,your thoughtful answer.

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I started this thread looking for Chronic pain programs especially residential ones . Thanks to several people incl moderators , I have a good feel for what happens at the Mayo one. I may end up applying there , but am just asking once more for anyone with experience actually going to a Chronic Pain Rehab program . I don’t mean a diagnostic or treatment clinic . Other than the well known ones at Mayo , Cleveland Clinic and John Hopkins , there are also so-called luxury rehabs that are alcohol and drug rehabs with a chronic pain program as well. One such facility is Sierra Tuscon in Arizona and there are others .
So I’m looking for anyone with experience in any one of these type of programs. I’ve even found what looks like a very comprehensive one in Bath, England, so they are everywhere , it’s just a matter of finding the right fit .
Thanks

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@rwinney

@alh123, @angusconn, @pwgrimes, @anne4u, and others...

Hi everyone - back in April, @alh123 began this discussion thread while searching for a residential chronic pain treatment program. It provoked good, forward thinking conversation.

Today, I'd like to circle back by presenting a new, exclusive inside look at the Mayo Clinic Pain Rehabilitation Center/Family Day video.

Dr. Sletten of the Mayo PRC has been gracious to share this deeper dive into the concepts of pain rehabilitation and management with Connect, and we are very grateful to be able to share it with you.

Mayo Clinic PRC - Family Day week 1:


As a PRC graduate, I am thrilled for Connect members to be able to learn PRC concepts in a more intimate way. Regardless of whether someone attends the PRC or not, my hope is that the material provides positive reinforcement for a plan forward in managing chronic symptoms. I look forward to hearing feedback, and am happy to answer any questions you have. Have a wonderful day!

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Great video . Thanks for sharing it . Is it really true that all types of chronic pain end up going down the same common pathway in terms of treatment in a program like this ?
I have a very “ peripheral “ pain diagnosis ie a post surgical saphenous nerve neuralgia. It has put me in the classic chronic pain disaster mode described in the video but by the central / peripheral pain model , my pain is mainly peripheral . The reason is that a specific nerve in my leg can be tapped / touched / stretched etc to cause my pain , plus it can be completely blocked with 5 cc of local anesthetic . Cruelly , after 11 years , they still can’t turn it off .
So despite this peripheral nature of my pain , does the fact that I still must have some central component , put me in the same boat with every other chronic pain patient …ie im not special , you’ve seen it before ?

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@alh123

Great video . Thanks for sharing it . Is it really true that all types of chronic pain end up going down the same common pathway in terms of treatment in a program like this ?
I have a very “ peripheral “ pain diagnosis ie a post surgical saphenous nerve neuralgia. It has put me in the classic chronic pain disaster mode described in the video but by the central / peripheral pain model , my pain is mainly peripheral . The reason is that a specific nerve in my leg can be tapped / touched / stretched etc to cause my pain , plus it can be completely blocked with 5 cc of local anesthetic . Cruelly , after 11 years , they still can’t turn it off .
So despite this peripheral nature of my pain , does the fact that I still must have some central component , put me in the same boat with every other chronic pain patient …ie im not special , you’ve seen it before ?

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I honestly sat in pain rehab class and wondered the same thing. Do all types of chronic pain end up going down the same common pathway in terms of a treatment program?

In class we are advised to not talk about our symptoms with each other privately or in class as it's a pain behavior. You never figure out completely why each person is there. You might pick up on little hints through questions a person asks in class, but by the end of the program, you realize that we are all pretty much in the same boat.

My take away was that Mayo's pain rehabilitation is not rocket science and really does apply to people suffering from a variety of causes and chronic symptoms. Granted each person may not check every symptom box on the diagram of central and peripheral systems, but chronic is described as lasting for 3 months or longer, pain that can come and go, and be anywhere in your body. Because chronic can lead to stress, anxiety, depression and trouble sleeping, it can make pain worse. This leads to the cycle of pain which is difficult to break. Failed treatments, emotional distress and deconditioning are among important criteria of acceptance at PRC.

I am not medically trained and am no expert, but do believe that yes you most likely do have some central component and are in the same boat. In fact Dr. Sletten reminds us in class that we are all unique, but noone is special.

I hope this helps to answer your question. You're welcome for the video. You are doing a great job of advocating for yourself by researching options and opportunities. Thank you for posting about your findings in Arizona, and England too! I'm sure it will be helpful to others in their quest. Keep up the good job. Will you update me on any final decisions you make?

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@rwinney

@alh123, @angusconn, @pwgrimes, @anne4u, and others...

Hi everyone - back in April, @alh123 began this discussion thread while searching for a residential chronic pain treatment program. It provoked good, forward thinking conversation.

Today, I'd like to circle back by presenting a new, exclusive inside look at the Mayo Clinic Pain Rehabilitation Center/Family Day video.

Dr. Sletten of the Mayo PRC has been gracious to share this deeper dive into the concepts of pain rehabilitation and management with Connect, and we are very grateful to be able to share it with you.

Mayo Clinic PRC - Family Day week 1:


As a PRC graduate, I am thrilled for Connect members to be able to learn PRC concepts in a more intimate way. Regardless of whether someone attends the PRC or not, my hope is that the material provides positive reinforcement for a plan forward in managing chronic symptoms. I look forward to hearing feedback, and am happy to answer any questions you have. Have a wonderful day!

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Rachel ,I notice that you are a volunteer mentor as well as a graduate of the PRC.
What is the role of a mentor in this context? Help in coordinating and directing the general conversation or individual help for people such as myself who are considering a jump into an evaluation and application?
I do have questions about the PRC process …some are about nuts and bolts , some about process and some about $$ .
I have the phone numbers of Rachel in Phoenix and Erica in Fl . Where best am I directed ? Demographically , I’m a 62 yr old male , ex Emerg Physician and type A personality ,still pretty bitter and twisted at the random circumstance that has landed me at the bottom of the chronic pain cycle of misery having been at the top of my game before a tiny little sensory nerve got tweaked during a routine ACL repair . Fickle finger of fate , indeed . As you say in the video ,I’m guessing I’m not special and you’ve seen it all before . Guess I have to tuck all that away somehow to succeed in your program …sounds very difficult.

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@alh123

Rachel ,I notice that you are a volunteer mentor as well as a graduate of the PRC.
What is the role of a mentor in this context? Help in coordinating and directing the general conversation or individual help for people such as myself who are considering a jump into an evaluation and application?
I do have questions about the PRC process …some are about nuts and bolts , some about process and some about $$ .
I have the phone numbers of Rachel in Phoenix and Erica in Fl . Where best am I directed ? Demographically , I’m a 62 yr old male , ex Emerg Physician and type A personality ,still pretty bitter and twisted at the random circumstance that has landed me at the bottom of the chronic pain cycle of misery having been at the top of my game before a tiny little sensory nerve got tweaked during a routine ACL repair . Fickle finger of fate , indeed . As you say in the video ,I’m guessing I’m not special and you’ve seen it all before . Guess I have to tuck all that away somehow to succeed in your program …sounds very difficult.

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@alh123 A mentor's role is to welcome members and encourage conversation through compassion, sharing and caring. This may be done through personal experience, reputable resources, or by connecting members with similar situations or locating prior conversations that may be impactful. Mentors are not medically trained. We do our best to share the knowledge and experience that we've gained along our journeys in hopes that other members join the conversations and support each other.

I started out like you, coming to Connect to seek information about my diagnosis. I found a caring, knowledgeable group of people in @colleenyoung, our Connect director, our moderators, mentors and members. While I was a member, I attended Mayo Clinic's Pain Rehab Center. When the time felt right for me, I had been asked to come back to Connect in a mentor role and share my personal journey and rehabilitation experience to help others. I wanted to pay it forward so here I am. 😊

I have no role in coordinating, but can offer you this application link for Mayo Clinic where you can be directed accordingly:
http://mayocl.in/1mtmR63
If you wish to directly contact either of the two numbers you mention, it's best to chose the location you'd most likely consider attending. Mayo staff is very helpful and friendly and will definitely get through the nuts and bolts of your questions.

Here is a discussion I began in 2020 prior to going to PRC. You may find some helpful info woven throughout:
https://connect.mayoclinic.org/discussion/central-sensitization-please-share-your-stories/
And a more descriptive conversation about my experience with PRC:
https://connect.mayoclinic.org/discussion/mayo-pain-rehabilitation-program/
Please know that I understand how you feel about the fickle finger of fate and the chronic pain cycle of misery. You are not alone my friend in this shock of a plot twist. As a matter of fact, us Type A's know each other quite well and the PRC is full of them because those are typically the type of people who can't accept no for an answer and drive ourselves out of our minds seeking perfection when there can't always be. Good luck with your phone calls. See if PRC makes logistical sense first then go from there. Keep hope alive!

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