Dr Robert Kachko (@drkachko) 's Twitter Profile
Dr Robert Kachko

@drkachko

Co-Founder, TribeRx | President Elect, AANP | ND, LAc

ID: 2512906809

linkhttps://linktr.ee/drkachko calendar_today27-04-2014 15:50:18

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#fullscriptchat A7: Opportunities for #mindfulness and stress reduction are so key, as it turns down those very same brain regions tied to #chronicpain. Coming back into our body, which we often neglect to protect ourselves from "feeling" pain through the breath/muscle relaxation

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#fullscriptchat A7: Doing this all with others with lived experience, peers like TribeRx can make all of these behaviors far more sustainable with long-term impacts. If you're dealing with #chronicpain you're not alone.

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#fullscriptchat A8: There are so many that can be useful, and most of the time should be well sourced from reputable companies that do batch testing etc. to ensure that what is on the label is IN the bottle.

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#fullscriptchat A8: Once you do a thorough assessment, some common nutrients (depending on personal history and pain condition, ie #migraine vs #OA) include ◦Vitamin B2/B12/B6/Folate, Magnesium, Omega 3s, CoQ10, Glucosamine/Chondroitin

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#fullscriptchat A8: I'm also a big fan of anti-inflammatory botanicals such as curcumin and boswellia for persistent pain. Everything we use has to be both safe and evidence-based as much as possible, and we have large trials these days confirming the efficacy of these therapies.

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#fullscriptchat A8: Importantly, all are not created equal and going on Dr. Google for nutrient/botanical recommendations can often cause more harm than good. Work with a reputable #naturopathicphysician or other Integrative/Functional care provider. Check out American Association of Naturopathic Physicians to find an ND

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#fullscriptchat A9: Work with an ND (American Association of Naturopathic Physicians) or Functional/integrative MD/DO/NP/DC/PT to come up with a plan based on YOUR unique needs with #chronicpain. If they're not taking a #biopsychosocial approach, find a new provider. It matters.

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#fullscriptchat A9: Until the 90s when #opioids became more prevalent and insurance companies stopped willing to cover it, pain management was multi-disciplinary where people would spend 3-4 weeks among a group of others dealing with pain.

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#fullscriptchat A9: These programs would include things like #painneuroscienceeducation, #nutrition, #exercise, #yoga, #acupuncture, #physicaltherapy to take an approach that honors ALL aspects of the body's need to heal.

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#fullscriptchat A9: Similarly, it would include a combination of #CBT or #ACT to address the psychological aspects of pain. TribeRx includes these approaches within the program that healthcare providers can refer their patients to

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#fullscriptchat A9: An integrative approach must involve YOU, the person with #chronicpain, as feeling empowered and having high levels of #selfefficacy improve the outcomes of treatment. Don't ever feel like you can't help to #painproof yourself.

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#fullscriptchat A9: This should also include helping to reframe every patient's mindset around pain and increase tools to help with both physical and emotional aspects of pain. Again, you're not alone. Up to 116 million Americans with pain.

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#fullscriptchat A10: 5. Express your sensations, and allow yourself to really feel them. Journaling and self-expression reduce pain, well proven in the literature.

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#fullscriptchat A10: Work with providers who only source the highest quality nutrients and botanicals, like those available from Fullscript