​Let’s Talk About Pain

Part 1
This will be a discussion of pain; some accumulation of material on the science of pain, how the body reacts to it, define pain types, multimodal/complimentary approaches for non-drug therapies, a review of different prescription non-prescription medications, and introduce A Pain Free Day with CopperPowerRx (APFD) analgesic as a part of an advanced pain treatment plan, offering a safer, better choice, and improves outcomes. Remember, it may take different approaches, combinations, and trials to  get a personalized plan, for your pain management, which works. Look for support when you need it or if your plan is not working. Always check for drug interactions, when adding any type of Rx or OTC medications.

A holistic route, away from pain, can lead to a celebration of wellness of mind, body, and spirit achieved by being empowered with information that can help
The following information will assist in setting goals, improve an approach to controlling pain, and help change your life for the better by managing pain safely and effectively. The objective is to contribute to shaping a personal formula for quality pain management, and open a safe road to a functional healthspan, with pain under control.

Take control of your pain with #1 Natural pain relief product: A Pain free Day with Copper PowerRx topical analgesic,
With advanced technology, it opens a new path and invites you on a journey towards a pain free day and a healthier, more enjoyable life.
We recommend using A Pain Free Day with Copper PowerRx (APFD) advanced pain relief topical analgesic throughout any type of pain management treatment, for any type of pain and stiffness, acute or chronic; or use it to help protect a previously injured area.
If severe pain persists for more than two weeks, especially from an unknown source/condition, contact a physician or healthcare provider.

Pain is one of the greatest deterrents to pursuing wellness and achieving an improved, happy, functional healthspan. Pain management has become immensely important, due to prescription and OTC safety issues that have come to the forefront, the opioid crisis, the lack of effective treatment options, and some resulting negative effects on mental health. We also see pain as having an extreme negative impact on wellness, and a roadblock to health improvement due to its detrimental effects, physical and mental. Pain has direct, adverse effects on quality of life.

About APFD: This analgesic is a composite of natural adaptogenic substances employing a multifaceted approach that addresses the entire pain cascade, supporting the relief of pain and stiffness due to injury and inflammatory conditions. This analgesic aims to address problems of the disease state, not just symptoms
Most products for pain are chemicals that may block a pain pathway, or inhibit the production of certain pain inducing reactions. APFD’s developers evaluated the entire pain process across the pain cascade, and how the body reacts. It is the understanding of this process that has led to developing this original analgesic, and the choices of its natural ingredients. The product was built to assists the body by providing natural elements which the body recognizes and can quickly utilize, working synergistically, which leads to a multifaceted approach to relieve pain, stiffness, and inflammation.

The product is a patented, proprietary, active organic-complex, having an independently published clinical trial (from Tufts University) that showed it to be safe and effective, as a first-line or adjunct treatment, demonstrating over a 59% reduction in pain level. Superior to most analgesics. A reliable course to take when pain first strikes, or has been unsuccessfully contained. This clinical trial data can be added to the many positive outcomes reported in hundreds of anecdotal success stories, from patients who have used this analgesic and found relief from all types of pain.

Consider this analgesic a part of the restorative process, assisting you on a journey to achieve a pain free day. Use this product as a valuable tool in fighting pain, along with information on how to expand or develop pain management treatment options.
APFD deep penetrating analgesic assists in the easing of inflammatory pain disorders
in the following ways:
Helps calm, soothe, and alleviate painful conditions;
Aids in the relief of pain and stiffness;
 Helps promote muscle recovery and relaxation;
Serves to hasten healing times, by reducing pain.

Pain overview: An analogy will be used that may be an oversimplification, but somewhat helpful for this overview of pain:

Consider your body as your personal city that houses a private chemical plant which keeps the city functioning. It is a vibrant city with the primary business of running the chemical plant that supports the  life of the city that grows and flourishes. Externally, there is the structure with a facade (skin) wood, stucco, concrete keeping things secure, having windows and places for incoming and removal, etc. The infrastructure of bone muscles, and tendons give the structure stability and form. All of this is sustained by the highly automated chemical plant, having many hundreds of chemical reactions occurring every minute, automatically, reacting to daily needs or problems that are encountered. Your genes and lifestyle dictate the condition of the equipment that must function to maintain the city/body. The brain is the dispatch/control center. It knows all of the functions and responds to external and internal events. All systems receive messages from the brain and react to the brain’s signals, spontaneously. The gut is the processing/fuel center, sorting what comes in and sending it to where it is needed, in a proper form, or pushes it out. The gut has other helper organs in communication: liver, kidneys, pancreas, etc., and a special connection along the gut-microbiota-brain axis. It has contact and a direct relationship with all areas and workings of the city. The vascular system responds as a highway for distribution to all locations. The heart is the pump keeping things moving. The nervous system/neurotransmitter is the electrical system that delivers powered communication signals, coordinating and maintaining functions. Of course, intake of fluids (hydration) and export of waste (bowel movements) are vital to the operation and must work on a regular daily schedule. The spirit is the glue, vision, and hope that the city can flourish.
So, what does all this have to do with pain? As we go on, it will become clearer and easier to understand.

What is Pain
We discuss it, see it, measure it, and struggle with it—pain is real and relentless. Pain is defined by the NCCIH as: “…the most common reason for seeking medical care. It is also a common reason why people turn to complementary and integrative health approaches…” “The medical profession, too, has often declared itself frustrated at pain’s indescribability. “It would be a great thing to understand Pain in all its meanings,” Peter Mere Latham, physician extraordinary to Queen Victoria, wrote, before concluding despairingly, “Things which all men know infallibly by their own perceptive experience, cannot be made plainer by words. Therefore, let Pain be spoken of simply as Pain.”” From the New Yorker: The Neuroscience of Pain, By Nicola Twilley; Annals of Medicine; July 2, 2018, Issue “Brain imaging is illuminating the neural patterns behind pain’s infinite variety.”

Pain is a significant public health problem and is clearly a major contributor to escalating healthcare costs…poorly addressed and lightly discussed. Seven-in-ten Americans feel that pain research and management should be among the medical profession’s top priorities.

The CDC reports that one third of persons in the U.S. will experience severe chronic pain in their lifetime. Five 5% of children, thirty-eight 38% adolescents are a part of the thirty-nine 39% of those with chronic pain that are diagnosed with high-impact chronic pain. Chronic pain affects vastly more Americans than any other health condition—over 100 million, plus the additional twenty-five million experiencing short-term acute pain. The cost to society is roughly $635 billion annually
People receiving medication or a procedure for chronic pain report only 25 to 30 % relief. Nearly half of American adults have received a prescription medication, in the past month, and about half of patients receiving prescription medications are also taking OTC products, which can be hazardous when mixed. Drug overdose deaths from pain medications continue to rise, with the elderly being more vulnerable to the hazards of medication.

Analgesics are by far the most popular class of OTC medication. Over 60% of pain sufferers self-medicate. Children and the elderly seem to receive inadequate pain treatment; women are more likely to have pain disorders than men; pregnant women are typically excluded from pain management trials.

Aside from the misuse, abuse, and diversion of pain medication, many people suffer from inadequate control of acute or incessant chronic pain. The managing of acute and chronic pain involves balancing pain treatments, drug interactions, side-effects, and other health issues/conditions, but also includes addressing the challenges of despair, depression, hopelessness, deaths brought on by the human conflict with pain.
Pain treatment is important because pain can adversely affect wellness, healthspan, function, the quality of life; mentally ((ADD, anxiety, stress, PTSD, loss of self-respect, fear, addiction, psychosis, etc.),  physically (loss of mobility productivity and lifestyle, premature aging, altered oxygen consumption, inadequate tissue perfusion, impaired wound healing, hemodynamic derangement, hormonal imbalance, hyperglycemia, altered immune function, eating disorders/poor gut health, other health issues, death from medication), emotionally (depression, insomnia, hopelessness, loss of friends, isolation, anger, suicide, etc.), economically (costs of medication and healthcare, loss of work, etc.). Pain can be devastating to mental, physical, and spiritual wellbeing, especially if addiction has stepped in.

Managing pain requires engaging in a steadfast approach because it can be a lengthy process, since the damage causing pain does not vanish overnight, nor does the trauma it may have produced.

So exactly what is pain? Pain is a body’s warning system (the fire alarm) and part of the defense mechanism that is a result of external or internal negative stimulus to the body’s structure. Negative stimulus can be any type of trauma, tissue injury, injury to joints or soft tissue, muscle damage, disease, infection, other sources. This trauma leads to pain, acute or chronic, and produces inflammation. Where there is inflammation there is pain.
No matter what the negative stimulus is, the body responds in the same manner and uses the same mechanisms/chemical reactions. Some responses need to be greater than others—a cut, a broken leg, sinus infection, arthritis, back pain, bladder infection.
There can also be disorders where good inflammation can turn into a serious form. This is one that hangs undetected in the body and can contribute to devastating conditions such as heart disease, stroke, cancer, dementia, diabetes, autoimmune diseases, and others. We will only deal with pain.

This assault on areas of the body/city triggers a series of automatic chemical reactions that rush through the city’s system and alerts each section. With all of the city’s systems healthy and ready, pain lets the brain know there is a problem, and help is needed. The brain receives the message from the nervous system’s neurotransmitters. Recognizing the problem, the brain alerts the vascular system and sends out vascular triggers throughout the circulation which starts the many chemical reactions and gathers help essential to defend the structure, fight the injury/destruction, and recover/rebuild.
The inflammation (to fight at the site of injury) and anti-inflammatory (to clean up and heal) responses go directly at the site of the injury.
The body’s inflammatory response releases inflammatory mediators (collects and releases bioactive vasoactive amine modulators promoting inflammatory responses from multiple systems of the body.) There is ongoing tissue damage and pain due to the continuing complex chemical reactions, along with tissue necrosis, immune reaction, swelling, heat, irritable nerves and muscles, and more).
Injury/inflammation is characterized by this complex process moving to the site of pain. This increases vascular permeability and fluid exudation, plus a series of actions that are a part of the chemical reactions to negative stimulus that will produce inflammation.
Though some of this can be looked at as a negative because there will be redness, swelling, more damage, and increased pain at the site of injury, the response is needed to fight the cause of the negative stimulus/damage. If there is bleeding or an organism causing an infection, this reaction will try to stop it. If it is an internal injury, it will try to keep the area/city protected.
Also in response, the body sends out an anti-inflammatory control response, to limit and stop the pain and inflammation. This response is for cleanup and healing, with its own series of reactions Simply put, the anti-inflammatory control response is sent to clean up, reduce pain, promote healing, and continue to control the accumulation and activation of other inflammatory cells. It works to heal bone breaks, clean up sores, repair muscles and tissue, fight invading organisms, remove what is causing destruction and pain.

These processes are maintained by the body until the damage is repaired and pain is relieved. Sometimes the negative impact goes on too long and becomes too difficult for the body to clean up and overcome. This is where the problem can become chronic. Acute injuries, if unattended, can become chronic. Before this point, pain treatment and management is important. It becomes even more important if the pain is chronic, so that further damage can be avoided.

Defining Pain
Tissue injury and subsequent inflammation represent a complex series of pathophysiological events resulting in the characteristic signs of heat, redness, swelling, and pain. Inflammation is present in virtually all pain syndromes, which includes arthritis, bursitis, tendonitis, muscle sprains and strains, low back pain, TMJ disorder, and RSI such as carpal tunnel syndrome, with neuralgias, etc. Also, trauma damage, over-use, and diseases are types of injuries to the body that provoke the inflammatory process. There is subjective pain sensation, at the site of injury, with nerves detecting changes in the tissue and sending electrical signals to the brain. Then there is sensory pain discrimination, from the tissue injury, that is a result of the release of multiple inflammatory mediators. Inflammation impacts many pain pathways, activating the vascular and neurotransmitters, resulting in pain sensation. This can lead to the damaging of cells at the site of injury.

All pain triggers an inflammatory response. Limiting inflammation is a key part to limiting pain, lessening damage, and promoting healing.

Acute pain comes quickly, but does not last more than 6 months. Some examples are jaw pain-TMJ; smashing a finger in the door; tennis elbow; golfer’s shoulder; long bouts of typing at work and your wrist is stiff and sore- RSI; back hurts from carrying the kids all day; hands hurt from many hours of hammering; feet are sore from standing all day; too much bending or walking; sprained ankle; strains; tired muscles; tendonitis; sciatica; all types of acute sports injuries/sprains, delayed onset muscle soreness (DOM), etc. These varieties of pains can pop up unexpectedly, but turn into chronic pain if unattended.
With immediate attention and the deep penetrating action of APFD, you can quickly, easily, and safely address the symptoms before they progress, and promote a quicker recovery.
Chronic pain
 neurons in the pain pathway remain in a state of high reactivity, over 6 months. Arthritis, neuralgias, low back pain, joint pain, soft tissue injury, headaches, past traumatic injuries and accidents, long-standing RSI or TMJ, pain in knees, hips, shoulders, fibromyalgia; sciatica, some pain from unknown origin These are the  persistent pains you live with and treat on a daily basis. You will note that some of them can start as acute, but can lead to chronic pain if ignored. They can range from mild to severe. An estimated fifty million Americans suffer with chronic pain.
In either acute or chronic, pain can be described in many ways—steady, throbbing, stabbing, aching, pinching, shooting, numbing, just an annoyance, etc.
High Impact pain is chronic pain that is debilitating and is linked to major limits of one’s ability to work or perform daily duties. Almost 20 million Americans have high impact chronic pain. Along with severe pain, there can be mental health problems, diminishing cognitive ability, and an association with higher and more diverse health care needs.
APFD deep penetrating analgesic can be used at any time, with any pain management treatment. It is best used daily and regularly, when chronic pain and stiffness persists, and any time when break-through pain occurs.

Nociceptive pain is the most common physical pain caused by a negative stimulus. Nociceptors are the pain receptors located all over the body. The pain can be acute or chronic. Throughout the body (skin, internal organs, muscles, etc.) they send electrical signals to the brain, resulting in the feeling of pain. This pain can also be grouped as visceral or somatic.
Visceral pain is a result of injuries to internal organs, and sometimes hard to pinpoint. Appendicitis and irritable bowel syndrome are examples. The pain can be accompanied by nausea, vomiting, temperature, blood pressure, blood sugar increase, etc.
Somatic pain is due to stimulation of the pain receptors in tissues, and are easier to pinpoint, but can be deep or superficial, and constant. Examples are skin, muscle, joint, and would include issue tear, cancer, sores, fractures, osteoporosis, cuts, arthritis.
Neuropathic pain is from a damaging dysfunction of the nervous system. Not necessarily a response to a specific injury, but a misfiring of nerve signals, like an electric shock. Diabetes can be a source of neuropathic pain, but also accidents, infections, nerve compression, etc. and could accompany somatic pain.

Pain will put all systems of the city on alert and start the defense and rebuilding process.
The following information is put together as a guide to help you find where you are with pain management, what your body is doing, and how to help fuel and improve your body/city and chemical plant.
*Start by assessing your pain level with a pain scale and monitor your pain daily.
*Use the enclosed pain rating scale.
*Go through the steps to find where you are on the path to pain management.
*Define what you feel. Is it achy, tingling/numb, sharp/stabbing, burning, shooting? Does it result in nausea, vomiting, incapacitation, sweating? Is the pain better or worse at various times of the day? Does your pain prohibit you from doing the things you enjoy, or everyday tasks? Are you taking too many pain medications and not getting satisfactory relief? Are you stiff when you get up in the morning? Do you want to reduce the taking of so many oral medications? What parts of your pain management treatment are missing? Can you go back to doing reasonable daily activities? If you have a healthcare provider, make sure they know exactly what problems you face, and how effective you are at managing your pain. If you are managing your pai on your own, it is especially important that you define and monitor your pain, and know what problems you face.

#1 Choice: A Pain Free Day with CopperPowerRx as the first innovative technology in a natural topical pain relief is always safe and effective.
Treatment approaches to be discussed will include pharmacological measures such as analgesics, antidepressants, and anticonvulsants, either prescribed or non-prescription medications; non-pharmacological measures interventional procedures, chiropractic therapy, physical therapy, occupational therapy; acupuncture, physical exercise; therapeutic and self-massage; devices and braces; Yoga; Tai Chi; limited application of ice and/or heat, braces/splints/etc.; mind-body techniques—psychological/psychological measures, such as biofeedback, cognitive behavioral therapy, art/music therapy, reading poetry, replenishing the spirit, and aroma therapy; and natural complimentary products for body health from gut to brain.

 #1 Choice: A Pain Free Day with CopperPowerRx a natural topical pain relief shown to be a safe and effective
This analgesic aims to address the problems of the disease state, not just the symptoms.
It was built through intense research and strong science encompassing the body’s pain/inflammatory systems. By using innovative technology, a novel approach, the study of mechanisms addressing components of the pain cascade, this analgesic evolved to help the body, at the site of pain, working synergistically to aid in the fight against pain producing elements by bringing materials to augment cleaning and rebuilding. This generated a multifaceted path to relieve pain, stiffness, and inflammation—naturally, safely, effectively, and get one pain free more quickly. Changing People’s Lives for the Better

Informational additions follow in Part 2, to provide some well-established pain relief techniques that can be used to help manage pain. and show how APFD can be used as a complimentary and effective solution when added to all pain relief techniques. Acute and chronic pain can be manages. APFD can become an active part of one’s personal goal for defending and recovering/rebuilding a healthy body/city and can be added to all treatment approached.

                                                      Take Control of Your Pain
Part 2       
The following remarks describe some well-established pain relief techniques that can be used to help manage pain and show how APFD is a complimentary and effective solution when added to all pain relief techniques.

#1 Choice: APFD
for a clearer path to a full and active life, and a pain free day
Some treatment approaches to be discussed will include pharmacological measures such as analgesics, antidepressants, and anticonvulsants, either prescribed or non-prescription medications; non-pharmacological measures interventional procedures, chiropractic therapy, physical therapy, occupational therapy; acupuncture, physical exercise; therapeutic and self-massage, Yoga, Tai Chi, limited application of ice and/or heat, braces/splints/etc., pain reduction devices; mind-body techniques meditation, psychological/psychological measures such as biofeedback, cognitive behavioral therapy, art/music therapy, reading poetry, and aroma therapy; and use of natural complimentary products.

You have assessed your pain, in Part 1, so now we look at supporting the body, your personal city that has been worn by pain, and refuel all of its parts. The initial assessment should include diet and sleep. Of course, it needs to be revitalized, since it is the processing/fueling centers for all the body’s functions. With this it is to be understood that all of the pain relieving processes depend on the body having the ability to function properly and have the fuel necessary to complete the job. A poorly nourished gut, from a decrease in good microbes brought on by poor eating habits, intake of destructive ingredients or substances,  and decreases in prebiotic intake will lead to metabolic deficiencies, and a break in the body’s communication and other systems. The gut-microbiota-brain axis keeps communication open along the nervous system. This will not only limit the body’s ability to fight pain, but also to maintain other organs that fight diseases. How is the body doing? Once you know this and fix what may be crucial, you can address the pain with some confidence in better outcomes.
As you read on, the various steps and options that are expressed all effect parts of the events that occur and are used by the body to stop pain.

Some options and steps to take.

1. Identify/define the underlying trauma/injury or pathology: in cases of chronic pain there will usually be a physician’s diagnosis, plus an evaluation and treatment plan. In less serious cases, there may be a self-defining of a known problem, such as the result of an injury or accident. Most people self-treat painful conditions. In any case, it is important not to continue traumatizing or reinjuring the area. Hot/cold packs, along with APFD analgesic, are sound first-line choices when acute pain, due to sudden trauma/injury, occurs. Limit hot/cold exposure time, in order not to damage skin tissue.

2. Include a multifaceted approach to ease the anguish and improve the quality of life when living with chronic pain:
*Medication-prescription (Rx) or non-prescription (OTC) should be taken only as directed and not mixed with other pain medications unless reviewed by your physician or pharmacist, because there can be drug interaction and adverse events when Rx and OTC products are indiscriminately mixed. Medication treats injury and its pathology to enhance and speed healing and treats difficult symptoms, such as pain, to relieve suffering during the treatment and healing process. When a painful injury or pathology is unaffected by treatment and persists, when pain persists after healing, or the continued cause of pain cannot be identified, the mission is to  engage every method to relieve the hurt, safely. You may be prescribed oral Rx and OTC (NSAID and/or Omega Fatty Acids). We will list some of the medication options below. Any other medication you take or wish to add should be evaluated by your physician or pharmacist.
Talk about your problem, the medications that you are taking, and what you wish to add. If you are taking prescription medications for problems other than pain, discuss adding any OTC pain medication with your pharmacist. It is important to know whether the OTC product will have any adverse effects, or interact with any of your other medications. When taking multiple medications throughout the day, be safe, use a pill organizer to help eliminate accidental overdose.
APFD analgesic is always a safe addition to any pain management treatment, especially when there is breakthrough pain, but it can also be used alone as a first line treatment. It is imperative, in order to keep on track with one’s pain management goals, that a personal breakthrough/flare up plan be initiated.
* Self-massage is a highly effective treatment. This works exceptionally well with APFD. There are also many distinct types of massage devices. They work differently, so you should study their value before investing in one, but appliances are not essential. Do take the time to incorporate the benefits of massage. Massage therapist can help you get started—bring along your APFD.
*Chiropractic treatment may be recommended or prescribed by your physician, especially when there are problems with the back. Acupuncture can also be included to gain positive results, along with ultrasound. APFD can be used prior to your treatment, in critical areas, or have your chiropractor apply it.
* Physical therapy occupational therapy, massage therapy, along with specific prescribed exercises, keeping the affected area mobile relieves pressure on the injured area, helps alleviate pain, and improves healing. Specific exercises address different pain locations and types: back pain, frozen shoulder, feet, post-surgery, bone breaks, inflammatory diseases, RSI, etc. They should be continued, regularly, at home according to a physician or therapist’s instructions. Use APFD analgesic pre-exercise or with other therapy, to aid in relieving the additional pain that can be produced during treatment. APFD can assist in delivering optimum outcomes and faster healing times.
* Orthopedic braces relieve pressure, prevent continuing injury, help support traumatized areas, and are used to protect distressed areas. Braces, compression wraps, splints, or other supports, can be used for acute or chronic conditions; use them safely. APFD can be applied before and after using support. Only use compression when you are active. Maintaining proper circulation is essential.
* Exercise or other physical activity, is vital and beneficial for a healthy lifespan, but plays an especially significant role for pain patients by offering improved pain control. Exercise can increase the pain threshold and reduce pain intensity. Immobility, for more than 2 days, has never been shown to be favorable. Physical activity reduces joint stiffness, muscle tightness, helps blood circulation, shows some increase in the body’s natural central opioid system, improves mental outlook, improves sleep, and reduces pain.
Different pains receive distinct types of exercises, and exercises can be prescribed for the distinct types of pain. They can include aerobic/endurance, resistance/strength/flexibility movements, pool therapy, stretching, core strengthening, etc. Warm up first. Know your limits. The right exercise balance is important; do not overdo. You can include walking, biking (stationary or mobile), swimming, Yoga, Pilates, Tai chi, sitting exercises, and other low-impact exercises. Strength training hinders chronic inflammation, a cause of pain. Training with a resistance exercise band can help deliver many types of low-impact core exercises. These exercises can be done while sitting. Find good, seated workout videos from a reliable source (a university, Silver Sneakers) on YouTube. If you don’t  have access to YouTube, ask your pharmacist or other healthcare provider to find some exercises for you. Use APFD before and after exercises.
There are also exercises for specific parts of the body, like the spine. Some research shows tuina therapy plus yijinjing exercise was more effective than tuina therapy alone for pain, functional recovery, and anxiety. Tuina consists of soft tissue manipulation (eg, pressing, pushing, kneading) coupled with spinal manipulation. Yijinjing puts emphasis on the coordination of posture, meditation, and breathing.
* Physical and mental maintenance: eat well (add foods that help fight inflammation and build a healthy body/city), follow good hygiene practices, and get proper amounts of sleep. Engage in a physical activity that you will enjoy and can accomplish without further injury. Indulge in humor. New VR devices are coming out that can be considered for chronic pain.
If needed, look into relaxation techniques that can be added to your daily pain management plan: mind-body techniques, biofeedback, TENS unit, cognitive behavior therapy, music, reading, aroma therapy. Music has been shown to help lessen acute and chronic pain, including pain from dental and medical surgery, labor and delivery, and cancer. How the brain produces pain reduction is unknown, but when played at a low intensity, music reduced pain sensitivity.
Meditation engages a strong network, in the fight against pain, that synergistically links the energies of mind and body to help conquer the pain. Take time to learn and use meditation techniques as part of your pain management. Relaxation techniques should be incorporated into your daily pain management treatment. “A team of researchers at Stanford University reports evidence that people who engage in cyclic sighing breathing exercises see a greater reduction in stress than those engaging in mindfulness meditation.”
Social connections are particularly important. It does not have to be a large step. Start small, get out and go to shopping areas and mingle. Progress into other social activities
Sleep is critical to healing. It allows the body to reorganize and rejuvenate in a study, a link between pain and overactive pyramidal neurons during sleep showed that good sleep silenced the overactivity and could prevent persistent ongoing pain. Seek professional support should there be a problem with sleeping or mental issues worsen.
*Regenerative Injection Therapy, there are several types. Consult with your physician to find out if any will be of value in treating your pain.
*Spinal cord stimulation (SCS) is endorsed to the direct inhibition of pain transmission in the dorsal horn, though the mechanisms by which SCS reduces pain cannot be fully explained. The FDA has cleared SCS devices for chronic back pain.
* Surgery is most often a last resort, when recommended by a physician, to correct a chronic problem.

3. Protect previously injured areas. Even after healing has occurred and pain is low, use APFD analgesic and appropriate support, to aid in protecting the previously damaged areas from future stress and injuries.

4. Coordinate efforts/treatment modalities/support: either by yourself or with others, professionally or at home. Set goals. Coordinate what you have learned into a part of your daily routine: nutrition, medication, hygiene, exercise, relaxation, rest/sleep—physical and mental. Incorporate anti-inflammatory foods into your diet. Eat chocolate. If you cannot achieve your goals, look for support, and start over again. Your pharmacist is always available to review your options and progress, and answer your questions.

5. Make A Pain Free Day with Copper PowerRx analgesic a part of your daily pain management treatment routine, and a basic part of your travel/sports bag or take-along emergency kit, and  Never Lose a Day to Pain.

6. Medication
Always consult with a pharmacist or your healthcare provider, when adding any OTC or Rx product to your pain management program, to avoid adverse drug events or drug interactions.

Aspirin is the standard by which all other analgesic/anti-inflammatory, anti-pyritic medications are measured. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that works similarly to other NSAIDs, and it is also an antiplatelet, suppressing the normal functioning of platelets. It is effective in treating pain, fever, or inflammation. It is frequently used after a heart attack to decrease the risk of death; sometimes used long-term to help prevent heart attacks, ischemic strokes, and blood clots in people at elevated risk; a prevention strategy for certain diabetic conditions; and it may also decrease the risk of certain types of cancer, particularly colorectal cancer. For pain or fever, effects typically begin within 30 minutes.

Dosages, which can be significant, may have side-effects that are limiting factors. It should not be taken by anyone with a history of stomach or intestinal bleeding, a bleeding disorder such as hemophilia, or if one has ever had an asthma attack or severe allergic reaction after taking aspirin or any NSAID. Aspirin should be discontinued by mothers in late stage pregnancy (this is true for all NSAIDs). It can pass into breast milk. It should not be used in combination with other NSAIDs. It should not be given to children or teenagers with fever, flu symptoms, or chicken pox. Salicylates can cause Reye's syndrome, a serious and sometimes fatal condition in children. A physician should be contacted by anyone taking regular doses of aspirin, if any of the following side-effects occur—black, bloody or tarry stools; coughing up blood that looks like coffee grounds; severe nausea/vomiting, or stomach pain; fever lasting longer than 3 days; swelling, or pain lasting longer than 10 days; hearing problems, ringing in ears.
Protect your stomach: take an enteric coated aspirin and with food.
APFD is a safe addition that can help limit pain and the need to increase aspirin dosages.

NSAIDS are particularly important and effective in controlling pain and inflammation. Use of nonsteroidal anti-inflammatory drugs (NSAIDs), for over 3 months, can be associated with rates of gastric ulceration between 15% and 35%, although many of these ulcers may not be clinically significant. The elevated risk for cardiovascular events associated with NSAIDs, recently prompted the US Food and Drug Administration to issue a stronger warning regarding these drugs. It is stated that if taken regularly, NSAIDs can be expected to add seven to eight cardiovascular events per one thousand patient-years among adults with moderate cardiovascular risk, and there is greater risk associated with the use of NSAIDs among patients with known cardiovascular disease. A recent study published in BMJ demonstrated a 60% increase in the 30-day risk for intracranial hemorrhage in individuals taking antidepressants plus NSAIDs vs antidepressants alone. Liver enzymes should be checked periodically. Chances of VTE is increased in patients treated with diclofenac, ibuprofen, and rofecoxib, but not naproxen. NSAIDs may be used in combination with other OTC medications, so reading ingredient labels is particularly important to avoid overdoses. Other drug interactions also need to be assessed, so contact your pharmacist before adding new medication.
Protect your stomach, take with food.
The FDA has issued a recommendation for pregnant women to avoid use of NSAIDs at twenty-weeks or later. APFD is a safe addition to use with NSAIDs.

Acetaminophen, widely used for pain and fever, has recently earned a black box warning, from the FDA, due to the association of its use with increased liver disease and failure. Acetaminophen can be used for pain, but does not have the anti-inflammatory properties of aspirin and NSAIDs. For those who cannot take NSAIDs/Aspirin, it can be used to help with pain.
It has been stated that one-half of all acute liver failures are caused by drugs, and 80% of them are cause by acetaminophen. Again, read the labels when adding medication, to avoid an overdose, because many products for other illnesses also contain acetaminophen. A Feb. 2022 study showed that acetaminophen can raise blood pressure when taken regularly. Another study showed that the maternal use of acetaminophen demonstrates a possible increased risk of ADHD in their children. Other warnings have been published for pregnant and breastfeeding mothers. Take it prudently. APFD is a safe addition that can help limit pain and the need to increase the acetaminophen dose.

Pain Cocktail, prescribed by a physician, can include some of these medications, especially with neuropathic pain--Gabapentin  increases GABA synthesis but has new warnings, tricyclic antidepressants, serotonin reuptake inhibitors, pregabalin, and clonidine are used as part of a pain management “cocktail.”

Lidocaine topical helps prevent conduction of pain, by blocking voltage-gated sodium channels within the neuronal cell membrane. The transdermal patch may not be appropriate for patients with diffuse or poorly localized pain. Even at the higher prescription dosage, there has been a lack of efficacy data. There can be skin irritation, with Lidocaine usage. Use APFD, but always watch for skin irritation and avoid eyes, broken skin, mucous membranes, delicate areas.
Wash hands after use.

Capsaicin topical: interacts with sensory afferents through the vanilloid receptors, depletes substance P, and also induces cellular degeneration in the skin. There is limited evidence supporting efficacy, and 63% of patients report erythema, and 42%  tell of pain at the application site. It is not effective for all types of pain and can take 2 to 4 weeks for benefit to be seen. A clinical trial showed capsaicin is ineffective for TMJ. APFD is effective for TMJ.

Opioids, one of the most commonly prescribed and effective medication for pain,  works by binding to opioid receptors at the level of damaged tissue, interacting with the nociceptors to prevent pain signal transduction. Some of their adverse effects have been widely discussed, make the news headlines, and are said to be responsible for more than one death every thirty-minutes, though the largest numbers come from illegally obtained opioids and designer combinations.

Chronic pain treatment may lead to the necessity of prescribing long-term opioids. First, an assessment of realistic goals, appropriateness, and your expectations, should be set. Because of the serious risks with inappropriate opioid use, the CDC has published guidelines in the use of opioids for chronic pain, and recommends urine drug screening for patients using opioids. This is not particularly easy, and many pain sufferers who require opioids may be left with untreated pain and a diminishing quality of life.
Common opioids like codeine, hydrocodone, methadone, oxycodone, and tramadol are metabolized by the CYP2D6 enzyme. Difference in the metabolism of these drugs has a philosophical and functional impact on their efficacy and side effects. Ultrarapid metabolizers have shown more analgesia compared to normal metabolizers. Poor metabolizers show less analgesia. This makes the choice of opioid and use of these analgesics important and requires monitoring.
Some of the problems seen with long-term opioid use: tolerance, addiction,  abuse, respiratory depression, dizziness, drowsiness, constipation, nausea, vomiting, itching, depression/suicide. Other adverse problems produce poor mental, psychological and physiological outcomes; some adversely affect other disease states (respiratory, cardiac, decreased immune function); there are drug interactions, withdrawal; long-lasting loss of normal body dopamine response, death. Respiratory depression being the most severe and life-threatening adverse effect. Studies have shown that people with dementia have 11 times the risk of dying soon after starting any opioids.

Landmark' Trial Shows Opioids for Back, Neck Pain No Better Than Placebo
Megan Brooks   June 29, 2023
Opioids do not relieve acute low back or neck pain in the short term and lead to worse outcomes in the long term, results of the first randomized controlled trial testing the efficacy and safety of a short course of opioids for acute nonspecific low back/neck pain suggest.
Lancet. Published online June 28, 2023

APFD is a safe treatment adjunct that can help limit pain or deal with breakthrough pain, and can be used with a decreasing dose schedule or in a MAT program.

MAO Inhibitors:  RA can be associated with neuropsychiatric complications, as do other pain syndromes, such as cognitive impairment and depression. There has been research showing that MAO inhibitors can improve cognitive impairment and relieve pain and stiffness in RA patients, by blocking a specific inflammatory enzyme found in the joint and passed to the brain. In the past, follow up studies had been lacking. Current studies with mice found that joint inflammation decreased and cognitive function recovered, with certain MAO inhibitors. This is good news for the future treatment of pain in RA patients.

Omega-3: in studies, polyunsaturated fatty acids have demonstrated that oral intake from pharmaceutical-grade fish oil supplements results in pain reduction. This can be an alternative treatment that reduces inflammation and pain, when NSAIDs and other prescription pain medications cannot be taken due to extreme adverse medical events. Because of the “blood-thinning” effects of omega-3 fatty acids, patients should be advised to stop such supplements, as well as herbal products with ginkgo, curcumin, or ginger, two weeks prior to any surgical, dental,  or other invasive procedures. APFD is safe to use.

SAM-e S-adenosyl-L-methionine: studies have shown some results in relieving pain similar to NSAIDs. It is a natural component of all cells in the body and affects hormones, neurotransmitters, fatty acids, DNA, proteins, and cell membranes.
It is generally safe and can be used as an analgesic by the elderly (over 75) and those with GI bleed. Things to consider when taking SAM-e: it can worsen underlying agitation, panic, or anxiety; it has not been studied in children or in pregnant or breast-feeding women; there are no known drug interactions; SAM-e may help prevent other drugs from interacting with the liver.
“SAM-e patients taking selective serotonin reuptake inhibitors (SSRIs), monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants, or other drugs that affect serotonin levels should avoid taking SAM-e without the supervision of a physician due to case reports of mania and serotonin syndrome, a serious condition, or other side effects.
Use of this supplement should be avoided if taking other supplements such as 5-HTP or St John’s Wort because these products may also affect serotonin levels.
If you have a bipolar disorder: There have been case reports of mania in patients with bipolar disorder.
If you are immunocompromised: There is a theoretical risk that SAM-e could enhance the growth of a microorganism called Pneumocystis carinii.”*
APFD is safe to use with SAM-e.

, minerals, nutrition, hydration: research has shown some gain with the use of vitamins and minerals for specific types of neuropathic pain—Vit. B12, Zinc, Vit. E, Riboflavin; for specific types of chronic pain—Vit. C, Vit. D, Magnesium. Taking benfotiamine, which is similar to thiamine (vitamin B1),with or without vitamin B6 and B12, can improve pain and other symptoms of the nerve pain caused by diabetes. It is also important to support the health of the body and gut function, to improve the healing process. Prebiotics, special plant fibers in fruits vegetables grains, will help healthy bacteria grow in the gut. Prebiotics work by improving gut microbiome to enhance digestion, support the immune system, and protect against inflammation, enables the gut-microbiota-brain axis communication to work properly, supports the entire body/city. Gut fiber helps produce short-chain fatty acids which improves muscle function and could assist in preventing some chronic diseases, like bowel disorders. There is an immune system controller found in the intestines that reprograms systems to interrupt harmful inflammation. The gut is a crucial point of the body’s control and communication. Increasing anti-inflammatory foods, in a well-rounded diet, is an effective way to support the body’s ability to fight pain and rebuild.

Remember, regular hydration and bowel movements are vital to the upkeep of the operation and must work on a regular daily schedule.
Many herbal supplements are advertised for pain. Check for drug interaction, with any of your current medications, before adding any.
There is a bond between physical, mental, emotional, and spiritual wellbeing that needs to be completed, just like properly fitting in all of the components of a building, APFD is always a good addition.

Medical marijuana: the cannabis species has shown over one hundred cannabinoid compounds. The most recognized cannabinoids are delta-9-tetrahydrocannabinol (delta-9-THC), and less potent delta-8-tetrahydrocannabinol (delta-8-THC) the psychoactive, and the non-psychoactive cannabidiol (CBD). Marijuana properties show relaxation, sedation, boosted sociability, distorted assessment of time, an amplified appetite for sweets and fatty foods, and an enjoyable “buzz.” With the push for the growing approval of marijuana, as a medicine and a legal intoxicant, there will be an increasing number of patients using marijuana for a wide range of conditions, but particularly for pain. The elderly seem to be the most vulnerable to the sales pitch and adverse effects.
The risk of interactions, adverse effects, and poor adherence to prescribed therapies is a concern. Speak with your pharmacist regarding  the possibilities of adverse effects and drug interactions. Beyond drug interactions, some adverse effects of marijuana are diminished short-term memory; impaired motor skills and driving abilities; depression, psychotic behavior and reduced cognitive function with high dose chronic use; dry mouth; tachycardia, palpitations, hypertension and other cardiovascular incidents; reduced immune system capabilities; uncontrolled hyperemesis; bronchitis and other unknown effects on the lung; addiction and withdrawal symptoms. If cannabis is used regularly, let your physician know. You may experience worse pain and nausea after surgery and may require more opioid analgesia, the group said. “Other recommendations include delaying elective surgery for at least 2 hours after a patient has smoked cannabis, owing to an increased risk for heart attack, and considering adjustment of ventilation settings during surgery for regular smokers of cannabis.”

"Cannabis Use Linked to Epigenetic Changes, Scientists Discover"
The study has been published in Molecular Psychiatry. HEALTH, July 2023, by Rebecca Dyer
…epigenome functions like a set of switches, activating or deactivating genes to change how our bodies function. Without changing the genomic sequence, (or DNA) it changes the activity of genes, making it harder for cells to read the genome instruction manual with these molecular changes in their way. This can be passed on to future generations. One marker that has previously been associated with tobacco suggest a potential shared epigenetic regulation between tobacco and marijuana use.

On a positive note: “a recent study has found that a woman's diet during early pregnancy, especially the consumption of apples and herbs, can protect the brain health of children and grandchildren.”    

Along with aging studies, this study sheds light on the mechanism of multiple epigenetic changes that have been associated with cannabis use: cellular proliferation, hormone signaling, infections, neurological disorders like schizophrenia and bipolar disorder, and substance use disorder.
Increased hospitalizations have been seen. Marijuana is mostly smoked, but also put in edible and topical forms. Oral is less effective. Topical CBD products have been shown not to have much effect.

Consistent strains and pure CBD products are difficult to obtain and not regulated. Also, one should understand that the clinical evidence for efficacy, under the conditions in which marijuana is used, has been seen as limited and inconsistent, and has provided inadequate verifiable results. Since wellness, improved lifestyle, and increased healthspan are goals, and decreasing dependence on opioids is being pursued, it is counterproductive to substitute an unregulated, mentally and physically addictive drug for an opioid. It would be somewhat like switching to your neighbor’s homebrew, instead of “Old Velvet,” thinking it less addictive. Addiction has a direct negative impact on wellness and function.
APFD is always safe and effective.

Regenerative Injection Therapy should be discussed with your physician to determine if this type of treatment can be of any benefit to your type of pain condition.

Nicotine is pro-inflammatory, so its use should be decreased or eliminated.

#1 Choice: A Pain Free Day with Copper PowerRx
Think of what APFD can bring—Relief: Any Time, Any Place, for Any Pain and Any Body; an acute or chronic first-line or adjunct therapy, support when current treatment is not adequate, during transition of care, to aid in protecting/preventing injury, as a warm-up, for an emergency.
For chronic or acute pain, apply early and regularly, before pain worsens. 

A Pain Free Day with Copper PowerRx analgesic is always a safe and effective, a deep penetrating choice or addition to helping to manage pain and increase wellness and function. A natural solution to pain and stiffness, it is easy to use. Keep a supply at home and one in your travel or sports bag for emergencies
APFD will not make you a champion skateboarder,
Will not help you play better football,
Will not turn back time,
Will not make you a dance champion,
It will help you operate at your absolute best and experience a significantly better day, doing whatever tasks you wish to accomplish, putting you on the path of wellness, helping you rebuild a functioning city.

“A day without pain takes a weight off your brain.”—A.H. Leventoff, Get his poetry books on Amazon.

Harvard University has put together a booklet on pain relief without drugs or surgery, plus other valuable information, which can be found at:

Topical analgesics, like APFD, are considered a non-drug approach.