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Dr. Stephen Grinstead

Author of the Book "Freedom from Suffering: A Journey of Hope" Helping People With Chronic Pain Since 1984

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Are Opioids Really The Answer for Chronic Back Pain?

Check this report I just ran across and let me know what you think.

Onward & Upward,

Dr. Stephen Grinstead http://bit.ly/1qKz4p6 Are Opioids Really The Answer for Chronic Back Pain?

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Dear Dr. Stephen Grinstead.

Over the years, many times I have supported you and your work as indeed I do anyone in the front line of treatment of any illness - let alone Pain.

Often as you always request offering my own thoughts - with the desire to ease the suffering that appears to get worse not better despite dedicated clinician's intervention.

Many times, I am publicly criticised for my opinion on illness and pain - as being a self-confessed Unqualified multi symptom treatment specialist.

May I quote a recent criticism - of which I am always so very delighted to receive and highly respect such people and comments and would so much more if the criticism contained knowledgeable information I could improve my work with.

"How does Mr Peter Smith Talking Cures think he knows whether it's of no value. Or should his comments as a completely unqualified practitioner be taken for what they are, unadulterated nonsense."

Such criticism which almost if not always comes from a Person that has never been in the world of medicine, only as a Patient and despite the very best our most dedicated clinicians have to offer by way of Scientifically Proven Treatments - only in a long-life becomes much worse with many unrelated symptoms - never better.

Or from a dedicated clinician only able to offer the warmth of a handshake relief from Pain - such comments will always be part of my response when I read papers as the one included below and at he link above...

"...Are Opioids Really The Answer for Chronic Back Pain?"

Moreover, remembering it is 2016 I am minded to think qualification of the highest order are far too qualified and only ever self-demonstrate how little is known about the Human Body and its Pains!

Leading to and left with no option but to consider. I am the only Person in History to understand this simple process.

And then; more importantly to develop a treatment regime to accommodate as many symptoms a Person is able to present to include the minute-by-minute change in demonstration of illness/pain symptoms.

Thus, by Utilising a Person own Immune Symptoms - time allowing, bring about a resolution of all of the symptoms.

This process can and must be both Physically and Emotionally Painful. Meaning it is not ever to be considered a Magic Panacea.

If in my Thirty-Three Years of this activity, If I have found and observed anything of value it is painfully clear to me what it is.

1. There are no disease modifying treatments able to cure anywhere in the world - and never will be.

As this quote from the attached paper admirably demonstrates. "Says that more research is needed around the use of opioid medicines for treating low back pain, to understand how the long-term use of opioid analgesics impact patients. “We do not yet understand the effects of the long-term use of opioid analgesics, as no trials have followed up Patients beyond three months.

What I never read is. "Why do we always say this and never look deeper into our continual failure. Are we only looking for that - what we know we will find?

2. "No treatment" last as long as it takes the heat to leave the hand from the warmest of handshakes from a loved or respected friend.

3. As regards medication side effects - whilst we must remember any medication is a Poison and has the ability to kill; it is prescribed with the best intentions to ease suffering.

Yet if we align any medication with Placebo and Nocebo and their collective effects perhaps we are able to see both the Patient and Clinician in their innocents are culpable in the creation of what may be considered as side effects - where in reality they may well be just an adaptation of the original Mind cause; seeking a different understanding as the earlier ones have only been drugged into oblivion.

In addition as Our Mind/Body is the greatest chemical analysts the world will ever see - we know these medication will not be affective as our illness is not in the Body at all it is a process of our Mind following Childhood Emotional and or Physical Traumas.

Harsh and destructive words I hear.

And so they should be - for if we are ALL unable to recognise our Failures how would we be able to know success, when and if it came along.

Along with my long-term findings as in No 1 and 2 - there is another and much more important consideration.

Although a Person with ANY illness would scream. "It is in my Body I can feel it" "Not in my Mind." So I am not going Mad.

This could not be further from the truth. In fact; the more they scream this or Criticise with hollow words myself or Talking Cures, the more they know the true cause of the illnesses they have over their lifetime suffered - but can only remember the Pain; not the cause.

This is a PROTECTION no amount of medication will ever break through.

And will not under any circumstances give up the illness as they think - a Mind thing not Brain, "I will have to return to the original site of the traumas that caused my lifetime of suffering.

Meaning. Do Not Take my Illness Away from me I will Not know what to do without it.

Thus, Pain or illness - even though it can be demonstrated is destroying the Body - is NEVER EVER in the Body at all.

It is no more than a Bad Memory seeking understanding.

Conclusion: If the dedication and skill of The George Institute at the University of Sydney created a definitive CURE for Pain - by adding other descriptions like Back-Pain only confirms the efficacy of the treatment will only last until the bubbles have left the champagne glass at the celebration ball or the heat from the backslapping hand left the creators back.

Kindest regards and best wishes

Peter Smith Talking Cures

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These are updates to the discussion.

George Lindenfeld

I don't believe that talk therapy alters one's pain reaction.

Alternatively the use of a neuromodulated sound has demonstrated up to an 80% pain reduction in numerous patients.

The focus need be directed towards the neuronal network the recycles the pain signal.

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Peter Smith Talking Cures

Whilst I will never deny a Person the right to their opinion - as above, if it does not contribute to the discussion I will only include it in the discussion.

Kindest regards and best wishes

Peter Smith Talking Cures

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Dianne Kay Hermans

Try www.qmagnets.com!

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Peter Smith Talking Cures

Whilst I will never deny a Person the right to their opinion - as above, if it does not contribute to the discussion I will only include it in the discussion.

More importunately this post is no more than opportunistic blatant advertising.

Kindest regards and best wishes

Peter Smith Talking Cures

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Dr. Stephen Grinstead

Thank you Peter Smith Talking Cures;

I'd encourage everyone to read Peter's comments on his link.

We need to have open non-judgmental dialog as we are all coming from different perspectives.

The end goal for me can I help someone.

Onward & Upward,

Dr. Stephen Grinstead

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Dear Dr. Stephen Grinstead

Thank you kind sir for your comments.

Always I open with for me, the correct salutations; in order to respond to the person who made the original posting, the contributor to know I am directly referring to their contribution or in the absence of such politeness - refer back to the original poster of the discussion, as the chairperson.

Whilst I advocate the harsh-truth regarding treatments of any illness let alone Pain as this paper on Opioids demonstrates in its opening lines - I would be wary of making such statements in the public domain as this - without quantifying the intentions. "up to an 80% pain reduction in numerous patients." Especially if I was a renown PhD and a Neuropsychologist.

For the statement leads me to ask such questions:

1. How close is up to 80% to 80%.

2. May we accept for the discussion Up TO really means say 75%.

Then I would Demand to know. "Why is my Ground Breaking Treatment failing with the 25% - what am I not doing right or what am I doing wrong.

These questions then pale into insignificance to...

3. How am I conveying this to all of my Patients/Staff/Students and in so doing creating the very failure - I work so hard not to have.

Or is it the old adage The 80/20 Rule at work.

One takes a population of 100% and they all suffer Pain thus already one knows 80% will improve and 20% will not or 20% will improve and 80% will not.

When one considers Pain is as transient as a Person that lives in Central Park finding a different comfort spot each night or an area that pays the most in handouts.

Is not the therapeutic skill in knowing what to do in the face of an ever changing symptom presentation that is so clever it will not confine itself to just one small Trigger Point but spreads itself more liberally and indeed often as not extremely Loudly.

Dr Steven - it is now Mid 2016 and the only true success we are able to observe from Allopathic Medicine is its total failure to produce anything other than total failure to cure any Brain/Body symptom and huge profits for the privilege of demonstrating the So Called Scientifically Proven Treatments to the unwitting public.

And in doing so Medical Science adequately demonstrates - it knows so very little but believe a lot of what it profess to be Scientifically Proven.

Therefore is it not time we all dropped comments as this. "I don't believe that talk therapy alters one's pain reaction." In favour of informed knowledgeable harsh seeking truth debates about knowledge we do not have; by asking with a PHD like Brain - serious questions.

Then People who suffer may no longer suffer as they do and be financially drained in the process - have we learnt nothing sense the sad long-term death of Howard Hughes.

Kindest regards and best wishes

Peter Smith Talking Cures

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Amanda Shayle

Hey lets all take pills and get dropped by western medicine once the damage is done and they have nothing to offer us.

Shame on those who do not support patient choice of holistic options!

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The Chair You Wear Leslie Spicer

My father told me " he sang songs all the way to the hospital.

After jammed his thump splitting wood . He said " it takes the maid off the pain " . I'm sure there are many way to deal with pain.

Finding the right 1 is the hard part.

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Opioids are pain in the back:

Study By EH News Bureau on May 25, 2016 It also demonstrates that many patients do not tolerate the medicine, with half of the trial participants withdrawing because of adverse effects to the medication or lack of effect.

A new research from The George Institute for Global Health and the University of Sydney has found that opioids painkillers, a common treatment for low back pain, provide minimal benefit.

The findings of the systematic review, published in JAMA Internal Medicine, also demonstrate that many patients do not tolerate the medicine, with half of the trial participants withdrawing because of adverse effects to the medication or lack of effect.

Professor Chris Maher, Head of the Musculoskeletal Division at The George Institute for Global Health, says the review provides some unique insights into management of low back pain. “For people who can tolerate the medicine, taking an opioid analgesic such as oxycodone will reduce pain, but the effect is likely to be small.

This result reinforces the recent US Centers for Disease Control and Prevention (CDC) recommendation that if opioids are used, they should be combined with non-drug options such as physiotherapy or non-opioid painkillers, as appropriate.”

The study also found that even at high doses – above recommended levels – the drugs still provided little clinical benefit.

“People have the mistaken belief that opioids are strong pain killers.

When you look closely at the evidence from the low back pain trials, a completely different picture emerges,” said Maher. Coauthor of the review.

Professor Andrew McLachlan from the Faculty of Pharmacy at the University of Sydney and Concord Hospital, says that more research is needed around the use of opioid medicines for treating low back pain, to understand how the long-term use of opioid analgesics impact patients.

“We do not yet understand the effects of the long term use of opioid analgesics, as no trials have followed up patients beyond three months.

Importantly, we do know that these medicines can have significant harmful effects when used inappropriately or for longer periods of time.

The recent CDC guideline for prescribing opioids for chronic pain provides some excellent advice for clinicians considering use of opioid analgesics for their patients,” Professor McLachlan said.

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Kindest regards and best wishes.

Peter Smith Talking Cures

This is my truth now tell me yours - change some ones Mind.

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...In illness - The Mind/Brain/Body is not in the slightest doing something wrong, it is desperately trying to right a serious and terrible wrong?

"No apologies are made if this paper is seen as repeating or simplistic, for too long Scientific Medical Papers have been written in a manner no one truly understands, if this were not so, cures would have long since been found making this paper and Talking Cures unnecessary or redundant.

Whilst it must be recognised, the framework - part of the content, for this paper is in the public domain and credit given to the authors;

Peter Smith Talking Cures asserts the right to be recognised as author and Intellectual ©Copyright holder of his contribution to this document."

"Are Opioids Really The Answer for Chronic Back Pain? ." Author Peter Smith Talking Cures Copyright 26th May 2016.

Thus, in keeping with the generosity of many contributors - this document is free to use as an Education or Patient led assistance - in its entirety.

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