b'the doctors office or, in some locations, by aBinns: What you are describing may be team that goes to your home to service therebound pain. Unfortunately, long-term pump. This is generally done a half-dozenopioid use commonly causes pain to rebound times each year. Many users nd that pain isand a vicious cycle develops. Pain clinics work reduced, the spasms are ramped down, andwith a variety of techniques and medications personal care, even walking, may be improved.to help get persons with rebound pain to a Dear MS Nurse,place of greater comfort. Opioids tend not to be Besides medication, is there anything I canthe best choice to manage MS nerve pain do to manage the nerve pain that I have hadover time and there are many other medications for years with my MS?Betty S.that have a greater effect with fewer long-term Binns: Many people see improvement in levelsside effects. Seek a pain management specialist ofpainthroughchiropractic,massage,orwho can work with you to get your pain under acupuncture. Mindfulness techniques, yoga,control safely. and Tai chi are also helpful to some. Dear MS Nurse, ATENSunitmayprovidedistractionI would like to try medical marijuana for my from the pain when properly used. A physicalpain as I hear it works well but I have never therapist can advise you where to place thesmoked and have asthma. Is this appropriate pads and what settings are appropriate forfor someone with asthma, and do edibles work yourtypeofpain. Aninexpensiveunitisfor pain or only smoked product?Hilary S. available in many online shopping sites andBinns: Dr. Ben Thrower, senior medical advisor medical equipment supply sites. In the pastto MS Focus has an informative educational 10 years the price of these units has gone from a couple hundred dollars to less thanprogram talking about how cannabinoids $40 in many instances.(medical marijuana) work to manage pain, Dear MS Nurse,how it is dosed, and how to use with greatest I have been on hydrocodone for my MS paineffect on symptom management. These can for more than 20 years and my new doctor isbe found on MS Focus: the Multiple Sclerosis refusing to prescribe it. When I wait longerFoundations YouTube channel. Also, the 2022 than six or eight hours between doses thewinter issue of the MS Focus magazine has pain comes back with a vengeance. How do Ian article on the use of the various forms of get what I need to manage this?Amy I.product that you may nd helpful.Do you have a question for Cherie, the MS Nurse?Email her at: MSnurse@msfocus.org, or call 888-MSFocus and leave a message at extension 125 for a return call.51 msfocusmagazine.org'