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Smoking When in Pain

Dr_Hays
Mayo Clinic
2 6 151

Often people who suffer from pain will report that smoking helps them manage their pain whether it be acute pain (from an injury or temporary condition), or chronic pain (lasting for longer then 6 months, with no identified cause).  For some, this can be a hurdle that can impact their motivation for stopping smoking.  

 

However, research shows that smoking not only impairs healing, but it is often a cause or major contributor to pain.  Our muscles, tissues, organs, and nerves require oxygen to heal and relieve pain.  Smoking delivers carbon monoxide which binds to the red blood cells more than oxygen, not to mention the 4000 other toxins in tobacco smoke.  People with circulation problems or conditions such as neuropathy (nerve pain in legs, feet, etc) benefit tremendously from stopping smoking, in part due to improved oxygen flow to these areas.

 

The Mayo Clinic Pain Rehabilitation Center has found that patients who smoke report higher levels of pain when they enter treatment, take more pain medications, and many report increased smoking while on these pain medications.  Another study from the University of Miami Medical School found that smokers who completed treatment for low back pain, had more pain than non smokers and were less likely to return to work.  While smoking may feel like a reliever, it appears it is a short-acting band-aid that is not the solution for pain.

 

There are other ways people can distract themselves without smoking.  Pain may limit a person’s behaviors, but finding things to do (walking, reading, time with loved ones, relaxed breathing, drinking water, taking a nap, etc) may help manage boredom and stress that can result from having pain.  Remember you are not alone, and stopping smoking is a process that is possible. To share your quit process with others who are going through the same smoke-free journey, continue to provide support on the EX community. If you aren't a member, register today on BecomeAnEX.org.

 

References:

 

Shi, Y., Weingarten, T. N., Mantilla, C. B., Hooten, W. M., & Warner, D. O. (2010). Smoking and PainPathophysiology and Clinical Implications. The Journal of the American Society of Anesthesiologists113(4), 977-992.

6 Comments
Giulia
Member

it is a short-acting band-aid that is not the solution

Short acting band-aid indeed.  The cure is to remove the band-aid in this case and let it air dry and heal itself.  Here's to oxygen!  Thanks for the info Dr. Hays.

TerrieQuit
Member

Good information, Dr. Hays Thank you!

I Won't Quit on my Quit!!

MarilynH
Member

Thank you Dr Hays.......

painter123
Member
Thank you Dr. Hays for this information. I just thought about my chondritis (diagnosed by my doctor) - a burning sense on my sole of my feet. Used to be a great hiker, so I hope, although only or almost 1 wk from quitting, later on it will help with this condition. No?
pamela-s.
Member

I have a myriad of chronic pain issues. I am allergic to all pain meds as I am ADHD and they cause a reverse effect. I have to be patient and try to keep moving. I have a rebounder that I have woefully ignored lately. I believe that putting it in my smoking area on the covered porch will motivate me to get back to it. 

Pamela S

homieteresa
Member
I definitely can relate to this but live in chronic pain cause of bad back neck and now hip. But today is my new quit day. I'm down in my siatic nerve and on a walker! How do I deal with these cravings and mind games? I got water mints. Even descrambler books but I do better walking cravings off!! Now I'm in so much pain. And my orthpedia doctor not till thrusaday. This so hard. I got the patch on to help!
About the Author
An expert in tobacco use and dependence, Dr. Hays has authored and co-authored over 70 peer-reviewed scholarly articles and book chapters on various aspects tobacco dependence and its treatment. Since joining the Nicotine Dependence Center in 1992, he and its staff have treated more than 50,000 patients for tobacco dependence.