A Team Approach

Dr. James H. Gruft discusses the team approach, and how working together helps to ensure a better outcome.

Meet the team!

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Comprehensive Pain Management

The most important issue in pain management is a focus on managing chronic pain symptoms as opposed to forcing a “quick fix” or masking symptoms without addressing their root and meaning.

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Physical Therapy

Physical Therapy (PT) programs provide services that help restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients suffering from injuries or disease.

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Meet Our Team

Meet Dr. Gruft and the From Pain to Wellness staff, learn about our services, and get the help you need.

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Treating Sleep Dysfunction

According to a recent study published in the Journals of Gerontology, approximately 3 out of 5 aging adults experience some form of sleep dysfunction. We can help you!

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Nutrition Is Medicine

High-quality dietary nutrients can alter the way our genes do their job while insufficient nutrient-intake due to a poor diet can be a serious risk factor for a number of diseases.

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Types of Chronic Pain

Types of Chronic Pain

Pain that has continued for more than six months is generally classified as chronic pain.

There are various types of chronic pain – each is unique, and each must be addressed uniquely through treatment.

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Types Of Chronic Pain

Are you or your loved ones experiencing…

Pain that has continued for more than six months?

Pain that has continued for more than six months is generally classified as chronic pain. There are various types of chronic pain – each is unique, and each must be addressed uniquely through treatment.


Pains from your skin and muscles are easily localized by the brain because these pains are common. You have experienced general somatic pain since childhood when you have fallen or been hit by a person or an object. Normally, somatic pain gets better in a few days. Some people develop pain that never goes away. Fibromyalgia and chronic back pain are in this category.


Pain in your internal organs is more difficult for you to pinpoint because your brain doesn’t get much experience feeling pain from internal organs. The connections from pain sensors in your internal organs to your brain are less sophisticated than the nerve connections from your outer body.

You have experienced some visceral pains. Pain from acid indigestion or constipation is easy to recognize. On the other hand, the pain from chronic pancreatitis (an inflammation of the pancreas) or chronic active hepatitis (an inflammation of the liver) can last a long time and be more difficult to treat. Visceral pain from gallstones or appendicitis, for example, is sometimes treated with surgery.


Pain in the bones from a bruise or a fracture is temporary. Pain from bone cancer, osteoporosis (softening of the bones that often appears in older people), osteomyelitis (an infection in a bone), or arthritis (inflammation of the joints) can last a long time.

Bone pain is gnawing and throbbing. If you suffer from this, you may need long-term pain treatment.


Muscle spasm, like a charley horse, can cause severe pain especially in the back. Physical therapy and certain nutraceuticals may help relax the muscles.


(Pain arising in the nerves leading from the head, face, trunk, or extremities to the spinal cord)
In a sense, all pain comes from nerves because nerves transmit painful impulses to the brain. But some painful impulses do not arise from the nerve endings that normally sense injury or illness. Some painful impulses come from irritation to the nerve along its length instead of at the nerve ending.

Sciatica, for example, is caused by pinching of the sciatic nerve, which goes from the leg to the spine. The pinching often takes place near the lower part of the spine, but the brain “thinks” the pain came from the nerve endings in the leg because the sciatic nerve usually transmits feelings from the leg.

Other examples of illnesses that cause peripheral neuropathy or “nerve pain” are ruptured discs in the spine, which pinch nerves, cancers that grow into nerves and cause irritation, or infections, such as shingles, which can cause irritation to nerves.

Common diseases that often cause peripheral neuropathy are diabetes and AIDS.
Nerve pain can feel like a painful “pins and needles” sensation. This kind of nerve pain can be treated with nutraceuticals or tricyclic antidepressants. Other, more severe nerve pain can be described as a sharp, stabbing, electric feeling.

Some nerve pain is due to loss of a limb. The arm or leg that has been lost feels like it’s still present, and hurts severely. This kind of nerve pain, called deafferentation, or “phantom limb pain,” can be treated with relaxation techniques, conventional medications and certain nutrients.

Herpes zoster (shingles) causes an infection of the nerve endings and of the skin near the nerve endings. Local application of capsaicin (chili peppers), in the form of an ointment, is sometimes helpful for this. In addition, opioids may be needed.


Poor circulation is often a cause of chronic pain. Poor circulation is usually caused by tobacco use, diabetes, or various autoimmune diseases (diseases where the body makes antibodies that fight against itself) such as lupus or rheumatoid arthritis.

Partial blockage of arteries by fatty deposits called plaques is also a common cause of poor circulation. The reason for the pain of poor circulation is that the part of the body that does not get good blood circulation becomes short of oxygen and nourishment. The lack of oxygen and nutrition causes damage to that part of the body, and the damage causes pain.

Pain from poor circulation may be treated by surgery to bypass the clogged arteries with artificial arteries in order to improve the blood circulation. Anti-inflammatory food choices can help increase circulation.


Headaches can be caused by many illnesses. There are several types of headaches, including migraine, tension, and cluster headaches. Headaches can also result from sinusitis, trigeminal neuralgia, giant cell arteritis, or brain tumors. The treatment of the various kinds of headaches varies depending on the kind of headache and the severity of the pain.

Migraines are often on one side of the head. They can be associated with nausea and vomiting, photophobia (light hurting the eyes), phonophobia (sound hurting the ears), and scintillating scotomata (parallel lines that vibrate at the edges of objects, especially at the borders between light and dark places). Sometimes these auras appear before the headache starts and alert you that a migraine is coming. Migraine pain can vary in intensity from mild to severe. There are many specific medications, elimination diets and nutrients for migraine.

Cluster headaches come in groups, sometimes several times a day, lasting for days to weeks. Many cluster headaches are severely painful. Oxygen therapy may be helpful for some cluster headaches.

Sinusitis can cause facial pain and is frequently worse in the morning. Elimination diets and nutrients can help.

Trigeminal neuralgia is actually a peripheral neuropathy (nerve pain) that is severe. It occurs on one side of the head and face and has a “trigger point,” usually on the side of the face, which causes intense pain if it is touched. Anticonvulsants (antiseizure medicine) are often helpful for this type of pain.

If you suffer from chronic pain, we can help.

To learn more, schedule a free consultation at our center, or contact us.