on the web

The Body Broken


The Body Broken

Lynne Greenberg
Courtesy of Random House

By Ashley Neglia

Twenty-two years after surviving a horrific car accident that resulted in a fractured neck, Lynne Greenberg, Ph.D., J.D., associate professor of English at Hunter College, was told that her neck had never actually healed. In fact, it was still broken.

What began as sharp head and neck aches quickly evolved into debilitating pain that left her unable to read, write or even get out of bed. Decades of living with a fractured neck had damaged the nerves in her upper neck and spine, leaving her in a state of constant, head-splitting pain that doctors told her would continue to worsen.

It took two years, spinal fusion surgery to repair her fractured neck, 41 nerve injections, three and a half weeks in a clinic for an addiction to methadone, and the unyielding support of her family to help Greenberg claw her way back to the life she lost. With the help of doctors and her own iron will, she has managed to cope and live with the pain that she now knows will never end.

According to the National Center for Health Statistics, more than 75 million people in the United States live with chronic pain. Greenberg's book, "The Body Broken: A Memoir," chronicles her continuing battle and seeks to give hope to those who suffer alongside her.

AOL Health had the opportunity to interview Greenberg about her continuing struggle for life beyond the pain.

Story continues below the gallery.

Click through the gallery for more personal stories of chronic pain. Note: Please disable your pop-up blocker.

Foods that Fight Chronic Pain

    Turmeric

    Turmeric, or curcumin (the ingredient in curry powder), has long been used in Asian medicine to treat upset stomachs and chronic pain from arthritis. Numerous studies have shown that it can have an anti-inflammatory effect (not to mention it can lower blood pressure, blood sugar, and cholesterol). You can get turmeric through curry powder or yellow mustard, or by making a tea from dried turmeric root. According to the National Institutes of Health, the average dietary intake in the Indian population is about 60 mg to 200 mg a day. If you're not ready to add pungent curry to all of your meals, you can take a supplement (after checking with your doctor first) says Molly Kimball, R.D., a nutritionist at Ochsner Elmwood Fitness Center in New Orleans. She has her clients take a 250mg caplet each day.

    jupiterimages

    Cherries

    Cherries are powerful anti-oxidants, but they have anti-inflammatory properties too, and the two work hand in hand to keep inflammation down, Kimball says. "Usually, the darker and riper the fruit, the more concentrated the anti-oxidants are," she says. Cherry juice may be beneficial too: One study found that runners who drank cherry juice prior to and on the day of a long-distance run reported less muscle pain than runners who drank traditional sports drinks.

    Getty Images

    Berries

    "Berries have long been used in folk medicine as anti-inflammatories," McIlwain says. His pain-free diet makes good use of berries, such as strawberries, cranberries, and blueberries -- especially in things like smoothies. Like cherries, they're packed with anti-oxidants (so they help stave off the cell damage from oxidation that can lead to cancer and make chronic pain flare up more). Plus, they're low in fat and high in fiber -- and they have a natural sweetness that's a great replacement for pro-inflammatory added sugar.

    jupiterimages

    Pineapple

    Pineapple -- specifically pineapple juice -- contains bromelain, an enzyme that helps break down proteins. It's thought to have pain-relieving effects similar to over-the-counter pain medications, like NSAIDs (such as aspirin and ibuprofen). According the Arthritis Foundation's supplement guide one study found that people with osteoarthritis of the knee had less pain after taking a bromelain supplement which also had the enzymes rutin and trypsin. The effect was roughly equivalent to taking an NSAID. Research is still lacking that shows bromelain on its own can fight arthritis pain, but Kimball frequently recommends that her arthritis clients take an enzyme blend supplement (separate from food). You can also try drinking pineapple juice.

    Corbis

    Ginger

    Not only is ginger helpful for nausea, evidence has been mounting in the last few decades that it also helps ease chronic pain because it contains powerful anti-inflammatory gingerols. Several studies have shown that taking ginger helps relieve pain from arthritis. McIlwain has his patients consume 1 teaspoon of ginger a day; fresh is best (it's great added to stir-fries, fruit salads, or tea), but you can also find it in supplement form.

    Corbis

    Pomegranate Juice

    Another powerful anti-oxidant, pomegranates have also been shown to help with inflammation. A 2008 Journal of Inflammation study showed that pomegranate extract helped reduce the production of chemicals that cause inflammation. Pomegranate extract (the dose given in the study) is equivalent to about 6 ounces of pomegranate juice.

    Robert Medvedenko, Getty Images

    Salmon

    Fatty fish like salmon have omega-3s, which are one of the most common anti-inflammatories, Kimball says. "Omega-3s trigger a cascade of reactions that help fight inflammation," she says. A study at Brigham and Women's Hospital in Boston found that omega-3 fatty acids help to bring down inflammation because they convert into compounds that are 10,000 times stronger than the original fatty acids.

    Getty Images

    Beans

    McIlwain's Pain Free Diet is full of beans -- kidney beans, pinto beans, black beans, garbanzo beans and others. Beans are an excellent source of both fiber and protein. Plus, they're low in fat and packed with anti-oxidant and anti-inflammatory properties, he says. Beans make a perfect substitute for red meat (a pro-inflammatory food), he says.

    Corbis

    Pro-inflammatory foods:

    Sugar
    White sugar is probably the most well-known pro-inflammatory foods. Many people have strong inflammatory responses to sugar, Kimball says, and some people are definitely more sensitive. There is continuing controversy, but reducing the amount of sugar you consume can help bring down inflammation -- and it will definitely help you cut calories, which can lead to weight loss and less joint pain.

    Getty Images

    Red meat

    Meats are packed full of protein, but they're also very high in saturated fat -- a definite cause of inflammation, McIlwain says. Specifically, studies have shown that red meat has high amounts of arichidonic acid -- a fatty acid that is converted to pro-inflammatory chemicals, he says. Meats that have nitrites (such as bacon and sausage) are also inflammatory, Kimball says. Substitute fish (like salmon) or beans for red meat.

    jupiterimages

Living With a Broken Neck

AOL Health: What went through your mind when you found out your neck was still broken?

Lynne Greenberg: It was probably more traumatic than the first accident because of all the horrible memories of the recovery, and also just terrible fear and worry that something even worse could happen.

I felt very unstable. I thought perhaps I could become paralyzed, or worse. I was terribly scared. And the pain didn't go away. The first year and a half my fears also were wrapped into the notion of, "I might never be out of pain. I don't think I can handle it. It's too unbearable. How am I going to live my life?" And now, of course, I realize that I'm not going to be out of pain. However, I've really learned to live my life in spite of the pain.

I feel pretty good about having come out the other side even though we didn't find a cure for the pain. I'm no longer fearful that I can become paralyzed, because my neck is no longer broken because of surgery. I've learned to live with the pain levels. I have a lot of tricks up my sleeve for how to handle the pain, so I'm in a much better place then I was three years ago when this first happened.

AOL Health: It wasn't until 22 years after the accident that you began experiencing head and neck pain. Were there any other indications that something might be wrong?

Greenberg: Nothing involving my neck. Only the bones that I injured in that same accident also gave out. I had two surgeries on my arms, so perhaps I might have thought, "Oh, my neck will be next," but it never occurred to me, honestly, to think in those terms.

AOL Health: Can you describe the pain?

Greenberg: The pain has always been exactly the same. It begins at the base of my skull, right around where the C2 vertebra is. Nerve pain travels. It's referred, so it shoots through the middle of my head -- that's the pain path for this particular nerve -- right through the center of my skull, right through my head. And it comes to rest behind my eyes. I almost feel it there.

The pain is always there, from the moment I wake up to the moment I go to sleep. But the pain can become significantly worse -- almost like the volume of a stereo can be turned up. When it does, it feels like my whole head is in pain and even my skin hurts on my face it gets so sensitive. Even my eyes hurt. And that happens -- it's very unpredictable. It's extremely mercurial. It's sometimes every afternoon or evening. Sometimes I'll be in a pain spike that will go on for several days without remittance.

AOL Health: In the book, you talk about your addiction to methadone. How did that happen, and what that was that like?

Greenberg: It was a physical dependency to methadone, and I was on it for a very brief period, only about five or six weeks. But the body becomes physically dependent on methadone so quickly, and I didn't understand that when I began taking it, nor did I appreciate it when I went off the medication.

I didn't go off cold turkey. I went off a little at a time, but it was way too quick for my body to handle, and I became very, very ill. I didn't know I was experiencing methadone [withdrawal]. I truly didn't understand how addictive it was or what effect it had, and that was a very traumatic two weeks of my life.

Once we figured out that I was having a reaction, I was put back on it and taken off it much more slowly, in a controlled setting, by my neurologist. I could tolerate the medication, and I was being tapered off of it; it was a much more viable approach.

AOL Health: Do you advocate medicinal painkillers for people with chronic pain?

Greenberg: I'm not an advocate for or against medications. Every pain patient finds his or her own path. Some patients swear by opioids and need them to survive, and other patients forswear them. For me, methadone mixed with the other medication was not good, nor was going off of it good. But I don't mean for my story to become a cautionary tale that way.

AOL Health: Are you currently on any pain medication?

Greenberg: I'm on a new nerve medication that targets nerve pain, and it's too early to know whether it will have a significant effect. I also take pain medications very sparingly, but I don't want to become physically dependent or addicted to anything, so I'm quite sparing in my usage. And the same holds true for sleeping pills to be quite honest.

It's all about balance for me. Some days, if the pain is really too severe, going back to bed for the afternoon and taking a nap or a pain medication [is right], otherwise throwing myself into dance classes, and other days writing, and other days being with my children.

Next: Pushing Through Pain

Read and Post Comments | More on AOL Health
Add your own Comments
1000 Characters Maximum

More about Chronic Pain

Best of the Web >>>