Both Sleep and Pain Improved
“Our new analyses of the BESTFIT data show that those patients who reported the greatest improvement in sleep quality were the most likely to experience pain relief,” Seth Lederman, MD, Tonix CEO​
Tonix – the developer of the drug – is moving fast. They reported that their Phase II clinical trial for Tonmya was filled in June of this year and reported results on the trial last month.They’ve already begun final (Phase III) trials.
A former study using EEG indicated the drug was increasing restorative sleep, which in turn was associated with reductions in pain, fatigue and depression. In a good sign for those in really severe pain, the most recent studies tied together pain levels and sleep quality; those FM patients in the most pain received the most improvements in sleep quality.
Dr. Lederman, Tonix CEO, emphasized that the drug is not a sleeping pill; it doesn’t just knock you out – it improves sleep quality.

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Psychological Approaches for Insomnia

Psychological Approaches for Insomnia

Among the most common psychological techniques used to help with sleep problems are relaxation training, meditation, hypnosis, and cognitive restructuring. These techniques are similar to those used for stress management as well as chronic pain management, and rely on a common set of skills:
Deep muscle relaxation
Focus elsewhere rather than on the pain
Visual, sound, or other relaxing sensory imagery
Distancing oneself from the chronic pain
These skills, coupled with the deep breathing technique discussed next, can be very beneficial in improving sleep and decreasing the perception of pain by retraining the brain. Many of these skills are coupled with exercise in techniques such as yoga and Tai Chi.

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Practicing Good Sleep Hygiene

Practicing Good Sleep Hygiene

There are a wide variety of different techniques and sleep aids that promote a normal, high quality night’s sleep leading to full alertness and energy during the day. Just as one might practice good dental hygiene to keep teeth and gums in good shape, “sleep hygiene” is designed to keep sleep healthy and restore energy for the following day’s activities.
Sleep hygiene involves engaging in a number of practices and behaviors that improve sleep. As chronic pain develops, it is not uncommon for patients to develop bad habits relative to sleep hygiene without even realizing it. An example of poor sleep hygiene habits includes such things as varying the time that one goes to bed and awakens in the morning, taking naps during the day, engaging in stressful activities such as paying bills while laying in bed, staying in bed most of the day, among other things. Good sleep hygiene habits include the following:

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Addressing Pain and Medical Problems Disrupting Sleep

Addressing Pain and Medical Problems Disrupting Sleep

When addressing a sleep problem associated with chronic pain, it is important to be sure that the patient is getting the best possible treatment for their back pain and within a multidisciplinary approach. Many of the treatments aimed at improving a chronic pain sufferer’s sleep-wake cycle can also be helpful in the treatment of the chronic pain overall, and vice-versa.
Another step in improving sleep is to thoroughly investigate other possible medical problems (other than the pain) that might be contributing to the sleep disorder. Some of the common medical problems associated with poor sleep include:

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