arizona pain monthly july 2011

ARIZONA PAIN

PLUSMeet a Staff

Member➲ p.4

Summer C ooking

➲ p.8

Pain ManagementPassion ➲ p.12

A WALK TOHEALINGHow One Patient Turned Injury into InspirationPAGE 9

STRENGTHTRAINING How to Create Long, LeanMuscles to Reduce Painand Increase HealthPAGE 5

Alternat ive Pain Treatments Monthly

3 WeLCOMe LeTTeR Dr. Paul Lynch and Dr. Tory McJunkin welcome you to the July Issue of Arizona Pain Monthly.

4 MeeT THe STAffGlenn Shupe, Certified Registered Nurse Anesthetist, is put in our employee spotlight.

6 STReNGTH TRAININGHow to create long, lean muscles to reduce pain and increase health.

8 JuLy COOkINGIn the heat of summer, rely on cool and refreshing foods to keep your diet balanced.

9 A WALk TO HeALINGHow one patient turned injury into inspiration.

12 PROvIDING HOPe ReSTORING LIveSThe passion for world-class pain management.

15 eMPLOyee Of THe MONTHThis month, we honor Melissa Hanson who is passionate about her job and makes patients smile.

CONTENTSCLINICAL eDITOR:

Tory McJunkin, M.D.

PubLISHeR: kelli Donley

eDITOR/WRITeR: kelli Donley,

Jennifer Gitt

PHOTOGRAPHy: Robert Craver

GRAPHIC DeSIGN: Robert Craver

LAyOuT: Robert Craver

CONTACT uS

Phone: 480.563.6400

email: [email protected]

Website: www.ArizonaPain.com

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INfORMATION

480.245.6122

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[email protected]

ARIZONA PAIN MONTHLy

is publ ished monthly by

Ar izona Pain Specia l is ts LLC,

9787 N 91st St reet

STe 101, AZ 85258

volume #16 publ ished on

Ju ly 1 2011.

A R I Z O N A P A I N M o n t h l y | J u l y 2 0 1 12

Passion is a word that

def ines our pract ice. Pass ion

is what led us into medica l

school . A pass ion to help

others . A pass ion to prac-

t ice medic ine. A pass ion to

be leaders in the community.

And trust us, af ter count-

less years of school ing, fe l -

lowships and res idencies, i t

took t rue passion to remain

focused on our goals of

becoming the best providers

of pain re l ie f in Ar izona.

We know you must have a

pass ion too; what dr ives you?

What makes you want to get

up and go in the morning?

What do you dream of

becoming?

This month, we feature a

pat ient whose passion was

to f ind re l ie f f rom chronic

pain, showcase her recov-

ery, become an accompl ished

athlete, and turn her expe-

r ience into a chance to help

others in the same shoes.

Patt i koblewski is a remark-

able woman. She has

completed the Honolulu mar-

athon, serves as a Pat ient

Ambassador for Ar izona Pain

Specia l ists , and volunteers

with our pat ient support

groups. Addit ional ly, you can

read more about her work

to start a walk ing group

for Ar izona Pain Specia l ists

pat ients on page 9.

Our hats are off to Patt i .

Nothing refuels our efforts

l ike having a pat ient respond

so favorably to our care. We

are thr i l led to have re ig-

ni ted Patt i ’s pass ion in good

heal th!

you too can work past

pain and become stronger.

Chiropractor Dr. Chance Moore

deta i ls the heal th benef i ts

of being passionate about

st rength t ra in ing on page 6.

This month, we hope you are

able to spend t ime with those

you are pass ionate about !

Wishing you a lovely July,

Dr. Paul Lynch and Dr. Tory McJunkin

“Do not conform any

longer to the pattern

of this world, but be

transformed by the

renewing of your mind.

Then you will be able to

test and approve what

God’s will is—his good,

pleasing and perfect will.”

Romans 12:2

A R I Z O N A P A I N M o n t h l y | J u l y 2 0 1 1 3

MEET

THE STAffGlenn Shupe began working

for Ar izona Pain Specia l is ts

two years ago as a Cert i f ied

Registered Nurse Anesthet ist

– or CRNA. I f you have had a

procedure at the Scottsdale

off ice of APS, chances are

you know Glenn. known for

h is warm, k ind demeanor,

G lenn kindly greets each

pat ient in the proce-

dure room. He makes sure

pat ients are t reated with

care and administered

appropr iate anesthesia .

“ I graduated with a

masters degree f rom Mount

Marty Col lege of Nurse

Anesthesia ,” he says. “ I

worked at Mayo Cl in ic on the

heart t ransplant team for f ive

years , and then the baywood

Ob/GyN department for three

years pr ior to coming to APS.”

Glenn says one of the many

perks of working for the pain

pract ice is schedul ing. With a

young son, h is weekend t ime

is prec ious.

“ I l ike working at APS for the

doctors , staff and the hours,”

he says. “Without working

on weekends, I have t ime

for fami ly, tennis and gol f .

I have a 3 1/2 year o ld son

who keeps me very busy and

makes me laugh.”

The CRNA is a lso known in the

off ice for h is f ierce love of

Sooner footbal l .

“ I t ry to go to 2-3 games a

year. boomer sooner !” he

says, laughing. “ I ’m also a

boston Red Sox fan and I love

to see the yankees lose.”

He says i f there is one thing

he wished everyone knew

about him, i t would be that

he’s horr ib le with names and

feels bad about i t .

Thanks Glenn for your great

work leading CRNAs at APS

and for your fantast ic pat ient

care!


STENGTHTRAINING:

A PRIMERHow to Create Long, Lean Muscles

to Reduce Pain and Increase Health

exercise is critical to good

health, living in a modern

industrialized world. Although

humans are blessed with large

intelligent brains, our bodies

were designed for movement and

work. When is the last time you

farmed, hunted, or had to do

anything other than chew to get

the calories you need to sustain

life? The trappings of a modern

lifestyle are hard to see when we

are living in it.

The older you get, the faster

your muscles atrophy. Muscle

mass declines with age start-

ing in the 40s; this is called sar-

copenia, or age-related muscle

loss. The unused muscles of

elderly people do not respond as

well to sudden or intense bouts

of exercise. The key to avoiding

muscle atrophy is to challenge

your muscles with intense exer-

cise on a regular basis through-

out your life.

Why should you try to increase

your strength? The benefits of

strength training – or progres-

sive resistance training – have

shown to help prevent muscle

atrophy. There are many other

benefits to being in great shape;

the more muscle you have,

the more calories you burn.

Additionally, a strong, lean body

is easier on your organs and

joints – reducing chronic pain.

How does the body increase

in strength? The body changes

depending what you do with it.

This concept has been coined

the SAID principle -- Specific

Adaptation to Imposed Demand.

The physiological effects of

progressive resistance train-

ing (PRe) are increased muscle

strength, size and density. To

achieve these specific effects in

a specific area of the body, that

area must be loaded by per-

forming exercises. for example,

if you want stronger legs, you

have to perform leg exercises

that impose a demand on the

targeted muscle – like squats or

lunges. During progressive resis-

tive exercise, the loaded muscles

start to tear. The slight tearing of

the muscle prompts the body’s

natural recovery and repairs

By: Dr. Chance Moore, DC – APS Department of Chiropractic Care

itself to a higher level of func-

tion and size. begin a push-up

and sit-up routine and chal-

lenge yourself to do a few more

each week. your stomach and

arm muscles will respond with

increased strength.

Where to start? The key is to

take action. you will be amazed

at how much better you will

feel. Starting a program 20

minutes twice a week will

yield significant results regard-

less of your current strength

level. However, it is important

to remember your safety first.

If you have previous injury to

an area or have other health

related issues, consult a physi-

cian before starting any strength-

ening program.

using the SAID principle, you

need to perform the exercise

at an intensity that takes you

to a point of volitional fatigue.

volitional fatigue is the point in

the set where you can’t complete

one more repetition of the given

exercise. The amount of resis-

tance should allow you to com-

plete more than 6 but less than

20 repetitions.There is little sci-

entific evidence that performing

more that one set of each exer-

cise speeds up your strength

gains. After four to six months

of strength training, multiple

sets can help progress any pla-

teaus you have reached.

Other benefits from strength t raining include:

•Self-confidence

•Decreased stress

•Decreased pain levels

• Increased bone density

• Improved cardiovascular f i tness

• Improved mental health

Ingredients:

• 1 pink grapefruit, peeled

• 2 large tangerines

• 3 navel oranges

• 2 tablespoons honey

• 1/4 teaspoon ground cinnamon

• Greek yogurt

• Minced crystallized ginger, to

taste

GRILLED SuMMER SALMOn

In the heat of the summer, re ly on cool

and refreshing foods to keep your diet

balanced. Cooking outs ide on the bbQ

can be a great way to spend a bi t of

t ime in f resh a i r, and keep your home

cooler without a hot oven. And who

doesn’t love a f ru i t sa lad when the

weather is scorching?

Directions:

Cut citrus sections into thirds, after

peeling fruit. Place grapefruit, tan-

gerines and juice in a large bowl.

Add honey and cinnamon. Cover and

refrigerate at least 1 hour. Mix yogurt

and ginger in a different bowl then

add fruit. (Add brown sugar, or an-

other sweetener if you don’t care for

the tart taste of Greek yogurt!)

Ingredients:

• 1 tablespoon olive oil plus ad-

ditional for brushing

• 3/4 cup sliced shallots

• 2 garlic cloves, thinly sliced

• 1/4 teaspoon coarse kosher salt

plus additional for seasoning

• 1/4 teaspoon thyme

• 1 cup fresh blueberries

• 1/4 cup water

• 1 tablespoon balsamic vinegar

• 4 7-ounce salmon steaks or fil-

lets with skin (each about 3/4

inch

Directions:

Two hours before serving:

Heat 1 tablespoon oil in large skil-

let over medium heat. Add shallots;

sauté until softened. Add garlic,

coarse salt and, thyme. Stir until

fragrant, about 30 seconds. Add blue-

berries, 1/4 cup water, and vinegar.

Stir to blend. Mash berries with po-

tato masher or back of fork and cook

until sauce thickens, stirring often,

3 to 4 minutes. Season with freshly

JULY COOKING

CItRuS fRuIt SALAD

ground black pepper. Remove from

heat. Let stand at room temperature

for up to 2 hours. Reheat before

using.

brush grill rack with oil. Prepare

barbecue on a medium-high heat.

brush salmon on both sides with oil;

sprinkle with coarse salt, thyme and

black pepper.

Grill salmon until just opaque in cen-

ter, 4 to 5 minutes per side. Transfer

to plates. Drizzle sauce over salmon.

Serve immediately.


yes, Patt i koblewski f in ish

at the Honolulu Marathon is

remarkable. As a pat ient of

Ar izona Pain Specia l is ts , she

recovered f rom spine surgery to

f in ish, of a l l th ings, a race of

endurance. This is nothing short

of miraculous. yet th is isn’t just

another story of an APS pat ient

who’s gone on to incredib le ath-

let ic accompl ishment.

Patt i koblewski is notable not

just for her stamina, but her

spi r i t . four years ago, c leaning

house – as she’d done count-

less t imes before – Patt i not iced

her back st i ffen af ter a s imple

af ternoon of vacuuming. Two

days later, there was t ing l ing

and, she had numbness in her

toe. Af ter count less v is i ts to

her general pract i t ioner with

steadi ly increasing pain, Patt i

knew she needed speci f ied care.

A WALK TO HEALINGHow One Patient turned Injury into Inspirat ion

By Kel l i M. Donley

the former competit ive and col legiate swimmer was

grounded by pain. As someone who regularly found

comfort and joy in exercise, being held back by persistent

pain was l i fe alter ing.


“I was referred to Ar izona

Pain Specia l is ts ,” she says.

“An MRI showed a 14mm

extrus ion f rom my L4-L5 disc ;

essent ia l ly I had a smal l rock

press ing on my spinal cord.”

Af ter a microdiscectomy

at a nearby hospi ta l , Patt i

returned to APS for t reatment

for long-term care.

“ I have permanent nerve

damage down my r ight s ide,

f rom my low back to the toe;

some permanent numbness

and t ingl ing which can be

annoying,” she says. “ I have

degenerat ive disc disease

with 3 levels affected; a l l

bulg ing; L3-L4 is part ia l ly co l -

lapsed, L4-L5 is co l lapsed

and L5-S1 is on i ts way. I

a lso have occ ip i ta l neurop-

athy, which creates con-

stant pounding in the back

of my head and constant

headaches.”

Patt i manages her chronic

pain with v is i ts to a handful

of pract i t ioners at APS.

“ I have media l branch blocks

and RfAs each year for my

neck and back to help manage

my pain; I a lso see chi roprac-

tor Dr. Chance Moore monthly

for regular decompression; I

have a TeNS unit and manual

cerv ica l t ract ion unit I can

use as needed at home too.

These help manage my pain,

which a l lows me to do basic

exerc ise - - and has a l lowed

me to enjoy l i fe again.”

The former compet i t ive

and col leg iate swimmer

was grounded by pain. As

someone who regular ly found

comfort and joy in exerc ise,

being held back by pers istent

pain was l i fe a l ter ing.

Thankful ly, with on-going care

and attent ion to her condi-

t ion, Patt i was able to return

to act iv i ty. “ I keep f inding

new things I can do!” she

says, laughing.

A Herculean act iv i ty Patt i

never previously considered

was complet ing a marathon.

I t took just the ment ion f rom

a f r iend for Patt i to s ign up.

She knew with cont inued care

and pers istence she could

be among the throngs throw-

ing her hands up in v ictory,

cross ing the f in ish l ine af ter

26.2 mi les in Honolulu.

“When a f r iend asked last

year, we laughed. When am

I ever going to get a chance

to do something l ike th is

again? ,” she says. “ I v is i ted

my doctors and got permis-

s ion to begin t ra in ing, with

thei r support . I had monthly

v is i ts to make sure I wasn’t

creat ing any addit ional prob-

lems for my back.”

f in ish, she did – in the

process ra is ing $3,200 for the

AIDS Project of Los Angeles.

Patt i crossed the marathon

f in ish l ine in December, with

APS support ing her race and

cheer ing for her success. In

admirat ion of her pers istence,

APS staff asked i f Patt i would

consider becoming a pat ient

ambassador. Would she be

wi l l ing to encourage pat ients

in s imi lar s i tuat ions? yes, and

then some.

“ I have a graduate degree

in c l in ica l psychology,” she

says. I vo lunteer with APS

behaviora l heal th therapist ,

Larry Lynch, to fac i l i tate the

pain support group. I help

keep everyone connected v ia

soc ia l media, coordinate and

plan our soc ia l act iv i t ies , and

perhaps most important ly,

I have onl ine access dur ing

our meet ings so we can do

immediate research i f neces-

sary. I ’m also able to br ing

a unique perspect ive to the

group as both a person in

pain and someone who is able

to help counsel others .” APS

staff and Patt i are working

out the deta i ls for those

interested to part ic ipate in an

exerc ise support group too.

“My mot ivat ion for the

walk ing c lub was pr imar i ly

to get people in pain moving

when they think there is

nothing they can do, l ike I

d id before my marathon, and

to increase awareness in the

community about pain man-

agement. I t ’s a responsib i l -

i ty to help others with thei r

pain and let them know that

they are not a lone; there are

opt ions avai lable for them!”

Patt i ’s enthusiasm is conta-

g ious. She is s incere ly exc i ted

to encourage others .

“ I ’m passionate about reach-

ing those in pain, and doing

what I can to help them f ind

ways to successful ly manage

thei r pain. I want people

to know that they are not

doomed to a l i fe of pain,

depress ion and pi l ls . you

have opt ions and there is

support avai lable .” Ar izona

Pain Specia l is ts is a t remen-

dously support ive team of

doctors who provide compre-

hensive care to thei r pat ients ,

u l t imately enabl ing them to

improve thei r qual i ty of l i fe

through successful pain man-

agement. “

Those interested in the

support group, or the walk ing

c lub, can reach Patt i at :

[email protected]

“With

on-going care

and attention

to her condi-

t ion, Patt i was

able to return

to act ivity ”

Passion. “I ’m passionate about reaching those in pain, and doing what I can to help

them f ind ways to successful ly manage their pain. I want people to know that they

are not doomed to a l i fe of pain, depression and pi l ls . You have options and there is

support avai lable.”


Inspired by a close family member ’s personal batt le

with severe debi l i tat ing pain, our founding physi-

cians are ideal ist ic about practicing pain medicine

When Dr. Tory McJunkin

and Dr. Paul Lynch founded

Ar izona Pain Specia l is ts ,

i t was the real izat ion of

a dream decades in the

making. The thr iv ing medica l

pract ice, with more than 160

employees and helping more

than 7,000 pat ients monthly,

has blossomed from the seed

of a col lege f r iendship.

Thei r f reshman year of

co l lege, the pre-med stu-

dents had many of the same

c lasses. Whi le intense com-

pet i t ion is the landscape in

such an environment, Paul

and Tory decided coopera-

t ion was a better p lan. They

studied together dur ing the

week and prayed together on

the weekends. Thei r p lan and

mutual pass ion for medic ine

worked.

four years later, they were off

to the univers i ty of Oklahoma

Col lege of Medic ine. L i fe took

an unexpected turn, when

Paul ’s mother- in- law was

diagnosed with advanced

pancreat ic cancer. He spent

weeks t ry ing to f ind re l ie f

for her debi l i tat ing pain, and

dur ing the process learned

about intervent ional pain

procedures. before medica l

school graduat ion, he real -

ized that th is was his ca l l ing

in l i fe and immediate ly drove

to Tory’s house. Tory heard

the exc i tement in his f r iend’s

voice.

“ I know what I ’m going to do

with my l i fe !” Paul sa id.

Tory l is tened with growing

interest and f i rmly sa id, “Me

too.”

PASSION WHAT fUELS YOU?

Arizona Pain Special ists Changes l ives by del ivering world-class pain management care that

they would want for their own mom or dad

“ the r ight way.”

“Arizona Pain

Special ists now

serves al l of the

Phoenix val ley with

i t ’s comprehensive

team approch”


Paul laughed in disbel ief

saying “Ser iously, I ’m going

to become an anesthesio logist

and then study pain manage-

ment. This is what I ’m sup-

posed to do, I just know i t .”

Tory stepped c loser and with

a tone that was unmistakably

ser ious said “ I know, and this

is the specia l ty I was made

to pract ice too, I just d idn’t

know i t ex isted. I ’m also

going to pursue this career,

whatever i t takes!”

That ’s exact ly what they

did. They obta ined posi -

t ions in top-t ier programs –

univers i ty of Iowa and New

york univers i ty, and then

each secured a posi t ion at the

most coveted intervent ional

pain program. years later,

with prayer and thei r pass ion

to help others suffer ing f rom

pain at the forefront of thei r

mot ivat ion, the pai r created

Ar izona Pain Specia l is ts .

Today, the pract ice inc ludes

off ices in Chandler, G lendale

and Scottsdale with a handful

of s imi lar ly minded, pass ion-

ate physic ians, chi ropractors ,

therapists , and heal th care

providers .

finding relief can be diffi-

cult, but always remember

it takes diligence, patience,

and persistence to overcome

an obstacle or accomplish a

goal! We challenge you to be

active and passionate about

your care.

fIND RELIEf


We, at Arizona Pain Specialists, are lucky to have a diverse,

dedicated staff. This month, we honor Melissa Hanson – who

has worked for our company just seven months. you may

recognize Melissa from our front desk at the Chandler loca-

tion, where she helps patients daily to check in for their

appointments.

“My favorite part of my job is working with our staff,” she

says. “I’ve made some friendships that will last a lifetime.”

Melissa is a Scottsdale native. She intends on returning to

school in the fall to become a medical assistant and persue

a career as a surgical technologist.

“My passion is to bring a smile to our patients’

faces,” she says. “If I’ve made you laugh, then

I’ve done my job.

Director of Clinical Operations, Shannon Marsh

says Arizona Pain is stronger as an organization

because of Melissa’s attitude and work ethic.

“She has been amazing from when she was hired,” says

Shannon. “She caught on quickly, is always willing to go

above and beyond, and has done a tremendous job covering

for other staff members in a pinch. She is a great support;

I’ve even heard from other managers what a great job she

does, and how helpful she is.”

MELLISA H.

When Melissa isn’t at Arizona Pain Specialists,

she’s spending time with her sweet dog Stella.

“She’s a pit bull/basenji mix that I rescued,”

Melissa says. bravo Melissa! Thank you for

your hard work!

EMPLOYEE

Of THE MONTH

“My passion is to bring a smile to our patients’ faces, If

I’ve made you laugh, then I’ve done my job.”


arizona pain monthly july 2011

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