Category Archives: Pain Management and Relief

Why You’re Still in Pain After the MRI Says You’re Fine

By Dr. Rosie Moore, DNP, RN, LNC, LEHP, BC-FMP
Functional Medicine Nurse Consultant | JRM Nurse Consultants
https://jrmnurseconsultants.com

“There’s nothing more we can do.”

If you’ve been injured, seen an orthopedic specialist, had all the tests, and still heard those words—you’re not alone.
Maybe your MRI came back “normal” or showed only mild bulging. The doctor reassured you it wasn’t serious. Yet you’re still dealing with pain, fatigue, or even nerve symptoms like leg weakness and instability.

So now what?

You’re still in pain, but the system is finished with you. You’re told to rest, maybe try more PT, and wait it out. Some are even told the pain is “in their head.”

But here’s the truth: the absence of major structural injury does NOT mean you’re fine.

What Traditional Imaging Can Miss

MRIs and X-rays are powerful—but limited. They’re excellent for detecting major injuries like herniated discs or fractures. But they can miss:

  • Chronic inflammation
  • Nerve dysfunction without compression
  • Muscle imbalances
  • Central sensitization (when your nervous system becomes hypersensitive to pain)

These are functional issues, not structural ones. That’s where functional medicine steps in.

What Is Functional Medicine for Injury Recovery?

Functional medicine looks beyond symptoms and imaging to uncover why your body is still struggling.
At JRM Nurse Consultants, I take a whole-person approach. That includes:

  • Reviewing your sleep, stress, and nutrition
  • Looking at nerve health and inflammatory patterns
  • Understanding how trauma, hormones, and gut health affect your healing

Whether it’s a teen injured at work, a nurse hurt on the job, or a parent still exhausted after being cleared—if you’re not getting answers, this approach is for you.

The Good News: You’re Not Stuck

You don’t have to live in chronic pain, even if the system has discharged you.
You don’t have to wait until things get worse to seek help.
And you don’t have to figure it out alone.

Ready to Be Heard?

I offer a $25 Functional Recovery Assessment to help you finally feel seen and supported.
In this one-on-one session, we’ll talk about your injury, your symptoms, and your healing goals. Then I’ll outline how we can work together to rebuild strength, reduce pain, and restore function—naturally.

👉 Book Now: https://jrmnurseconsultants.com
💲 Cost: $25 (applied toward your care plan if you move forward)
📩 Questions? Email rosie@jrmnurseconsultants.com

Because when your MRI says you’re fine—but your body says you’re not—it’s time for a new plan.

Dealing with Pain and Activities of Daily Living

When someone is in pain, the painful stimulation must be removed in order for them to function. In looking at the activities of daily living such as hair brushing, dressing, and many others, makes anyone in pain lack motivation to function.     When physical therapy is ordered for patients, especially in the home setting, they at times lose their motivation because of the same thing, it is too painful.  But if we as nurses write the plan of care and recommend to the physician to have medications given to the patient about 20-30 minutes before therapy, then the patient may be able to work through the therapy that may be otherwise painful.

With dependent care, it is always a difficult thing if the patient is coherent enough to know that they need help.  As home care nurse, I saw this frustration in many of my patients because their mind was intact, but with an injury or disease process that prevented them from taking care of themselves.  This is when our compassion as a nurse can show the patient that there are ways that they can still remain independent by giving them choices whenever possible.  For instance what foods they like to eat within their diet, what time of day they want their bath. Everything depends on when they have the help available, but at least whenever they can make a decision, give them that option so that way they can feel that they have some decision making power (Alligood, 2013).

References

Alligood, M. (2013). Nursing Theorists and their Work (8th ed.). Retrieved from http://online.vitalsource.com/books/9780323091947

Dr. Rosie Moore https://rosiemoore27.com/

When a Patient is in Pain

Have you ever thought about your patients in the hospital that are under severe pain?  When someone is in pain, the painful stimulation must be removed in order for them to function. In looking at the activities that we do on a daily basis like brushing our hair, getting dressed and many others, I can see how many would not be motivated because of the pain that they are in.  When physical therapy comes around, they at times lose their motivation because it is too painful.  But if we write the plan of care and recommend to the physician that they have medications given to the patient about 20-30 minutes before therapy, then the patient may be able to work through the therapy that may be painful otherwise.

Some patients who are being cared for in the home setting may have experienced an injury or disease process that prevents them from taking care of themselves and they get frustrated.  This is when we can show the patient ways to remain independent and give them choices when possible.  For instance what foods they like to eat within their diet or what days they want their bath. Everything depends on when they have the help available, but at least whenever they make a decision, we should give them that option.  We can help the patient have some decision making power (Alligood, 2013).

 

References

Alligood, M. (2013). Nursing Theorists and their Work (8th ed.). Retrieved from http://online.vitalsource.com/books/9780323091947