severepoen. Hyper mobility and POTS have a high comorbidity rate with autism, and autistic people often have mystery nausea and vomiting (myself being one of them). severepoen

 
Hyper mobility and POTS have a high comorbidity rate with autism, and autistic people often have mystery nausea and vomiting (myself being one of them)severepoen  It can also be caused by: Arthritis of the facet joint

Learn more. Stop smoking: Cigarettes cause blood vessel constriction, which reduces blood flow to the uterus and worsens cramps. Maitland Ward, Lulu Chu, April Olsen & Jasmine Wilde - Mistress Maitland 2 Teeth 2021. Chronic injuries. Carpal tunnel syndrome is a common type of neuropathy. It is the most common reason for workman's compensation and lost work hours and productivity. Unusually high levels of stress hormones. We searched MEDLINE and the Cochrane Central Registry of Controlled Trials randomized trials published up until December 31, 2015. We found 2 solutions for Severe Pain. It was first approved for general anesthesia in 1970. Find the most popular drugs, view ratings and user reviews. Most related words/phrases with sentence examples define Severe pain meaning and usage. The perception of pain is underpinned by the transduction of mechanical, thermal, and chemical sensory inputs into the subjective awareness of pain []. Brachial neuritis can cause severe pain in your shoulder. Neuropathic (nerve) pain comes from the nerves that transmit pain signals from the body to the brain. Sever’s disease is common in children between 8 and 14 years of age that: Do running and jumping. Follow the links to read common uses, side effects, dosage details and read user reviews for the drugs. Ask your loved one to rate their pain somewhere on that scale. Click the answer to find similar crossword clues . 29 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 1 to 3 refers to mild pain. One day you felt a click or pop in your knee. 5 may differ. Repetitive stress on the joint. Prescription painkillers provide stronger relief for chronic pain or severe pain after trauma or surgery. Raso: New pain treatments bypass need for opioids. pain in the lower right side of your abdomen. Chronic secondary pain isn’t a diagnosis on its own but instead an umbrella term for all the categories of nonprimary pain. 2020 Apr 1;21 (4):714-723. fatigue. 606 may differ. This is the American ICD-10-CM version of M79. Loose stools. NCHS Data Brief No. doi: 10. All new released staff and much more. Causes. 80%. Buprenorphine. Bone spurs in the shoulder area. Examples of severe pain in a sentence, how to use it. Complex regional pain syndrome (CRPS) is a severely disabling condition that usually affects the limbs, after injury or surgery. Over-the-counter (OTC) pain reliever acetaminophen (found in Tylenol) is generally considered safe for chronic pain. Learn more. 1 This condition is the result of a series of different pathological mechanisms and it is usually described based on the anatomic localization or etiology. Soreness. damage from radiation therapy. Other causes. There are drugs that can help prevent gout flare-ups in addition to dietary and lifestyle adjustments. Patients who qualify for newer chronic pain. 7 to 10 refers to severe pain. Insufficient sleep and constant pain can also combine to make it difficult to concentrate and make decisions. 2 became effective on October 1, 2023. The patient's subjective rating of pain and the objective determination of the pain's interference with activities will produce a corresponding score on a scale of 0-5. The 2024 edition of ICD-10-CM M54. Chronic secondary musculoskeletal pain. Papilledema is the swelling of the optic nerve, which is brought on by increased intracranial pressure. There are a multitude of treatments available for chronic pain: medication, massage, exercise, acupuncture, and a host of other treatments. abdominal swelling. In these cases, a. 606 became effective on October 1, 2023. Roughly 30% to 60% of people over age 60 who get shingles go on to develop a chronic pain syndrome called post-herpetic neuralgia. An injury is chronic if it is acquired over time, such as the following. A cramp is a tightening of a muscle. Subsys, a sublingual spray. This perforation often causes severe, generalized abdominal pain and symptoms of shock, such as weakness, dizziness or loss of consciousness. One in five patient complaints in an outpatient clinic is related to pain, with over half of all patients seeing. Spinal cord compression is caused by a condition that puts pressure on your spinal cord. The pain may be mild, or it can be so severe that you cannot. and 20 million people globally. Naltrexone is a semisynthetic opioid first developed in 1963 as an oral alternative to naloxone, the nasal spray used to reverse opioid drug overdoses. S. Arthritis is a condition that causes swelling, stiffness, and sometimes severe pain in one or more of the body’s joints. Learn about treatment options from a pain management specialist. For patients without chronic pain, I would dose buprenorphine once a day for an OUD. Symptoms. 12:42. Key points. Central nervous system disorders (stroke, Parkinson’s disease, multiple sclerosis, etc. Dysmenorrhea is the medical term for moderate to severe pain caused by menstrual periods: Primary dysmenorrhea may begin one to three days before your period and last until two to three days after the onset of menstruation. Neuropathic pain is induced by a lesion or disease involving the nervous. 0 day Clips, 0 day full movies. Surgeons can usually. Over one-quarter of United States citizens suffer from chronic pain. g. Chronic secondary visceral pain. headache toothache sore throat stomach ache or cramps muscle cramps or strains cuts, burns, or bruises bone fractures Many illnesses or disorders, such as the flu, arthritis, endometriosis, and. In some cases, leg pain can be treated at home with lifestyle changes. Nociceptive (body) pain comes from damaged tissues outside the nervous system, such as muscles and joints. Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Although CRPS can occur anywhere in the body, it usually affects an arm, leg, hand, or foot. . Weakness in your legs or feet. One or more of the bones that make up the wrist can be fractured or dislocated, causing . Plain Language Summary. If you have chronic pain, working with a physical therapist can help your pain. This is the American ICD-10-CM version of R52 - other international versions of ICD-10 R52 may differ. The suicide rate among people with chronic pain is known to be roughly twice that of people without chronic pain. Low back pain can differ from person to person. Pudendal neuralgia. Lumbar spinal stenosis occurs when the spinal canal in your lower back narrows, placing pressure on nearby nerve roots. There’s often a similar story or history given by our patients with regard to the onset of severe knee pain. Chronic postsurgical or post-traumatic pain. Gas, trapped air in your digestive tract, results from your body digesting food. Latest. Fentanyl is responsible for the vast majority of opioid overdose deaths. Shivering, in this case, is accompanied by a headache, dizziness, sweating, and rapid heartbeat. e. take paracetamol. G89. Summary. Percocet is an opioid painkiller that is used to control moderate to moderately severe pain. Peppermint has been shown to potentially help relieve headaches, increase blood flow, and fight bacterial infections. 18, no. They include several classes of medications (acetaminophen, nonsteroidal anti-inflammatory drugs, antidepressants, antiepileptics, local anesthetics, and opioids). New and severe abdominal pain always needs to be closely evaluated by a doctor. This topic is called mindbody medicine and should be investigated by anyone who has not found lasting relief from more. The Crossword Solver found 30 answers to "Severe pain (5)", 5 letters crossword clue. 2% of 20,349 decedents. strong urgency to urinate. Using heat: Applying heat can reduce your pain. asian teen reality hardcore letsdoeit all sex quarantine footjob squirt russian amateur show perfect tits popular with women solo. Vaccines are intended to cause a response by the body, but doing so in the bursa will cause weeks of poor. Pregnancy. Central nervous system disorders (stroke, Parkinson’s disease, multiple sclerosis, etc. Prescription painkillers provide stronger relief for chronic pain or severe pain after trauma or surgery. severe pain and swelling. Grade II is characterized by severe pain for up to 24 h, with some mucosal thickening on X-ray. Heat and Ice. asian teen reality hardcore letsdoeit all sex quarantine footjob squirt russian amateur show perfect tits popular with women solo roleplay amazing teen anal pov spanish italian brother camera tattoo throat fuck deutsch sexy girl fit bangbr0s loud moaning school girl onlyfans stranger toys squirts. headache toothache sore throat stomach ache or cramps muscle cramps or strains cuts, burns, or bruises bone fractures Many illnesses or disorders, such as the flu,. causing very great pain, difficulty, worry, damage, etc. Medication side effects should be considered as the possible cause if a patient with ADHD develops severe symptoms. Drinking. It happens because of disruptions in your body’s pain processes. Mild Pain – Nagging, annoying, but. Mild to severe pain can occur, as well as dull, mild aching. Chronic pain can affect mood, sleep and mental health, and sometimes leads to anxiety and. An artificial knee joint has metal caps for the thighbone and shinbone, and high-density plastic to replace damaged cartilage. In contrast, the long-term administration of an opioid for the treatment of chronic non-cancer pain continues to be controversial. Sore throat can be a symptom of strep throat, the common cold, allergies, or other upper respiratory tract illness. Chronic pain can be difficult to manage—everybody's experience of it is different. If an illness caused by bacteria is the source of your pain, you may need antibiotics. Sports, exercise, and other activities can cause muscle strains, tendinitis, and more serious. 8. 1001/jamanetworkopen. If you experience pain in your legs or arms while exercising, your discomfort might not be the result of too many reps or muscle strain from trying to set a new personal record. severe: adjective acrimonious , afflictive , agonizing , astringent , austere , austerus , bearish , brutal , censorious , churlish , coercive , cold , condemnatory. Oral cannabidiols resulted in large increases in dizziness (20%), and oral spray solutions caused significant dizziness (39%) and nausea (17%). Pain that radiates to your lower back and thighs. The cause is more likely to be serious if the pain is intense, does not go away, and causes additional symptoms. extreme pain. Canadian Pain Task Force report: June 2019. Shoulder pain may also be caused by: Arthritis in the shoulder joint. Some simple changes to your lifestyle and using over-the-counter antacid. infection of the spine. For many people with chronic pain, opioids can help give them back their quality of life. These include medicines, like prescription pain relievers or anticonvulsants and antidepressants, as well as electrical stimulation and other techniques. Levine recommends NSAIDs, or nonsteroidal anti-inflammatory drugs that are used to treat pain and inflammation. Examples of somatic pain include: bone fractures. Dislocated elbow. However, severe lower back pain may be a symptom of conditions like PMDD and dysmenorrhea. Neuralgia can have multiple underlying. But sometimes it causes severe pain–pain that feels sharp, sudden and stabbing (2). 5 years, taking Oxycodone and Methadone for severe pain. Almost 500,000 veterans currently receive disability benefits for sciatic nerve issues, according to the VA 2015 Annual Benefits Report. RA occurs when the immune system attacks the lining of the joints, especially in the hands, wrists, and feet. For acute pain, the lowest effective dose of immediate-release opioids should be prescribed in no greater quantity than. This collapse can cause severe pain, and individuals suffering a lumbar compression fracture often experience sudden pain and limited spinal mobility. Uncontrollable shivering can be caused by low blood sugar levels. burning or pain with the need to urinate. 1093/pm/pnz356. Applicable To. In the last major survey, conducted in 2016, around 20% of adults in the United States — about 50 million people — had experienced pain on most days or every day in the previous 6 months. Excess weight. Shingles can lead to serious complications involving the eye, including vision loss. struggling with chronic back pain and believe it. The headaches are characterized by sudden severe pain behind or around the eye, on one side of the head. Pudendal neuralgia. n. The failure to manage chronic pain and the opioid dependence associated with chronic pain can result in significant morbidity and mortality. There are several types of arthritis that can cause pain above the left hip. But for many. Interstitial cystitis (painful bladder syndrome) causes pelvic pain and pressure. extreme pain. 075% capsaicin may soothe your back pain. Hyperalgesia is a symptom where you feel pain in situations where feeling it is normal, but the pain is much more severe. Those who were cognitively. RA may also affect the heart, lungs, and eyes. rapid or irregular heartbeat. How It Works. Antidepressants appear to enhance opiate-induced analgesia, especially in patients with chronic (neuropathic) pain (Bittner 2016). According to the author, prescription opioid overdose deaths have surged in the last 20 years. Whereas acute pain is the normal sensation which alerts us to an injury or illness, chronic pain is one that persists, often for months or even longer. Parts of speech. Severe daily pain was reported in 17. Two commonly used markers are pain that continues at three months and six months since onset, [2] but some theorists and researchers have placed the. Severe pain on the inner or medial side of the knee can be disabling. Mind-body therapies use various approaches including relaxation techniques, meditation, guided imagery, biofeedback, and hypnosis. Pain is one of the main complaints of patients referred to the hospital and comprises almost 80% of the causes for referral to the emergency department (ED) (1, 2). Dull, continuous ache. This can happen commonly with burns and many other injuries and conditions. The Cav2. Nearly 8 million Canadians live with chronic pain, which can have major impacts on a person’s physical health, mental health and ability to take part in everyday activities. Sometimes pain and depression create a vicious cycle in which pain worsens symptoms of depression, and then the resulting depression worsens feelings of pain. Ideally, all patients should reach a 0 to 2 level, preferably 0 to 1. Opioid drugs, including morphine, are commonly used to treat neuropathic pain. Papilledema. Estimated Rates of Incident and Persistent Chronic Pain Among US Adults, 2019-2020. 10. The main symptoms are severe pain, swelling, loss of range of motion, temperature changes, and changes in the skin. Lower back pain can be a debilitating symptom, whether it is a new pain, is worsening, or is chronic. scoliosis. Pain from mittelschmerz may be: On one side of your lower abdomen. Stretching and flexibility exercises. Many people with terrible pain on the inner or medial side of the knee do not recall any injury. Exercise: Movement improves blood circulation, reduces inflammation, and stimulates serotonin and endorphins (natural mood-elevating chemicals and pain relievers). Learn about treatment options from a pain management specialist. The tendons become inflamed or damaged. A 32-year-old psychology grad student in Michigan, Kathryn lived with endometriosis, an agonizing. Below is a list of common medications used to treat or reduce the symptoms of severe pain. Over time, breakdown of the cartilage in your facet joints can lead to lower back pain. thesaurus. 5 months. Internal Rotation. In some cases, no disease is evident. Tumors, in rare cases, that develop on the spine or other areas of the back. Christopher Williams of Atlanta provides a wide range of advanced sciaticA treatments. Over-the-counter (OTC) and prescription pain relievers treat a variety of problems. Papilledema is another possible cause of a headache and vomiting. This study has been subsequently replicated in samples of individuals with a variety of pain conditions and. n. Everyone experiences pain at some point, but for those with depression or anxiety, pain can become particularly intense and hard to treat. Chronic secondary musculoskeletal pain. It might be: pelvic inflammatory disorder (PID). Simply put, sometimes the benefits of opioids outweigh their risks. It’s often treatable, with many possible treatment methods and approaches. 1. In recent years in the United States, approximately 11 million people per year have misused prescription pain relievers, the most common being products containing the Schedule II. The mind can enact, perpetuate or exaggerate the most extreme pain in order to deal with highly charged sensitive emotional concerns. Esophagitis can cause painful, difficult swallowing and chest pain. Joint Pain. 10. It is associated with a negative patient experience and may also be associated with respiratory and/or cardiac complications, prolonged hospital stay, limited or delayed return to normal activity and. A corticosteroid injection or a short-term pharmaceutical. These medications are commonly used for arthritis and pain resulting from muscle sprains, strains, back and neck injuries, or menstrual cramps. Each of these artificial parts is called a prosthesis. Kurth tells the story of a young Pakistani boy who came to the attention of scientists through his reputation in his community as a street performer who walked on hot coals, and stuck knives in. To effectively use the pain scale, familiarize yourself with the levels before your procedure, identifying what key levels are indicative to your pain level. M25. After trying to self treat lyme with abx for a week in June I developed severe pressure, allodynia migraine, swelling, bulging veins or tendons that hurt to touch, brain squeezing, feeling like head is strained and full of cotton, every imaginable pain and basically the worst headache of my life, and other brain sensations for 4. Factors. Internal rotation mobility is especially restricted (3). definitions. Data from the National Health Interview Survey. Knee pain and an active lifestyle. info@cck-law. When this is the case, birth control pills or other hormonal medicines may help relieve pelvic pain. I spent at least another half decade standing or pacing through meetings, meals and movies — for fear that even a. ; Family: You are more likely to get high blood pressure if it runs in your family. Trigeminal neuralgia symptoms may include one or more of these patterns: Episodes of severe, shooting or jabbing pain that may feel like an electric shock. Pain reprocessing therapy uses psychological techniques to retrain the brain to interpret and respond to bodily signals properly. Dull, continuous ache. feeling fatigued easily. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. a severe shortage of qualified staff; The party suffered severe losses during the last election. It has five components: Educating people about the neuroscientific. Back pain is one of the most common causes for patients to seek medical care in both primary care and emergency setting. nausea and. A doctor may prescribe higher doses to treat more severe pain. Underlying cause is incurable, non-removable, and fails to respond to customary pain therapies. Chronic pain syndrome occurs when the cause of the pain, for example, an injury, illness, or infection, has been healed for 3 months, yet pain is still present. Track your pain level and activities every day. They may be habit-forming. Pain and depression are closely related. Another cause for high blood pressure caused by back pain is that pain signals the adrenal glands to release adrenaline, which subsequently causes pulse and blood pressure to rise. 431. Fractures Around the Elbow: A Guide to Recovery • 104 - 3551 Blanshard St. Rosenberg, et al. This approach combines cognitive, behavioral, and physical techniques focusing on the perception of pain. Opioid analgesics: Opioid analgesics are considered for managing severe pain or failed response to other treatments in the elderly. Learn biofeedback to decrease migraine and tension headache pain. When. Fax. [AnalIntroductions/Private] Angie Lynx’s DP Threesome and Squirting Fantasy (2023) 37:05. Severe food allergy means a dangerous or life-threatening reac- tion of the human body to a food-borne allergen introduced by in- halation, ingestion, or skin contact that requires immediate medical attention. It may. NEW YORK (AP) — A former Penthouse magazine model sued Guns N’ Roses singer Axl Rose on Wednesday, saying he raped her in a 1989 attack at a New York City hotel that left her with anxiety and. Symptoms such as pain, numbness, or weakness in the arms, hands, legs, or feet can come on gradually or more suddenly, depending on the cause. Severe pain, though, may indicate a ruptured cyst, infection, or another serious issue. Another way to say Severe Pain? Synonyms for Severe Pain (other words and phrases for Severe Pain). Other times, back pain is the. 3. phrases. The 2024 edition of ICD-10-CM M25. R52 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Oil’s ‘Dead Cat Bounce’ Spares Energy Stocks From Greater Pain. 606 - other international versions of ICD-10 M79. Low-dose naltrexone is considered to be less addictive than opioid medications, which are also used to manage chronic pain. Oxycontin was approved by the FDA in 1995, and was introduced into the United States market in 1996 ( 2 ). The exercises have to be tailored to your specific symptoms and condition. nouns. Recommended mitigation strategies include an overdose risk assessment ( Table 3) and urine drug screening before prescription or represcription of opioids (to verify absence of drugs of abuse. Other causes of shoulder blade pain might include: degenerative disc disease, or a herniated or bulging disc in the spine. Duragesic, an extended-release transdermal patch. These include: Chronic cancer-related pain. | Meaning, pronunciation, translations and examples The Crossword Solver found 30 answers to "severe pain", 7 letters crossword clue. Mood changes. When your body heals, you usually stop hurting. Pain experts often recommend a short course of physical therapy. adults, there is little research on whether its prevalence changes over time. a severe economic depression. Tina Fire's New Videos. We strive to be the leading source of support for those living with pain, as well as their caregivers and care providers. Symptoms of gastritis vary among individuals, and in many people there are no symptoms. 025%-0. Some types of arthritis and cancer can contribute to back pain. headache. 4% of adults had chronic pain and 7. Opioids are effective for severe pain and do not cause bleeding in the stomach or other parts of the body, as can some other types of pain relievers. In this module, we'll look at the CDC-recommended options for treating chronic pain without opioids. We use historic puzzles to find the best matches for your question. Appendicitis-related pain usually ends up being a lot worse than typical period pain. 1-3 Prescription practices should be examined to ensure that opioid use is consistent with standards of care and practice guidelines and nonopioid alternatives are considered whenever possible. So if you have nerve pain, whether it's. 1 When these symptoms are ‘persistent’ or ‘unexplained’ they are associated with poorer quality of life and higher costs than other patient groups. Some injuries, hopefully, are one-off events, like when you fall or get hit hard while playing a sport. com correspond to the sites the movies originated at. Dexmethylphenidate, and potentially other methylphenidates used in the treatment of attention deficit hyperactivity disorder (ADHD), may cause severe muscle pain and stiffness. This sympathetic discharge produces hypertension and tachycardia, or a pulse rate over 100 beats per minute. Lower back pain can sometimes also be a symptom of conditions that do not relate directly to the back. 2. 1 day ago · Severe pain in your stomach or pelvis is a common sign of the medical emergency. This pain usually. Chronic pancreatitis can affect people of any age. In fact, physical activity may help. 401-421-3185. Peppermint Tea Bags. Gout is characterized by a buildup of uric acid, which can form crystals in the joints — especially in the big toe, and sometimes in the hands, wrists, or. Chronic pelvic pain in women is defined as persistent, noncyclic pain perceived to be in structures related to the pelvis. Tingling or burning sensation. Lower-than-normal mental and physical performance. The warnings seek to course-correct after doctors felt pressured to taper drugs rapidly. SEVERE PAIN definition: Pain is the feeling of great discomfort you have, for example when you have been hurt or. connective tissue diseases, such as osteoporosis. When prescribed at doses of 50 to 100 milligrams, naltrexone blocks the effects of alcohol and opioids. When this pain subsides, your shoulder may be weak, limiting your movement. Pain is routinely reported by patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD). Dislocated elbow. exposure to toxins. Nerve damage (neuropathy): Damaged nerves can lead to pain, stinging and tingling. Spontaneous attacks of pain or attacks triggered by things such as touching the face, chewing, speaking or brushing teeth. 7%) and high-impact chronic pain (8. Rheumatoid arthritis (RA). severe meaning: 1. Opioids are effective for severe pain and do not cause bleeding in the stomach or other parts of the body, as can some other types of pain relievers. Bone spurs in the shoulder area. Opioids are a class of drugs used to reduce pain and include prescription opioids, heroin, and synthetic opioids (like fentanyl). The sharp shooting ear pain could originate in the outer or middle ear if you have a bacterial or viral infection there. Compare risks and benefits of common medications used for Chronic Pain. The Crossword Solver finds answers to classic crosswords and cryptic crossword puzzles. severe pain that impairs eating, talking, or sleeping; high fever over 101˚F (38˚C) intense, severe pain on one side of your throat, along with swollen glands; trouble turning your head;1. Thesaurus for Severe pain Related terms for severe pain - synonyms, antonyms and sentences with severe pain bursitis. Danny, 61, and his wife, Gretchen, 59, died by suicide in November. [+] more examples. These changes are often called degenerative disk disease and osteoarthritis. To the delight of consumers, pain-fighting strains exist in sativa, indica, and. In other cases, it may stem from TMD or a foreign object lodged in the ear. The International Association for the Study of Pain (IASP) defines chronic pain as pain persisting for three months or longer. As estrogen levels fall as women approach and pass menopause, the resulting dryness and thinning of vaginal tissues can cause penetration and intercourse to be uncomfortable for many women. An ankle sprain occurs when the strong ligaments that support the ankle stretch beyond their limits and tear. Diabetes. G89. 2023. severe: 1 adj unsparing and uncompromising in discipline or judgment “"a parent severe to the pitch of hostility"- H. 7% of females and 26. Symptoms of menstrual cramps include: Throbbing or cramping pain in your lower abdomen that can be intense. JAMA Netw Open. Loose stools. Have detailed discussions with your provider about whether LTOT is right for you. Objectives: To provide an overview of Cochrane Reviews of adults with chronic pain to determine (1) the effectiveness of different physical activity and exercise interventions in reducing pain severity and its impact on function, quality of life, and healthcare use; and (2) the evidence for any adverse effects or harm associated with. In other cases, it may stem from TMD or a foreign object lodged in the ear. Type 1 Excludes. Regular applications of ice to the painful areas on your back may help reduce pain and inflammation from an injury. A sore throat can make it painful to swallow. 1 Healthy People 2030 focuses on helping people with high-impact chronic pain safely manage their pain and reduce its impact. Compare risks and benefits of common medications used for Pain. If you think there’s any way that could be a possibility, it may be worth discussing with your Dr. Patients can develop chronic nerve pain or widespread pain throughout the body, which is difficult to manage. Enter a Crossword Clue. Symptoms may include: Abdominal cramps (can be very painful) Vomiting. 3 Learn more about opioids and the drug overdose. Getting. Depending on the cause of. b : causing a lot of physical pain or suffering. Excess body weight puts extra stress on the back.