Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
If you smoke or use tobacco products, quitting is the best thing you can do for your health and the health of your loved ones. Good planning, support, and the latest quit tobacco medications can help you succeed.
Even if you feel ready to quit right away, taking some time to plan will help you be more successful in the long run. And if you don't feel ready right now, some of these steps may be useful in increasing your knowledge of how tobacco fits into your life, as well as improving your confidence and readiness to quit. Kaiser Permanente has resources that can support you in exploring your readiness or creating a quit plan.
Everyone is different, but most people find a combination of strategies works best for them. Despite what many of us may wish, there's no one strategy or medication that will make quitting quick, easy, and painless. In fact, depending on a single strategy, like relying solely on medication, may leave you vulnerable to relapse. On the other hand, if you build a plan with many strategies, you'll be that much more prepared to face challenging situations when you quit. If one strategy doesn't work, you'll have another one to try instead of starting to smoke again.
Any past attempts to quit are valuable sources of information. Think back over past attempts and ask yourself:
When you evaluate your past quit attempts this way, you may find that they are not failures but provide opportunities that can really help your next attempt. Use the information you learn about what works and what doesn't to make a stronger plan for next time.
Just writing down your motivations and strategies can be helpful when you are thinking through your plan. Consider writing down:
Sign it at the bottom if you'd like: This is a contract with yourself to do your best to quit tobacco.
One of the most helpful things you can do to get ready to quit is to become more aware of the way you use tobacco, how it fits into your daily routines and your life in general. This information helps you choose which strategies will support you when you take tobacco out of the picture.
Many people have been smoking for so long that it has become automatic. If asked when or why they smoke, they might say, "I don't know, I just smoke." A smoking log or "pack track" can help you become more aware of when and why you smoke throughout the day. You can print and make notes in one of our pack tracks or use your own paper. Some people attach the log to their pack of cigarettes so they always have it on hand. You can also use your mobile phone. If it's a smart phone, there are apps available that can help with this.
Keep a record of the tobacco you use on one weekday and one weekend day. When you track your cigarettes, note:
Another way to increase awareness of your tobacco use is to change your daily tobacco routines. Not only will you learn more about the way you smoke; you'll find smoking less convenient and automatic than it once was.
Addiction to nicotine is a big part of why a person will want to use tobacco again and again throughout the day. However, certain situations, moods, or activities can "trigger" the need to smoke. If you always have a cigarette after a meal, you'll probably find yourself wanting one after you quit, even if your body isn't craving nicotine.
Some triggers to use tobacco are more common than others:
Observe your smoking habits and make a list of your triggers. Your "pack track" is one way to help you do this. Once you have the list, start thinking of what you'll do in those situations when tobacco isn't an option anymore.
Changing your routine is one helpful way to break the connection between a certain behavior or trigger and your decision to use tobacco. Ideas for changing your routine include:
Sometimes you can cope with a trigger by simply avoiding the trigger altogether. Try to:
These examples may be helpful, but you are the best judge of what would work best for you.
Quit tobacco medicines are drugs that help people quit smoking. They can ease the cravings and other symptoms you might feel as your body withdraws from nicotine, the addictive drug in cigarettes and other tobacco products. This allows you to focus on your other strategies for living life without tobacco.
There are 2 main types of quit tobacco medications: those that contain nicotine (such as the nicotine patch or nicotine gum) and those that do not contain nicotine (such as the antidepressant medication called Bupropion).
Both types have been proven to increase the chances of successfully quitting, and studies have shown that using more than one type of medication at one time may bring even more success.
There may be reasons not to use quit smoking medications. If you don't smoke every day or if you smoke fewer than 10 cigarettes per day, these medications may not be as effective in helping you quit.
Some quit tobacco medications might not be right for you if you're pregnant, breastfeeding a baby, or have health conditions that make any individual medication a poor choice.
Changing the way you smoke can be a helpful step toward quitting. One effective way to do this is to schedule when you will smoke (and when you won't). Here's how it works: choose certain times of the day when you allow yourself to smoke and times when you don't. How you do this is up to you, but some people decide to smoke during even hours of the day. This means they can smoke at 2:00, 4:00, and 6:00 but not at 1:00, 3:00, or 5:00. Other people might say they can smoke early in the morning and afternoon, but not from 10:00 am to noon, or from 3:00 pm to 5:00 pm. This can be even more effective if you choose to cut down the amount of tobacco you use over several weeks, all the while scheduling when you can use it.
This can be more effective than cutting down without scheduling. One reason may be that you are allowing yourself to practice not smoking without pressuring yourself to give it up all together. During the times you have told yourself you are not allowed to use tobacco, you have to employ some strategies to deal with cravings or trigger situations. You have the opportunity to test out your strategies – if deep breathing doesn't keep you from smoking, you'll have to try something else the next time. As you find what works for you, you may also find that your confidence and skills needed for successfully quitting are growing, too.
Just like any other part of quitting, what works best is unique to you. Still, evidence shows that practice can increase your success.
Support can come from many places. You may ask your family, friends, and coworkers to support you during this time. There are also a number of resources available to help – classes, online tools, individual counseling, or written information.
Local chapters of the American Lung Association, the American Cancer Society, or the American Heart Association can provide written materials, self-help smoking cessation guides, ongoing classes, and helpful online programs.
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.