One example:

“Major, intense joint pain was the play of the day this time. I was shackled with irons around my left foot and wrist cuffs on my right side (must be opposite hand and foot) from 9 p.m. until 3 a.m. Around 2:15 a.m. I was in so much pain until I was moaning and groaning — begging the officer to change sides that I was cuffed/shackled on. The back/lower back is the most painful area, and then comes my shoulder blades. I needed relief. I needed to be on my left side but couldn’t roll over, because the wrist cuff had no slack between my wrist and the bed rail. I BEGGED . . . I BEGGED and I BEGGED, and she said no, no; I’M NOT DOING ANYTHING!

“This was the very first time I asked for pain meds that were given to me immediately. Later I learned that the medical staff asked that I be unshackled and no steps were taken to get approval from control.” (from a 70-year-old woman)