chronic pain attitude and more

What is our relationship with pain?

The immediate answer would be resisting it or opposing it . it seems like the natural response like an innate reflex. but, believe it or not there are other ways to interact with pain. what would happen if you would choose to embrace it, listen to it, talk to it and treat it like a frightened little kid in tantrum? We went to people who had a long term relationship with their body pain and found a way to befriend it and let it go. we asked them how do they relate to pain before and after their healing journey and what insights they have gained. Here is what they shared:

Experts are talking on Pain issues:

Pain experts explain the mechanism of pain, whay does it linger in some folks? what can you do about it?

Dr. Howard Schubiner MD explains pain:


There's certainly tremendous amount of suffering  AND PAIN in the world: Tremendous amount of abuse, tremendous amount of poverty, tremendous amount of injustice, tremendous amount of racism, discrimination against people and more. I would argue that there's also always some degree of choicee that people have. Victor Frankel wrote about that and lived that in his life. no matter what your external circumstances are And admittedly, many external circumstances are extremely difficult. there's always some choice, how you think, if you're going to live, how are you going to live? Given your circumstances, many circumstances are not changeable, but we can choose to change our attitude. We can choose to change our mood. We can choose to change how we think about our circumstances, and we can choose to find meaning and purpose in our lives. we can choose to find social connections and we can choose compassion WHICH AS I SEE IT- THESE ARE THE INGREDIENTS NEEDED FOR HEALING.

Why does pain linger?

Pain lingers because people think they're injured. Pain lingers because they think there's ongoing damage. Pain lingers because there's fear of the injury because the medical profession tells them you have CRPS or you have RSI or you have  fibromyalgia, et cetera. You look them up and you read they're incurable.  So pain lingers because of fear of pain and the conceptualization of it as being incurable and that you have ongoing damage.

The big cause of persistent pain

On top of that, pain lingers because of focus on the pain, because of frustration with the pain, because of trying to heal it and using all these different techniques, including injections and diets and surgery and massage and acupuncture and physical therapy. when none of it works, you get more and more frustrated. all that fuels the danger and alarm signal in the brain. the third reason why pain tends to persist and linger is because of emotional trauma : childhood trauma and stress in people's lives.  if they have an ongoing situation with their work or their child or their spouse or their neighbor or the political situation in the country or the virus situation in the world, all those things can fuel this danger alarm mechanism and make pain linger. those are the main reasons why pain will persist in some folks.

Research about chronic pain

The vast majority of people with chronic pain do not have a structural problem. We did a recent study where we evaluated very carefully over 200 people with chronic neck and back pain, and we found that 85% of them do not have a structural problem. They may have had injuries. Many people have had injuries as human beings are designed to be injured and to heal all injuries.  If you have a severe structural problem, you may end up with a curvature of the spine. You may end up with the leg length discrepancy.

Scars do not hurt

 There's a lot of structural disorders that can be severe and can lead to deformities, but our body adapts to those deformities. Our brain adapts to those deformities. If pain is occurring after an injury after the injury is healed, it's because the brain has taken over that pain. The brain has learned that pain because the injury has healed and scars do not hurt.

Sometimes we heal with scarring.  Scars are not painful. There's this idea that someone has a car accident or a mild injury, and then they have pain because of that injury. No, that's not the case.

 

I was just talking to a friend of mine who spent some time in West Africa working in a rural area, and he's met people with tremendous injuries, head injuries that we would call concussions and traumatic brain injuries, people with all variety of cuts and scrapes and broken bones.  he did not see chronic pain in that population. There was no chronic pain, there was no chronic head injury, there was no concussion lasting  injury. There was no whiplash injuries that lasted for months or years.

osteoarthritis does not necessarily have to be painful

Everyone gets wear and tear of their bodies over time. Everyone gets some degree of osteoarthritis over time. And if you look at X rays of people's joints as they age, they get more and more osteoarthritis. But not all of that is going to be painful.

We are over diagnosing

if you look at the correlation between people's pain and people's X rays, there's no good correlation, very poor correlation between X ray evidence of osteoarthritis and pain. Now, clearly, some people have severe levels of osteoarthritis  and some of them will need a joint replacement. That's fine. That is true. But it is over. In our modern medical world, we're over diagnosing.

Dr. David Clark explains pain:


we all know pain. For example, when we hit our thumb with a hammer, the pain is generated by the damage to your thumb. But there's another kind of pain which can be generated in the brain. And the most classic example of that is Phantom limb pain, where a person feels pain at the site of a limb that has been amputated, and that pain clearly is not coming from the limb because it's no longer there.

pain is being generated inside the brain

And it turns out the brain can do that quite commonly and can create symptoms, pain or otherwise anywhere in the body. So the reason that it does that is that there are changes in the neuroanatomy. There are real physiologic underpinnings to this. The circuits in the brain that process these signals are different, and the reason they're different is because of one or more types of stress that the person is suffering from. It can be childhood stress. It can be stress in your life. At the moment. It can be a mental health condition like depression, anxiety, or post trauma. And if we can identify what that source of stress is, and there may be more than one that a person is suffering from, then we can treat it.

adverse childhood leads to chronic pain

If the person, for example, has been abused as a child, we can address the long term impact of that in a way that benefits the person not only in their daily functioning and in their view of themselves, but it also alleviates the stress that's creating the symptoms