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  • Writer's pictureCrystal Gerlach

Chronic Pain

If you are in pain chances are you have been struggling for a long time.  The material below is an excerpt from an article I found while working in a pain clinic.  As a therapist, often a very important part of treatment is education around a diagnosis and how it impacts a person's daily life.  This article provides some basic information about pain and I found it helpful not only for individuals in pain but also for loved ones.

Why am I in Pain?

Written by Cathy Rogers 2011

Pain is a normal experience

Pain is a normal, but unpleasant, experience you feel in response to what your brain believes to be a threatening situation and can involve actual or potential tissue damage (Butler & Moseley, 2003). The pain experience is what motivates you to take notice of tissue damage and do something about it. When you accidentally step on a sharp object your brain alerts you to the threat (tissue damage) and you will quickly remove your foot from the object to prevent further damage.

Think of your pain as an alarm system; it has the capability of sending danger messages to your brain when your brain perceives that it is under threat. Your brain then processes these danger messages and decides what the necessary action your body should take to prevent further tissue damage (like removing your foot from that sharp object).  This system is essential to your survival.  Pain is a poor marker for tissue damage . We already know that pain can be related to a change in your tissues. Postural pains, pains from a sprained ankle, and pain from a bulging disc are all the result of some degree of damage to the surrounding tissues. You would assume that the larger the degree of tissue damage, the greater degree of pain.

So, why is a paper cut on a finger so painful? Why are migraines so debilitating?

What we now understand is that the severity of the pain report does not always give an accurate indication of the degree of tissue damage. Paper cuts on a finger typically involve only a minor amount of tissue damage (which heals with little or no care on your part), but the degree of your pain report is usually quite high, while some life-threatening cancers can go undetected for years as there are no associated symptoms. This highlights our understanding that pain is a much more complex phenomenon than we expected.

When pain becomes persistent

Whenever we injure ourselves, the damage to the surrounding tissues activates a cascade of events known as inflammation. Inflammation helps to promote the healing of your tissues. Different tissues take different amounts of time to heal, but typically, all tissues do heal. We expect that as the tissue heals, the degree of pain associated will lessen over time. So, why do some people report ongoing or increasing pain symptoms that last months to years, well beyond the expected healing time for the injured tissue?

There is no easy answer to this question. There may be some ongoing inflammatory reactions in the tissues that cause the persisting pain. The tissues may have healed but are not yet healthy; muscles may remain weak and underused, there may be motor control issues with the core muscles. Or, the central nervous system (brain and spinal cord) may have become sensitized over time. Essentially, this system becomes too good at what it does.

If you have chronic pain and would like to know more about coping with the emotional aspects of pain, feel free to contact me.

Check out these videos below:

Low Back Pain By DocMikeEvans

Understanding Pain in less than 5 minutes, and what to do about it!


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