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BOMI'S OPTIMUM HEALTH
NEWSLETTER - September 2009
Think - Thank your brain
for your pain, not the area that hurts
Pain is our body's alarm system telling us
when something needs attention. In the case of chronic pain,
the alarm system has become too sensitive.
Pain may be a pain, but it does serve a valuable
purpose. If we didn't have pain, we may not realize that
there is a problem that needs to be addressed. That said,
it is important to understand that it is our brain that
decides whether or not to give us pain. In situations where
it would be counterproductive to be in pain, like on a battlefield
for example, pain often is not felt until soldiers have
made it to safety. The brain's job is to analyze all the
information that it receives from all our senses and determine
whether or not it is in our best interest to be in pain.
So if you are in pain, your brain has somehow concluded
that creating pain will serve you - a certain tissue in
your body is under threat, and your brain wants you to do
something about it. So, if you are in pain, the key is finding
out why your brain has made that decision.
Think of pain like a complicated alarm system
that is set to protect you. You accidentally touch a stovetop,
and the alarm goes off, you instantly feel pain, so you
take your hand away before too much damage is done. Initially
physical pain is caused by tissue damage. But if there has
been sufficient healing time, and you are still in pain,
there may have been a change in the sensitivity of the alarm
system (the central nervous system and brain), and it takes
less stimulus to set the alarm off, so activities that didn't
hurt before, now do. Something like those super sensitive
car alarms that go off when you walk by on the other side
of the street. You are too far away to actually steal the
car, yet the alarm went off. Chronic pain usually isn't
about the tissue anymore. Instead, the brain is receiving
a faulty message that there is more danger to the tissue
than there actually is, and is therefore creating pain.
The alarm goes off way before there is any chance of tissue
damage. So, dealing with chronic pain is frequently about
resetting the alarm system to function normally again.
Coping with chronic pain is undeniably difficult.
Taking full responsibility for your own pain and treatment
is often helpful. Be certain you completely understand your
problem and the treatments being suggested. Be active rather
than passive in your coping strategy. Be aware that once
pain is chronic, pain does not equal tissue damage, and
if you always stop the activity once pain starts, over time
your life may shrink as your alarm system becomes more and
more sensitive. Movement is necessary to nourish all tissues
and systems of the body, so find your baseline in the activity
that you want to do, where you know you for sure that you
will not flare up, even if all you can handle is 2 to 3
minutes. Very gradually add time to your baseline over the
course of the next days and weeks. Pain flare-ups may happen.
Take them into stride and be persistent with your gradual
increase in activity. Over time your alarm system will begin
to re-adjust.
This information is from the fantastic book
Explain Pain by David Butler
M.App.Sc (The Sensitive Nervous System) and Lorimer Moseley
PhD, a clinical and research physiotherapist and pain researcher
at the University of Queensland. If you are in chronic pain,
get this book, as it will help you understand the physiology
of pain, which in itself can often do a lot to relieve it,
and it will give you ways to manage and recover from your
pain. It is written for the lay person As a healthcare practitioner
dealing with people in chronic pain, reading this book sure
changed the way I approach my chronic pain patients.
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