Learn to Live with Chronic Pain

Health

Approximately 35% of Americans have complaints of severe pain, and almost 50 million Americans are disabled partially or entirely due to this condition. Coping with pain is an extremely common symptom that causes people to make multiple appointments with their physician. This problem is managed better using a multidisciplinary approach which requires close integration with various health care providers because pain has biological, psychological and sociological components.

What is Chronic Pain Syndrome?

 Chronic Pain Syndrome (CPS) is a configuration of symptoms which ordinarily do not react well to the western medical model of care, and is truly a challenge to people in health care services because CPS is a clumsily defined condition. Some health care providers believe that consistent pain greater than 6 months and many clinicians have used 3 months as the minimum acceptance for diagnosis. Others advocate that any pain persisting greater than the average healing time should be recognized as being chronic pain. In general, chronic pain is defined as any pain that lasts more than six months versus acute pain, which is pain that last less than thirty days. Once again, any pain that lasts between a month and half a year is classified as sub-acute pain, and is not considered to be a chronic condition.The International Association for the Study of Pain investigated a general agreement for the definition of chronic pain syndrome concluding “an offensive sensory and mental activity linked with real or possible tissue injury, or explained in terms of damage”  being the final definition.  It is apparent from this definition that while they recognize that a pain is a physical sensation, the emotional disposition of a person, as well as the circumstances or condition associated with the pain also influences the perception of the harmful experience. For example, if a person experiences a painful situation connected with current or previous injury (disease, an accident, trauma etc.), a reoccurrence of related physical pain will not just cause physical trauma, but also the emotional and subjective trauma connecting to the first painful experience. Researchers have studied comparable injuries between two people, one person who identifies great emotional disturbance to the pain and a person who does not identify emotional disturbance. The person who associates a high disturbance will have more extreme physical pain than the person who does not connect a high emotional outcome (Springer, Sheridan, Kuo, Carnes & Molly, 2003).

Supplementary investigations have revealed that the existence of pain is molded by an excess of contextual conditions, involving vision. Researchers have observed that when a person sees the region of their body that is being aroused the person will describe a diminished significance of recognized pain. For instance, one study applied heat stimulation on a person’s hands. When advised to watch their hand when the heat provocation was administered they experienced an analgesic result and recorded a greater heat discomfort threshold or less discomfort. Additionally, when the appearance of their hand was visually increased, the analgesic impact also rose and vice versa. This study illustrated how the judgment of pain relies on visible information (Mancini, Longo, Kammers & Haggard, 2011).

Understanding Chronic Pain

by Humphrey King/flickr
Understanding Chronic Pain

Chronic pain syndrome (CPS) is a problem that presents a challenge to healthcare providers because of its, unclear cause, and poor response to the medical treatment model. The pathology of chronic pain syndrome (CPS) is complex, involves many factors, and continues to be only vaguely understood by those in the medical community.

Some suggest that CPS might be a learned behavioral reaction that is activated by a harmful catalyst that causes discomfort. For example, a tooth extraction or surgery. This pain behavior then is satisfied internally or externally. Internal satisfactions or reinforcements are relief from individual tasks or with various emotions (fear, guilt, sadness, sex, daily responsibilities). External satisfactions or reinforcements include influences such as assistance from family members and friends, socializing with the health professional, medications, compensation for and time off from employment. Thus, this pain behavior is reinforced, and then it occurs without any noxious stimulus.

Chronic pain can seriously affect people’s lives in many different areas. Emotional symptoms are depressed mood, a reduction in energy level or fatigue, decreased activity level and decrease in libido, along with coping styles related to excessive use of drugs and alcohol to manage the pain.  What helps is for people to try to keep areas of their life in balance. In order to cope, people need to realize that pain causes emotional distress. In most situations chronic pain sufferers can overcome the anxiety and fear that is brought about by chronic pain. By concentrating on a balanced approach when handling everyday tasks or responsibilities, chronic pain sufferers can learn to manage the pain constructively. For example, be careful when taking on daily tasks. Doing too much or not enough can result in added stress and increase pain. If people are taking medication, always take the medicine at the same time every day to prevent any unnecessary distress.

When it comes to pain, the amount of stress and anxiety that is created varies. Therefore, cognitive behavioral therapy can help the chronic pain sufferer successfully cope and gather the needed methods to manage everyday stressors. By learning effective coping strategies people can find the drive and determination to live happier and more productive lives.

Cognitive and Psychological SymptomsCognitive & Emotional Symptoms

Chronic pain not only affects a patient physically, it can also have pronounced cognitive and emotional effects. Therefore, the psychological ramifications as well as physical discomfort can, at times, be difficult to manage. Because of chronic pain, people may be subjected to: forgetfulness, difficulties in performing everyday tasks, problems with communicating, and a lowered ability to concentrate.

Because of the prevailing pain of the disorder, fibromyalgia provides an excellent example of what kinds of cognitive and emotional difficulties can emerge from chronic pain. For example, the fibromyalgia patient often suffers from forgetfulness, an inability to concentrate, a reduced attention span, and the inability to respond with any quickness or adeptness when performing certain daily tasks. These kinds of cognitive problems are linked to the anxiety and depression symptoms, which are associated with the disorder.

Pain certainly can have profound psychological effects on the lives of the sufferers. For example, in the case of fibromyalgia, patients usually experience widespread pain which is a pain that is exacerbated by any type of pressure. This condition can give way to such symptoms as tiredness, insomnia, problems with swallowing and joint stiffness. The researchers Mork et al., investigated whether physical exercise and high body mass index (BMI) influence an individual’s risk of developing fibromyalgia. The study included 15,990 women, none of whom at baseline had fibromyalgia or any other physical impairment. By 11-year follow-up, the incidence of fibromyalgia had reportedly occurred in 380 women. The authors noted that only a weak link existed between exercise level and fibromyalgia risk. However, women who were obese or overweight had a 60% greater risk for developing fibromyalgia than did women of average or normal weight.

 Pain and Gender Differences

Across many distinct ailments females report that they endure more pain than men. Nearly all human investigations of sex variations have matched the number of females with the number of men who state they are in discomfort. However, almost all have not studied intensity levels and numerous studies have not involved sufficient amounts of people to be effective in identifying variations between the sexes in pain awareness. One investigation combined data from 11,000 cases from pain rates that were entered in electronic medical records at Stanford Hospital between the years 2007 and 2010. Patients were directed to rank their pain on a range of zero (no pain) to 10 (worst pain). For nearly all illnesses, females described higher pain rates than males and were on average, 20 percent above male accounts. Females with lower back pain consistently recorded higher pain rates than males and also expressed the feeling more pain in the neck and sinuses, which are results not detected in prior investigations. Females attach different numbers to the level of pain they notice opposed to males for some unexplained cause.

Prior investigations imply a few factors which may add to the difference in judgments of pain level, involving psychological factors, hormones and genetics, which may differ between females and males. Pain systems may function uniquely in females and males, or females may encounter more severe forms of illness than males. Future investigation is required to ascertain the precise reasons of pain judgment variations, which would be the first to target for more efficient pain management. Biological markers for pain, such as proteins or genes, would take some of the subjectivities out of evaluating the existence of pain, but the description of these markers is going to be a future challenge.

Conditions that Cause Chronic Pain

Chronic pain is connected with various illnesses and disorders. People suffering from any of the following illnesses may experience some of the cognitive and psychological symptoms that are linked to chronic pain. These illnesses or conditions include:

A Few Tips on How To Learn To Live With Pain 

Creative Commons by artethgray

Creative Commons by artethgray flickr

Emotional stress can be influenced by a number of factors with respect to chronic pain. When beset by stress or anxiety, the chronic pain sufferer needs to consider: The degree of pain that is felt on a scale of 1-10, sleep patterns, triggers that bring on pain, ways they are coping with the pain, and the amount of psychological and emotional support they are receiving.

 Look for Natural Ways to Cope with Pain:  Managing pain-associated anxiety is ideal for keeping pain under control and enhancing the immune system functioning. The chronic pain sufferer can enjoy a better quality of life by using alternative treatments, such as Cognitive Behavioral Therapy, eating healthily, and following a regular regimen of exercise. Therefore, finding natural alternatives to relieve pain is preferred over dependence on medication, which can reduce the sufferer’s overall enjoyment of life.

Exercise is one of the best ways to reduce pain. Chronic pain can be helped, as well, by following a healthy, nutritious diet. Exercise produces endorphins, which are mood-elevating hormones that are useful in combatting pain. To relieve pain the endorphins work in conjunction with analgesic-type receptors in the nerve endings, spinal cord and the brain. Exercise is probably the best way to treat pain as the endorphins that are produced during a workout are usually many times more powerful than analgesic medications and are non-addictive. Chronic pain sufferers can reap the benefits that are provided by endorphins by taking part in daily or regular exercise. These proven pain relievers can reduce anxiety and the existences of the symptoms associated with stress and effectively manage chronic pain.

Try to Make a Few Behavioral Changes. People need to examine how they are currently feeling to better manage pain. For example, if people feel frustrated or irritated then it is useful to recognize the feelings and then examine the behaviors that go along with having that irritable feeling. It is helpful to examine behaviors to assess the need to possibly initiate a change in attitude or behavior.

Pain Medications. There are two main types of medicines that are prescribed for the reduction of pain. Health practitioners recommend people use drugs that fall under the classification of analgesics or NSAIDS (nonsteroidal anti-inflammatory drugs). They may also recommend antidepressant medications in some cases as well. Among analgesics, acetaminophen (sold under the well-known brand of Tylenol) is often used to reduce pain.

Nonprescription NSAIDsWhile analgesics are made specifically to relieve pain, NSAIDS are designed to reduce both pain and inflammation. Therefore, NSAIDs are often used to manage arthritis pain as the discomfort is brought on by swelling and inflammation of the joints. The most popular NSAIDs that are sold as nonprescription, over-the-counter medications are ibuprofen and aspirin.

NSAIDs not only relieve pain and reduce inflammation and swelling, they also thin the blood. Therefore, they have been found to be helpful, in low doses, in preventing heart attacks. On the other hand, frequent use of NSAIDs can cause stomach upset and/or kidney difficulties. Therefore, patients should inform their doctors what medications they are currently taking to avoid any adverse drug interactions or side effects. Women who are pregnant, asthma sufferers, individuals with kidney or liver problems, people taking medicines for high blood pressure, and those individuals who have had ulcer problems in the past should be careful about taking NSAIDs. Please consult your physician.

Holistic Treatments Methods attempt to help treat the root causes of the pain, not just the symptoms. Practitioners take into account all aspects of one’s life to assess which treatments or herbal supplements will help best to manage the pain.

Physical and Occupational therapy
Acupuncture, Massage, Trigger Point Therapies
Chiropractic Therapy
Cognitive Behavioral Therapy, EMDR,
Hypnosis, Meditation and Visualization Techniques
Herbal Medicines

Attempt to Focus on Positive Thinking

CC by ankakay/flicker Learning to Focus

ankakay/flickr
Learning to Focus

Pain, as indicated, affects not only memory, but how people think and feel about life in general. It is understandable that the more suffering people feel the more cynical, angry and negative people become. How To Learn to Live with Pain is no easy task!  Try to realize that you are not feeling well and then attempt to discover new ways to self sooth and comfort yourself. Try to view yourself from a healthy and positive perspective by acknowledging all of your sound working physical parts, such as, “My left arm feels terrific”. This technique, if practiced consistently works by changing your overall outlook on life, instead of focusing on the negative you are now focusing on the positive. Psychological interventions do indeed help manage pain. Consider, asking your physician for a referral to a health psychologist, to assist in learning new ways to cope, and get back into enjoying life’s treasures.

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References:

Cover Image: canstockphoto|alphaspirit

Beverly Hills Pain Institute and Neurology Institute … (n.d.). Retrieved from http://www.beverlydoc.com/Default.aspx?tabid=77

Chronic Pain Causes, Symptoms, Treatment – Measuring Pain on … (n.d.). Retrieved from http://www.emedicinehealth.com/chronic_pain/page3_em.htm

Chronic Pain Syndrome | E-depression. (n.d.). Retrieved from http://e-depression.com/?p=214

How to Use Holistic Medicine for Pain Management | eHow.com. (n.d.). Retrieved from http://www.ehow.com/how_2033027_use-holistic-medicine.html

Manish K Singh, MD; Chief Editor, Chronic Pain Syndrome, http://emedicine.medscape.com/article/310834-overview#a0101

Mork PJ, Vasseljen O, Nilsen TI. The association between physical exercise, body mass index, and risk of fibromyalgia: Longitudinal data from the Norwegian HUNT study. Arthritis Care Res (Hoboken). Jan 29 2010;[Medline].

New Ways to Treat Pain. (n.d.). Retrieved from http://online.wsj.com/article/SB10001424052748704879704575236373207643604.html

Norfolk, VA – Cox [Text View] – Page 15 – AVS Forum. (n.d.). Retrieved from http://www.avsforum.com/avs-vb/archive/index.php/t-426435-p-15.html