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The Long Term Effects of Chronic Pain

Just another short and sweet, easy to print explanation of what even minor long-term untreated chronic pain can do to a person. A person without any other troubles or illnesses. Most of the issues discussed in this article are less life-ending types of chronic pain, but that just serves to further reinforce the point that any kind of pain if left untreated is unhealthy; it can trigger long-term issues with depression and anxiety, even rewire the brain, and can make it difficult to process even mildly disruptive daily events, such as bad traffic.

That is not nothing.

So many of us are in kinds of pain that are so far beyond this little pamphlet from a pain clinic, but the people around us often are not as aware of the little things that go awry when pain stays for too long and is not recognized and treated. I thought this was kind of a nice review for people who are new to thinking about or dealing with illnesses that involve never-ending agony.

Sorry, ignore me, I’m still not able to get this flare up under control, and it’s starting to scare me when I read about others who had their “Big One” in the onset years of their illness that lasted 6-12 months.

Do. Not. Want.

Even a good day is a fight for every positive thought; every scrap of willpower woven together so tightly just to do normal people tasks, inside my own home. On a good day.

Here’s the article:

The Long-Term Effects of Untreated Chronic Pain

Even minor pain, such as a stubbed toe or a paper cut, is unpleasant but that pain fades relatively quickly. Imagine being in pain that never fades, or that fades only to come back a few hours later. What would that do to a person? This is what people with chronic pain have to deal with every day.

Chronic pain, a diagnosis including arthritis, back pain, and recurring migraines, can have a profound effect on a person’s day to day life when it goes untreated. People dealing with ongoing or long-term pain can become irritable, short-tempered, and impatient, and with good reason. Constant pain raises the focus threshold for basic functioning, which leaves the pained person with a greatly reduced ability to find solutions or workarounds to even relatively mundane problems. Something like a traffic jam, which most people would be mildly annoyed by but ultimately take in stride, could seriously throw off the rhythm of someone who is putting forth so much effort just to get through the day.

After a while, pain wears a person down, draining their energy and sapping their motivation. They sometimes attempt to limit social contact in an effort to reduce stress and to decrease the amount of energy they have to spend reacting to their environment. Eventually, many people with chronic pain develop depression-like symptoms: lack of interpersonal interaction, difficulty concentrating on simple tasks, and the desire to simplify their life as much as possible, which often manifests as seeking isolation and quiet. Sleeping often makes the pain less intrusive, and that combined with the exhaustion that pain induces means that it isn’t uncommon for a person to start sleeping upwards of ten hours a day.

Some recent studies have also shown that chronic pain can actually affect a person’s brain chemistry and even change the wiring of the nervous system. Cells in the spinal cord and brain of a person with chronic pain, especially in the section of the brain that processes emotion, deteriorate more quickly than normal, exacerbating many of the depression-like symptoms. It becomes physically more difficult for people with chronic pain to process multiple things at once and react to ongoing changes in their environment, limiting their ability to focus even more. Sleep also becomes difficult, because the section of the brain that regulates sense-data also regulates the sleep cycle. This regulator becomes smaller from reacting to the pain, making falling asleep more difficult for people with chronic pain.

Untreated pain creates a downward spiral of chronic pain symptoms, so it is always best to treat pain early and avoid chronic pain. This is why multidisciplinary pain clinics should be involved for accurate diagnosis and effective intervention early in the course of a painful illness – as soon as the primary care provider runs out of options that they can do themselves such as physical therapy or medications. However, even if the effects of chronic pain have set in, effective interdisciplinary treatment may significantly reduce the consequences of pain in their lives. There are any number of common treatments, which include exercise, physical therapy, a balanced diet, and prescription pain medication. Ultimately, effective treatment depends on the individual person and the specific source of the pain. One thing is very clear, however: the earlier a person begins effective treatment, the less the pain will affect their day-to-day life.In addition to making some symptoms more profound, the change in brain chemistry can, create new ones, as well. The most pronounced of these are anxiety and depression. After enough recurring pain, the brain rewires itself to anticipate future bouts, which makes patients constantly wary and causes significant anxiety related to pain. Because chronic pain often mimics depression by altering how a person’s brain reacts to discomfort and pain, chronic pain often biologically creates a feeling of hopelessness and makes it more difficult to process future pain in a healthy way. In fact, roughly one third of patients with chronic pain develop depression at some point during their lifetime.

via The Long-Term Effects of Untreated Chronic Pain – Integrative Pain Center of Arizona.

Personally I think that depression statistic should be a lot higher… severe chronic pain almost always manifests some form of depression/anxiety/ptsd, although of course there will always be exceptions.

The number would certainly be higher if stigma against mental illnesses were lessened and people felt free to come to their healthcare practitioners with issues relating to depression without fear of being told to take a pill and get over it, or worse; threat of hospitalization.

Many of us have run the wheel before and we don’t need people mistaking our pain for what it is not, so we keep it mostly inward unless we find someone who really understands the myriad issues surrounding chronic pain, disability, and illness. Bottling it up wouldn’t be such a frequent reaction to stress, depression, and anxiety if we lived with a different cultural attitude toward mental and invisible illnesses.

But that’s for another post.

Wishing everyone a low pain day, with extra energy. ❤

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‘Faking’ or ‘Malingering’ or ‘Exaggerated Pain Behaviour’

HealthSkills Blog

words!!

It’s amazing how often health providers get asked directly or indirectly whether someone experiencing pain is ‘faking’ it. The short answer is the most accurate – we can’t tell. We’re not lie detectors, there is no ‘gold standard’ to work out whether someone is pretending or not, and the question is based on erroneous thinking about pain and pain behaviour.

I can almost feel the spluttering at my last sentence from some readers!

Let’s look at this more closely.

Remember the biopsychosocial model of pain states that the experience of pain and pain behaviour is influenced by three broad groups of factors: the biomedical/biophysical factors such as extent of tissue disruption at the periphery (or site of trauma), neurological changes of transmission and transduction (throughout the peripheral and central nervous system), and disturbance of the neuromatrix.

At the same time, there are psychological factors such as the level of…

View original post 1,225 more words

Pledge to Blog For Mental Health

Blog For Mental Health http://blogformentalhealth.com/ is an official project set up to help raise awareness for Mental Health education through the stories we share on our blogs. The aim is to educate and eradicate stigma. To become a part of the project, all you need to do is write a post and take the BFMH pledge.

“I pledge my commitment to the Blog for Mental Health 2015 Project. I will blog about mental health topics not only for myself, but for others. By displaying this badge, I show my pride, dedication, and acceptance for mental health. I use this to promote mental health education in the struggle to erase stigma.”

I found this little encouraging poster for those of us with chronic pain or chronic illness experiencing some of that unpleasant guilt factor:

five things to remember

This pledge to Blog for Mental Health is perfect for me, as I am always attempting to combat the stigma that chronic illness carries, especially that which is lobbied against chronic pain patients. Much of what is thrown at me by way of an excuse for a doctor or nurse to not treat my pain is that my anguish is “all in my head” and therefore they have no responsibility to help me. I think that’s bullcrap, even if it were “just in my head”, where does a doctor who is not a psychiatrist or psychologist or any mental health professional at all, get off deciding that arbitrarily? It seems like having a psychiatric disorder severe enough to cause me to feel severe pain for no reason whatsoever, pain coming purely from my thought process; that wouldn’t be the kind of issue a doctor should just brush off so arrogantly, so hurtfully. What those doctors, one after another, were really saying was “you just need to toughen up and get over it, or you must be faking your problems or exaggerating a lot.” How much trust do you have in the healthcare professional who has sympathy for neither physical nor mental pain? Zero, the answer is most definitely ZERO.

Mental health and chronic illness go hand in hand, especially when pain is involved. It automatically becomes more important and more difficult to maintain our self-worth and sense of value. There is inevitable guilt, grief, and even moments of complete terror and helplessness to be worked through when living a life with chronic illness that sets limitations on us and impacts our daily life. It changes everything to be sick. In light of all that upheaval, it seems pretty clear that we cannot fully achieve the kind of healing we are looking for, whether that is complete recovery or simple acceptance, if we don’t address our conditions from every possible angle, with a major focus on supporting mental well-being for those managing chronic conditions.

I do try to be as emotionally honest as possible in this blog, but from now on I will be paying extra attention to making sure I fully and accurately convey the feelings that I am truly dealing with, rather than the feelings I wish I was having. That will force me to start identifying my own emotions more, which can only be a good thing as it will help me discover patterns and triggers, which is a major goal of mine this year.

In addition to taking the pledge to Blog for Mental Health, I promise to spend more time reading and commenting on fellow mental health bloggers’ work, and will seek out new research and interesting coping techniques, while striving to be more open about my own mental health journey in the process.

To kick this off, it seems logical that I state clearly that in addition to my many other invisible illnesses, my diagnoses include several anxiety disorders (well, more like all of them…), PTSD, depression, and ADHD. There’s more, I feel like, but I’m distracted by the fact that I usually don’t like to write down that I have depression or PTSD. I have always believed that they are my fault, some massively shameful character flaw that I could (and should) just ignore until they go away. That view has changed, but it still doesn’t sink in that I do not need to feel guilty or ashamed of those parts of myself. Slowly, ever so slowly, I’m relearning everything I thought I knew about mental health and I am getting used to taking it easier on myself in the process. I didn’t choose mental illness, or chronic pain, but I am doing the best with what I have been given.

I’m honored to take part in the Blog For Mental Health 2015 project. Check out the BFMH website and take the pledge!

To celebrate being involved with this wonderful project, I will be updating my Resources page with several mental health subsections with support groups, research websites, and anything else useful that I can dig up around the web.

Hope this finds you in a low pain day, beautiful spoonies. ❤

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