Wednesday, February 26, 2014

Chronic Pain Relief

Although you might not think so at first, pain is a helpful trait of your body.  It lets you know that something is wrong and needs to be changed.   If you touch a hot stove, it's the pain that makes you move your hand.  Pain is the main reason people visit their doctor, since it is often the first sign of many diseases.  Because of pain many people have found out what disease processes were happening in their bodies and got needed treatment.

But let's face it, we don't like pain.  We especially don't like pain that stays around. Chronic pain is sometimes lasts weeks, months, or years.  It is not uncommon for people to continue to suffer from pain even after having a medical treatment for the problem.  For example, most people know at least one person who had back surgery but still suffers from chronic back pain.  Chronic pain is the reason Americans are buying more pain killers than ever before.  46% of Americans say they suffered from pain in the last 2 weeks.  20% of Americans say physical pain disrupts their sleep one or more nights a week.

All pain and illness is probably a result of both physical and mental causes.  Physical causes for pain are numerous and include physical illnesses, inflammation, tissue damage, medication side effects, and chemical changes in the body.  Mental causes for pain can include worry, stress, fear, and faulty belief systems.

Pain cannot be avoided.  Unfortunately all of us will experience pain in life at some point.  But suffering, which is pain minus the acceptance of the pain, can be avoided.   To avoid suffering one must learn to accept pain or learn to resist pain less.  We can know we are suffering if we are grimacing, teeth grinding, having self-punitive thoughts, seeking to avoid thinking about pain, wishing constantly for relief (e.g. attachment to finding a cure), or feel depressed, angry, or afraid of our chronic pain.  Everyone suffers when they experience pain.  Suffering leads to tight muscles, and perhaps a fight/flight/freeze stress reaction.  This stress reaction changes the way our bodies work and may even increase the pain.

So what's the solution?  First of all go see a doctor and get medical help.  If the only medical solution you've found after trying several treatments is pain medication, and you would prefer not to take so many pills, consider steps you can take yourself.  Learn to accept the pain (not the suffering).  Radically accept the pain.  Allow yourself to experience the pain as it is in this present moment.  Instead of letting the pain be a distraction from your work or relationships, give the pain a few moments of undivided attention every day.  Accept the pain of the moment and let go of the pain from the past and potential pain in the future.  For just a moment, allow yourself to experience the pain without thinking about a potential cure or wishing for a solution.  Don't think punishing thoughts about why you are having pain, simply experience it or describe it to yourself.  Notice ways your thoughts are making the pain worse (do you catastrophize, worry so much you get tense in your shoulders and neck or get a headache?).  Just accept the thoughts you have without judging them.  Then go back to observing the pain:  the sensations, the throbbing, the minute by minute changes in the intensity and location of the pain.  Watch.  Observe.  Allow.  Accept....

Although this mindfulness exercise won't take away the pain, it may reduce the suffering.  And with practice you may be able to reduce the level of chronic pain and enjoy your life more.  Try googling mindfulness for pain relief and try a few meditations.  One from my website is here.  For more on this method see www.backsense.org.

Other methods you can use to reduce suffering include changes in diet, behavioral therapy, exercise, physical therapy, evaluation of sleep habits, reduction of substance use, acupuncture, energy therapy, EFT (emotional freedom technique), chiropractic care, and changes in lifestyle and habits.  When you visit your doctor, ask them to give you more than pain killers.  Ask them for what lifestyle changes you can make that would reduce the suffering and pain.  If your physician doesn't know wholisitic methods, look for other health care professionals and/or health coaches in your area that can help you.  Don't forget to ask your friends what methods they have used and which professionals have helped them.  (Note: licensed professionals for whom you have several positive references are your best source of alternative care.)