by Erik Ouellet
I’m in pain because…
Pain is a very complex phenomenon that we are too often inclined to oversimplify with statements like:
These common misconceptions of pain contribute to making you feel helpless, when pain just won’t go away. A distorted perception of being fragile and vulnerable triggers an anxiety that can push you to avoid any form of activity.
Physical, mental and social integrity?
Pain is highly influenced by your cultural beliefs, your education, your thoughts, your social environment and even the place where you are at the moment an incident contributes to your pain. The severity and duration of your pain will depend on these factors. References confirming this fact are abundant!
For example, a person who has been providing care for weeks to a bedridden family member suffering from acute lower-back pain can later have a « severe painful reaction » when he or she hurts her back. Having witnessed acute pain can create a conditioning effect to reproduce the symptoms. Here’s another example: Instead of reassuring a patient, a positive diagnosis for a herniated disc can lead to an unexpected surge of anxiety (deleterious effect) which will increase the intensity of the pain experienced.
Multifactorial causes and solutions
Depending on the degree of injury, the healing process will generally take from 6 to 9 months. Beyond that period, pain can become chronic. It will be less and less associated to the original injury. The tissues having healed, pain is no longer considered to be a reliable indication of your health condition. And, if you
maintain these protection schemes, they will become maladaptive habits that will encourage overt expression of pain. Realizing, and most importantly understanding that pain is not a reliable indicator, will allow you to:
Arthrosis, arthritis or a herniated disc… are at the source of my pain
Although these conditions can affect people of all ages, they are signs of normal body wear. Sometimes they are asymptomatic. In other cases, they cause pain difficult to avoid. Here are some means (supported by many studies) that have proven to be effective:
Discover the mechanisms of pain and how to manage your pain. Joins us for:
MIEUX COMPRENDRE LA DOULEUR
(TO BETTER UNDERSTAND PAIN)
a bilingual conference by
Erik Ouellet, osteopath
Wednesday June 1, 2016, at 2 p.m.
(at the Cinema)
For more details, and information on our personalized programs, contact Randall Lightbown at 514 585-8892.
1. Melzack, Ronald, and Joel Katz. "Pain." Wiley Interdisciplinary Reviews: Cognitive Science WIREs Cogn Sci 4.1
(2012): 115. Print.
2. Moseley, G. Lorimer. "Reconceptualising Pain According to Modern Pain Science." Physical Therapy
Reviews 12.3 (2007): 16978. Print.
3. Flor H, Hermann C. Biopsychosocial models of pain. In: Dworkin RH, Breitbart WS (Eds). Psychosocial Aspects of Pain: A Handbook for
Health Care Providers, Progress in Pain Research and Management, Vol. 27. Seattle: IASP Press, 2004, pp 47–76.
4. Fillingim RB. Social and environmental influences on pain: implications or pain genetics. In: Mogil JS (Ed). The
Genetics of Pain, Progress in Pain Research and Management, Vol. 28. Seattle: IASP Press, 2004, pp 283–304.
5. van Ravesteijn H, van Dijk I, Darmon D, van de Laar F, Lucassen P, Hartman TO, van Weel C, & Speckens A (2011).
The reassuring value of diagnostic tests: A systematic review. Patient education and counseling PMID:
6. Bank PJ, Peper CL, Marinus J, Beek PJ, & van Hilten JJ (2013). Motor dysfunction of complex regional pain syndrome
is related to impaired central processing of proprioceptive information. J Pain, 14 (11), 146074 PMID: 24064035
Translation Pattricia Cattiaux