"Successful
pain management supports
physical medicine
with strong
psychological
support."

Newsletter Index:
Page 1: Effective Approaches to Pain Management | Fibromyalgia and Pilates
Page 2: Breaking the Pain Cycle
Page 3: Multidisciplinary Functional Restoration Approach
Page 4: Acupuncture Provides Long-Term Relief of Low Back Pain


Breaking the Pain Cycle
Much of what we feel depends on our interpretation of pain.

How can we help our chronic pain patients understand what’s happening to them? For them, the most obvious signal is the physical cause of the pain that acts as a stimulus. This stimulus is usually the original injury or source of the pain, which can be tissue damage, inflammation or disease, and traditionally becomes the focus of pain management and medical treatment.

In response to this stimulus, patients tense up their muscles to prevent the injured part from moving, bracing to prevent pain, and allowing for healing. However, while this is a reasonable short-term solution, this muscle tension itself soon becomes a source of pain because the muscles become overworked from chronic contraction. Further bracing causes pain to spread to adjacent muscles that also tense, creating a chain reaction. The Care Center treats these symptoms with traditional medical approaches, massage, stretching, biofeedback, relaxation techniques, meditation, and guided imagery.

Guided Imagery, distraction and meditation are essential pain management skills. with consistent practice, they become more and more effective.

Pain exists because we are aware of it. Distraction techniques are easy to teach our patients and provide effective short-term relief from pain by reducing or eliminating their experience of pain. Guided imagery and hypnosis are extremely useful, as is meditation which requires consistent practice. By helping patients become absorbed in images and create experiences without pain, patients form new relationships with their pain. This has to happen if we are to help them change their interpretation of pain.

Interpretation of pain addresses our emotions, thoughts and attitudes. A person with pain can come to the realization that pain and suffering are not inexorably linked. The pain exists as a sensation, but it is our view of that sensation that creates suffering through the judgments and emotions we attach to the experience of pain.

Depression and anxiety arise from these thoughts, which increase the pain, which in turn, create more negative thoughts. We can best help our patients by helping them become more aware of their thoughts, confronting and re-wording them. Noting that the negative thoughts are there helps to break the attachment of intrusive and ruminative thoughts. Mindful meditation techniques are most
useful to achieve that goal.

Pain’s mind-body base has been conceptualized by Roderick Borrie, Ph.D., as a table supported by four legs: pain sensation, muscle tension, awareness and interpretation. Successful pain management programs incorporate psychological support to teach coping skills that address the patient’s tension, attention, and interpretation of the pain. At Care Center, we implement these principles to decrease pain levels and restore functional ability. Benefits are not always immediate and practice is essential, which is why we provide an aftercare program to all our graduates in order to guard against relapse. CCRPM

Newsletter Index:
Page 1: Effective Approaches to Pain Management | Fibromyalgia and Pilates
Page 2: Breaking the Pain Cycle
Page 3: Multidisciplinary Functional Restoration Approach
Page 4: Acupuncture Provides Long-term Relief of Low Back Pain