Uncategorized

Pain Info Packet

In the comment section of my last article, there were requests for pain education info packets which I give to my patients.  Attached are the forms.  Feel free to use these as needed in your daily practice!  I have uploaded them as .doc files.

Understanding Pain

Pain coping

Pain Log

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Categories: Uncategorized

4 replies »

  1. Thanks for sharing this Joe! I am going to try to incorporate more of the pain education through handouts, rather than just talking to the patient. I think this speaks volumes.

    Enjoy reading your work. Keep it up!
    Harrison

  2. Hi Joe

    Thanks for sharing your documents, they will definitely help.
    Can you explain the purpose of a patient writing down their pain daily? My understanding is that the less a patient focuses on their pain, the better, correct? And then by writing down “why do you think this happened,” wouldn’t the patient be inclined to search for mechanical provocations for their pain, which are probably unrelated?

    Thanks greatly,
    Chris

    • This is a catch-22. I do believe that patients can better understand the reactivity of their neuromatrix by looking at how and when it reacts. This includes the environment they are in, moods/how they feel, as well as mechanical provocations. I do look at the patients “beliefs” by having them answer “why do you believe this occurred”, so that we can follow the changes in their belief structure. But I agree, continuously focusing on pain, can sensitize the nervous system. I am studying “verbalization of pain in patients with central sensitization”, so hopefully we will have some more concrete answers on this debate soon…

  3. Thanks for sharing these documents, and for bringing Melzac’s Neuromatrix model of pain to my attention. I was very pleased to see it as it fits with my beliefs about the causes of pain.

    In your description of the neuromatrix you wrote “Simply the brain’s suspicion that a tissue has the potential for damage, will cause it to react. TISSUE INJURY IS NOT NECESSARY.” I have adopted Dr. VS Ramachandran’s definition for pain: “Pain is an opinion on the organism’s state of health.” I interpret this as meaning health of the body, mind and spirit, so if the brain determines that any of these are in danger, it may cause pain in the body. Frequently pain without tissue damage is preceded by uncomfortable emotions that are resisted. Essentially pain is like an emotion in that it is a messenger. I believe that pain, especially pain without tissue injury, is telling us that the way we are reacting to something is not serving us. Reactions such as resisting emotions so not feeling them, putting ourself or another down in our thoughts, or blaming self or other. The reaction is caused by the meaning we give to an event. Change the meaning and you can change the pain.

    Actually the brain may be responding to physical danger when emotions are resisted, because apparently resisting an emotion lowers killer cells (which help fight cancer cells) and so lowers the immune system. Conversely, if you allow yourself to feel an uncomfortable emotion as it arises, he number of killer cells increases.

    I would appreciate your thoughts on these ideas, and whether they fit with your experience.

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