Chronic Pain

How do I know I have chronic pain?

  1. Nothing is working to control my pains?
  2. Latest medical fad does not work?
  3. Confused on which pain needs your attention first ?
  4. Site of pain has little or no damage?
  5. Suffering makes you go to doctor ?
  6. Your pain is resistant to medications ?
  7. You are Confused on "witch doctor" to see ?
  8. As an ole fart, what is pain of week/month?
  9. Extent of Damage does not explain intense pain ?

Chronic PAINS

  1. Atypical Toothache Q1: Did you know that 7 to 12 % of toothaches are not caused by tooth (inside nerve) ? Q2: Imagine frustration loosing most your teeth chasing pain ghost ?
  2. Atypical Earache Q1: Did you know that 3-5 % of earaches have little to nothing to do with ear? Q2: The TMJ & neck muscles close neighbor's refer pain into ear ?
  3. Chewing system Nerve pain Q1: Did you know nerve that supplies a structure if damaged infers structural damaged? Q2: INFFERRED pain is like heart attack feels like indigestion
  4. Occlusal neurotic Q1:Did you know majority of bite changes are caused by Temporomandibular joint complex? Q2: Chasing the occlusal ghost by reconstruction is treating symptom not cause?
  5. TMD-TMJ-Chewing system dysfunction Q1: Did you know major cause of TMD is tension muscle, chronic anxiety, & trauma? Q2: A promise of cure from TMD by one doctor is false promise ?
  6. Severe damage TMJ Q1: Did you know that severe damage to TMJ can be with little or no pain? Q2: Defies common my belief that more damage and the more pain?

Acute vs Chronic

TypeLevels painEpisodesTreatmentFab Four
AcuteMild to modInfrequentSingle txGood health habit
ChronicMod to severeFrequent-dailyComplex txPoor health habit

Pains + Anxiety + Health Habits + Trauma = Chronic Pain

ANALOGY CHRONIC PAIN

Chronic pains (multiple pain areas) requires fertile soil (poor health habits) plus a potent seed (trauma) w/ plenty of water (anxiety).

4 TOOL BOXES CHRONIC PAIN

  1. PAINS (Head, Neck, Ear, Tooth, TMJ, Nerve)
  2. ANXIETY (external, internal)(stress-anxiety-emotional hyjacking-PTSD)
  3. HEALTH HABITS (Cardio, sleep, nutrition, thought habits)
  4. TRAUMAS (Falls, MVA, Blows, Injuries)

PAINS = SOURCES INFLAMMATION

  1. HEAD
  2. NECK
  3. JAW
  4. EAR
  5. TEETH
  6. NERVE
  7. CHEMICAL SENSITIVITIES
  8. ALLERGIES
  9. UPPER RESPIRATORY

EVOLUTION of PAINS

  1. What pain attack you 1st, and you ignored
  2. What is 2nd pain piggy backs on top 1st pain
  3. By 3rd pain, you have overloaded pain system
  4. These pains depending severity and frequency bombard pain system
  5. Why 30 to 50 year old women more affected it takes time: a) build layer these pains b) hormones become more involved pain c) Increase frequency & severity each pain d) Layer or mix pain problems e) Medicine ignore causes f) Medicine to cover over symptoms
  6. Forces controlling medicine to cause us ignore cause a) Public demand fast quick cheap b) Insurance forces doctors to push drugs c) Schools teach medications more than Integrative tools
  7. Medications cover up causes long enough for pain to become permanent

Most prominent pains

  1. Tension Headache
  2. Neck/shoulder pain
  3. Sinusitis & Allergies
  4. Jaw Pain or Dysfunction
  5. Tooth/Gum pain

BEWARE: Anxiety system wires to pain system

STORY of Twin Sisters: A) When sister Bula, who has had only short bouts of pain, if you stress her pain does not go up ? B) When Sister Abigil, with neck pain for years, if you stress her, her pain goes up ?

Many women think "they have lost it", "became wimps", "flunkies to motherhood" due fact that many things increase their pain now that use not affect them.

Some women who are angry at drunk driver who stole their health are desperate to hold on anger, but the anger sets off anxiety system that is connected to pain system. Inadverently, sabotage or interfere with Integrative tools to get them better.

SCIENCE OF ANXIETY 1) Autonomic system dysfunction a) sympathetic system: fight or flight, protections system b) parasympathetic system: rest & replenish, 2) When stress/anxiiety is too frequent or too severe a) the sympathetic system overrides parasympathetic system b) Sympathetic vs Parasympathetic Balance is disturbed 3)Sympathetic system override: sympathetic system dominance: a) adrenalin production, b) stress hormone, c) tension in muscles

Levels Anxiety

  1. Stress 2. Anxiety 3. Emotional hyjack 4. PTSD

Anxiety increases pain levels:

  1. Emotional hijacking (triggers that control emotional brain)
  2. Negative emotional brain (what gets goat, jerks chain, pushes button)
  3. World’s manipulation (outer, news-politics-negativity-violence-hatred)
  4. Internal manipulation (love turn worry, success turns perfectionism)
  5. PTSD (child abuse, war horrors, horrific accidents, alcoholism, unmedicated bipolar)

HEALTH HABITS

The four health habits are cardiovascular conditioning, sleep, nutrition, and repetitive thought habits:

Cardiovascular “conditioning” is increasing our activity to a level that strengthens heart and lungs. The cardiovascular conditioning improves tone of your muscles which is important for resistance to trauma damage. Cardio increases energy structures of muscles (mitochrondra) and improves sewer system capabilities (lymphatics). Cardio enhances all organ system to function more efficiently. Cardio improves efficiency of removes toxins or inflammation from muscles better. Cardio balances and increases efficiency all our body functions. Cardio is closest thing to fountain youth.

Sleep includes quality breathing-depth sleep-ideal sleep architecture-production of physiological chemicals-healing tissues-autonomic rebalancing-nerve growth factor. Deep sleep produces more growth hormone. Better breathing oxygenates body for better processing. Proper coordination of all cycles sleep is important for our bodies physiology-biochemistry because the majority of healing occurs and we build our molecules here.

Nutrition provides resources use to build the proteins-cell membranes-hormones-neurotransmitters-immunity (defenses)-run body processes, and nourish fona-flora of gut. The diet is made up of positive chemicals (nutrients-vitamins-trace elements-fiber) and negative chemicals (over use medications) & additions (sugar-salt-caffeine-nicotine-alcohol) & hidden chemical sensitivities (set off inflammation in body) that our body sustains damage from repetitive insults.

Repetitive negative though loops are brain programming used to organize our behaviors for protection. Many of these repetitive though habits are negative such as way we talk to ourselves when we made mistake. I don't know about you but I was cruel to myself with severe cussing or put downs. Many of these guidelines-preprogramming-repetitive emotional memories are from our childhood laid down incorrectly by angry dad, frustrated mom, or over worked care taker. We live our lives going into future in fear of this past programming that does not serve success or happiness. Example, "you stupid idiot" from my childhood only causes me to react to my wife when "I feel" she disrespects me. I use to get quite angry with her without good reason because of hidden emotional trigger from childhood. How are you doing with negative repetitive thoughts? How are they controlling your future, your happiness, your relationships.

TRAUMA

Types: 1) MVA 2) Blow 3) Fall 4) Head/Neck Injury

Repetitive traumas force us into healing state at time when our health habits are poor, thus, our healing ability is poor, thus we have accumlative microdamage. The accumulative damage from trauma induced damage that did not heal properly builds until we have prolonged open mouth procedure setting off all this hidden damage. At the time when the accumulative damage no longer sustains proper function in joint muscle system, we go into chronic pain state.

Doctors typically treat the symptoms of trauma with medications instead of using Integrative tools to assure proper healing. Or, we as responsible adults, ignore damage and keep on plowing through the demands of mother or bread winner. So, trauma #1 does not heal ideally, trauma #2 heals poorly as our health habits deteriorate, and trauma #3 is straw broke camels back. Now, we enjoy the chronic pain and the frustrations of facing world that treats chronic pain as second class citizen.

Did you know that the jaw joint gets as damaged in car accident as neck joints do?

Did you know that neck injury creates muscle bracing in chewing system or Jaw area ?

Did you know phone on shoulder or chronic shrugging is repetitive neck injury ?

Did you know grind/clench is repetitive jaw injury?

Did you know that chasing parked cars is repetivitive injury to dog?

Did you know the many sports injuries adds to joint trauma?

CHRONIC PAIN

REWIRING=Anxiety system wires pain system

Over prolong periods to time, chronic pain causes nerves from sympathetic system (stress-anxiety system) to attach to pain system. So, in chronic pain,  stress and anxiety can increase pain levels. Many women with high pain thresholds have met their match w/ relentless chronic pain constantly aggravated by stress and anxiety. Many women think that 1) they lost it, 2) making it up, 3) hypochondractic, 4) wimps, due fact that they are not managing pain as well as they use to be able to handle. This feeling is misguided, they are fighting an new foe.

Tale Of  Twin sisters: one with acute pain and the other with chronic pain.

  1. If you stress the sister w/ acute pain, there is no pain increase.
  2. If you stress the sister with chronic pain, you get a pain increase.

As you have noticed with your own pain, over time, the more anxious you get the more the pain increases; so, you are not crazy. Many women who have managed childbirth, feel they lost their minds, when this chronic pain resist all pills and shots fail to relieve pain and pain keeps increasing with stress. Pain has always caused stress, but now stress is causing pain. it because their friends with acute pain do not see this connection. They feel their friends who have only had acute pain do not understand what they are going through. Beware, most of our physicians or dentist are trained in acute pain and throw acute pain tools at a chronic pain,  making woman feel like hypochondriac.

Pain system enhancement-Central senstization-Chronic pain

  1. Science of pain escalation
  2. Sympathetic fibers connect to pain fibers in dorsal horn
  3. Turning on silent nerves to transport more pain signals
  4. Pain nerves now react to stress molecule (adrenalin)
  5. Production new receptors (alpha 1) on pain nerves
  6. Damage joints & Trigger points send a lot pain signals
  7. Head n neck structures send a lot pain signals
  8. Anxiety system sends a lot sympathetic signals
  9. Field pain starts small and gets larger

Central Sensitization

The pain reporting system is increasingly-changing-adapting due repetitive healing difficulties, increasing pain signals, high anxiety-stress stimulating sympathetic system to interconnect to pain system. Increasing pain signals from various structures, and poor healing causes rewiring-recoding-reproduction of neurotransmitters-widen field pain in pain reporting system. The pain system is being overwhelmed by increasing pain inputs from episodic pains (Head-neck-jaw-sinus-allergies), poor healing causing changes in way pain nerves behave, and increasing interconnect to anxiety-stress sympathetic system overwhelms the pain reporting system from multiple sources, ie chronic pain.

WARNING OF DANGER

The coupling of the anxiety system to pain system is a way the body is ramping up its warning signals to get our attention, especially when we’ve been too busy to pay attention to pain. The protection wiring tries to warn us by increasing  the size painful area, increases the pain level from small stimulus, reporting pain from nonpainful sources, and prolongs the pain duration.  The protection system tries get your attention; so that, you get motivated to seek healing for the damage, but we continue ignore it.  When the sympathetic system (protection) causes rewiring from the stress-anxiety system to pain system, it was in effort to get you motivated. As the pain episodes increase frequency-severity-duration, the prolonged heighten anxiety stimulates the sympathetic system to attach to pain system; thus, anxiety can now stimulate more pain. The body is trying to tell us to look for ways to reduce old pain-new pain-anxiety-poor health habits that has set you up for continuous pain. After the stress system wires to pain system, it takes a lot of team effort to facilitate the dewiring of painful connection. So when pain team keeps working to reduce even low levels pain, it is disconnect all the wires to pain system from anxiety system.

You, the patient, have work harder than anyone else on team. Are you willing accept responsibility ? Can your social network handle demands of chronic pain ? Will your insurance support your needs in chronic pain ?

Improve Health habits

  1. Exercise
  2. Sleep
  3. Negative thinking loops
  4. Nutrition

Cardiovascular conditioning:  

  1.  Strength heart & lungs
  2. Burns up excessive adrenalin
  3.  Calms emotional brain
  4. Removes irritating toxins
  5. Improves efficiency muscle joint systems 

Negative thinking loops:

  1. stress or anxiety fires up emotional brain
  2. overrides cognitive brain
  3. pumps adrenalin into blood
  4. powerful control over emotional brain
  5. negative thinking loops feed fire
  6. worry, fretting, rumination, anger are manipulators

Sleep:

  1. Proper Oxygenation of body
  2. Biochemical construction molecules
  3. Repair and healing
  4. Proper Sleep cycles
  5. Re-establish balance-harmony-efficiency

Nutrition:

  1. Energy
  2. Nutrients
  3. Flora health
  4. Trace elements
  5. Addictions
  6. Stimulants
  7. Slow poisons  

Trauma: 1) Falls, 2) MVA, 3) Blows, 4) Lacerations. 5) Repetitive impacts

Overload: Too much input

Now, let me get this straight, the pain doctor tells me I have to work on all health habits to enhance my healing abilities at same time I am working on the pains. I don’t have time to even go to the bathroom and he wants me to manage time, money, habits, wants, distractions, barriers, negative thoughts, and health habits. I just want a magic pill, shot, or some sort of quick fix; so, I can get back to my busy and hectic life. The family would fall apart if mommy goes into a pain management. So, what does a strong woman like me do in case like this. It takes time and passion for real healing to occur; so, recruit your family to help. You can repeat the age old wisdom I got from a 3 year old, "if mommy not happy no ones happy". and family will be glad you did. In reality, I am trying to give you hope, but it takes a lot passion over prolonged period to get healing you need. I am not best cheerleader or science teacher or health coach, but you need to research the science of chronic pain before it controls your world. The world did not build an easy road for you and I to follow in chronic pain

We have help thousands, ok, hundreds, my ego comes out to play ever so often. Like Paul in bible, I must trust God to help my patients because my brain, my training, and my skills are not adequate for even the 9 year old patients. Well, they are smarter than you know. We coach our patients to join chronic pain team in order to control their pain and get back their health. Ask around, someone in you neighborhood has chosen to control their pain and get their life back using the chewing system orthopedic team here in Raleigh, NC.

How do I know I have chronic pain?

  1. Nothing is working to control my pains?
  2. Latest medical fad does not work?
  3. Confused on which pain needs your attention first ?
  4. Site of pain has little or no damage?
  5. Suffering makes you go to doctor ?
  6. Your pain is resistant to medications ?
  7. You are Confused on "witch doctor" to see ?
  8. As an ole fart, what is pain of week/month?
  9. Extent of Damage does not explain intense pain ?

Chronic PAINS

  1. Atypical Toothache Q1: Did you know that 7 to 12 % of toothaches are not caused by tooth (inside nerve) ? Q2: Imagine frustration loosing most your teeth chasing pain ghost ?
  2. Atypical Earache Q1: Did you know that 3-5 % of earaches have little to nothing to do with ear? Q2: The TMJ & neck muscles close neighbor's refer pain into ear ?
  3. Chewing system Nerve pain Q1: Did you know nerve that supplies a structure if damaged infers structural damaged? Q2: INFFERRED pain is like heart attack feels like indigestion
  4. Occlusal neurotic Q1:Did you know majority of bite changes are caused by Temporomandibular joint complex? Q2: Chasing the occlusal ghost by reconstruction is treating symptom not cause?
  5. TMD-TMJ-Chewing system dysfunction Q1: Did you know major cause of TMD is tension muscle, chronic anxiety, & trauma? Q2: A promise of cure from TMD by one doctor is false promise ?
  6. Severe damage TMJ Q1: Did you know that severe damage to TMJ can be with little or no pain? Q2: Defies common my belief that more damage and the more pain?

Acute vs Chronic

TypeLevels painEpisodesTreatmentFab Four
AcuteMild to modInfrequentSingle txGood health habit
ChronicMod to severeFrequent-dailyComplex txPoor health habit

Pains + Anxiety + Health Habits + Trauma = Chronic Pain

ANALOGY CHRONIC PAIN

Chronic pains (multiple pain areas) requires fertile soil (poor health habits) plus a potent seed (trauma) w/ plenty of water (anxiety).

4 TOOL BOXES CHRONIC PAIN

  1. PAINS (Head, Neck, Ear, Tooth, TMJ, Nerve)
  2. ANXIETY (external, internal)(stress-anxiety-emotional hyjacking-PTSD)
  3. HEALTH HABITS (Cardio, sleep, nutrition, thought habits)
  4. TRAUMAS (Falls, MVA, Blows, Injuries)

PAINS = SOURCES INFLAMMATION

  1. HEAD
  2. NECK
  3. JAW
  4. EAR
  5. TEETH
  6. NERVE
  7. CHEMICAL SENSITIVITIES
  8. ALLERGIES
  9. UPPER RESPIRATORY

EVOLUTION of PAINS

  1. What pain attack you 1st, and you ignored
  2. What is 2nd pain piggy backs on top 1st pain
  3. By 3rd pain, you have overloaded pain system
  4. These pains depending severity and frequency bombard pain system
  5. Why 30 to 50 year old women more affected it takes time: a) build layer these pains b) hormones become more involved pain c) Increase frequency & severity each pain d) Layer or mix pain problems e) Medicine ignore causes f) Medicine to cover over symptoms
  6. Forces controlling medicine to cause us ignore cause a) Public demand fast quick cheap b) Insurance forces doctors to push drugs c) Schools teach medications more than Integrative tools
  7. Medications cover up causes long enough for pain to become permanent

Most prominent pains

  1. Tension Headache
  2. Neck/shoulder pain
  3. Sinusitis & Allergies
  4. Jaw Pain or Dysfunction
  5. Tooth/Gum pain

BEWARE: Anxiety system wires to pain system

STORY of Twin Sisters: A) When sister Bula, who has had only short bouts of pain, if you stress her pain does not go up ? B) When Sister Abigil, with neck pain for years, if you stress her, her pain goes up ?

Many women think "they have lost it", "became wimps", "flunkies to motherhood" due fact that many things increase their pain now that use not affect them.

Some women who are angry at drunk driver who stole their health are desperate to hold on anger, but the anger sets off anxiety system that is connected to pain system. Inadverently, sabotage or interfere with Integrative tools to get them better.

SCIENCE OF ANXIETY 1) Autonomic system dysfunction a) sympathetic system: fight or flight, protections system b) parasympathetic system: rest & replenish, 2) When stress/anxiiety is too frequent or too severe a) the sympathetic system overrides parasympathetic system b) Sympathetic vs Parasympathetic Balance is disturbed 3)Sympathetic system override: sympathetic system dominance: a) adrenalin production, b) stress hormone, c) tension in muscles

Levels Anxiety

  1. Stress 2. Anxiety 3. Emotional hyjack 4. PTSD

Anxiety increases pain levels:

  1. Emotional hijacking (triggers that control emotional brain)
  2. Negative emotional brain (what gets goat, jerks chain, pushes button)
  3. World’s manipulation (outer, news-politics-negativity-violence-hatred)
  4. Internal manipulation (love turn worry, success turns perfectionism)
  5. PTSD (child abuse, war horrors, horrific accidents, alcoholism, unmedicated bipolar)

HEALTH HABITS

The four health habits are cardiovascular conditioning, sleep, nutrition, and repetitive thought habits:

Cardiovascular “conditioning” is increasing our activity to a level that strengthens heart and lungs. The cardiovascular conditioning improves tone of your muscles which is important for resistance to trauma damage. Cardio increases energy structures of muscles (mitochrondra) and improves sewer system capabilities (lymphatics). Cardio enhances all organ system to function more efficiently. Cardio improves efficiency of removes toxins or inflammation from muscles better. Cardio balances and increases efficiency all our body functions. Cardio is closest thing to fountain youth.

Sleep includes quality breathing-depth sleep-ideal sleep architecture-production of physiological chemicals-healing tissues-autonomic rebalancing-nerve growth factor. Deep sleep produces more growth hormone. Better breathing oxygenates body for better processing. Proper coordination of all cycles sleep is important for our bodies physiology-biochemistry because the majority of healing occurs and we build our molecules here.

Nutrition provides resources use to build the proteins-cell membranes-hormones-neurotransmitters-immunity (defenses)-run body processes, and nourish fona-flora of gut. The diet is made up of positive chemicals (nutrients-vitamins-trace elements-fiber) and negative chemicals (over use medications) & additions (sugar-salt-caffeine-nicotine-alcohol) & hidden chemical sensitivities (set off inflammation in body) that our body sustains damage from repetitive insults.

Repetitive negative though loops are brain programming used to organize our behaviors for protection. Many of these repetitive though habits are negative such as way we talk to ourselves when we made mistake. I don't know about you but I was cruel to myself with severe cussing or put downs. Many of these guidelines-preprogramming-repetitive emotional memories are from our childhood laid down incorrectly by angry dad, frustrated mom, or over worked care taker. We live our lives going into future in fear of this past programming that does not serve success or happiness. Example, "you stupid idiot" from my childhood only causes me to react to my wife when "I feel" she disrespects me. I use to get quite angry with her without good reason because of hidden emotional trigger from childhood. How are you doing with negative repetitive thoughts? How are they controlling your future, your happiness, your relationships.

TRAUMA

Types: 1) MVA 2) Blow 3) Fall 4) Head/Neck Injury

Repetitive traumas force us into healing state at time when our health habits are poor, thus, our healing ability is poor, thus we have accumlative microdamage. The accumulative damage from trauma induced damage that did not heal properly builds until we have prolonged open mouth procedure setting off all this hidden damage. At the time when the accumulative damage no longer sustains proper function in joint muscle system, we go into chronic pain state.

Doctors typically treat the symptoms of trauma with medications instead of using Integrative tools to assure proper healing. Or, we as responsible adults, ignore damage and keep on plowing through the demands of mother or bread winner. So, trauma #1 does not heal ideally, trauma #2 heals poorly as our health habits deteriorate, and trauma #3 is straw broke camels back. Now, we enjoy the chronic pain and the frustrations of facing world that treats chronic pain as second class citizen.

Did you know that the jaw joint gets as damaged in car accident as neck joints do?

Did you know that neck injury creates muscle bracing in chewing system or Jaw area ?

Did you know phone on shoulder or chronic shrugging is repetitive neck injury ?

Did you know grind/clench is repetitive jaw injury?

Did you know that chasing parked cars is repetivitive injury to dog?

Did you know the many sports injuries adds to joint trauma?

CHRONIC PAIN

REWIRING=Anxiety system wires pain system

Over prolong periods to time, chronic pain causes nerves from sympathetic system (stress-anxiety system) to attach to pain system. So, in chronic pain,  stress and anxiety can increase pain levels. Many women with high pain thresholds have met their match w/ relentless chronic pain constantly aggravated by stress and anxiety. Many women think that 1) they lost it, 2) making it up, 3) hypochondractic, 4) wimps, due fact that they are not managing pain as well as they use to be able to handle. This feeling is misguided, they are fighting an new foe.

Tale Of  Twin sisters: one with acute pain and the other with chronic pain.

  1. If you stress the sister w/ acute pain, there is no pain increase.
  2. If you stress the sister with chronic pain, you get a pain increase.

As you have noticed with your own pain, over time, the more anxious you get the more the pain increases; so, you are not crazy. Many women who have managed childbirth, feel they lost their minds, when this chronic pain resist all pills and shots fail to relieve pain and pain keeps increasing with stress. Pain has always caused stress, but now stress is causing pain. it because their friends with acute pain do not see this connection. They feel their friends who have only had acute pain do not understand what they are going through. Beware, most of our physicians or dentist are trained in acute pain and throw acute pain tools at a chronic pain,  making woman feel like hypochondriac.

Pain system enhancement-Central senstization-Chronic pain

  1. Science of pain escalation
  2. Sympathetic fibers connect to pain fibers in dorsal horn
  3. Turning on silent nerves to transport more pain signals
  4. Pain nerves now react to stress molecule (adrenalin)
  5. Production new receptors (alpha 1) on pain nerves
  6. Damage joints & Trigger points send a lot pain signals
  7. Head n neck structures send a lot pain signals
  8. Anxiety system sends a lot sympathetic signals
  9. Field pain starts small and gets larger

Central Sensitization

The pain reporting system is increasingly-changing-adapting due repetitive healing difficulties, increasing pain signals, high anxiety-stress stimulating sympathetic system to interconnect to pain system. Increasing pain signals from various structures, and poor healing causes rewiring-recoding-reproduction of neurotransmitters-widen field pain in pain reporting system. The pain system is being overwhelmed by increasing pain inputs from episodic pains (Head-neck-jaw-sinus-allergies), poor healing causing changes in way pain nerves behave, and increasing interconnect to anxiety-stress sympathetic system overwhelms the pain reporting system from multiple sources, ie chronic pain.

WARNING OF DANGER

The coupling of the anxiety system to pain system is a way the body is ramping up its warning signals to get our attention, especially when we’ve been too busy to pay attention to pain. The protection wiring tries to warn us by increasing  the size painful area, increases the pain level from small stimulus, reporting pain from nonpainful sources, and prolongs the pain duration.  The protection system tries get your attention; so that, you get motivated to seek healing for the damage, but we continue ignore it.  When the sympathetic system (protection) causes rewiring from the stress-anxiety system to pain system, it was in effort to get you motivated. As the pain episodes increase frequency-severity-duration, the prolonged heighten anxiety stimulates the sympathetic system to attach to pain system; thus, anxiety can now stimulate more pain. The body is trying to tell us to look for ways to reduce old pain-new pain-anxiety-poor health habits that has set you up for continuous pain. After the stress system wires to pain system, it takes a lot of team effort to facilitate the dewiring of painful connection. So when pain team keeps working to reduce even low levels pain, it is disconnect all the wires to pain system from anxiety system.

You, the patient, have work harder than anyone else on team. Are you willing accept responsibility ? Can your social network handle demands of chronic pain ? Will your insurance support your needs in chronic pain ?

Improve Health habits

  1. Exercise
  2. Sleep
  3. Negative thinking loops
  4. Nutrition

Cardiovascular conditioning:  

  1.  Strength heart & lungs
  2. Burns up excessive adrenalin
  3.  Calms emotional brain
  4. Removes irritating toxins
  5. Improves efficiency muscle joint systems 

Negative thinking loops:

  1. stress or anxiety fires up emotional brain
  2. overrides cognitive brain
  3. pumps adrenalin into blood
  4. powerful control over emotional brain
  5. negative thinking loops feed fire
  6. worry, fretting, rumination, anger are manipulators

Sleep:

  1. Proper Oxygenation of body
  2. Biochemical construction molecules
  3. Repair and healing
  4. Proper Sleep cycles
  5. Re-establish balance-harmony-efficiency

Nutrition:

  1. Energy
  2. Nutrients
  3. Flora health
  4. Trace elements
  5. Addictions
  6. Stimulants
  7. Slow poisons  

Trauma: 1) Falls, 2) MVA, 3) Blows, 4) Lacerations. 5) Repetitive impacts

Overload: Too much input

Now, let me get this straight, the pain doctor tells me I have to work on all health habits to enhance my healing abilities at same time I am working on the pains. I don’t have time to even go to the bathroom and he wants me to manage time, money, habits, wants, distractions, barriers, negative thoughts, and health habits. I just want a magic pill, shot, or some sort of quick fix; so, I can get back to my busy and hectic life. The family would fall apart if mommy goes into a pain management. So, what does a strong woman like me do in case like this. It takes time and passion for real healing to occur; so, recruit your family to help. You can repeat the age old wisdom I got from a 3 year old, "if mommy not happy no ones happy". and family will be glad you did. In reality, I am trying to give you hope, but it takes a lot passion over prolonged period to get healing you need. I am not best cheerleader or science teacher or health coach, but you need to research the science of chronic pain before it controls your world. The world did not build an easy road for you and I to follow in chronic pain

We have help thousands, ok, hundreds, my ego comes out to play ever so often. Like Paul in bible, I must trust God to help my patients because my brain, my training, and my skills are not adequate for even the 9 year old patients. Well, they are smarter than you know. We coach our patients to join chronic pain team in order to control their pain and get back their health. Ask around, someone in you neighborhood has chosen to control their pain and get their life back using the chewing system orthopedic team here in Raleigh, NC.

Pearls of Pain

Tearing Lateral Ligament
1). Parafunction is strongest risk factor 2) Tension muscles is slow insidious factor 3) Trauma is a powerful factor
Read More

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