8 ways to heal your chronic pain

Chronic pain is in part considered a neurodegenerative disease and is mismanaged in our country. We need to dig deeper into the biological and metabolic factors as well as the pathophysiology of chronic pain. This goes well beyond opioids and NSAIDs.

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What you need to know about chronic pain

Essentially, chronic pain will distort the cognitive and emotional processing of day-to-day experiences. The volume in chronic pain is dialed up, and our ability to inhibit or turn that volume down is decreased. Therefore, we have what we call sensitization. That means that our nervous system is hypersensitive. Everything is amplified, and the ability to dampen it is decreased.

In addition to that, it can be associated with anxiety and depression. Oftentimes, these may go hand in hand. Of course, it’s necessary and important to look at any type of adaptive movements or compensations that may be contributing. Beyond that, it’s important to look at toxin exposure, intestinal permeability, otherwise known as leaky gut, inflammation, dysbiosis in the gut, and hormone imbalances. Increased cortisol from chronic stress or decreased sex hormones, like DHEA, progesterone, estrogen, and testosterone, can influence our ability to perceive pain. 

Lastly, chronic pain does not equal tissue damage. With acute pain, there is often acute tissue damage which contributes to increased swelling, pain and increased white blood cells in the area. However, with chronic pain, there is no tissue damage. The tissues have healed, yet your brain is still perceiving that there is increased pain.

8 ways to heal your chronic pain

Let’s discuss eight things you can do to address your chronic pain.  

1. Stop the Opioids and NSAIDs

Long-term use of opioids can actually increase pain and your perception of pain. NSAIDs drive leaky gut, so intestinal permeability. That contributes to a release of lipopolysaccharides (LPs), which is considered an endotoxin. The more LPs that you have in your body, the more inflammation and the more pain you can experience. 

2. Support Key Nutrients

Chronic pain is considered a dysfunction of the mitochondria, the powerhouse of cells. You want to make sure that you’re supporting the nutrients for your mitochondria. Proteins, carbohydrates, and healthy fats, for example, are crucial for the membrane health in your cells. 

3. Improve Glycemic Responses

Eat balanced meals with proteins, carbs, and fiber sources to prevent blood sugar dips throughout the day. If you’re eating a high glycemic food like candy, white bread, or enriched foods without any protein or fats, you can have poorly regulated blood sugar. You want to improve your membrane thresholds by stabilizing your glycemic response. 

4. Modulate Stress

This can be done through mindfulness practices, meditation, psychotherapy, cognitive behavioral therapy, autogenic training, progressive relaxation, and much more. This is a crucial part of healing chronic pain and understanding your body’s signaling, which can be done through a variety of modalities. 

5. Purposeful Graded Exercise

It is important to start low and go slow in a very systematic progression. For example, if you were going to start walking, you would start walking for five minutes every other day. Once you’re able to do that without any increase in pain, then you can proceed to eight minutes. This will allow you to progress safely without getting discouraged.

6. Heal the Gut

Your gut is 70% of your immune system. This is what drives inflammation, and typically, chronic pain is associated with chronic inflammation. You want to get to the root of your gut issues. Gastrointestinal issues might not be obvious and could present as systemic inflammation, joint pain, and so on. 

7. Prioritize High-Quality Sleep

It is important to make sure that you are not only getting enough sleep, but you’re getting deep and REM sleep to fully restore and repair your body. 

8. Assess and Decrease Toxins

You can start by going to the Environmental Working Group (EWG) website and begin to choose one product at a time to switch to a cleaner product. This could be something as simple as switching from plastic water bottles to stainless-steel water bottles. You could change the products you’re using on your skin or your hair. Toxins, including medications, are things that can continue to perpetuate the chronic pain cycle. 

You can get better! You can heal your chronic pain. Look beyond just basic physical therapy, exercises, cortisone shots, and surgeries. You have to dig deeper into all of the things that play into chronic pain. 

We are happy to help, so please reach out. We do virtual and in-person consultations, so we’d love the opportunity to help you on your journey. If this was helpful, give it a share and make sure to subscribe to our YouTube channel, The Movement Paradigm, for weekly tips on mindset, nutrition, and movement.

Need help? Reach out for a 15-minute FREE discovery session to see how we can help you on your journey.

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Understanding Your Pain

We have all experienced pain in our lives. Perhaps it’s been acute pain where you roll your ankle, or it’s more chronic pain, something like low back pain that’s been around for months or even years. It could also be from surgery or some kind of procedure that you may have had done that could cause a considerable amount of pain. Therefore, it is important to understand pain—understand the pain in your own body, and what implications it has. Just for a quick statistic, 15 million U.S. adults suffer from some kind of chronic pain, and 80% of our global opioid supply is consumed in the U.S. There are 125 deaths per day due to opioids, which are most commonly prescribed for low back pain, which is why it’s such a powerful topic to talk about and understand implicitly.

What’s a common course of low back pain in America? You have an acute episode of low back pain, go to your medical doctor, and get some kind of prescription pain medication. The pain medication doesn’t work, so maybe you get a muscle relaxer, too. Now your primary care is going to refer you for an X-ray, and it shows nothing, or maybe some degeneration that everyone over 35 years old typically has. Then you’re referred to get an MRI, and it shows a herniated disc or some degeneration as well. Of course, that doesn’t give you any information either because imaging in most cases does not correlate to your symptoms. So, then you are referred for an injection. You get an injection that doesn’t really do much at all or lasts for a short period of time before your symptoms return, and you’re referred to physical therapy. The course of low back pain in America is problematic because this is what contributes to moving from acute pain to chronic, which we’ll discuss.

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Let’s start with the definition of pain. Pain is an unpleasant sensory and emotional experience associated with tissue damage or potential tissue damage. Essentially, pain is an alarm system. What it’s telling us is where the pain is, the amount of pain, the nature of the pain, and it is signaling to us, danger.

Now let’s talk about acute pain versus chronic pain. An example of acute pain is when you put your fingers on a hot stove. We have nociceptors, sensory receptors in the skin that will signal through the spinal cord to the different areas of the brain, to create a motor response or reaction. With somatic pain as described, we are signaling to the brain to pull back. Now we can also have visceral pain of the organs or the lining of the organs. Lastly, referred pain, which can be something like a heart attack referring pain to the left shoulder. All of these can be different forms of acute pain.

Chronic pain is much different. Chronic pain is defined as pain that you’ve had for three to six months or longer. With chronic pain, there is no tissue damage, however, your brain is sensitized and signaling that there’s still danger. This causes you to have a heightened sense of pain because your brain is still perceiving that this pain is happening even though the injury has healed. The key take home with this is that pain is not directly correlated to the amount of tissue damage. For example, someone that has had chronic pain for years would indicate that there is no tissue damage at that point, yet the pain can be very heightened. Conversely, someone with an acute tissue injury could have a very low level of pain.

Now that you know a little bit more about acute versus chronic pain and that it is not necessarily related to tissue damage, it’s important to know what you can do about it. It is not simply a matter of taking Advil or Tylenol, because we actually have our own natural painkillers. Endorphins, enkephalins, and serotonin are some of the best natural painkillers; better than NSAIDs.

Also, it is important to recognize that pain is not simply a sensory experience. It is always an emotional experience as well. It has been shown that if you are in a positive mental state, this can impact your ability to manage pain. So, what can you do about your pain?

1) Don’t Panic

Pain is information. Whether you’ve had it for a day or you’ve had it for three years, it is information that your nervous system is either on high alert, or you have some kind of potential tissue damage. Either way, you want to explore it with a gentle curiosity. You want to understand your alarm system because that is your nervous system that is giving you this powerful information to be able to do something about it. Recognizing that no matter how long you’ve had pain, you can continue to make improvements, and be able to be in a pain-free state. 

2) Improve your Movement

You should get evaluated to see what your movement patterns look like so you can limit compensations that are so common. The more that you compensate, you continue to alter your motor control, and the more you will have pain. When you have pain, you have more distorted motor control, so it ends up being this vicious cycle of pain.

3) Stress Management 

This is one of the key things that you want to think about as it relates to pain. Incorporating things like mindfulness, yoga, and meditation into your life to make sure that you are in a positive emotional state to be able to manage the pain. If you have pain, and it’s already heightened, and when you add stress on top of that your pain tolerance will decrease. So, your pain is actually higher. 

4) Graded Exercise

With all of the pain science research, one of the most important things is exercise, specifically, graded exercise. This means it has to be done at a very slow pace and returning to a comfortable state over time. For example, if you’ve had chronic low back pain for 10 years, then beginning a walking program starting at 45 minutes is way too much. Starting with 10 minutes is more appropriate and then every other day progressing to 12, 15, 20 minutes slowly and working your way up to a point that feels great for you. 

That’s just a quick taste of a little bit of pain science and how you can manage pain in your life. I hope this was helpful for you.

Reach out for a 15-minute FREE discovery session to see how we can help you on your journey.

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How to Understand and Eliminate Low Back Pain (Part 3)

Part Three of a Three Part Series

In the last blog, we talked about how low back pain is managed in the US. Today, we are going to discuss evidence-based and practice-based measures of effective low back treatment. The evidence shows us that there are specific criteria to indicate which treatment is best. 

Why acute low back pain becomes chronic?

As mentioned before in part 1 and part 2 articles of this low back pain series, because most back pain in the US is mismanaged, the time it takes for someone to get the best treatment is prolonged. Imaging is typically unnecessary and prolongs the period of time that you are experiencing pain, which ultimately can contribute to a sense of hopelessness and chronic pain, otherwise known as chronic sensitization of the nervous system.

Once you have acute low back pain, you naturally become fearful of having it again. So, you change your movement, activities, and even thoughts and emotions. Pain is simply information. It is a signal. Are you moving well? Too much? Not enough? Eating highly processed foods? Drinking too much alcohol?

Continue reading “How to Understand and Eliminate Low Back Pain (Part 3)”