Mind Over Matter: Effective Chronic Pain Control Techniques
Chronic pain is not a simple sensation, but rather chronic pain is strongly influenced by the ways in which the brain processes the pain signals. Importantly, chronic pain can provoke strong emotional reactions, such as fear, anxiety or even terror, depending on what the individual believes about the pain signals.
If there is any good news with chronic pain, it is that to a certain extent the brain can learn how to manage the sensation of pain. Ideally, use of chronic pain management techniques outlined here can help people dealing with chronic pain feel more in control of their situation and less dependent on pain medications.
First, for chronic pain coping techniques to work, you need to relax your body through focus and deep breathing. Learning to relax takes practice (especially when you are in a great deal of pain), but hopefully the payoff is worth it.
Coping techniques for chronic pain begin with controlled deep breathing, as follows:
- Try putting yourself in a relaxed, reclining position in a dark room. Either shut your eyes or focus on a point.
- Then slow down your breathing. Breathe deeply, using your chest.
- After you feel yourself relaxing, you can begin to use imagery techniques.
Several chronic pain control techniques that are effective include:
Altered focus.
Very powerful. This technique involves focusing your attention on any specific non-painful part of the body (hand, foot, etc.) and altering sensation in that part of the body. For example, imagine your hand warming up. This will take the mind away from focusing on the source of your pain.
Mental anesthesia.
Also very powerful. This technique is done by imagining an injection of numbing anesthetic (like the Novocain a dentist uses) into your area of pain. Similarly, you may then wish to imagine a soothing and cooling ice pack being placed onto the area of pain.
Mental analgesia.
Building on the mental anesthesia concept, this technique involves imagining an injection of a strong pain killer, such as morphine, into the painful area. Along the same lines, you can focus on imagining your brain producing massive amounts of endorphins, your body's natural pain relieving hormones, and having them flood into to the painful parts of your body.
Transfer.
Use your mind to produce altered sensations, such as heat, cold, anesthetic, in a non-painful hand, and then place the hand on the painful area. Envision transferring this pleasant, altered sensation into the painful area.
Pain movement.
Mentally move your pain from one area of your body to another, anywhere you think the pain will be easier for you to handle. If you can't take another minute of your leg pain, for example, mentally move the pain up from your leg and into your low back. If you want, then more your pain out of your body and into the air.
Some of these techniques are probably best learned with the help of a professional, and it usually takes practice for these techniques to become effective in helping alleviate chronic pain. It is often advisable to work on pain coping strategies for about 30 minutes 3 times a week. With practice, you will find that your powers over the pain will increase, and it will take less mental energy to achieve more pain relief.
Good luck, and I hope these help.
Based on the Spine-health.com articles by Andrew Block, PhD: Chronic Pain Coping Techniques - Pain Management and 11 Chronic Pain Control Techniques
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Subject: Great Post. I also like the
October 28th, 2007
Subject: For chronic pain sufferers,
October 30th, 2007
Subject: Stephanie: All chronic pain
November 1st, 2007
Subject: I think your all crazy i
November 1st, 2007
Subject: Decent article. It leaves
November 7th, 2007
Subject: I have been suffering for
November 7th, 2007
Subject: I can see these techniques
December 6th, 2007
Subject: Obviously this person doesn't know pain
While I believe that some of these techniques may take the edge off, the continued idea that pain is "all in the head" is perpetuated by articles like this. The idea that someone with a real, physical, cause for their pain would be able to control it using only these methods is offensive. All pain management techniques, including drugs when used appropriately, should be considered for pain management for those of us who are in chronic pain. Not just the idea that it is "all in our heads". It is obvious to me that the author has never experienced real chronic pain.
March 29th, 2008
Subject: No Pain No Gain and Mind over Matter can get you into more Pain
I was brought up “Mind Over Matter/No Pain No Gain”, and am by nature a very competitive person- after I fell and hurt my back I did every thing I could think of to deny the pain and aching I felt- feeling that I was weak if I were to give in, and that I only had a limited amount of time left before I would not be able to do anything- I took leadership classes, never said No to any project, tried to be the Best that you could be, worked twice as hard at work and at play, volunteered, mediated, translated, and all the while with deliberating pain in my low back and right leg and foot- I Preyed and Preyed and hoped that the more people I helped, maybe God would help me and take the pain away if I was a better person as well as give us a child- well I have realized that perhaps because I was doing all the things I thought were important to other people to impress them, and things I wanted to do, was not what He wanted me to do- and man- did He shut me down and make me pay attention, when I was told that no more physical therapy would help and I needed surgery, and my family and co-workers were begging me to go, I cried and was so scared- I guess I do not know really what my point is in responding to this one except that with out these coping techniques and the people who have made Healing Others a priority in life, my life would not be possible- just that we are all given limitations for some reason, maybe perhaps to re-focus us, or to show us another door or path- or to humble us when we get to confident and cocky- sometimes when we are forced to be confined we can learn to just "BE" (I have allot of trouble with this) but am trying to have patience with myself, and not get frustrated at my inability and having to ask for help still- I am one year and five months post l5-s1 lumbar surgery, artificial disk, and laminctomy- I also finally conceived much to our surprise, but then had a miscarriage at 3 ½ months, and then another the day before I turned 30 in January, I was only 2 weeks late- It really was very scary having two miscarriages and still having trouble holding a gallon of milk I was so scared about delivery and being a mother finally, the follow up spine surgeon who took over after my Doctor retired was not helpful and said he could not treat a pregnant woman in my condition but good luck with the OBGYN though he was nice enough, his nurse was very blond and very rude, the OBGYN said do what ever the Spine Doc recommends, ect… I think the miscarriages were maybe a blessing in disguise, I do not want a baby with birth defects from all the medication I am on or when I can not hold and love it, the due date for the first would be around April 24, which is just about my husband grandfathers one year anniversary of his death, we had been excited that we would have a grandchild for them on that day, and it hurts every time I look at the ultrasounds, so this month is going to take a whole hell of a lot of positive focus not to get sad. Most recently the follow up Doc says he can no longer accommodate my workman’s comp or work requirements of letter for documentation like my previous Doctor, because of his workload with his surgery of his patience and what is necessary documentation to authorize me for travel, for my light duty, and retraining takes to much time, it was very scary and sad, I am trying to figure out what to do next, or who to go to next, but I just got baptized on Easter, because I feel so thankful and try to concentrate on what I should be grateful for- it takes allot because some days are good, but then the bad days are sometimes really bad, and I cry and am so scared that I messed my back up or will not be able to do the things I love to do at work or with my husband or for my community again and I miss the Doctor that did the surgery because I trusted him and felt confident, but then I rest and prey and ask why and have started asking God to show me the way- what is it he wants from me, as it is obviously not what I want to do, but that I am so thankful for all the things I have done in my life, I was feeling like it was not enough, that I had to make people realize this island is not that bad, that local people here do good things and have potential and not negative, and that there is hope, my husband and family keep reminding me that I have accomplished a lot, and though I denied it these last months, to busy feeling sorry for myself, I realized with help from those who have preyed over me at church and helped heal with cranial sacral and healing touch massage therapists and PT, that I had done more then most people do in three lifetimes at a young age- so I just ask that he show me what it is I am meant to do now in this new chapter of life, what is next or as my husband says “What is your next Vision Quest”, going to Mass (Sorry it does sound corny) has really helped me, the support and the repetition of the chanting and learning about how sorrow and suffering can be channeled into something greater then oneself- I do not know if I am making sense- but I am really trying to give up my idea of what "Normal" is, and what I am going to do with this "New" I do not want to sit around crying and in pain all the time, I do not want to have to ask someone to drive me to work or to help me or then get frustrated because I am so slow and it takes me so long (ironically things that used to drive me crazy about other people, and now I am that slow person) I just want to feel like I am worthy, and good, and not lazy or have people look at me like oh- back surgery- or disabled- or workman’s comp (the stigma here is so bad I get so embarrassed when I can not carry my own weight around, or need to use the stick in front of people, but recognizing that is a big issue of depression worrying about what other people think- letting go of EGO, Pride, and judging people) or how unfortunate- she had so much potential- those are things I am trying to grabble with and overcome and still smile and be nice and face the challenges instead of running back to the safety of the bed- as what does really matter- family, friends, and working hard at whatever you are doing with all your heart is important, even if it is not what you planned and said it was what you were going to do when you are 14 years old- it is ok to follow through on things, but sometimes you need to reassess yourself as you get older and realize that plans are made to supplement, adjust, and have alternatives and options- it helps to not care what other people think, and to learn that just "Achieving and Reaching" is ok, it is not always necessary to prove yourself by "Overachieving and Overreaching" because you can not do a good job of helping others if you do not recognize when you help, and when others look to you to light the way and find solutions, you have to be 100% even if that is not what you were when you were doing things 150%, it is ok not to be a full leader or have responsibility with everything that needs help to get it accomplished, other people need to be responsible to make things work, and delegating is acceptable- just learning to rest, be at peace, and grateful and thankful for the ability to still wake up every morning and the possibility and probability of a good future, is up to each of us- my quote has always been from my father "What you do today determines your tomorrow"- well sometimes you have to listen to the Pain- because if you do not deal with it early- you will have No Gain- a blown ego- and a body that is old before it's time! Minding your Matter is also important, because it is like all the elders have always said- “do not grow up to fast”- and then one day you wake up and you are 30 feeling like 70 with a back of an 90 year old- But hey... I still did and plan on doing a lot more with my life- it is just on a different pathway then I thought it would be- and sometimes letting go of childhood dreams of doing it all and getting A+++ and stars on everything is not reasonable, sometimes a C is ok, and asking for help and not trying to be superwoman to everyone- really does help set you free when you ask God for guidance and help- ok- I hope I made sense- without the help from my family, church, and massage therapists, and physical therapist working with me and putting up with my semi-drugged lazy, whiny, depressed, complaining ass- I do not know if I would still be sitting here typing this today- as some days seem so dark- like a nice sunny day and I want to go out in the boat with my husband on a weekend but instead cry in bed all day because I am scared to go in a boat, or they are doing something at work with the fish or field work and I am stuck in the office with the stupid computer popping pills because I am afraid of the bumps in the road, then feeling worried that people are talking behind my back thinking I am a pill popper or making jokes about me- it will send me into a two day tailspin of self hating and crying because I am scared to step outside or let anyone see what kind of shape I am until I am back in shape and strong and confident again, I do not want people to see me till I am stronger, like many people said above- this transition time really sucks- but each day I am figuratively sticking my toes further back into the water and back outside as this is my obstacle to overcome and learn whatever lesson that is hidden in this from God- simple yard work and gardening with my husband for an hour- then three on the couch or in bed, but what a blessed hour to spend with the one you love outside instead of inside, he is so amazingly patient with me, a longer walk without the walking stick- just recognizing that the gravel roads and potholes are bad and try to avoid any unnecessary travel and I can maintain longer without larger does of medication, and then accepting the rest afterwards and using the techniques above, massage, ice and heat packs, and Energy Healing, (HEAT PADS and the Happy Eyes Sun Lamps help a little to when it snows or weather changes it really hurts the worse) and preying and reflecting, and thank GOD for Oxycodon and vitriol and flexural! I do not think I like the Lyrical, but am taking it three times a day- it makes me feel kinda weird and too talkative, but does not help my foot or back like the Celebrex did before the surgery, but I am able to go longer without the Oxy if I limit my activity to house cleaning, small walks, cooking meals, limited hours of working in the office, and lots of resting, I can try do to something on the weekend with my husband, but when there is that immanent breakthrough pain and it starts, I regret not having more Oxy in my system, because they do not work as good as they used to and I am trying to make them last till I see the Doc next- but I think if I can maintain this activity level and not get impatient I can accept this lot in life and make the best of it- as I learn that I do not need to prove myself to my co-workers, family, friends, community, or be competitive, that I can learn to accept and be content- then I can have a sort of life back even if it is not what I had thought I wanted it to be or at the stage I thought I would be at by now- only I can make me happy- and then after that I can start making other people happy again- I hope this helps, as it really helped me with at least a half smile myself, and maybe it is a sign, but the sunshine just peaked out of behind the clouds a little- I am such a dork! But a thankful and hopeful and optimistic Dork! May peace be with you all, and may we all learn, grown, and improve together along this journey and adventure called life through all the friggen Roller Coasters of Emotions and Events and Opportunities we choose to allow ourselves as we fight to be Pain Free and search for those that can help us find the right way to accomplish that like the people who write these articles and help us understand we are not alone with Spine.com-
April 2nd, 2008
Subject: Exercise and leg spasms with a Spinal cord stimulator
Due to a hysterectomy, I have nerve and muscle damage affecting left abdomen and leg. Finally had a Spinal cord stimulator put in. Helps- I took neurontin at night only. I continued to have leg spasms so the pain mgmt. doctor tried me on Lyrica. It helps but I do not like the side effects - weight gain, swelling of legs, joint pain. Yet the neurontin does not control the spasms. Any ideas?
Also what can I do to lose abdominal weight when I can't bend my back due to the stimulator?
June 20th, 2008