1. Persistent pain is a challenge because there are no quick fixes.
In fact, we don’t ‘fix’ anything.
There’s nothing to fix. Certainly not the person.
When you understand pain, this makes sense.
In fact, we don’t ‘fix’ anything.
There’s nothing to fix. Certainly not the person.
When you understand pain, this makes sense.
2. Pain is whole person.
It’s the person that experiences and lives pain, not the body part.
We help people.
We help them shape something better.
It’s the person that experiences and lives pain, not the body part.
We help people.
We help them shape something better.
3. Persistent pain is poorly related to tissue state.
Through the predictive lens:
It’s a prediction of the possible causes of the sensory information, based on what is already known/experienced (priors).
A best guess to explain what’s happening right now.
Through the predictive lens:
It’s a prediction of the possible causes of the sensory information, based on what is already known/experienced (priors).
A best guess to explain what’s happening right now.
4. All our experiences are being created/generated.
There is a world out there, but our brain only receives signals to make sense of; predict the causes of.
There is a world out there, but our brain only receives signals to make sense of; predict the causes of.
5. There are no pain signals, pain messages, pain centres, pain pathways
6. Pain is what the person says it is.
7. You can’t see pain on a scan or any other investigation.
You can’t see pain on a brain scan.
It’s a lived experience.
You can’t see pain on a brain scan.
It’s a lived experience.
8. Due to the complexity of persistent pain, there are many opportunities and ways to help the person shape a positive future.
9. Some of the key ingredients to move forward:
* story/experiences validated
* empathy
* self care skills
* acceptance (this is not giving in; instead an acknowledgment of where you are now in order to move on)
* reconnecting with what matters
* guidance/encouragement
* story/experiences validated
* empathy
* self care skills
* acceptance (this is not giving in; instead an acknowledgment of where you are now in order to move on)
* reconnecting with what matters
* guidance/encouragement
• • •
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