No-one relieves your pain - #thread

(1) There is no direct way to ease pain.

It is a change in state (biology) that underpins a change in how you feel.

The change in state comes about via circumstances that are created by the person, and sometimes with someone else

#pain
(2) The way we feel is changing all the time - impermanence.

This is what allows life to be possible.

Whatever state you are in now, it will change.

But, there are things you can do to change state.

Create the conditions for a better state to emerge.

#pain
(3) When someone ‘treats’ you, and I believe there is a place for this, they are working with you to change your state.

There is no button to press; no direct way of relieving pain.

We create the conditions, whether by understanding something, moving, breathing etc.

#pain
(4) To shape a positive future, we need to look after this moment.

To create future health (it does not cone straight away!), we must make healthy choices now.

Your future you is being created by the choices you make now.

#pain
(5) For a future you suffering less pain, it is about these daily choices you make, every day.

Habits.

Of thought as much as action — they are entwined and inseparable.

#pain
(6) So, to relieve pain now, we can take action to change our state.

There are many choices of how to do this.

And then we learn what works.

Keeping doing this and creating habits that reflect the type of person you want to be, consistently creates the conditions.

#pain
(7) We often need guidance, help and encouragement to do this.

That’s the role of the pain coach.

All of the above together with treatment so that you can live your good and valued life.

If you need help, get in touch 👍

#thepaincoach #pain

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Richmond Stace

Richmond Stace Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @painphysio

28 Nov
There’s been an increasing interest in central sensitisation: eg/ a means of diagnosis, courses.

Great on deepening understanding.

But it’s only a part of the picture.

And certainly not an explanation for persistent pain.

(1/2) #pain
(2/2) It would be easy with this to get caught up in the wrong way of thinking about perception.

Input - something happens - output…is not what happens.

Sensory signals the brain receives is only part of the picture. They shape a prediction that’s already been made.
Central sensitisation is going on — it’s a biology.

But it is not a direct cause of pain.

Pain is a perception.

The signals the brain receives can be grounded in CS processes, but that does not automatically result in pain.

We have to generate our experience…. (1/2)
Read 5 tweets
26 Nov
A #thread on pacing for persistent #pain

Hope it’s useful.

If so, do share 🙏.

👇

#thepaincoach #pain
1. To pace, you need to know your baseline.

To know your baseline, you need to accept this start point.

Acceptance is tricky. But possible. Sometimes it’s easier and sometimes harder. It is definitely not giving up.

It’s acknowledging where you are now.
2. Pacing helps by organising your activities within windows of tolerance.

You curate good experiences to build upon.

Pushing through etc., is not needed to progress. In fact, pushing usually makes things worse.
Read 12 tweets
26 Nov
There are different barriers to overcoming #pain.

One is pre-existing beliefs: eg/ possible causes, the types of things that will relieve it, the types of things that won't, how much influence you have, other people fix me etc.

These are all conditioned, so no blame.

1/2
But some may be right and some maybe wrong.

The more we hold onto them without considering other possibilities, the more we may be following the wrong path.

It's tough.

#thepaincoach
Having expectations that exceed the current possibilities is a barrier.

Part of us says 'you should' or 'you must', so we push on.

Even though this is not the best decision right now.

#pain
Read 5 tweets
26 Nov
IMO, there is a place for hands on treatment to help a person suffering persistent pain.

Touch is soothing.

Touch can relieve.

There are different techniques we can show people to use upon themselves or to include loved ones who don’t know what to do.

#thepaincoach #pain Image
1. You can start somewhere that is not sensitive, or at least less sensitive, using mild pressure.

Observe how the person responds - twitches, change in breathing, utterances etc., to get the right level.

Notice the calming, soothing effects.

#touch
2. We can use mild pressure touch on ourselves to soothe and create calm.

This would then be a better state for movement.

In other words, we prime ourselves to move better.

#touch
Read 4 tweets
24 Nov
Pain Coaching is the approach I devised to help people who suffer persistent #pain.

What do I help them do?

Reconnect with what matters.

In so doing, their life improves.

To keep developing, I have daily practices.

Here they are: a #thread.

#thepaincoach

👇
1. Reading practice

Daily reading.

Some factual, some development, some fiction.

I take notes.

I read slowly.

Here are some great tips from @RyanHoliday



#reading
2. Daily exercise.

You choose what this looks like.

I choose running, 5 x a week.

I have a programme designed by @Ultra_Damo

The other days I walk.

I also practice different movements and exercises through the day.

So can you.

#exercise
Read 11 tweets
21 Nov
To understand pain, you need to understand:

A #thread expanding on the prior tweet.

#thepaincoach #pain

👇
1. The person

It’s the person who has a pain experience. Not a body part.

It’s the person we help, guide, treat, encourage.

What’s their story? What is it like being them?

Deep listening clarifies.
2. The person’s lived experience.

This is what it is like to be them.

In their own words, given time and a safe space to talk.

We create that space.
Read 13 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Thank you for your support!

Follow Us on Twitter!

:(