Richmond Stace Profile picture
Feb 2 7 tweets 3 min read
Today I was working with someone who is suffering with CRPS.

It was our first session after the assessment, so setting the scene by helping them understand their pain and symptoms.

IMO, the key first step to allay fears and worries about the causes.

👇
I explained that it was not the body part that was in pain, but they, the person.

Much like it’s not the stomach that is hungry, the person is.

In others words, pain is whole person (in an context/environment) and cannot be reduced to anything less.

👇
We talked about the fact that the biology involved with pain is largely not where you feel the pain.

Certainly involves the neuroimmune and endocrine ensemble. Most of that is not where the pain is felt.

👇
I described how we must be able to validate and explain their experiences, which we can.

And bring this together with any tests and investigations.

We can.

👇
They then told me how this made so much sense for the first time.

I didn’t understand what was happening, they said to me.

I thought I must be crazy feeling all these other things around my body.

👇
They told me nothing was wrong, so I thought I must be crazy.

You’re not crazy, I said. And now you know why you’re feeling what you’re feeling.

The first steps.

Now onwards with practices, tools, strategies and best ways to implement.

#thepaincoach #pain #crps
@CRPSUK

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More from @painphysio

Feb 4
The whole person approach to pain means the person is seen first, not a body part, or a brain or anything else that is less than the whole.

#thepaincoach #pain

👇 Image
It means your story matters. Your lived experience is what we work with, together. To shape a positive future.
It means we think about any investigations and scientific knowledge and bring them in to explain your lived experience. That goes for tests that show nothing in particular, a common finding. But now what? You still suffer. Why? And what can you do?
Read 8 tweets
Feb 1
To overcome pain and transform the experience, we don’t rewire our brain.

You cannot reduce pain down to the brain. Or any other body part, cell, nerve or pattern of brain activity (as seen on an fMRI).

Cont… 👇 #pain #thepaincoach
Pain is a lived experience of the person in a world. Considering anything less to explain the experience misunderstands the reality.

👇
Ideas of training the brain follow from the reductionist and dualist viewpoint. Both are limited and out of step with modern models—enactivism and predictive processing.

👇
Read 5 tweets
Jan 30
As much as we would love there to be, there are no quick fixes for persistent pain.

Mind you, there are no quick fixes or hacks for any of the important things in life: health, wellness, career, relationships.

Cont…

👇 #thread
They all take time, effort, energy, patience, perseverance, compassion and presence.

Step by step.

With plateaus when nothing seems to change—it is changing but you just don’t notice.

Cont… 👇
Whilst there are no quick fixes for pain, there are many many practices, tools, strategies and ways to overcome pain and shape a positive future.

Cont… 👇
Read 5 tweets
Jan 28
What are they?

Your approach.
Attitude.
Intent.
Effort.
To create the conditions for positive change.

The last one is key. Whatever we are doing now, the choices we make, are creating the conditions for what will come. Either way.

Cont.

👇 Image
So bringing conscious awareness to what you are doing offers great advantages over the opposite.

When it comes to overcoming pain, you can create the conditions for feeling better.

You can’t directly change pain. There’s no button to press!

Cont.

👇
And relief is always in the future. I am in pain now, but these actions I take can bring about future relief. Hopefully sooner rather than later.

There is a dynamic at play. Things are always changing—impermanence.

Cont.

👇
Read 4 tweets
Jan 18
Work with people suffering persistent pain?

I’m sharing the story of how Pain Coaching came about at @LePubScientifiq ~ 26 Jan 7pm

With plenty of practical tips and tools to take away. Easily integrated into your approach.

🎟 lepubscientifique.com/le-pub-events/

#thepaincoach #pain

👇
Who have been my influences?

Pain Coaching adapted from strengths & positive approach. What is that all about?

Understand your lived experience.

Then…

Focus on what you want, not what you don’t want!

What can you do? Let’s build on it.

Use your positive history

👇
PC sees a whole person with strengths and potential to shape a positive future.

A person who lives a particular life in their lived world.

Opportunities over obstacles.

Possibilities over problems.

Play to strengths, manage weaknesses.

All very practical 👍

👇
Read 5 tweets

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