Richmond Stace Profile picture
Feb 7 6 tweets 3 min read
Change is happening all the time, despite how things may appear.

When you examine your own experience closely, you realise this is the truth.

#thepaincoach #pain

👇
Life is only possible because of change. Or impermanence.

Something that is the same is what we tell ourselves. The story.

Do you hear yourself saying: it’s the same.

👇
Even this changes. Because each time you hear it, you have changed.

Pay close attention to your breath. The movement of your body. Change.

Pay attention to sounds. Change.

👇
Being open to this reality is important to overcome pain and suffering. More suffering comes from the story that it is the same. It can never be the same because nothing is the same.

👇
Impermanence.

Change is what makes life exist.

See if you can notice change as you go about your day. Try not to think of change as good or bad, but just part of how life works.

#thepaincoach #pain

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More from @painphysio

Feb 6
Persistent pain.

Where does it start to go wrong?

When the pain is reduced to a body part rather than seeing a whole person who is suffering.

#thepaincoach #pain

👇
For example, blaming a small joint in the neck for a person’s woes.

Instead of seeing them as a thinking, feeling human being with hopes, dreams, strengths, and difficulties.

👇
When the pain is reduced in such a way, often the person is heading down the wrong route—not their fault.

Expectations are in the wrong place as they think that some treatment to that small part of their body will solve the pain problem. Great if it does. Often is doesn’t.

👇
Read 5 tweets
Feb 5
Menopause and persistent pain have some similarities in the journey.

This is aside from the fact that a women going through menopause can experience persistent pain.

Cont.. #thepaincoach #pain #Menopause #thread
I spend time asking about people’s experiences and listening to what they tell me, before helping them make sense of it.

Many talk about how they have described different symptoms that are pigeon-holed rather than seen as a person suffering.

👇
‘I kept telling them, but they took no notice’

‘For years I was told it was anxiety and depression’

‘I had three different symptoms, but was told I could only be seen for one’

👇
Read 10 tweets
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

👇
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 2
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.

👇
Read 7 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

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