Richmond Stace Profile picture
Mar 14 7 tweets 3 min read
Why does my pain persist?

There is a kind of stuckness.

Not that each pain experience is the same — this cannot be, because each moment is new.

A #thread 🧵by #thepaincoach #chronicpain 👇
There was an expectation of getting better but the reality was different. Things you tried did not work. Perhaps your timelines were inaccurate: it often takes longer than you think.
There comes a point when the expectation switches to pain rather than getting better.
We see and experience a world and ourselves in that world, which we expect to see. Having had pain in a certain circumstance over and over, this now becomes the best explanation for that situation.
In other words, pain is the best explanation for what is going on in your world now, based on what has happened before.

To get better then, we need to update these predictions/expectations by having good experiences, based on an accurate understanding of pain.
That is what we can do to shape a positive future, in the choices we make right now; the only moment.

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More from @painphysio

Mar 12
You are doing your best

Often, it’s easy to listen to the self critic.

And harder to acknowledge that you are doing your best.

#thread 🧵
#thepaincoach #chronicpain
Considering the circumstances — what is going on for you right now?

This gives perspective. A wider view.

One that is more realistic and less driven by lofty expectations.
You are doing your best with what you have.

You may need more.

For instance, guidance, support, or encouragement.
Read 6 tweets
Mar 12
There’s nothing to fix

There is a traditional idea with pain and injury (they are completely different) that we are fixed by someone.

I disagree.

#thread #thepaincoach #chronicpain #pain
Despite the fact that the system of healthcare training is all about finding something to fix, a problem, and then fixing it.

Somewhere in there you may remember a person.

Let’s turn that on it’s head.
There is a person who is suffering. They decide that they need some help.

We don’t then fix them, although you might think you are because of the aforementioned training.
Read 7 tweets
Mar 11
I can🧵1/7

Focus on what you can do, rather than what you can’t.

This is the start. The baseline.

#thepaincoach #chronicpain #pain
2/7

Think of something that you have stopped doing or is limited.

Next, clarify what you can do. What is realistic? Considering the circumstances.

Eg/ I want to go for a coffee with a friend.
3/7

If she picks me up and drops me home, I can go to a coffee shop for 1/2 an hour.

That’s the start.
Read 8 tweets
Mar 9
Expectations-Reality

When our expectations don’t match reality we feel bad.

This is a common problem facing people suffering persistent pain.

🧵 1/7 Cont… 👇 #thepaincoach #chronicpain
2/7 Expectations of what you can do, what you feel you should be able to do and what you can actually do often mismatch. This feels bad.
3/7 Either because you cannot complete the task as you wish or you do and pay a painful price.

What can you do?
Read 8 tweets
Mar 8
Some people don’t recover from sports injuries as expected.

Their pain persists.

🧵#thepaincoach #thread 👇 Image
Return to training and play is stop-start, feels like a step forward and then two back. Or hasn’t happened at all.

They are stuck.

👇
Why?

There are a number of reasons. Most of which you will not find on a scan, from a test or reducing the pain to a body part or particular tissue. Also, you will not find pain on a brain scan.

👇
Read 11 tweets
Mar 3
What is pacing, really?

A thread.

Pacing is a strategy that is often recommended to help people suffering persistent pain.

There are different ways of doing it.

Here is the way I do it with the people I see.

#thepaincoach #pain
👇
The important principles:

* Plan your day
* Prioritise what matters
* Periodise your time like an athlete/peak performer

👇
Then,

•Flexibility: there are always circumstances that need to be considered; how am I? What is my best choice now? What will I definitely be able to do within my window of tolerance?

👇
Read 7 tweets

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