#CGRONIC PAIN SEVERE INSOMNIA HELP HOW TO#
It also takes a certain amount of devotion to maintain lifestyle changes, once you learn how to do them. Such learning can take time and practice. But, if they are open to learning, they can learn to self-manage pain well enough to be able to overcome these secondary problems. It’s possible to have chronic pain and have a fulfilling and intimate relationship. It’s possible to have chronic pain and work full-time. It’s possible to have chronic pain and sleep well at night. It’s possible to have chronic pain and not be depressed about it. It’s possible to have chronic pain and not have it disrupt your life. Given this fact, if you can’t fix the pain, then you might as well work on the problems that occur as a result of the pain. While some of things that can be done to reduce chronic pain are helpful, they are only mildly so. (Procedures, such as injection therapies and spine surgeries, are known to be largely ineffective, despite how often they are pursued.) At the end of the day, chronic pain is chronic. We really don’t have any treatments that are super effective for chronic pain. However, these treatments are only so effective. There are some medications, such as tricyclic antidepressants and antiepileptics, which have been shown to reduce pain too. There are indeed a number of lifestyle changes, such as mild aerobic exercise and regular relaxation exercises, which, when done over time, can reduce pain. Understandably, patients with chronic pain want to focus on how to reduce pain. Let’s look at these reasons one at a time. To successfully self-manage chronic pain, you have to manage your stress.If you can’t fix the pain, you might as well work on reducing the problems that occur because of the pain.There are a number of reasons why it is important, but let’s review two today: Why is it important to deal with stressors when having chronic pain?
All these problems cause stress, which is why we call them stressors. To the list above, we might add such stressors as depression, anxiety, past trauma, sleep problems, persistent problems with concentration and short-term memory, financial problems, loss of the role in your occupation or family, the loss of sexual and emotional intimacy in your relationship, and the list could go on. Providers who specialize in chronic pain rehabilitation always evaluate the patient’s pain, of course, but they also always assess the stressful problems that the patient experiences. In effect, I’m here to talk about my pain but you want to know how stressed I am. It goes something like the following: ‘I’m hear to talk about my pain and what we can do about it, but you ask me about all these things that are unrelated to pain, like whether I worry, whether the worry keeps me up at night, what’s going on at home, whether my spouse believes me that I hurt as much as I do.
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