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About Pain

Last Updated: Oct 6, 2009 - 12:07:30 PM

How can emotions affacet your pain
By Steve
Feb 16, 2009 - 7:24:00 PM

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Emotions can also affect the gate in the dorsal horn computer. The normal state of affairs is that there are continuous descending signals from the brain to all the dorsal horn computers in the body.

These descending signals (descending inhibition) keep nearly all of the gates in a closed state, preventing unnecessary sensory information reaching the brain i.e. preventing sensory overload.

Emotions like anger and excitement tend to increase the degree of descending inhibition, making it harder for pain signals to gain access to the spinal cord and brain e.g. a footballer injures himself on the pitch but doesn't notice the injury until he stops playing. Distraction therapy also works by a similar mechanism.

Emotions like anxiety and depression tend to reduce descending inhibition, making it easier for pain signals to gain access to the brain and spinal cord e.g. patients with anxiety and depression have increased pain perceptions compared to normal people.

There aren't too many adults in this world that do not carry some form of emotional baggage around with them. Carrying this baggage around on a daily basis can seriously impair your ability to deal with many things in life, including relationships, work, and coping with pain.

Examples of baggage are:-

Guilt about things that they should or should not have done or said in relation to partners, spouses, children or parents.
Emotional turmoil caused by bereavement, separation, divorce, a bad relationship, or even marrying the wrong person.
Socioeconomic Distress - caused by the effects of sudden loss of income due to redundancy, battling with government departments about income support and disability living allowance etc.
Childhood Abuse - emotional, physical and sexual abuse in childhood / early teens can have catastrophic effects on the ability to cope with life in general. Some adults have already come to terms with the past and no longer require any attention, whereas others are desperate for help and guidance, but are afraid to talk because of feelings of guilt or shame. Some abused children receive support afterwards from trusted family members, helping them to weather the storm. The most pernicious situation seems to be where the child was blamed by an adult (usually the mother) for leading the perpetrator astray. As adults this latter group seem to have the greatest disruption to their coping abilities, and require the most care and support.

Assessing and understanding people's emotional baggage is therefore very important when trying to understand their pain.

Mind-Body Therapies

Mind-body therapies are treatments that are meant to help the mind's ability to affect the functions and symptoms of the body. Mind-body therapies use various approaches including relaxation techniques, meditation, guided imagery, biofeedback, and hypnosis. Relaxation techniques can help alleviate discomfort related to chronic pain.

Visualization may be another worthwhile pain-controlling technique. Try the following exercise: Close your eyes and try to call up a visual image of the pain, giving it shape, color, size, motion. Now try slowly altering this image, replacing it with a more harmonious, pleasing -- and smaller -- image.

Another approach is to keep a diary of your pain episodes and the causative and corrective factors surrounding them. Review your diary regularly to explore avenues of possible change. Strive to view pain as part of life, not all of it.

Electromyographic (EMG) biofeedback may alert you to the ways in which muscle tension is contributing to your pain and help you learn to control it. Hypnotherapy and self-hypnosis may help you block or transform pain through refocusing techniques. One self-hypnosis strategy, known as glove anesthesia, involves putting yourself in a trance, placing a hand over the painful area, imagining that the hand is relaxed, heavy, and numb, and envisioning these sensations as replacing other, painful feelings in the affected area.

Relaxation techniques such as meditation or yoga have been shown to reduce stress-related pain when they are practiced regularly. The gentle stretching of yoga is particularly good for strengthening muscles without putting additional strain on the body.

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