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Top Tips: Explaining Pain

30/5/2017

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Key messages
  • How you understand and cope with pain affects your pain and well as your life.
  • The amount of pain you may be experiencing is NOT necessarily related to the severity of your injury or tissue damage
  • When to body thinks it’s in danger it produces pain as a protective mechanism. This is a normal response to what your brain perceives as a threat.
  • Pain is a multi-factorial beast; the pain experience of the brain relies on many sensory cues.
Visual person? Watch this short You Tube clip explaining pain or read on...
The process of producing pain
  • Danger sensors are located all over the body.
  • When the excitement within a neurone (an electrically excitable cell that processes and transmits information through electrical and chemical signals) reaches the critical level, a message is sent towards the spinal cord.
  • When a danger message reaches the spinal cord, it causes release of excitatory chemicals.
  • Sensors in the danger messenger neuron are activated by said excitatory chemicals and when the excitement level of the danger messenger neurone reaches the critical level… a danger message is sent to the brain.
  • The message is processed through the brain. If the brain decides you are in danger and you need to act, it will produce pain.
  • The brain activates several systems that work together to get you out of danger.

Once the body thinks it is in danger… the acute phase
  • Tissue damage causes inflammation which directly activates danger sensors and makes neurons more sensitive.
  • Inflammation in the short term promotes healing.
  • Tissue healing depends on the blood supply and demands of the tissue involved but all tissues can heal…this is where osteopathy can help, working with fluid mechanics and promoting fluid/blood flow into the area

When the brain takes over in an over-stimulation response …the chronic phase
  • When pain persists the danger alarm system becomes more sensitive.
  • The danger messenger neurone becomes more excitable and manufactures more sensors for excitatory chemicals and brain starts activating neurones that release excitatory chemicals
  • The brain adapts to become better at producing the neuro tag for pain (the pain song)
  • Danger sensors in the tissues contribute less and less to the danger message arriving at the brain.
 
This information has been adapted from Moseley and Butler's book “Explain Pain”

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    Jane McCulloch

    Jane is passionate about sharing her knowledge and experiences through writing. Please read and enjoy!

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Central City Osteopaths
43 High St
Auckland City
Auckland 1010
09 300 7335
info@centralcityosteopaths.co.nz

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