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Chronic pain

What it usually is

I have suffered with Chronic pain. Chronic pain is pain that has stuck around for longer than about three months, usually long after the original injury has healed. Pain is a BRAIN process. Your pain IS real. Your brain learned to protect you when you were hurt, and sometimes it doesn't get the memo that the tissues have healed.

What it often feels like

Pain that moves around, flares for no clear reason, or spreads to places that were never injured. Being tired, not sleeping well, and feeling like nobody believes you. I know how it feels to be fine one moment and absolutely unable to move the next.

What we look at

First, we make sure your body has healed as well as it can and that nothing serious has been missed. Then the whole picture: your body, your sleep, your stress, your worries, and the things you have stopped doing because of pain. This is what we mean by the biopsychosocial model, which is a mouthful that just means body, mind and life all count.

What usually helps

Understanding pain is the foundation, because learning how pain works can change how it feels. We can forget something on purpose. Then we practise: exercise and pacing, so movement stops feeling dangerous, a little at a time. Mindfulness, gratitude and stress management, because a calmer brain is a quieter alarm system. Mindfulness is actually a fairly easy principle to understand, but its effects are complex, and in practice, it is harder to do than it sounds. Hands-on tools like adjusting, soft tissue and neurodynamics still have a place, as a way to help you move, not as the whole plan.

What you can do at home

Pace: find what you can do on a bad day, and do that on a good day too. Guard your sleep. Spend a few minutes a day paying attention to your breathing, and when your mind wanders, just come back. Write down three good things before bed, even on the hard days.

When it's not a chiro problem

New symptoms need a fresh look: fever, unexplained weight loss, new weakness or numbness, or pain that is suddenly very different. Chronic pain is heavy, and if it is getting on top of you, your family doctor and a counsellor belong on your team too. If you are having thoughts of hurting yourself, call or text 9-8-8 any time, or call 911. Please know that I am on your team.

Tools we often use for this

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