{"id":3622,"date":"2020-12-19T12:02:21","date_gmt":"2020-12-19T12:02:21","guid":{"rendered":"https:\/\/bodycollege.net\/?p=3622"},"modified":"2021-05-24T07:43:13","modified_gmt":"2021-05-24T06:43:13","slug":"pain-and-trauma","status":"publish","type":"post","link":"https:\/\/bodycollege.net\/pain-and-trauma\/","title":{"rendered":"Links between pain and trauma"},"content":{"rendered":"[et_pb_section fb_built=”1″ _builder_version=”4.7.4″ _module_preset=”default”][et_pb_row _builder_version=”4.7.4″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.7.4″ _module_preset=”default”][et_pb_text _builder_version=”4.9.2″ _module_preset=”default” text_font=”||||||||” text_font_size=”18px” hover_enabled=”0″ sticky_enabled=”0″]\n
\n\u2018\u2026.persistent pain can be reduced by therapies that alter (normalize) the person\u2019s perception of her own body. Indeed, patients with persistent pain often show evidence of disturbed ownership and body image\u2019<\/strong><\/div>\nBrodal P (2017) A neurobiologist\u2019s attempt to understand persistent pain. Scand J Pain https:\/\/pubmed.ncbi.nlm.nih.gov\/28850339\/<\/a><\/div>\n<\/blockquote>\n<\/div>\n<\/div>\n\n\nKozlowksa et al (2015) Fear and Defense Cascade, is a big summary of the physiology of fear. It includes polyvagal theory and also looks at some analgesia pathways that may be activated in parallel to changes in the autonomic nervous system in response to threat. It is quite a dense paper, but very good to help understand there are a range of nervous system patterns in threat response.<\/div>\nhttps:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4495877\/<\/a><\/div>\n<\/blockquote>\n<\/div>\n\u00a0<\/div>\n\n\u00a0<\/div>\n<\/div>\n\nIn pain science there is a clear definition of pain as a protective reflex in response to perception of danger (often unconscious and habitual). This is a link to the importance of neuroception and finding safety in polyvagal theory.<\/div>\n<\/div>\n\u00a0<\/div>\n\n\n\u2018Pain is, at a very fundamental level, all about your brain\u2019s assessment of safety: unsafe things hurt. If your brain thinks you\u2019re safe, pain goes down.\u2019\u00a0<\/strong><\/div>\nPaul Ingraham http:\/\/saveyourself.ca\/articles\/central-sensitization.php<\/a><\/div>\n<\/blockquote>\n<\/div>\n\u00a0<\/div>\n\nInflammation, immune system activity and complex interactions with the nervous system are discussed at length by pain specialists and help to explain the complexity of chronic pain.<\/div>\n<\/div>\n\u00a0<\/div>\n\n\nThe Mystery of Chronic Pain – Dr Elliot Krane (2011). This is a wonderful 8 min talk on how pain can amplify and that it involves nervous and immune system interactions.<\/strong><\/div>\nhttp:\/\/bit.ly\/2DNcG9s<\/a><\/div>\n<\/blockquote>\n\nThe perception of danger is the input that triggers an array of protective reflexes.<\/h2>\n<\/div>\n<\/div>\n
\nInflammation is an output to protect led by the immune system, pain is also an output to protect led by the nervous system. Mobilising (‘fight-or-flight’) and immobilising (‘freeze’) can be framed as outputs to protect.<\/div>\n\u00a0<\/div>\nIt is useful to think of all protective reflexes as parallel outputs to protect, rather than one causing the other.<\/div>\n<\/div>\n\u00a0<\/div>\n\n\n\u2018The basic idea is that chronic pain is often driven by dysregulation of a \u201csupersystem\u201d that coordinates defensive responses to injury. The supersystem results from dynamic interaction between different subsystems, most notably the nervous system, immune system, and endocrine system.\u2019<\/strong><\/div>\nTodd Hargrove 2014 https:\/\/todd-hargrove-xyvo.squarespace.com\/…\/a-systems… <\/a>You can also find versions of this framework in Moseley GL and Butler DS (2017) Explain Pain Supercharged. NOIGroup<\/a><\/div>\n<\/blockquote>\nHere are two great blogs discussing trauma informed pain care from a patient perspective (but outside of polyvagal model).<\/div>\n\u00a0<\/div>\n\n‘With sufficient understanding of trauma, I believe my clinicians could take steps to avoid, or at least minimise, inadvertently causing me increased stress or re-traumatisation and support me to understand how past trauma may play a part in my persistent pain condition. Most importantly I would hope my clinicians would value and promote my resilience and enhance my well-being.’ <\/strong><\/div>\n