Pain has a vital function in humans. But what if it becomes chronic?
I suffer from chronic back and leg pain. There is no clear cause. I take pain relievers and physiotherapy, but my condition is slowly beating me down. “
the pain persists for no apparent reason, it usually means great suffering for those affected. For physical stress comes hopelessness and hopelessness. We withdraw, the recurring crises of pain seize the mind and the psyche. In addition, professional performance decreases.
It’s a vicious cycle: the more you let go of “normal” life, the more attention the pain demands. He becomes the dominant opponent. It sets the pace for everyday life and decides what is feasible and what is not. You are stuck in the struggle for control and release from pain, hope and disappointment alternate.
Pain is in fact useful, necessary for survival. It alerts us to dangers and encourages us to correct our behavior s There are people with a congenital anomaly of the SCN11A gene. You don’t feel any pain. As a result, they injure themselves without realizing it and often die prematurely.
Pain has a function
Acute pain therefore has a function. The chronic form is different. Here, the nerve cells continue to produce sparks, although the injury has long healed.
Pain research has developed new explanatory models over the past decades. We have said goodbye to the simple image that pain is being conducted through some kind of bell wire from the location of the brain injury. The idea that chronic pain is psychogenic, that is, neuroses and internal conflicts are expressed in one way or another in pain, is also outdated.
Even ‘baseless’ pain is real
Today we know that the experience of pain is a complex and active interaction of physical, psychological and social factors. Chronic pain – that is, pain that is permanent and can no longer be explained by physical causes – changes the central nervous system, creating a kind of “pain memory”. Nerve cells interpret even the smallest stimuli as pain impulses which they transmit to the brain. This pain is just as real and painful as that which accompanies a new injury.
Chronic pain is now recognized as an independent clinical picture. In the past, patients with pain were often harmed; they were seen as simulators and their suffering exaggerated or pretentious. “In the past, those affected were often wronged. We thought they were simulators. “
The realization that pain is treated differently and triggered by biological, psychological and sociological factors has changed the medico-therapeutic approach.
Instead of single-route medication or surgery often performed too quickly or for psychotherapy, interdisciplinary pain treatment offers have now proven their worth. In a regional pain center, for example, you can find out which stressors are partly responsible and what concrete changes in daily behavior and thinking could have a positive influence.
Somehow accept the boring companion
The goal is to free the patient from isolation, in which pain determines thoughts, feelings and daily life. It is about accepting that pain becomes a permanent companion. That he will be at the table for a long time. But maybe a little further and bigger and heavier on the shoulders of the person concerned.
A tailor-made combination of drug therapy, behavioral therapy, occupational therapy and pain relief procedures – such as relaxation techniques, Relax properly massages, current TENS stimulation therapy – can significantly improve quality of life despite chronic pain.
Support from other affected people in a support group can also be helpful.