Understanding Chronic Pain
Chronic pain can be mild or excruciating, it can be episodic or continuous, it can be merely inconvenient or totally incapacitating. The pain can be from headaches, or joint pain, it can be neck pain, back pain or pain from an injury.
The common thing with all these types of pain is that the actual feeling of pain is always, 100% of the time, created in your brain.
Neuroscience Research
Did you know that imagining a movement influences the brain in a very similar way to actually doing the movement? This can help to retrain your brain to understand that the movement is not dangerous – because imagining doing the movement will not hurt. You can basically trick your brain into giving you back pain-free movement.
Movement and Function
The movement of your spine is also very important. Yoga or simple spinal exercises can be great for this and chiropractic care may be really important to help you move too. The main focus of chiropractic care is to improve the movement and function of your spine.
References
- Katz WA. The needs of a patient in pain. The American Journal of Medicine 1998;105(1, Supplement 2):2S-7S. doi: https://doi.org/10.1016/S0002-9343(98)00068-0
- Seymour B. Pain: A Precision Signal for Reinforcement Learning and Control. Neuron 2019;101(6):1029-41. doi: 10.1016/j.neuron.2019.01.055 [published Online First: 2019/03/22]
- Holt K, Russell D, Cooperstein R, et al. Interexaminer reliability of a multidimensional battery of tests used to assess for vertebral subluxations. Chiropr J Aust 2018;46(1):101-17.
- Fenton BW, Shih E, Zolton J. The neurobiology of pain perception in normal and persistent pain. Pain management 2015;5(4):297-317. doi: 10.2217/pmt.15.27 [published Online First: 2015/06/20]
- Koyama T, McHaffie JG, Laurienti PJ, et al. The subjective experience of pain: Where expectations become reality. Proceedings of the National Academy of Sciences 2005;102(36):12950-55. doi: 10.1073/pnas.0408576102
- Mitsi V, Zachariou V. Modulation of pain, nociception, and analgesia by the brain reward center. Neuroscience 2016;338:81-92. doi: 10.1016/j.neuroscience.2016.05.017
- Ploghaus A. Dissociating Pain from Its Anticipation in the Human Brain. Science 1999;284(5422):1979-81. doi: 10.1126/science.284.5422.1979
- Wager TD. Placebo-Induced Changes in fMRI in the Anticipation and Experience of Pain. Science 2004;303(5661):1162-67. doi: 10.1126/science.1093065
- Wiech K. Deconstructing the sensation of pain: The influence of cognitive processes on pain perception. Science 2016;354(6312):584-87. doi: 10.1126/science.aaf8934 [published Online First: 2016/11/05]
- Świeboda P, Filip R, Prystupa A, et al. Assessment of pain: types, mechanism and treatment. Pain 2013;2(7)
- Costigan M, Scholz J, Woolf CJ. Neuropathic Pain: A Maladaptive Response of the Nervous System to Damage. Annual Review of Neuroscience 2009;32(1):1-32. doi: 10.1146/annurev.neuro.051508.135531
- Bannister K, Kucharczyk M, Dickenson AH. Hopes for the future of pain control. Pain and Therapy 2017;6(2):117-28.
- St Sauver JL, Warner DO, Yawn BP, et al. Why patients visit their doctors: assessing the most prevalent conditions in a defined American population. Mayo Clin Proc 2013;88(1):56-67. doi: 10.1016/j.mayocp.2012.08.020 [published Online First: 2013/01/01]
- Bonakdar RA. Integrative pain management. Medical Clinics 2017;101(5):987-1004.
- Webb R, Brammah T, Lunt M, et al. Prevalence and Predictors of Intense, Chronic, and Disabling Neck and Back Pain in the UK General Population. Spine 2003;28(11):1195-202. doi: 10.1097/01.brs.0000067430.49169.01
- Mallen C, Peat G, Thomas E, et al. Severely disabling chronic pain in young adults: prevalence from a population-based postal survey in North Staffordshire. BMC Musculoskeletal Disorders 2005;6(1):42. doi: 10.1186/1471-2474-6-42
- Apkarian AV, Hashmi JA, Baliki MN. Pain and the brain: specificity and plasticity of the brain in clinical chronic pain. Pain 2011;152(3 Suppl):S49.
- Atlas LY, Bolger N, Lindquist MA, et al. Brain Mediators of Predictive Cue Effects on Perceived Pain. 2010;30(39):12964-77. doi: 10.1523/jneurosci.0057-10.2010
- deCharms RC, Maeda F, Glover GH, et al. Control over brain activation and pain learned by using real-time functional MRI. Proc Natl Acad Sci U S A 2005;102(51):18626-31. doi: 10.1073/pnas.0505210102
- Geneen LJ, Moore RA, Clarke C, et al. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. The Cochrane database of systematic reviews 2017;4:Cd011279. doi: 10.1002/14651858.CD011279.pub3 [published Online First: 2017/04/25]
- Booth J, Moseley GL, Schiltenwolf M, et al. Exercise for chronic musculoskeletal pain: A biopsychosocial approach. Musculoskeletal care 2017;15(4):413-21. doi: 10.1002/msc.1191 [published Online First: 2017/04/04]
- O’Connor SR, Tully MA, Ryan B, et al. Walking exercise for chronic musculoskeletal pain: systematic review and meta-analysis. Archives of physical medicine and rehabilitation 2015;96(4):724-34.e3. doi: 10.1016/j.apmr.2014.12.003 [published Online First: 2014/12/23]
- Schutze R, Rees C, Slater H, et al. ‘I call it stinkin’ thinkin”: A qualitative analysis of metacognition in people with chronic low back pain and elevated catastrophizing. British journal of health psychology 2017;22(3):463-80. doi: 10.1111/bjhp.12240 [published Online First: 2017/04/05]
- Masino SA, Ruskin DN. Ketogenic diets and pain. Journal of child neurology 2013;28(8):993-1001. doi: 10.1177/0883073813487595 [published Online First: 2013/05/18]
- Silva AR, Bernardo A, Costa J, et al. Dietary interventions in Fibromyalgia: a systematic review. Annals of medicine 2019:1-29. doi: 10.1080/07853890.2018.1564360 [published Online First: 2019/02/09]
- Burgess HJ, Burns JW, Buvanendran A, et al. Associations Between Sleep Disturbance and Chronic Pain Intensity and Function: A Test of Direct and Indirect Pathways. The Clinical journal of pain 2019 doi: 10.1097/ajp.0000000000000711 [published Online First: 2019/03/27]
- Kocur P, Pospieszna B, Choszczewski D, et al. The effects of Nordic walking training on selected upper-body muscle groups in female-office workers: a randomized trial. Work 2017;56(2):277-83.
- O’Connor SR, Tully MA, Ryan B, et al. Walking exercise for chronic musculoskeletal pain: systematic review and meta-analysis. Archives of physical medicine and rehabilitation 2015;96(4):724-34. e3.
- Bowering KJ, O’Connell NE, Tabor A, et al. The effects of graded motor imagery and its components on chronic pain: a systematic review and meta-analysis. The journal of pain : official journal of the American Pain Society 2013;14(1):3-13. doi: 10.1016/j.jpain.2012.09.007 [published Online First: 2012/11/20]
- Mulder T. Motor imagery and action observation: cognitive tools for rehabilitation. Journal of neural transmission (Vienna, Austria : 1996) 2007;114(10):1265-78. doi: 10.1007/s00702-007-0763-z [published Online First: 06/20]
- Ruffino C, Papaxanthis C, Lebon F. Neural plasticity during motor learning with motor imagery practice: Review and perspectives. Neuroscience 2017;341:61-78.
- Laird RA, Keating JL, Ussing K, et al. Does movement matter in people with back pain? Investigating ‘atypical’ lumbo-pelvic kinematics in people with and without back pain using wireless movement sensors. BMC Musculoskelet Disord 2019;20(1):28. doi: 10.1186/s12891-018-2387-x [published Online First: 2019/01/20]
- Eliks M, Zgorzalewicz-Stachowiak M, Zenczak-Praga K. Application of Pilates-based exercises in the treatment of chronic non-specific low back pain: state of the art. Postgraduate medical journal 2019;95(1119):41-45. doi: 10.1136/postgradmedj-2018-135920 [published Online First: 2019/01/14]
- Li Y, Li S, Jiang J, et al. Effects of yoga on patients with chronic nonspecific neck pain: A PRISMA systematic review and meta-analysis. Medicine 2019;98(8):e14649. doi: 10.1097/md.0000000000014649 [published Online First: 2019/03/01]
- Galindez-Ibarbengoetxea X, Setuain I, Andersen LL, et al. Effects of Cervical High-Velocity Low-Amplitude Techniques on Range of Motion, Strength Performance, and Cardiovascular Outcomes: A Review. Journal of alternative and complementary medicine (New York, NY) 2017;23(9):667-75. doi: 10.1089/acm.2017.0002 [published Online First: 2017/07/22]
- Shaw L, Descarreaux M, Bryans R, et al. A systematic review of chiropractic management of adults with Whiplash-Associated Disorders: recommendations for advancing evidence-based practice and research. Work 2010;35(3):369-94.
- Brown RA. Spinal Health: The Backbone of Chiropractic’s Identity. Journal of Chiropractic Humanities 2016;23(1):22-28. doi: https://doi.org/10.1016/j.echu.2016.07.002
- Hart J. Analysis and Adjustment of Vertebral Subluxation as a Separate and Distinct Identity for the Chiropractic Profession: A Commentary. J Chiropr Humanit 2016;23(1):46-52. doi: 10.1016/j.echu.2016.09.002 [published Online First: 2016/12/07]
- The Rubicon Group. Definition and Position Statement on the Chiropractic Subluxation. [Online] Available at: http://www.therubicongroup.org/#/policies/: The Rubicon Group, 2017:4.
- Henderson CN. The basis for spinal manipulation: chiropractic perspective of indications and theory. Journal of electromyography and kinesiology 2012;22(5):632-42.
- Haavik H, Kumari N, Holt K, et al. The contemporary model of vertebral column joint dysfunction and impact of high-velocity, low-amplitude controlled vertebral thrusts on neuromuscular function. European Journal of Applied Physiology 2021:1-46.
- Haavik H, Murphy B. Subclinical neck pain and the effects of cervical manipulation on elbow joint position sense. J Manipulative Physiol Ther 2011;34(2):88-97. doi: 10.1016/j.jmpt.2010.12.009 [published Online First: 2011/02/22]
- Korakakis V, Giakas G, Sideris V, et al. Repeated end range spinal movement while seated abolishes the proprioceptive deficit induced by prolonged flexed sitting posture. A study assessing the statistical and clinical significance of spinal position sense. Musculoskeletal science & practice 2017;31:9-20. doi: 10.1016/j.msksp.2017.06.003 [published Online First: 2017/06/19]
- Ruddock JK, Sallis H, Ness A, et al. Spinal manipulation vs sham manipulation for nonspecific low back pain: a systematic review and meta-analysis. Journal of chiropractic medicine 2016;15(3):165-83.
- Goertz C, Pohlman K, Vining R, et al. Patient-centered outcomes of high-velocity, low-amplitude spinal manipulation for low back pain: a systematic review. Journal of Electromyography and Kinesiology 2012;22(5):670-91.
- Hidalgo B, Detrembleur C, Hall T, et al. The efficacy of manual therapy and exercise for different stages of non-specific low back pain: an update of systematic reviews. Journal of Manual & Manipulative Therapy 2014;22(2):59-74.
- Paige NM, Miake-Lye IM, Booth MS, et al. Association of spinal manipulative therapy with clinical benefit and harm for acute low back pain: systematic review and meta-analysis. Jama 2017;317(14):1451-60.
- Bryans R, Decina P, Descarreaux M, et al. Evidence-based guidelines for the chiropractic treatment of adults with neck pain. Journal of manipulative and physiological therapeutics 2014;37(1):42-63.
- Wong JJ, Shearer HM, Mior S, et al. Are manual therapies, passive physical modalities, or acupuncture effective for the management of patients with whiplash-associated disorders or neck pain and associated disorders? An update of the Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders by the OPTIMa collaboration. The Spine Journal 2016;16(12):1598-630.
- Gross A, Miller J, D’Sylva J, et al. Manipulation or mobilisation for neck pain: a Cochrane Review. Manual therapy 2010;15(4):315-33.
- Bryans R, Descarreaux M, Duranleau M, et al. Evidence-based guidelines for the chiropractic treatment of adults with headache. Journal of manipulative and physiological therapeutics 2011;34(5):274-89.
- Rist PM, Hernandez A, Bernstein C, et al. The impact of spinal manipulation on migraine pain and disability: a systematic review and meta‐analysis. Headache: The Journal of Head and Face Pain 2019;59(4):532-42.
- Fernandez M, Moore C, Tan J, et al. Spinal manipulation for the management of cervicogenic headache: A systematic review and meta‐analysis. European Journal of Pain 2020;24(9):1687-702.
- Holt KR, Haavik H, Lee AC, et al. Effectiveness of Chiropractic Care to Improve Sensorimotor Function Associated With Falls Risk in Older People: A Randomized Controlled Trial. J Manipulative Physiol Ther 2016 doi: 10.1016/j.jmpt.2016.02.003 [published Online First: 2016/04/07]