UPFRONT | Columnist BUSINESS TALK Pain isn’t a pain to explain I Simplifying a complex topic for patients BY DR. ANTHONY LOMBARDI, DC worse by adding anxiety and/or de-pression to what we feel. The longer the pain lasts, the more the limbic system makes the pain worse until it’s chronic. At this point, move-ments that shouldn’t be painful -be-come very painful which causes the pre-frontal cortex to ask ourselves several questions like: When will this pain go away? Will I be like this for my whole life? How will I be able to babysit my grandchildren? The answers to these questions get processed once again in the pre-frontal cortex and this makes the pain turn into suffering. This is called cognitive pain. Patients need to realize that the tools for recovery are closer than they think. Opiates and heavy pain medica-tion only try to relieve the cognitive pain and the suffering of a chronic in-jury. Being autonomous and using mind-body medicine, we can help them transform the pain experience. Mindfulness meditation : This is the process of spending time in quiet thought. The best way to do this your-self is to go to YouTube and type in guided mindfulness meditation and find a video you like. Then find a com-fortable chair, and quiet room, and close your eyes and gently breath deeply and slowly while your follow the voice of the guide on the video. Do this 20 minutes per day and focus on your breathing and allowing your thoughts to come and go freely without paying attention to them. Yoga : Yoga is effective by yourself or in a group. This incorporates meditation and deep breathing but adds a physical component which helps improve the flexibility of your muscular system, normalize your fight/flight nervous system and improve sleep. t is estimated that 11.2 percent of American adults (25.3 million people) have experienced some form of pain every day for the past three months. If we extrapolate these numbers to include Canada we can infer that every citizen knows someone either in their family, circle of friends, or co-workers that suffer from chronic pain. Learn to simplify Chronic pain is a difficult topic to un-derstand. Therefore, it makes it an even tougher subject to explain to patients -but it doesn’t have to be. Albert Ein-stein said: “If you cannot explain it simply, you do not know it well enough.” Now, in my 20 years of clin-ical practice, I have made it a priority to explain concepts in simple terms that my patients can understand. Sim-ple explanations reduce patient anxiety and improve patient outcomes. All of which improve our business practice. Sensory pain, emotional pain, cognitive pain When we hit our hand with a hammer or stub our toe -the pain message travels from the area of injury to the area of the brain which makes us aware and conscious of the sensory pain. This part of the brain is called the pre-frontal cortex. At the same time another part of the brain called the limbic system, processes the un-conscious emotions we feel about the pain and actually compares the pain to every instance of pain we have felt throughout our lives. This is called emotional pain. By doing this the limbic system actually amplifies the pain we are feeling and makes it even Acupuncture :Acupuncture or elec-troacupuncture have been shown in How to change the brain research and in clinical application to In chronic pain, the sensory, emo-reduce the pain experience via a myr-tional, and cognitive pain team up to iad of mechanisms. Acupuncture can normalize brain structure change the structure of the “Being and function by stimulating brain – the process of neuro-autonomous the secretion of beta-endor-plasticity. and using phins and enkephalins in the However, over the last 10 mind-body brain and spinal cord. The years there have been over 1,000 studies published about medicine, we release of these natural pain how mind-body medicine like can help them killers neuromodulates the mindfulness meditation and transform the pain experience. Acupunc-ture also stimulates the re-yoga can actually use neuro-pain plasticity to change the struc-experience.” lease of chemicals like norep-inephrine, acetylcholine and ture of the brain to increase the amount of neural connections in several types of opioids which decrease the pre-frontal cortex. Eventually, the tight muscles, improves sleep, and more we use mind-body medicine, the regulates appetite. greater the chance that chronic pain is totally abolished. Keep up to date with Chiropractic + Naturopathic Doctor on LinkedIn – search our page today! ANTHONY LOMBARDI, DC, is a private consultant to athletes in the NFL, CFL and NHL, and founder of the Hamilton Back Clinic, a multidisciplinary clinic. He teaches his fundamental EXSTORE Assessment System and practice building workshops to various health professionals. For more information, visit www.exstore.ca. www.Cndoctor.ca May/June 2022 Chiropractic and Naturopathic Doctor 9
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