Causes of chronic pain

Chronic pain can be due to a variety of causes.  If we treat the pain, but not the underlying cause, the pain  will return.  The cause is then referred to as a perpetuating factor.  Learn more about the causes of chronic pain, and its perpetuating factors. 

Pain
Pain
is defined in medicine as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Pain is the sensation that warns us that damage to our bodies is occuring. It functions as a quick-acting system that tells the motor systems of the brain that they must act to minimize or eliminate this damage.

Types of Pain
Pain can be classified in a number of ways:  1) Pain can be classified in relation to its duration:  Acute pain is defined as short-term pain or pain with an easily identifiable cause. Acute pain is the body's warning of present damage to tissue or disease.

Chronic Pain
Chronic pain is medically defined as pain that has lasted 6 months or longer. This constant or intermittent pain has often outlived its purpose, as it does not help the body to prevent injury. It is often more difficult to treat than acute pain. Expert physician care is generally necessary to treat any pain that has become chronic.

Gate Control Theory of Pain
The gate control theory of pain of Ronald Melzack and Patrick D Wall arises from evolutionary psychology. It holds that evolution of intelligence in any natural environment, historically, begins with the recognition of the entity's own body - called the kinesthetic sense.

Trauma
is serious physical injury to the body or mind, usually caused by violence, disaster, or negligent behavior such as driving while under the influence of alcohol or other drugs.

Microtrauma
is the general term given to small injuries to the body.  Microtrauma can include the microtearing of muscle fibre, the sheath around the muscle and the connecting tissue. It can also include stress to the tendons.

Repetitive Strain Injury (R.S.I.)
occurs when muscles, nerves or tendons become inflamed or irritated. R.S.I. is often reflected in people who have developed arthritis as a result of sports/workplace injury or carpal tunnel syndrome, for example. It is caused by performing repetitive motions, using excessive force or using extreme movements.

Delayed Onset Muscle Soreness:
Nothing is more frustrating than the pain and discomfort that occurs in the days that follow a workout. The common muscle soreness and stiffness experienced one to two days after a workout may be so uncomfortable, particularly to the new exerciser, that it may discourage future workout attempts. 

Abnormal Fascia
When the ground substance contains an overabundance of collagen fibers that have cross-bound and coiled in on themselves,  the  fascia is less able to adapt and the fascial network becomes inelastic and does not expand readily. So when fluid is retained (edema), pressure mounts inside the tissue, and when the pressure becomes too great the nerves react by conducting pain signals to the central nervous system.  

Trigger Points
Active Myofascial Trigger Point
: Is a small area of hyperirritable muscle and/or fascia that forms a lump or ropy band  within the muscle tissue, and which causes pain. The pain may be caused while at rest or in use. The pattern of referred pain is consistent for that muscle.

Trigger Point Manual  (Travell & Simons)
Janet Travell, MD and David Simons, MD were absolute pioneers when it came to myofascial pain and it's treatment. With these books you will have the tools to diagnose and treat effectively (usually dramatically) the entire spectrum of myofascial pain from head to toe, muscle by muscle.

Edema
(also spelled oedema, formerly known as dropsy) is swelling due to accumulation of excess fluid in any biological tissue. Edema has many root causes, but the mechanism is simple; fluid is drawn from the blood into the tissues when there is a higher osmotic pressure in the tissues than in the blood. 

Allergies and chronic pain
Yes, food allergies are very common in migraine cases, but did you know that a food allergy can cause muscle pain anywhere in the body?

Food Sensitivities
According to researchers at Johns Hopkins, "There's no denying that there is a strong connection between what you eat and how you feel, and the difference is likely to become more and more apparent the older you get." 

  

Pain Busters Clinic

Trigger Point Manual

Pain
Types of Pain
Chronic Pain
Gate Control Theory
Pain News Items
Trauma
Microtrauma
RSI
Delayed Onset Muscle Soreness
Abnormal Fascia
Trigger Points
Edema
Allergy
Food Sensitivities

The Body
Causes of Pain
Pain Areas
Fibromyalgia
Other Conditions
Treatment Approaches

 

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Fructose malabsorption found to cause pain, other GI symptoms.(Clinical Rounds) : An article from: Pediatric News


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