Is there different chronic pains?

[bernard]

Hi Somasimplers,

I was told that there is only one chronic pain and there is no difference between PPP patients?

I hope that Nari will give her point of view?

[nari]

Who told you that strange bit of information, Bernard?

It goes with the same thinking that says all back pain people are the same and can be treated in the same way.

Yet, in society, if we assume all people are the same, then they will all like the same movie, all dress in the same clothes and be of equal temperament..
Pain varies according to the owner of the pain - or the tenant of the pain.
To treat each person with chronic pain the same way is to invite poor outcomes, and one of the many reasons it is said that physiotherapy doesn't help much.
Pain is highly individual experience - and needs to be treated as such.
We are still battling, I think, to get this message across when there is still so much to find out..

Nari

[bernard]

Nari,

My sentences was poor there!
I was told that PPP are quite all psychosocial cases, in a certain manner? (But I'm certainly wrong in my understanding? :oops: )

[nari]

Ahha, I understand better now.

All PPPs have pain.

Each one has a different story as to how the pain began.

Not all PPPs have a psychosocial history which one can say contributes to or generates pain.

Some PPPs have no indication of injury or peripheral AIGS (Abnormal Impulse Generating Site), no history of trauma (eg car accident) or no known physical reason for this pain.

Not all PPPs require or accept intense multidisciplinary involvement (they manage their pain in other ways).

The questions are:

Those PPPs with no clear signs of yellow flags may be those who will cope with their pain in their own way? (Therefore we never see them).

Those with a social history and yellow flags that nightmares are made of may still cope with family and friends' assistance and a strong mind?
(We may not see them either)

Therefore the PPPs we see are those who tend to have acopia and are drowning in their pain; another bias in the studies on PP.....

I have a suspicion that some of the people who are swamped in pain are those who from an early age are poor 'copers' and therefore become vulnerable to persisting pain.

Only my ideas - there are many other ideas around; the one common aspect is that we as a profession do not really know how best to manage PPPs.......
:?
Nari

[bernard]

Nari,

Therefore the PPPs we see are those who tend to have acopia and are drowning in their pain; another bias in the studies on PP.....

I have a suspicion that some of the people who are swamped in pain are those who from an early age are poor 'copers' and therefore become vulnerable to persisting pain.

Wooow, such statements are a bit provocative since you consider some patients as incurable. How to cope with them?

A kind of PPP remains for my own. Is there PPP patients (do we say PPPP?) who do not fit your classification? A patient who has had an injury, and that injury was cared but pain persists with some movements without any yellow flags and at distance of initial injury?