The Reality of Living With Pain

Woman with glasses standing outdoors, smiling.

Difference between acute and chronic pain

While acute pain typically resolves within three months, chronic pain lasts for more than three months and can persist even after tissues have healed. Chronic pain can be complex and invisible because the causes can be unknown and may involve increased sensitivity within the nervous system.

Chronic pain is a national public health crisis. Approximately, 1 in 5 Canadians live with chronic pain, and Statistics Canada data reports that millions experience daily limitations or pain-related disabilities that impact their ability to work or move freely.

Types of chronic pain

Chronic pain affects more than one million people in Canada.  

Biopsychosocial model

Mental health and chronic pain are fundamentally connected.
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People living with mental illness are at higher risk of experiencing a wide range of chronic physical conditions. Conversely, people living with chronic pain experience depression and anxiety at twice the rate of the general population.

Oftentimes, the physical, or biological, aspects of chronic pain are treated, but the emotional experience is not actively considered. However, the biopsychosocial model approach to health care emphasizes that one's health is influenced by biological, psychological, and social factors.

Therefore, treatment for pain should involve consideration of each aspect, including the psychological. By caring for your mental health, you can positively impact your pain levels.

Neuroplasticity and pain

Neuroplasticity is the brain’s ability to change, adapt, and grow.

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This happens when neurons, or braincells, form new connections or strengthen or weaken existing ones in response to learning, experience,injury, or environmental changes.

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When you experience persistent or chronic pain, the brain can change over time and become moresensitive. Since repeated practice of thoughts or actions creates stronger neural pathways, your bodylearns to experience more pain over time.

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Chronic pain brains function differently over time. When someone lives with persistent pain, the braingets practice sending pain signals to the body. Neuroplasticity comes in play as the natural processwhere the brain takes in new information and experiences and changes the brain. Like a muscle, thebrain can get stronger at whatever it is used for most.

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Ways to manage your pain by retraining your brain:

  • Pain neuroscience education
  • Connecting with a counsellor who practices Cognitive Behavioural Therapy (CBT), AcceptanceAnd Commitment Therapy (ACT), or Pain Reprocessing Therapy (PRT).
  • Gradual movements to teach your brain that you can move safely.
  • Engaging in mindfulness and meditative exercises to help your body move into a morerelaxed state.

The importance of self-talk and self-compassion

Self-compassion and the way you talk to yourself are essential components for emotional health and are often not prioritized when you are feeling unwell or in pain. ‍

Can be helpful when dealing with difficult situations.
Involves being aware of personal stressors or triggers and responding in ways that are helpfulinstead of harmful.
Involves being aware of how critical and judgmental your mind can be when things get tough.
Allows us to approach ourselves with curiosity and kindness when things don’t work out as wemay have hoped.