Chronic Pain Management

This run was a cause for celebration.  I've broke through the four mile run habit I was stuck in.  Five miles, and I wasn't even tired.  I feel a little bit like someone lit a fire under me, and I just took off.  Something snapped and I not only wanted to move forward, but I just got up and did it.

I've been back in physical therapy for my back, and it is probably the most frustrating trip to physical therapy I've had.  I've had back pain for about five years now.  It started from sitting in a bed for six months and not walking.  I lost a ton of weight and most of the muscles in my legs which only made it worse.  I spent some time in physical therapy right after my accident focusing on my back, but it never really made any lasting impact.  It got so bad that I resorted to cortisone shots a few times.  The second time I got one, I turned on the news two days later and there was a meningitis outbreak.  Caused by a specific form of cortisone that was injected into the spine.  I was instantly convinced that I had meningitis.  After about four frantic calls to my doctor I decided taking three cortisone shots to the spine is not something I want to do on a regular basis.

I felt a little bad for the physical therapist that is working with me now when I went in for my first visit.  I am healthy, I work out 3-5 times a week, I've been in physical therapy for three years, and I have literally tried everything.  However ... still in pain.  "Structurally I should be fine" or at least that's what the doctor told me, and I just sort of gave up assuming I'd be in a mild amount of pain most of the time.  I don't want to be on drugs, and I don't want to be in physical therapy forever so I just deal with the pain.  The other day when I went in though, we didn't start with the normal spinal stretches ... But they wanted to talk.  Weird thing for a physical therapist.  She wanted to tell me that she understands what I'm going through, she had back pain for years after a snowboarding accident and that it did go away but it took a lot of work.  My other physical therapist (I have one and a student that works with him) wanted to talk to me about chronic pain management.

In general pain is caused by some kind of trigger.  With chronic pain your body can get use to it, and continue sensing the pain even though the trigger is no longer there.  The way they explained it is through Phantom Limb Syndrome.  Sometimes when people lose limbs they can still feel it.  The brain is so powerful that it can imagine a finger on your body when there is no finger on your body.

The moral of the story today, is that you have the power to reprogram the way your brain thinks.  Your brain associates pain with certain activities where it was always present, but you can teach your brain that the pain is gone.  If I can teach my back not to hurt when I run, I can teach my brain to stop feeling other pains too. It's time to start trying to manage my chronic pain ...

317 Miles Down 24 Miles to Go