Why understanding pain leads to better recovery
Oct 10, 2019 • 3 min read
Pain is an evergreen topic when talking about musculoskeletal conditions. Although every patient sees and feels pain differently, it plays the main character in their daily life. But pain can be demoted to a lesser, supporting role.
By understanding pain, what it entails, and how we should behave towards it. Then, recovery won’t seem as difficult and unattainable as before.
Pain is not just pain
Pain is the way our body responds to a threat by prompting protective behaviors, which includes focusing attention on pain sources and avoidance. However, these protective behaviors may persist beyond the healing time, and this is when pain turns chronic, leading to pain-related disability.
So, pain is more than just pain. It’s the fear of pain and movement, the loss of function, and the inability to do the things we used to do out of the fear of them being harmful — even though most times they are not. However, feeling pain does not mean we have serious damage, nor it means we are doing further damage. The same applies to exercise therapy.
Exercise-induced pain is common and to be expected
When patients with a musculoskeletal condition are about to start their treatment, they often fear that physical therapy is painful. The answer is quite straightforward: yes, it is painful – at first. But this pain is normal, bearable, and nothing to be worried about.
As the body gets used to the therapeutic exercises, the higher loads patients can tolerate, and the less and less pain they feel. In other words, there’s a dose-response to exercise for musculoskeletal pain. Over time, patients learn to expect increasingly challenging exercises while knowing they can tolerate them.
Moderately painful exercises are actually beneficial
Research has shown that doing moderately painful exercises offers better outcomes than doing exercises with no pain at all. It has also proved that exercising into pain has no apparent adverse effect when the aim is to manage chronic musculoskeletal pain.
One of the discussed reasons for this response to exercise into pain was the positive impact on central pain processes, the immune system, and affective aspects of pain.
In short, moderately painful exercises challenge the body’s threat response to pain, helping “reconceptualize” pain as safe and non-threatening.
Consequently, patients no longer perceive pain as equal to harm, being then able to reintroduce the same movements they were avoiding before. Patients learn how to cope with pain — and conquer it.
Being a coper, not an avoider, is the best way to conquer pain
During a painful event, it’s better to cope with pain and not give in to paralyzing pain-related fear.
Changing the perception about pain is a tipping point between having a coping over an avoidance behavior. It includes challenging the attention bias, which happens when we focus our attention on how painful a particular movement is and end up feeling it more strongly. In other words, we end up catastrophizing pain.
Exercising, as mentioned before, is a way of challenging this bias and reframing pain as not harmful. Another one is making a valued life goal a priority over pain.
Focusing our attention on what really matters to us outweighs our pain-related fear. When we set goals and are optimistic about them, it becomes easier to hold back our fear-related protective behaviors.
After the pain, the recovery
SWORD Health team took all critical aspects of pain management into account when developing our solution for musculoskeletal care.
We promote exercise therapy as the first-line treatment for MSDs;
We make goal-setting a priority, enabling patients to divert their attention from pain to their more objective, valued goals;
We foster patient education as a way of empowering patients to put pain into perspective and go through with treatment despite it.
At the end of the day, our Digital Therapist yields undisputed results, with a reported 74% decrease in pain after only eight weeks — all while helping people stay away from opioids and surgeries, too.
After we overcome the pain obstacle, the path to recovery becomes clearer. Pain is no longer a barrier to treatment, so patients can set their minds into a more relevant thing: getting better, faster.