02/27/2021
CHRONIC PAIN - part 5 (of 5)
Welcome to the last part of the chronic pain series! If you haven’t had the chance to read the previous parts, I would highly encourage you to do so. It will situate you better in relations to a very complex topic and it will give you a scientific foundation from which you can base your own personal research on.
Unlike acute pain, chronic pain could potentially evolve into a complex systemic condition which could be very hard to manage, let alone treat. Once disease gathers enough momentum, it becomes increasingly more difficult and complex to manage and treat.
We’ve learned that pain is both a physical sensation and an emotional experience. We’ve also learned that it takes a bio-psycho-social multi-disciplinary approach to treat chronic pain as in the majority of cases, 1 approach is not enough to create significant change.
My intention in this last entry is to share with you my own personal philosophy on the subject of pain. It is a subject that relates to a deeper desire of mine to understand the root cause of psycho-somatic disease. I have always been a solution-man and the idea of a problem not having a solution has never settled well in my being. I always believed that if we can identify the root of the problem, then we can find resolution.
From this point on, you are about to step into Vadim’s Mind. Beware 😛
❇️ Mechanics of pain
I believe that pain is the by-product of inner conflict manifested through the emotional experience. Pain is the cherry on top of the cake, the tip of the iceberg, the end of a story. Pain is the last messenger attempting to bring our awareness, by its uncomfortable nature, to a specific situation in our life. The greater the intensity of perceived pain or psychological distress, the greater our inner desire to resolve the conflict. It is the equivalent of stepping on the gas pedal while the parking brake is still on. This conflict is generated by the friction between what we deeply desire and the layer of self-induced resistance to allowing ourself to move in the direction of that desire.
Resistance is the by-product of a compensatory mechanism. Compensation is a protective adaptation that we develop in order to cope with the emotional discomfort of pain. The role of compensatory mechanisms is to decrease perception of pain and increase perception of security. It is our Body Guard. The level of compensation (strength, size, density of the Body Guard) is proportional to the intensity of our inner desire. When the intensity of desire increases beyond the level of resistance, pain is manifested.
❇️ Freedom of choice
Once desire surpasses resistance, one will face several options:
👉 Remain stationary (indecisive):
🔸 This will perpetuate pain levels.
🔸 The discomfort will eventually motivate one of the following options.
🔸 Common to ask for help or consult a professional.
👉 Action-based behavior:
🔹 This will perpetuate pain levels.
🔹 Current compensatory mechanism at work to find a fix.
🔹 If unable to find a solution, will proceed to fight or flight.
🔹 Common to ask for help or consult a professional.
🔹 This will lead to the following option.
👉 Develop a new level of compensation to match the increased level of desire:
🔸 Manifested through a progression of feelings going from discomfort to anger, blame and finally to resentment.
🔸 This will result in a temporary decrease of pain perception.
🔸 It is the equivalent of extinguishing a fire without dealing with the underlying cause of that fire.
👉 Decrease the level of desire:
🔹 Accomplished via dissociation.
🔹 This will result in a decreased perception of pain.
🔹 An increase in overall feeling of lethargy.
🔹 It is the equivalent of hitting a plateau.
🔹 Evolves into a state of powerlessness and depression.
👉 Continue moving in the direction of that desire:
🔸 We will discuss the significance and implications of choosing this path.
❇️ Compensation
When desire rises above the level of resistance, the compensatory mechanism in its early stage will attempt to find a solution to fix the problem of pain perception. If unsuccessful, it is further fueled by energy manifested as anger to fight or flight in order to protect us. If still unsuccessful, blame and resentment are manifested at the level of the Body Guard. If this process persists, it will evolve into further compensatory adaptations whereby another layer of resistance will be added to match the desire. This will temporarily soothe the pain.
❇️ Path of allowing
Once our desire surpasses our resistance and we experience pain, we can choose to allow ourself to move in the direction of that desire instead of relying on our compensatory mechanism to find a “fix”. When we move in the direction of our desire, we will inevitably run into a varying degree of discomfort (mild to severe) and meet the obstacles that were there in the first place which discouraged us from proceeding to move in the direction of our desire. These obstacles are fear, guilt and shame. The mighty dragons that we must face if we are to discharge our compensatory mechanisms. If unwilling to face these dragons, our Body Guard takes over and secures us in a safe place. We are back in square 1 🙂 And then desire begins to intensify once again.
❇️ Physiological limit
After undergoing countless number of compensatory mechanisms, one layer on top of another, each getting thicker, stiffer, and more resistant – the physiology reaches a breaking point. This breaking point occurs because desire has intensified to the point that resistance cannot keep up. It is my belief that every chronic condition that has worsen with time has evolved in this manner. A new problem seems to be added on top of another until disease takes full course.
❇️ Facing the dragon
When desire surpasses resistance, we are faced with a decision: either allow ourself to move in the direction of our discomfort or resist and rely on our compensatory mechanism. If anger is present, it means the compensatory mechanism is at work to try to find a “fix”. If blame or resentment is present, it means that we are in conflict with our Body Guard and it will ultimately evolve into further compensation. We must remember that the role of our compensatory mechanisms, our Body Guard, is to protect us from pain perception. Once we accept that and no longer wage war against it, then we can face the mighty dragons of fear, guilt and shame. They are guarding the vault. It is my belief that the root cause of psycho-somatic disease is found inside of that vault.
❇️ What’s next?
I decided to conclude the series of chronic pain on this note. Suspense! It is my intention to share with you my vision on Wellness sometime in the near future and I’m excited to have you on board with me in this journey together. I will be discussing the essence of what I believe that we deeply desire, the path of least resistance, and the quantum leap towards health, wellness and happiness. I would like to thank you for your interest and support and I hope that you’ve been able to gain valuable insight on a very complex topic. If you are having trouble dealing with chronic pain in your personal life, I would encourage you to seek help. Remember that it’s a multi-dimensional condition that requires attention in a holistic manner. Biological, psychological and social factors must be addressed in order to treat and manage chronic pain.
I wish you Well-Being and ease in your hearts 💛
❇️ Suggested readings:
🔹 ‘When the Body Says No’ – Gabor Maté, M.D.
🔹 ‘Nonviolent Communication’ – Dr. Marshall Rosenberg