Hi Pain Warriors

My patients are frustrated when I suggest they watch videos. Their bodies are screaming for release from suffering and there isn’t space for more.

Unfortunately, that is when you really need to add to a plate that is already so full.

Ask a partner or a friend to help. Remember, that thinking is very hard when the limbic system is in high alarm from pain. When your whole body is screaming and your mind to full for anything more, what can be done?

Need to find a place of safety – How to do that when you are in pain?
Be assured that you are supported by a team of people helping you through pain

Who is your team?
YOU – taking care of yourself
PARTNERS – like a husband / friends
DOCTOR / PROVIDER  We try our best but when we are failing, let us know.
PHYSIO OR MASSAGE THERAPIST
OCCUPATIONAL THERAPIST

The most important message I try to get through is that when the brain is screaming with pain, thinking is not effective
Using the body to calm the limbic system is the most important tool we have.
That is where the two step program comes in
The more you do this program – the more likely you are to rewire the alarm that is haywire

Easiest is the 5-4-3-2-1 grounding and 2 breaths
I use the superbrain yoga and 2 breaths myself – every 30 minutes when I am working (for a minute)

All the best
Judy

Healing Days is a sign of the revolution building up in a world hungry for hope.

When I started my pain journey, it was for my patients. I learned helping others helps yourself. I didn’t expect to heal. I didn’t even know I needed healing. I thought was just fine, thank you. But my patients taught me more about pain than medical school. And Bessel van der Kolk taught me about complex PTSD and how stress influences our bodies.

Today, I’m inspired to join an online course to fix my whacky videos, the ones Explaining Pain and the Overwhelmed Limbic System.

In the meantime, if you haven’t, reach out to someone in pain. Form your own pain community. Search for your answers to the story that has led to pain. Some of the biological causes of pain are covered in Types of Pain, but no matter the cause of pain, it can be improved with calming the Limbic System.

I am currently working on a piece I hope to publish soon. It’s about the last 4 months of knee pain I’m having, how hopeless and helpless I felt those first months, how blessed I am to have community to help me heal so that the pain I have now is entirely fine. Some of my writing is all higgle-dee piggle-dee (hmm showing my 62 years eh?) posted on my writing website, Judy Dercksen.

Wishing you community, love, and laughter.

Judy

Weight loss not just about what you eat

It is also about neurohormones – like cortisol – they are all in limbic system

genes play a role

exercise is very important to boost metabolism and to reset the limbic system

Medicine can help.

Ozempic and similar drugs can cause nausea, constipation and vomiting, especially if you overeat.

Long term side effects are not known yet. If you have ever had thyroid cancer, don’t take Ozempic.

Stomach paralysis has been known to occur permanently.  Delayed gastric emptying.

If you are using this to lose weight, turn the button 18 clicks – mark that spot – inject once a week, or better yet, every 8 to 10 days.

This drug cannot be applied for through BC Pharmacare unless you have diabetes. NO special authority unless diabetes diagnosis.

Use the link below to retrain the brain – see the blue video.
https://painimprovement.com/overwhelmed-pain/

This is for emotional pain as sometimes we have brain changes that make us seek glucose

Good luck

Judy

The body responds to attack in different ways. Our skin can react to toxins with an eruption of red and/or flesh-colored bumps. Hives are often raised, very itchy,        appear in splotches or blotches on different parts of your body, and they can disappear in one place to appear in another.

Hives can itch, burn, or sting. They may last for minutes, hours, or days and usually leave without any scarring, unless we can’t resist scratching the itchy areas. 95% of the time we never find out exactly what is causing them, as they are an immune response to a toxin, like a passing virus, or an allergic reaction to some food or environmental exposure.

Any physical or emotional stress can cause hives, including sudden changes in temperature, sweating, overexercising, medication allergy, or intense anxiety. The body’s immune response can react within an hour to these inside or outside stressors.

Warm oatmeal baths can help, or baths with 1/4 to 1/5 cup of bleach. Antihistamines can help. Corticosteroids help, and are usually only applied topically. Hives can cause extreme distress and be widespread, in that case oral corticosteroids can be used for short periods.

Anaphylaxis is possible in people who are prone to allergies and is a dangerous swelling of the throat making breathing difficult. It can start with swelling around mouth and lips. Anaphylaxis is an an emergency and requires an adrenaline injection.

Mast cells release histamine and an excess will often cause a rash or itch. There is a syndrome called Mast Cell Activation Syndrome. This is more common than recognized, but still somewhat rare.

A 6 food elimination diet can work: Eliminate Milk, Wheat, Egg, Soy, Peanuts and Tree nuts, and Fish and Shellfish. I add red meat to this list.

Eliminate these foods for 2 weeks and see the effect on your symptoms. Then add ONE of the food groups at a time to see if the symptoms recur. If the symptoms recur, stop that food and see if they reoccur. This is a long, arduous process, but blood tests do not identify food allergies unless you suffer from anaphylaxis. Your healthcare provider can refer you to an allergist for skin testing.

Any inflammatory response is made worse by alarm. Itching is very distressing to the body and the nerves become hyperactivated which makes the itching worse. Follow the 2 step program while you work on other solutions.

Take care

Judy

I thought I’d share my joy : my latest article published in https://thischangedmypractice.com/trauma-informed-hicp-care/

And the responses from colleagues: Here are two of my favorite ones.

I am a retired Ob/Gyn. This is the most helpful article I have read on chronic pain. I wish I had access to this information to offer my chronic pelvic pain patients over the years. So many “normal” laparoscopies and all I could do was explain what I had ruled out. The reassurance often led to disappointment in not being able to offer an explanation or hope. Many of these patients saw multiple gynaecologists over the years, travelling to other cities in search of answers. My daughter is a medical student, and I have shared this article with her. It should be mandatory reading in the medical curriculum. Thanks.

And another one:

Judy, I was so impressed that I also share it with my office colleagues, the preceptors at my site in family medicine and with the curriculum lead and program Director of the UBC post grad family medicine program. I would love to see this widely disseminated and incorporated in our family medicine residency teaching. Well done.

On my website, the Tools for Management of High Impact Chronic Pain.

Good luck

Judy

Article by  Aurora James                                                                         Image via Pexels

Supporting a loved one with a chronic illness requires empathy, creativity, and a willingness to explore new avenues of care. It’s about more than just being present; it’s about actively engaging in ways that enhance their daily life and emotional well-being. This article explores various methods to uplift and empower those living with chronic health conditions, ensuring they feel supported and understood.

Understanding Through Education

Understanding your loved one’s condition is crucial to offering effective support. One way to deepen your knowledge is by pursuing a master’s degree in nursing. The benefits of a master’s degree in nursing include gaining advanced expertise in patient care, health management, and disease education, which can significantly improve your ability to support someone with a chronic condition. Online programs provide the flexibility to balance work and family commitments, allowing you to study at your own pace. 

Facilitating Open Dialogue

Fostering an environment where your loved one feels comfortable sharing their thoughts and needs is helpful. Encourage them to express their feelings by using empathetic language and actively listening without interruption. This approach not only strengthens your relationship but also provides essential emotional support. Regularly checking in on their well-being and showing genuine interest in their experiences can deepen your connection and build resilience in facing the challenges of their condition.

Creating Space for Mindfulness

Designing a peaceful environment can greatly support mindfulness, especially for those living with chronic health conditions. Incorporating elements like soft lighting and soothing sounds can transform even a small corner of your home into a serene retreat. Consider using Himalayan salt lamps or candles to create a gentle glow that helps reduce stress and promote relaxation. This thoughtful approach not only supports mindfulness but also contributes to a harmonious living space.

Finding a Virtual Support Network

Finding a virtual support group can be a powerful way to help your loved one connect with others facing similar health challenges. By using platforms like Facebook or Zoom, you can establish a safe space where participants share experiences, coping strategies, and emotional support. This online community can significantly alleviate feelings of isolation, as members find comfort in knowing they are not alone in their struggles. Regular virtual meet-ups or themed discussions can enhance engagement and provide a structured environment for sharing valuable insights and resources.

Incorporating these innovative strategies into your support can improve your loved one’s life. Each method offers distinct advantages, from fostering emotional connections to enhancing independence and cognitive engagement. Your dedication and thoughtful actions can create a supportive environment that empowers your loved one to face their challenges with strength and optimism.

Discover a wealth of resources and expert guidance on managing chronic pain and fibromyalgia at Pain Improvement, where your journey to relief and understanding begins.

Image by Freepik Article by Aurora James

From Stress to Serenity: How Your Pet Can Transform Your Health Journey

Pets are more than just companions; they are catalysts for better health and happiness. This transformation touches both the physical and mental aspects of our lives, offering a multitude of benefits that improve our day-to-day existence. From keeping us physically active to providing emotional support, the impact of having a pet extends far beyond simple companionship.

Keeping Active with Your Pet

Regular walks and playtime with pets aren’t just good for them—they keep you active as well. Engaging in daily activities with your furry friend, such as walking or playing fetch, not only burns calories but also strengthens your muscles and joints. This routine helps maintain your physical health while also reinforcing the bond between you and your pet. Regular exercise with your pet can be a fun and rewarding way to stay fit and connect with nature.

The Joy of Companionship

Pets provide an unparalleled form of companionship, which can be a real antidote to feelings of loneliness and depression. Their presence offers a comforting consistency and unconditional love, which can significantly boost your mood and outlook on life. The simple act of petting your dog or cat can release endorphins, promoting a sense of peace and happiness. This emotional support is particularly valuable in times of stress or when feeling isolated, highlighting how vital pets can be for mental well-being.

Stress Reduction Through Pet Interaction

Engaging with your pet has a proven effect on reducing cortisol, the stress hormone, making each interaction a natural stress reliever. Keep in mind that your own stress can resonate with your pet, influencing their mood and health. To mitigate this, if you notice signs of stress in your pet, consider flexible working options like telecommuting a few times a week or hiring a pet sitter to provide companionship and care in your absence.

Enhanced Socialization Opportunities

Having a pet often leads to more social encounters, as walking your dog at the park or attending pet-friendly events introduces you to fellow animal lovers. These encounters not only broaden your social circle but also strengthen your communal ties and interpersonal skills. Sharing stories and advice with other pet owners enriches your understanding and appreciation of pet care, enhancing your overall pet ownership experience.

Mental Engagement Through Pet Care

Training and caring for a pet keeps your mind active and engaged. Learning new training techniques or figuring out what makes your pet tick can be mentally stimulating and rewarding. This cognitive engagement can help keep your brain sharp and focused, while also fostering a deeper understanding and connection with your pet. The responsibilities associated with pet care also contribute to a sense of achievement and satisfaction.

Structured Daily Routine

Pets require a consistent schedule for feeding, exercise, and sleep, which can help provide structure and purpose to your day. Adhering to a routine not only benefits your pet but also helps you manage your time more effectively. This structure can be particularly beneficial for those who work from home or have flexible schedules, as it encourages a more disciplined approach to the day.

Adding a pet to your daily routine introduces numerous advantages for your physical and mental well-being. Through playful interactions, loyal companionship, and the daily care they require, pets significantly enhance the quality of your life. This deeper engagement not only promotes your own health but also strengthens the connection you have with your pet. Each day becomes more rewarding as you discover the joys and comforts of pet ownership.

Take control of your chronic pain with expert guidance and personalized treatments at Pain Improvement. Visit Pain Improvement to explore comprehensive pain management strategies.

The bad news is, the brain and body changes with injury and time. The good news is, the brain and body can change. 

This is the principle of neuroplasticity, but we also know cells can change and heal. 

Here is a great video:

Things that help change the brain include learning a new language – you don’t have to be good it, learning a musical instrument, dancing, bouncing a ball, and the two-step program on my website which also has the 2 minute video on neuroplasticity. The book, the brain that changes itself is a great book by Norman Doidge.

Also look at the video on attachment disorders:

Take care. Initially, changes take a long time, but as time passes, changes happen more easily and are more noticeable. It is very exciting that we can change. 

Take care

Judy

Chronic pain can be overwhelming, no matter the cause. It is especially overwhelming when it won’t go away, when it gets worse, or when no cause can be found.

It has taken me decades to learn about chronic pain and I am still learning, from my brilliant patients and from my colleagues at Pain BC. They also have incredible resources.

When all else has failed, I sometimes add Methadone to the mix. It is a very helpful drug that can give patients relief from the horror of overwhelming pain. Once pain is more controlled, the alarm in the limbic system can be lowered and patients can then use the Tools necessary to manage chronic non cancer pain.

Here is a link. Methadone for Pain.

Good luck

Judy

There are many reasons for pain, including arthritis, disc disease, nerves being pinched, tumors, muscle over use, muscle under use, poor posture ….  The list can go on and on. There are physical therapies, medications and surgery for diseases causing pain. But what if these don’t work – for example about 50% of back surgeries are unsuccessful in managing pain. 95% of the time, we don’t know what exactly is causing the pain, which is why back injections can work initially, but then often stop working later on.

Childhood trauma changes our inflammation. When we have had an event or events that make us feel unsafe, the thymus gland changes our immune system to recognize even ourselves as foreign, or dangerous – this is one reason or multiple sclerosis depending on their genes.

As we age, we assume we will get much worse pain, but in my experience, there are very many patients with severe osteoarthritis on their X-rays, including myself, who don’t have pain.

If you have osteoarthritis, it’s often the inflammation that causes the pain. There are ways to lower inflammation but the work, especially the first month, is very difficult.

Alarm makes inflammation. Alarm can be from threat – like if you have severe pain or anxiety – maybe you are worried about the future. Changing the alarm brain is very hard work.

If your alarm response is a Freeze limbic response, this makes moving difficult – moving to change is much harder than if you have a flight or fight response. To lower freeze response – lower alarm, you have to do something. Making changes is hard when you are frozen which may be why the inflammation stays high.

The brain needs to be rewired to lower inflammation. This brain rewiring takes hundreds of exercises in the beginning in a single day to change the wiring – look at the white pathway on the neuroplasticity brain (blue brain video) and watch this video OFTEN to imagine your brain pathway changing to yellow as you do the 2 step program. 

In my practice, my consult patients do very well – they believe I know what I’m doing (which is helpful – believing it makes a huge difference). I wish I knew more. I could then help more people.

One of the biggest barriers in healing is shame and blame of yourself or others. Look out for thoughts of ‘should’ve’ ‘could’ve’ any ‘not good enoughs’ of yourself or others. There is no shame if you are not healing. But the Limbic system doesn’t believe this. Every ‘bad’ thing or ‘negative’ thought feeds the white pathway (see blue brain on the link above). Imagination can help. The white pathway is your Goliath. You are David with a catapult. Seek help spiritually if you can. We need others and something greater than ourselves to heal.

Take care

Judy