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Neurological Pathways for Chronic Pain Management

Medically reviewed by Hakam Asaad
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Medically reviewed by Hakam Asaad

Chronic pain, a persistent torment affecting millions, can baffle traditional treatments. But a glimmer of hope lies in the intricate world of neurological pathways. These pathways act like information highways. They carry pain signals from your body to your brain. In chronic pain, these highways become distorted. They amplify even minor sensations into excruciating experiences. Understanding these neural circuits offers a revolutionary approach to pain management.

By targeting these pathways, we can rewire the brain’s pain perception. We can offer relief beyond medications and invasive procedures.

This “pain reprocessing therapy” article unveils new possibilities for a future free from relentless suffering.

Understanding Chronic Pain

Chronic pain can be a debilitating condition, but there is hope. This block explores the complexities of chronic pain. We will go from its neurological roots to effective management strategies. You’ll learn how to take control and live a fulfilling life despite the pain.

Definition and Causes of Chronic Pain

Chronic pain is pain that persists beyond three months. It’s even after the initial injury or illness has healed. It’s a complex condition with a wide range of causes. Besides knowing how to retrain your brain, let’s take a look at common causes:

  • Injury.
  • Inflammatory conditions.
  • Underlying medical conditions.
  • Psychological factors.
  • Unknown causes. In some cases, no underlying cause can be identified for chronic pain. This is sometimes referred to as idiopathic chronic pain.

The Role of the Nervous System in Chronic Pain

The nervous system plays a central role in chronic pain. Normally, pain signals travel from damaged tissues through nerves to the spinal cord and then to the brain. There, they’re interpreted as pain. In chronic pain, this process goes awry:

  • Sensitization. Nerves can become hypersensitive. They amplify even minor sensations and cause them to be perceived as pain. This is where “how to ignore pain” does not matter.
  • Central Sensitization. The brain itself can become more sensitive to pain signals. This can be caused by ongoing pain signals from the body or by changes in brain chemistry. It’s due to stress or other factors.
  • Maladaptive Neuroplasticity. The brain’s ability to change and adapt can work against us in chronic pain. Over time, the pain pathways can become ingrained, making the pain even harder to manage.

Types of Chronic Pain from a Neurological Viewpoint

How to control pain mentally? Before this, it’s needed to categorize it based on the underlying mechanisms:

  • Nociceptive Pain. This is the most common type, arising from direct damage to tissues. It activates the body’s normal pain pathways.
  • Neuropathic Pain. This type arises from damage to the nerves themselves. It can manifest as burning, tingling, or shooting pain. It is often resistant to traditional pain medication.
  • Central Pain Syndromes. These conditions involve malfunctioning pain processing in the central nervous system. It often leads to widespread and poorly localized pain. Examples include fibromyalgia and complex regional pain syndrome (CRPS).
  • Psychogenic Pain. It’s not caused by physical damage. However, this type of pain is real and debilitating. It arises from complex interactions between the nervous system, emotions, and thoughts.

Understanding different types of chronic pain based on their neurological underpinnings helps pave the way for targeted treatment approaches.

The Neurological Approach to Managing Chronic Pain

Chronic pain disrupts lives, but the good news is there’s a growing toolbox for managing it. This PRT therapy approach focuses on targeting the nervous system pathways involved in pain perception. It offers relief beyond just masking symptoms.

Treatment Options for Chronic Pain

There’s no one-size-fits-all solution. So, treatment plans are often tailored to the individual’s specific needs. Here’s a breakdown of some key approaches.

Medication Management

While not always the primary focus, medications can play a role in managing chronic pain. Common options include:

  • Over-the-Counter Pain Relievers. NSAIDs (nonsteroidal anti-inflammatory drugs) can help reduce inflammation and pain.
  • Prescription Pain Relievers. Opioids are powerful pain relievers but come with risks of addiction and tolerance. They are typically used cautiously for severe pain.
  • Neuropathic Pain Medications. These drugs target specific nerve activity and are often used for neuropathic pain.
  • Antidepressants and Anticonvulsants. This is part of the brain and pain care. These medications can sometimes help modulate pain signals in the nervous system. It’s even if depression or seizures aren’t present.

Physical Therapy

Physical therapists can play a crucial role in pain relief therapy. They can help with:

  • Improving Mobility and Function. Exercise strengthens muscles, improves flexibility, and promotes healthy blood flow. It can reduce pain and improve well-being.
  • Manual Therapy. Techniques like massage and joint mobilization can help manage muscle tension and pain.
  • Movement Retraining. Physical therapy can help retrain the brain to move differently and avoid pain-provoking patterns.

Neurological Interventions

These “how to stop feeling pain” techniques directly target the nervous system to disrupt pain signals:

  • Spinal Cord Stimulation (SCS). A small device implanted near the spinal cord delivers mild electrical pulses. It’s to interrupt pain signals before they reach the brain.
  • Dorsal Root Ganglion (DRG) Stimulation. Similar to SCS, but targets specific nerve roots for more targeted pain relief.
  • Transcutaneous Electrical Nerve Stimulation (TENS). Low-voltage electrical currents go through electrodes placed on the skin. It’s to stimulate nerves and potentially reduce pain perception.
  • Biofeedback. This technique trains patients to become aware of their physiological responses to pain and use relaxation techniques to modulate them.

The Importance of Comprehensive Pain Assessment 

A crucial first step in the neurological approach is a comprehensive pain assessment. This involves:

  • A detailed medical history.
  • A physical exam.
  • Diagnostic tests to identify the underlying cause of the pain.

Also, during the pain reprocessing therapy exercises, the assessment should consider psychological factors. They’re stress and anxiety that can contribute to pain perception. By understanding the full picture, doctors can develop a personalized treatment plan. It addresses the specific neurological mechanisms at play in the patient’s chronic pain.

This mix of medication management, physical therapy, neurological interventions, and psychological support offers a more holistic approach.

There is hope for people with chronic pain to find lasting relief and regain control of their lives.

Living with Chronic Pain

brain-and-pain-care

Chronic pain isn’t just a physical challenge. It can significantly impact every aspect of life. Here’s how to navigate this journey and find ways to thrive despite the pain.

Influence of Chronic Pain on Quality of Life

Chronic pain can cast a long shadow, affecting various aspects of well-being, so that is why brain retraining exercises are vital:

  • Physical Limitations. Pain can restrict mobility. It makes daily activities like work, household chores, and exercise difficult.
  • Social Isolation. Pain can lead to social withdrawal as activities become too painful or unpredictable.
  • Sleep Disturbances. Difficulty getting comfortable or staying asleep due to pain can lead to fatigue and worsen pain perception.
  • Mental Health. Chronic pain often co-occurs with depression, anxiety, and frustration. It creates a negative feedback loop.
  • Work and Productivity. Pain can make it challenging to maintain employment or be productive at work.
  • Financial Burden. Medical bills, lost wages, and the need for special equipment can create financial strain.

Managing Emotional Impacts of Chronic Pain

The emotional toll of chronic pain is real and we need to address it. Here are some pain relief therapy strategies:

  • Acknowledge Your Emotions. Don’t bottle up feelings of frustration, anger, or sadness. Talk to a therapist or counselor who specializes in chronic pain.
  • Join a Support Group. Connecting with others who understand your struggles can be validating.
  • Practice Relaxation Techniques. Deep breathing, meditation, and progressive muscle relaxation can help manage stress.
  • Challenge Negative Thoughts. Chronic pain can lead to negative self-talk. Practice cognitive behavioral therapy (CBT) to identify and reframe these thoughts.
  • Focus on Gratitude. Make a daily list of things you’re grateful for, even small things, to maintain a positive outlook.

Pain Management Strategies for Effective Living 

How to get rid of pain mentally? Despite the challenges, there are ways to live a fulfilling life with chronic pain. Here are some effective strategies:

  • Set Realistic Goals. Break down large tasks into smaller, manageable steps. It’s to avoid frustration and maintain motivation.
  • Pacing. Listen to your body and alternate between periods of activity and rest to prevent fatigue and flare-ups.
  • Prioritize Sleep. Establish a regular sleep schedule. Create a relaxing bedtime routine and address any sleep disturbances with your doctor.
  • Maintain a Healthy Lifestyle. Eat a balanced diet, exercise within your limits, and avoid smoking and alcohol.
  • Explore Complementary Therapies. Among brain retraining exercises, consider acupuncture, yoga, massage therapy, or tai chi. 
  • Advocate for Yourself. Educate yourself about your condition. Communicate clearly with healthcare providers about your needs and treatment goals.
  • Focus on What You Can Control. While you can’t control the pain itself, you can control how you react to it. Focus on the things you can influence, like your mindset and daily routines.

Chronic Pain Myths Busted: What People Get Wrong 

Chronic pain, a constant companion for millions, can be shrouded in misconceptions. Here’s a breakdown of some common myths and the truths behind pain reprocessing therapy and pain itself.

Myth 1: Chronic Pain is Inevitable as You Age

While aging can increase the risk of certain conditions that cause pain, chronic pain is not a normal part of getting older. Pain is a signal that something is wrong, and it shouldn’t be dismissed as simply “age-related.” Many older adults manage chronic pain effectively through various treatment approaches.

Truth: Pain at any age deserves evaluation by a healthcare professional. Early diagnosis and treatment can significantly improve quality of life, regardless of age.

Myth 2: You Just Have to Live with Chronic Pain

Many people believe chronic pain has no solution, leading to feelings of helplessness. This is simply not true. While there may not be a cure for all types of chronic pain, there are numerous effective management strategies.

Truth: A comprehensive plan to retrain your brain reduces pain intensity and improves functioning. This plan may involve medication, physical therapy, neurological interventions, and lifestyle changes. Working with a healthcare team can help you find the right combination of approaches to achieve optimal pain control.

Myth 3: Only Prescription Drugs Can Manage Chronic Pain

Prescription medications can be a valuable tool in managing chronic pain, but they are not the only option. In fact, relying solely on medication can have drawbacks like side effects and potential dependence.

Truth: A holistic approach that combines different strategies is often the most effective.

Getting the Support You Need

pain-relief-therap

Living with chronic pain can feel isolating, but you don’t have to go through this alone. It’s not about “how to ignore pain.” It’s about “how to fix this issue.” Here are resources to connect with others and get the emotional support you need:

Support Groups and Peer Counseling

The key things to remember are:

  • Chronic Pain Organizations. Many organizations offer online and in-person support groups for people with chronic pain. These groups provide a safe space to share experiences, learn coping mechanisms from others, and feel less alone.
  • Online Communities. Online forums and social media groups connect you with a wider community facing similar challenges. Sharing experiences and offering encouragement can be incredibly helpful.
  • Peer Counseling. It’s not about how to control pain mentally. However, talking to someone who understands chronic pain firsthand can be invaluable. Peer counselors can offer emotional support, practical advice, and a sense of solidarity.

Professional Psychological Support

Pay attention to:

  • Therapists Specializing in Chronic Pain. Therapists with experience can help you develop coping mechanisms. You will manage stress and anxiety. They will help you to address any depression or other mental health challenges that may go with chronic pain.
  • Cognitive Behavioral Therapy (CBT). This is part of PRT therapy. CBT can help you identify and change negative thought patterns that worsen pain perception.
  • Mindfulness-Based Therapies. Meditation can help you become more aware of your thoughts and feelings and learn to respond to pain in a more helpful way.

Connect with a support group, peer counselor, or therapist. It can make a significant difference in managing the emotional impact of chronic pain. It allows you to build a network of support, learn valuable skills, and find strength in shared experiences. Don’t hesitate to reach out and seek the help you deserve.

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Lone Star Neurology
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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.read more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.read more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.read more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.read more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.read more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.read more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.read more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.read more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.read more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.read more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.read more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.read more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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