Chronic Pain Management - 707-624-3328: wwww.kp.orgvacaville/painmanagement - Vacaville Introduction Curriculum 3
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Chronic Pain Management 707-624-3328: wwww.kp.org/vacaville/painmanagement
* Come Every Week, Be On Time (>15 minutes late, please reschedule) * Be Active and Involved * Respect Others and Shared Information * Dress Comfortably, Be Comfortable, Be Kind & Courteous with Any Self Selected Odor Use *Knowledge is Treatment
*Noticing, Pacing, Helpful Tools *Pain Physiology, Tissue Issues & Brain Mapping *Session 3: *Neurotags/Brain Bundling & Central Sensitization *Thoughts, Emotions and Behavior Change *Relaxation, Meditation & Pain Experience
* Practice Pacing at Home * Movement Practice:
* Noticing Worksheet * Pelvic clocks
* Scapular clocks
* Diaphragmatic Breathing
*Neuromatrix *Lorimer Moseley “why things hurt” *Multiple parts of your brain are tied together when you experience pain and is laid down as a single neural pathway *Nerves that wire TOGETHER fire TOGETHER *Nerves that wire APART fire APART
Louw et al.
Louw et al.
* Poor Sleep
Movement & Sensation * Fatigue
* Negative Thoughts
* Unrealistic * Persistent
Thoughts Boom/Bust
* Fixating on
Diagnoses Emotions * Poor Movement
* Stress strategies
* Poor Nutrition
Habits
* Stress
* Emotional Distress
* Stress
*Prevent your pains from defusing and your alarm
system from dialing down*Accurate/Realistic Movement & Sensation
Thoughts
*Good Sleep
*Optimism
*Fun
*Relaxation Emotions
*Humor
*Meditation
*Appropriate
*Education/ Movement
Knowledge *Appropriate
*Pleasurable Nutrition
Activities
*Enable your pains to defuse and your alarm system
to dial down*Hypersensitivity in a global or regional area of the body *Processor (brain) overly sensitive (x=XXXXXX) *Equivalent to : * CEO= micromanaging *Multisystem/body part response to minimal stimulus * Diffuse pain
* The longer we are in pain the better at being
in pain we are
* Brain Flame
Louw et al.Louw et al.
Louw et al.
* HypersensitivityLouw et al.
Louw et al.
* Please understand that
your system may be
hijacking your body
Louw et al.*Fight or Flight response/stress state * Quick to get out of danger *We are not designed to be in this state for long periods of time
Temperature
Louw et al.
Louw et al.
Louw et al.
Sympatheic (Stress) Parasymathetic (Relaxed)
Increase Heart Rate Decrease Heart Rate
Decrease GI Efficacy Increase GI Efficacy
Increase Respiration Rate Decrease Respiration Rate
Vasoconstriction Vasodilation
Increase Blood Pressure Decrease Blood Pressure
Increase Muscle Activity (Prime Decrease Muscle Activity
movers)
Decrease Body Temperature Increase Body Temperature
Decrease Arousal Increase ArousalButler & Moseley, Explain Pain Workbook
Butler & Moseley, Explain Pain Workbook
Butler & Moseley, Explain Pain * Virtual body imprint in/on the brain * This is the brain’s way of communicating with specific body parts and visa versa
* DO NOT PANIC!!
* Understand what is actually a threat
Butler & Moseley, Explain Pain WorkbookLouw et al.
*Dialing Down Hypersensitivity Louw et al.
*To lower your pain: *Pick 2 activities per day to practice
Safe Factors Threatening Factors
*Pain is not a true reflection of your tissue state of health *Pain ≠ Tissue damage ≠ Pain
* Don’t wait to feel better to do, Do to feel better
* Minding your thresholds
* Refresh your homunculus
* Anything new can be perceived
by the brain as a threat/danger* Low back stretch
* Breathing component
* Self traction
* Can do to right and left
Institute of Physical Art, Specialized Educational Services*Chin tucks/upper cervical
nods
*Safe self traction
*Starting to work deep
stability of neck
*Stretching muscles in the
back of the neck and where
the neck meets the skull
Institute of Physical Art, Specialized Educational Services* Seated * Gently rotate your mid to upper back * Keep your head center at first * Add in head turn if you choose * Alternate both directions * Go SLOW and notice your thresholds
*Relaxation
*4-7-8 Breathing
* In for 4 seconds
Institute of Physical Art, Specialized Educational Services
* Hold for 7 seconds
* Exhale for 8 seconds * Belly or Abdominal Breathing*KNOW PAIN, KNOW GAIN
*KNOW PAIN or NO GAIN
*If you have been practicing, your brain is already changing:
it takes ~8 weeks to identify a lasting change in a neural pathway
* Know Apply Pain
Knowing is not enough, we must apply. Willing is not enough, we must do.
-Bruce Lee* Practice Pacing at Home * Movement Practice:
* Noticing Worksheet * Seated Flexion
* Cervical Elongation
* Pleasurable Activities * Seated Trunk Rotation
* Diaphragmatic Breathing
* 4-7-8 Breathing
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