If biomedical treatments like medicines, rest, supplements, ice, heat, injections, and physical therapy didn’t resolve pain when it was acute, is it reasonable to expect using only the same treatments to change our symptoms when the pain becomes chronic?

It's not.

We must change the paradigm. Pain is more than a biomedical condition. We need to treat both mind and body. As Dr. Rachel Zoffness reminds us, " Because pain is biopsychosocial, treatment must be, too."

Comprehensive pain treatment that addresses the biopsychosocial aspects of a person's pain experience is not only more clinically effective than conventional medical treatment by itself, it’s also more cost-efficient.

Acute pain vs. chronic pain
There are two types of pain: acute and chronic.

Acute pain is the body’s normal response to tissue damage or injury. The pain matches the damage and treatment works - lasting less than three months.  

Chronic pain is an abnormal response, becomes its own disease/condition, and doesn’t improve over time.  It can happen long after an injury or illness heals. Treatments don’t always work or stop working and symptoms can change and grow over time.

The longer we have pain, the less likely it is related to tissue damage or injury and the better our bodies can become at creating it and turning up the pain volume. It’s a process known as central sensitization. 

Sensitization can happen in all chronic pain conditions, no matter the underlying cause, including fibromyalgia, whiplash, shoulder pain, neuropathic pain, chronic fatigue syndrome, non-cardiac chest pain, irritable bowel syndrome, temporomandibular disorders, post-surgical pain, complex regional pain syndrome, low back pain, osteoarthritis, pelvic pain, and headache.

This 22-minute video from Dr. Sletten with the Mayo Clinic Pain Rehabilitation Center (PRC) does an awesome job explaining pain and sensitization, why traditional medical treatments don’t always work for chronic pain, and their approach at the PRC. I encourage you to watch it.

Learn more

• Are You Missing Two-Thirds of Your Potential Pain Treatment Plan? (My article) - Highly recommend!
• Central Sensitization Syndrome (CSS) - Dr. Christopher Sletten (22:19) - Highly recommend!
• Central sensitization: implications for the diagnosis and treatment of pain
• The Truth About Managing Chronic Pain (w/Dr. Rachel Zoffness) - ZDoggMD (1:39) - Highly recommend!
• Neuroplasticity
• Chronic Pain Won't Stop Me: Tools to Make the Most of Life, Despite Chronic Pain (My free e-book) - Highly recommend!

Pain is the body’s alarm system.  It’s designed to protect us from danger just like a home security system or a smoke detector.  It’s the body’s normal response to acute tissue damage or injury and heals in normally 3-6 months.
 
But what happens when pain doesn’t go away?
 
Once pain persists beyond the normal healing time, it becomes chronic - losing its warning function and becomes its own disease/condition.  It’s an abnormal response (with or without obvious pathology). 
 
Although all pain hurts, not all pain indicates damage. We know what to expect from our pain by the very nature of it being chronic or ongoing.  It’s not like getting burnt, twisting an ankle, or getting stung by a bee that needs protection until the injury has heals.  Of course, any unexpected new pain should be investigated.
 
Learn more

• Central Sensitization Syndrome (CSS) (22:19)
• Understanding pain & what to do about it in less than 5 minutes (5:00)
• A Tale of Two Nails
• How your brain creates pain – and what we can do about it
• Tame the Beast – It's time to rethink persistent pain (5:00)
• Are You Missing Two-Thirds of Your Potential Pain Treatment Plan?
• The Truth About Managing Chronic Pain (w/Dr. Rachel Zoffness) - ZDoggMD (1:39)
• Pain-related fear is more disabling than pain itself: evidence on the role of pain-related fear in chronic back pain disability
• Fear-Avoidance Beliefs and Chronic Pain