I was doing just was they were: throwing PT and meds at it (which I'd been doing for AGES before I showed up. And I still do PT and some beginner yoga exercises off a DVD I have, and this is DAILY) but I can't use the pool anymore at my friends' apartment because she moved. But water feels like acid on my skin, at this point, so I think right now, I will turn down the masochism.......
But here's the Chronic Pain Syndrome
and just when we thought we had some legitimacy, and dropped the stupid crap like Munchausen and all that other bullshit like oh.....ho hum........like how about what's that word when you're trying to get out of work and obligations???? Yeah, love it!!!
Background
Chronic pain syndrome (CPS) is a common problem that presents a major challenge to healthcare providers because of its complex natural history, unclear etiology, and poor response to therapy. CPS is a poorly defined condition. Most authors consider ongoing pain lasting longer than 6 months as diagnostic, and others have used 3 months as the minimum criterion. In chronic pain, the duration parameter is used arbitrarily. Some authors suggest that any pain that persists longer than the reasonable expected healing time for the involved tissues should be considered chronic pain. No one ever hear of RSD???
CPS is a constellation of syndromes that usually do not respond to the medical model of care. This condition is managed best with a multidisciplinary approach, requiring good integration and knowledge of multiple organ systems (since RSD affects all of them!)
Recent studies
Mork et al investigated whether physical exercise and high body mass index (BMI) influence an individual's risk of developing fibromyalgia. The study included 15,990 women, none of whom at baseline had fibromyalgia or any other physical impairment. By 11-year follow-up, incident fibromyalgia had reportedly occurred in 380 women. The authors noted that only a weak association typically existed between exercise level and fibromyalgia risk; they determined, however, that women who were overweight or obese had a 60-70% greater risk of fibromyalgia than did women of normal weight, with BMI found to be an independent risk factor for the condition.In overweight or obese women in the study who exercised for at least an hour each week, the relative risk (RR) for fibromyalgia (in comparison with women of normal weight and a similar activity level) was 1.72, while in overweight or obese women who did not exercise or who did so for less than an hour per week, the RR was 2.09.[1]
In a study by Alonso-Blanco, a connection was found in women between the number of active myofascial trigger points (MTrPs) and the intensity of the spontaneous pain and widespread mechanical hypersensitivity; nociceptive inputs from these MTrPs may be linked to central sensitization.[2]
Pathophysiology
The pathophysiology of chronic pain syndrome (CPS) is multifactorial and complex and still is poorly understood. Some authors have suggested that CPS might be a learned behavioral syndrome that begins with a noxious stimulus that causes pain. This pain behavior then is rewarded externally or internally. Thus, this pain behavior is reinforced, and then it occurs without any noxious stimulus. Internal reinforcers are relief from personal factors associated with many emotions (eg, guilt, fear of work, sex, responsibilities). External reinforcers include such factors as attention from family members and friends, socialization with the physician, medications, compensation, and time off from work. f multiple organ systems. (Let's just bury your bullshit in some terms--> HEAD CASE/DRUG ADDICT, that is what your conclusion(s) are? And reading on....)
Patients with several psychological syndromes (eg, major depression, somatization disorder, hypochondriasis, conversion disorder) are prone to developing CPS.
Patients with several psychological syndromes (eg, major depression, somatization disorder, hypochondriasis, conversion disorder) are prone to developing CPS.
http://emedicine.medscape.com/article/310834-overview#a0101 (Background)http://emedicine.medscape.com/article/310834-overview#a0104 (Pathophysiology)
Chronic pain syndrome refers to persistent pain that usually has no identifiable source and is associated with abnormal illness behaviors, including expressions of pain (moaning, groaning, gasping, or grimacing) that are grossly disproportional to any underlying cause, substance abuse involving prescription drugs, non-prescription drugs and alcohol; self-imposed prolonged excessive disuse; self-limitation of social and recreational activities; and a self-perception of total occupational disability.
Chronic pain syndrome is complex and involves multiple factors, but should be considered if a person does not respond to appropriate medical care within a reasonable time frame or if the person's pain behavior greatly exceeds the usual response to a specific disorder.
Risk: Chronic pain is reported more frequently in women than men. There is no racial predilection for chronic pain. Risk for chronic pain syndrome is increased in individuals with psychological problems such as major depression, somatization disorder, or hypochondriasis.
http://www.mdguidelines.com/pain-chronic/definition
What is chronic pain syndrome?
Chronic pain syndrome (CPS) is a term used to define patients with severe persistent pain from virtually any source which has resulted in marked changes in behavior, self-imposed restriction of daily activities, and heavy, largely ineffective use of the healthcare system. CPS overwhelms all other medical symptoms to the point of becoming the problem itself. It is often accompanied by bouts of irritability, uncontrolled anger, and depression.
What are the causes of CPS?
CPS has no specific cause but rather is the cumulative result of a combination of conditions including the one(s) causing pain. CPS is not fictitious or psychogenic pain but rather the body's psychophysiologic response to chronic pain.
Is chronic pain syndrome preventable?
Symptoms of CPS must be recognized early and the disorder treated using a multi-disciplinary approach. There is some optimism that those at high risk of developing CPS will be identified in the future prior to injury, and treated more agressively during the acute phase.
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