Daily Maestroism

DM #194

Saturday, December 3rd, 2016

DM #194: I realize I've been on a pain kick since I took that course earlier this week, but I don't think the importance of understanding pain can be overstated.
As a society we have adopted a hugely linear, biomedical approach to treating pain, attributing the pain we experience to one source that is typically in the tissues. This couldn't be more incorrect, and is the reason that surgical intervention for chronic pain (or any complaint that is purely about pain) often fails.
Pain is an experience, not a thing. It's a multifactorial process that is not generated in the tissues, but rather something that is created in the brain in response to threat/danger signals sent to it from the tissues.
To that end, if we want to treat pain, we must treat the brain. We must consider the neurology, but we must address people's perceptions and beliefs about their injury. We must educate them about pain. We must do more than smash tissues.
Take-home: treat the person, not the tissues. And remember, that person has a thoughts and a brain.
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