Back Pain

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Dinner tonight

Pauley set up my table station so I could make dinner. She's so helpful. I put a whole 6 pack of boneless skinless chicken thighs and one huge breast in the oven. I used salt free seasoning. I'm just gonna cut mine up and dip it in ranch dressing. It hurts way too much to stand up so I didn't make a veggie. I just told her she can make herself a veggie if she wants one cuz I'm just gonna have a sliced can of hearts of palm dipped in ranch. The pain is at 7. I really don't know how I manage days like this.

#BackPain #ChronicPain

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That wasn't the best experience

We got to the flea market around 1pm and within 15 minutes I needed to sit down. I took a 5mg Norco 1 and a half hours before we left but it didn't help. I tried sitting for a half hour but it wasn't enough. I sent pauley to go hunt for food. She found some and sent me a picture... but my phone was on power saver so I didn't get the picture until she got back to the table. I decided to give it one more try and I went to go check out some hats but OMG my back pain was at 8. Pauley was having fun looking at stuff. When she was done I called our friend who drove us there to come get us. He wasn't expecting us until close to 6pm so 330pm was confusing. I explained my pain was just too much. When he got us he asked if we needed to go anywhere before home and I asked if he could please take us to the vape shop. He said of course. We were in there for 4 minutes. Then he took us home. He's a really swell fella. So it wasn't the day I was hoping for. But I'm trying to remember I'm disabled and this happens and I'm not worth less for it.

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The Hidden Connection Between Trauma and Migraines

When you think of chronic pain, people often think that physical injuries or medical conditions are the primary culprits. However, there is actually a significant connection between trauma and chronic pain, such as migraines, headaches, IBS, back pain, and other persistent physiological issues. There is an intricate relationship between your mind and body, and how past traumatic experiences can be unconsciously carried through life when not healed, manifesting as ongoing physical discomfort.

Traumatic events can have a way of rewiring how your brain and nervous system responds to pain, leading to increased pain sensitivity. This can explain why people are able to experience chronic pain without apparent physical causes. Understanding this shows why treating both the physical symptoms as well as underlying trauma and emotional elements of chronic pain is so important. Healthcare professionals should encourage, especially in cases where the cause of pain is inorganic or not clear, that psychotherapy is included in the treatment plan for people struggling with chronic pain.

The Link Between Trauma and Chronic Pain

The complex relationship between mind and body plays a significant role in how trauma can lead to chronic pain. Traumatic experiences, especially when severe or prolonged, can alter the way the brain processes pain, which can result in responding with persistent pain even without ongoing physical injury actually happening. This is especially notable when present experiences emotionally trigger old trauma, causing pain to increase in the body, triggering migraines, and more.

Trauma can also cause the nervous system to become hypersensitive. This heightened state can cause the brain to perceive normal sensory signals with pain responses, contributing to chronic pain without an apparent physical cause. Additionally, chronic stress and trauma can induce an inflammatory response within the nervous system that can further alter pain signal processing, which can increase both the duration of pain, and amplify the experience of pain, as well.

When you experience trauma, your body enters a heightened state of alert, which involves the release of stress hormones like adrenaline and cortisol. Although this is an effective short-term stress response to help with fight or flight, ongoing stress from unresolved trauma can result in several health issues as well as inflammation, muscle tension, and more.

Migraines and Stigma

As a therapist who specializes in trauma and working with people with chronic migraines, one of the more complex issues I've encountered is actually the worry some people have that linking migraines to mental health will validate the idea that the migraines are "all in their head". For many migraine sufferers, they have gone through life tortured by migraines, but since it's not visible in the same way other physical illnesses are, they have been told by people around them that they're causing the migraines or that it's all in their head. Therefore, many feel they need to be able to point to a medical-only cause of their migraines in order to prove the legitimacy of their suffering (one could also say it's a trauma for many migraine-sufferers being blamed for their suffering throughout their lives and not understood or really heard).

Unfortunately, this stigma has caused many people to not seek treatments that could ease their suffering, such as therapy focused on migraines and headaches, and what may be emotionally reinforcing or playing into the chronic pain in this area. Obviously, there are certain times where migraines are caused by something more purely medical. But I have seen the difference it makes for people when they are able to allow themselves to explore beyond the medical and look at the emotional side of migraines and other forms of chronic pain. This doesn't mean that your pain is any less real or that it's all in your head. The pain and experience of the struggle is still valid and real. This goes for any chronic pain that has been unseen or invalidated over time.

Childhood and Emotional Trauma

Adverse childhood experiences can significantly increase the risk of developing chronic pain in adulthood. These traumatic events may include physical or emotional abuse, neglect, or bullying. Family dysfunction or witnessing discord between parents on a regular basis can also play a role, as well as other experiences not included here. People with multiple adverse childhood experiences are generally more likely to experience trauma responses later in life. (While this post is more about chronic pain, trauma responses can include a number of different mental health struggles such as anxiety, depression, phobias, and more).

Getting Help and Reducing Your Struggle

Understanding the connection between physiological, psychological, and emotional is important for developing effective treatment strategies that addresses both the emotional and physiological aspects of chronic pain. As mentioned above, it's important that healthcare professionals encourage people struggling with any form of unexplained chronic pain to round out their treatment with therapy. I've seen people who've felt helpless with medical treatments make significant strides forward in the reduction of frequency and intensity of chronic migraines and other forms of chronic pain. It is possible to break free from the cycle of trauma and chronic pain, and to reduce your suffering.

#Migraine #Trauma #ChronicPain #IrritableBowelSyndromeIBS #Headache #MentalHealth #Anxiety #Depression #Fibromyalgia

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Depression and Chronic Pain Can Fuel Each Other

When you think of chronic pain and depression, you might assume they’re separate conditions. One manifests physically, while the other affects mental health. However, there actually is a complex interplay between these two conditions. Many people experiencing chronic pain also grapple with depression and vice versa.

Each condition can exacerbate the other. Chronic pain can lead to feelings of helplessness and isolation, potentially triggering depressive symptoms. Depression can amplify somatic responses, including migraines, IBS, back pain, and more.

The Link Between Depression and Chronic Pain

Depression and chronic pain often form a vicious cycle. Persistent pain can trigger negative emotions and depressive symptoms, while depression can manifest as unexplained physical discomfort, such as migraines and other somatic issues. This connection often creates a cycle between the two that can be difficult to break without effective treatment.

Quality of Life

Chronic pain can significantly impact one’s quality of life by depleting your energy, reducing motivation, and limiting daily activities. If you are engaging less with people, work, and life in general, it can intensify feelings of depression, further perpetuating this cycle. Depression can also make it harder to cope with pain, as it can reduce motivation and energy levels. Additionally, depressive symptoms can manifest as physical symptoms, including increased pain sensitivity and muscle tension, making it even harder to feel motivated.

Brain Pathways

When you are living with chronic pain, it can make it more likely to experience both pain and depression. This connection originates from underlying neural mechanisms involving specific brain structures, chemicals, and pathways. Increased pain intensity is often associated with a higher likelihood of developing depressive symptoms. Psychotherapy helps open new pathways in the brain that can help heal mental health and chronic pain issues.

Limiting Factors

Chronic pain can also limit physical activity, social interactions, and work productivity, leading to feelings of isolation and frustration.

Reduced physical activity and social isolation can serve to increase stress levels, which can further exacerbate both chronic pain and depression symptoms.

Treatment Strategies

Chronic pain generally includes more than just mental health treatments. However, people often underestimate the need for psychotherapy and attention to mental health when it comes to treating chronic pain, such as chronic migraines, back pain, IBS or other forms of pain. Old traumas can also cause chronic pain and lead to depressive symptoms in the present, as well.

Here are some ways people approach the confluence of depression and chronic pain together:

Pain Management: Medications, physical therapy, and other interventions to manage pain

Psychotherapy: Psychodynamic, psychoanalytic, and somatic-based therapy to work through depression, traumas, or other mental health struggles that may also be manifesting in the body.

Medications: Antidepressants and other medications to manage depressive symptoms, depending on severity

Lifestyle Modifications: Regular exercise, healthy diet, and adequate sleep are a few things that can help improve mood and reduce pain.

Mind-Body Techniques: Mindfulness meditation, yoga, and emotional regulation exercises can help with physiological stress and help with emotional grounding.

By understanding the connection between chronic pain and depression, you can take a more rounded approach to your wellbeing. When I work with people on the mental health side of chronic migraines (which often includes depression and anxiety), one of my specialties, I generally recommend that you have physical support as well, whether it's a neurologist, and/or alternative approaches. I find that the combination of various treatment options helps to address the depression and chronic pain cycle together.

#Depression #Migraine #ChronicPain #Anxiety #MentalHealth #IrritableBowelSyndromeIBS

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Drunk Me—Figuring Out Why God Gave Me This Pain (Back and Nerve)

So I’d stop drinking and not ruin my life by becoming an alcoholic.

I see it every day at work, especially when I facilitate Persons in Recovery group. Out of the 15 adults who attend regularly, 9 are alcoholics. Each of them has their own unique story about how alcohol and addiction destroyed their lives.

The majority have criminal records.
The majority were in so deep that they experienced alcohol withdrawal—seizures, sickness—whenever they stopped drinking.
The majority have made fools of themselves in front of their loved ones.

I always hid my drinking. Which, if I’ve learned anything as a recovery coach, is a major red flag. A sign of alcoholism.
I always downplayed how much I drank.
And I think—because I was a “fun drunk”—I managed to fool the people around me. And myself.

I’m happy I’m not an angry drunk.
I’m happy I’m not a sad drunk—though, honestly, the jury’s still out on that one.

When I drink with others, I’m fun. I’m happy. The life of the party.
The problem was when I drank alone.

The Way My Brain Works

My head is a chaotic place. Always has been.

My first memory of life goes like this:
A woman with long black hair and a blue-and-black dress shirt is spanking me. Or hitting me. I’m not sure. But I know I’m being hurt. Physically and emotionally. And I’m crying.

I don’t know who this woman is, though I have my suspicions.

This is how my brain works:
A little girl, maybe three or four years old, is being hurt by a trusted adult. How sad.
But there’s no doubt in my mind that I must have deserved it.
I must have done something to make this happen.
Because I am a bad person.

Everything bad that happens to me—I deserve.

Like being depressed and suicidal through most of my teen years.
Like being sent to psych ward after psych ward, then group home after group home.
I deserved it—for messing up my siblings’ lives, by ruining our adoption in Minnesota.
Just like I deserved being kicked out of my adoptive parents’ house at 18.
Because I chose drugs. I deserved to be homeless.

Just like I deserved the first abusive relationship.
And the second one after that.
Because I hurt my parents. By doing drugs.

Every time I think about that first memory, I go through the same thought process.
And every time, I arrive at the same conclusion.

I deserve it.

This is how my brain works.

The Pain & The Question: Why?

So when my back started hurting in September 2024, I spent months racking my brain, trying to figure out what I did to deserve this pain.

I had spent my whole life experiencing mental pain.
At least with that, I could always figure out why I hated myself.

But this—this was physical pain.
The worst I had ever experienced.

I kept asking myself:
Why? What did I do?

I had gotten clean from my drug of choice.
I had worked on myself.
I had finally reached a place where I didn’t hate myself.
I was the happiest I had ever been in my life.

So why now?

And then, ironically—while intoxicated—I think I figured it out.

The Background

I was born and raised in Nebraska.
A year and a half ago, I moved to Michigan.

Two and a half years ago, I was in full-blown addiction.
Adderall and meth—my drugs of choice.
I was using nearly every day.
The only exceptions were when I ran out of money or my plugs (plural) were waiting on their next prescription refill.
But for over a year, I never went a full week without using.

It got bad.
My mental health hit an all-time low.
Which is saying something—because I’ve always considered myself a depressed human being.

Then, one day—by the grace of God—I decided to reach out to my aunt.
I needed to escape the cycle of bad decisions.
I moved away from everything I had ever known.
I came to Michigan and quite literally turned my life around.

I got clean.
Forcibly, of course.
That was the whole point of moving.
I didn’t know anyone here. I had no connections. No access.
It was the only way I could not pick up.

Life got better.
I became happy—something I had never been before.

For 21 years, I had lived in darkness.
For the first time, I had light.

I landed an amazing job—helping others.
And, funny enough, my experience with addiction actually helped me.
I never saw that coming.

My relationship with God blossomed.
For the first time since childhood, I felt Him.
He had my back.
He gave me the courage to leave everything behind.

The blessings kept coming.

But I was lying to myself.
Or maybe, at first, I just didn’t see it.

Because alcohol was never my drug of choice.

At least, not until I stopped using amphetamines.

Alcohol Becomes My Drug of Choice

At first, I drank for fun.
With my brothers on game nights.
With my friends.
Always for fun.

But when I moved here, I started drinking more.
I now know I simply replaced one drug with another.
Alcohol for Adderall.

I don’t know how long it went on—more than two months for sure—but I drank every single day.

I even learned that Mohawk vodka costs exactly $3.67 after tax at the liquor store around the corner.

I denied my problem for a long time.
But at some point, I admitted it to myself.

And around that time, I met Brian.
My soulmate. (Cheesy, I know. But it’s true.)

We had our first argument after I asked him if I could drink that night.
That was the beginning of my wake-up call.

The Present: The Realization About My Pain

Fast-forward to now.

I have been drunk twice in the past five months.

I no longer drink every day.
But I also know why: because I am on pain meds.

Hydrocodone.
An opioid.
My new best friend.

You can’t drink on pain meds.
And I am in too much pain to risk making them ineffective.

That’s why I stopped drinking.

I moved to Michigan and got clean because I had no access.
I stopped drinking because of my back pain.

The ironic thing?
Opioids are addictive.

I used to tell myself, My drug of choice has always been uppers, not downers.

But alcohol is a downer.
And I got hooked on that.

So what’s stopping me from getting hooked on this?

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OMG my back... also coffee

Back pain is at 7. I just took a tramadol.

I got a text saying my doctor sent the script for metformin to my pharmacy. I gotta call to schedule delivery for Friday. I'm hoping this helps. My fasting BG was 198 so I'm optimistic.

I had some gingerbread coffee in the coffee maker so I added some blueberry grounds. I typically use grounds twice. I used the liquid sucralose. It's delicious! Just sweet enough. The 2 flavors are great together.

I had 2 blueberry fig bars for breakfast. They were really yummy.

I think this weekend I'm gonna make citrus pepper tilapia for dinner. Drizzle the fish with lime juice and sprinkle with lemon pepper. It's so yummy. @edieh

#BackPain #coffeeadventures #foodieadventures

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Any tips will help

So I've been dealing with eating disorder since way little. Where there days i can't eat. Well lately now I've been sick to my stomach can't eat nothing. On top of that I have sever low back pain. I'm in so much pain from both I don't know what to do hospital won't help. They said that it has to run its course. But what course bc they said nothing was majorly wrong. Any home remedies that could possible help?

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Oh for the love of...

My back is trashed. I'm trying to get comfortable sitting on my couch with pauley but every position hurts. I've taken 2 tramadol since I woke up at 1130am. At about 5pm she decided to take an Adderall and have a half hour nap. So I took 2 hydroxyzine and laid down on my bed. I wasn't able to sleep but I meditated for 2 hours. Then she turned my light on and I was just like hissssssssssss. I was enjoying the dark quiet. I'm usually scared of the dark but it helps me meditate.

#BackPain #Meditation #MentalHealth

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