More than 50 million Americans, a staggering number, live every day of their lives in the shadow of chronic pain. Defined as pain lasting more than three months, chronic pain not only leeches joy from everyday living but is also a significant cause of physical limitations (including the ability to remain gainfully employed), emotional distress, and social isolation for many people affected by it. During Pain Awareness Month, I want to bring attention to some of the pervasive myths that surround the perception of people in chronic pain. I believe that education and understanding can bring hope and healing – both to those experiencing chronic pain and those who care about them and genuinely want to help.
- Injury or disease are the only causes of physical pain – While pain frequently signals an underlying health concern, it doesn't always. Stress, anxiety, depression, or other psychological factors can sometimes present themselves as the sensation of pain somewhere in the body.
- The intensity of pain is not always proportional to the severity of injury or disease. Pain is a deeply personal experience, unique to each individual. A 'minor' injury may cause extreme pain in one person, while a 'significant' injury may result in minimal pain in another. Factors such as individual pain sensitivity, the location of the injury or illness, and other underlying conditions and factors can all play a role in the experience of pain from one individual to another.
- Chronic pain is part of the normal aging process. Though the experience and frequency of pain may occur as a person ages, that doesn't mean it's 'normal.' Pain, no matter the age and where on the body it is located, is a sign that something is going on that should be evaluated by a medical professional.
- Pain medication is the only way to effectively manage chronic pain – Medication, under the supervision of a physician, can be an effective tool for some people with chronic pain. Still, it certainly isn't the only tool available. Cognitive Behavioral Therapy, Biofeedback, Acupuncture, Goal-Directed Physical Therapy, Electric Stimulation, and Focused Cold Therapy are just some of the promising treatment options available to people experiencing chronic pain.
- If you don't complain about the pain, it must not be that bad – People with chronic pain are often reluctant to share their pain experience with others for fear of being judged as weak or negative. The absence of their pain complaints should not be mistaken for the absence of their experience of pain altogether.
- Pain is an entirely physical experience – All pain is in the brain. Ask anyone who has experienced a "broken heart," and they can tell you that the mental, emotional, and psychosocial experience of pain can often have physical manifestations that feel very real and seem to consume all the senses.
- Opioids are most effective in treating chronic pain. While some opioid medications may do well for patients experiencing acute or shorter-term pain episodes, they pose a dangerous risk for people with chronic pain. Long-term use of opioid medications increases a person's risk of addiction, overdose, and other health problems. Addiction to opioids can lead to serious health issues, including respiratory problems, heart issues, and even death. For these reasons, it is essential to determine the root cause of a person's chronic pain and go about addressing it so that unnecessary medication therapy can be avoided.
- Pain is a sign of weakness – This damaging myth can discourage people in chronic pain from seeking help. Pain is an essential and natural human response to injury, illness, or something else in the body that is amiss. A person's experience of pain should never be attributed to their character or willpower.
- There is no cure for chronic pain – Chronic pain can be a frustrating experience for many people, but it isn't hopeless. With the right professional help, treatment, and support, many people in chronic pain can and do improve their quality of life.
- Pain is just something you must learn to "live with" – No. Pain is your brain's signal to your body that something is wrong. A "deal with it" attitude can prevent people from seeking the professional help and advice they need.
By debunking these ten myths, people in chronic pain (and their loved ones) can better understand pain and seek appropriate treatment. If you're struggling with pain, don't hesitate to reach out for help. Relief is right around the corner!
Sources:
https://www.vernonwilliamsmd.com/professional-expertise/pain-medicine/