Dr. Andrea Furlan - 8 Steps to Conquer Chronic Pain: A Doctor’s Guide to Lifelong Relief - 588
Aug 14, 2023
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Dr. Andrea Furlan, an Associate Professor in the Department of Medicine at the University of Toronto and Staff Physician, discusses her book on conquering chronic pain. They explore the concepts of chronic pain, the brain's role in pain perception, and the different types of pain. Fascinating conversation with lots to learn!
Nociceptive, neuropathic, and nociplastic pain vary in causes and characteristics, requiring different management approaches.
The comprehensive Five M's approach to chronic pain management includes addressing movement, mind therapy, modalities, manual therapies, and medications.
Deep dives
The Three Types of Pain and Their Characteristics
There are three types of pain: nociceptive, neuropathic, and nociplastic. Nociceptive pain is caused by tissue damage or inflammation, such as a cut or inflammation in a joint. Neuropathic pain is caused by nerve damage, such as in conditions like multiple sclerosis or diabetic neuropathy. Nociplastic pain is a dysfunction of the pain system itself, where the alarm system is malfunctioning, creating constant pain. Each type of pain has different characteristics and requires different approaches for management.
The Five M's Approach to Managing Chronic Pain
To effectively manage chronic pain, a comprehensive approach known as the Five M's can be applied. This approach includes addressing key areas of lifestyle: movement, mind therapy, modalities, manual therapies, and medications. Movement involves incorporating regular physical exercise and staying active to improve overall well-being and pain management. Mind therapy focuses on addressing emotions associated with pain, such as catastrophization and stress management. Modalities include various treatments like heat, cold, and electrical therapy to provide relief. Manual therapies, such as massage or self-massage techniques, can help alleviate pain and tension. Lastly, medications, when used appropriately, can be a part of pain management but should be carefully discussed and prescribed by healthcare professionals.
The Importance of Mindset in Pain Management
Having a positive and proactive mindset plays a crucial role in managing chronic pain. Learning about pain, understanding its types and mechanisms, and being open to receiving new information is essential. Communicating effectively with medical professionals by providing accurate and concise details about the site, onset, characteristics, exacerbating factors, and severity of pain can help doctors develop appropriate treatment plans. Education, self-reflection, and adopting healthy lifestyle changes are all part of developing a mindset focused on healing and actively engaging in pain management.
The Role of Support in Chronic Pain Management
Having strong social support, including from family, friends, and healthcare professionals, is crucial in managing chronic pain. Communicating and expressing pain-related experiences, emotions, and needs to loved ones can help foster understanding and empathy. Feeling supported and connected can make a significant difference in one's ability to cope with pain and improve overall well-being. Building a support network, being open about pain, and seeking appropriate professional help can provide the resources and comfort needed for effective pain management.
Dr. Andrea Furlan - 8 Steps to Conquer Chronic Pain: A Doctor's Guide to Lifelong Relief. This is episode 588 of Teaching Learning Leading K12, an audio podcast.
ANDREA FURLAN, MD, PhD, is an Associate Professor in the Department of Medicine at the University of Toronto and a Staff Physician and Senior Scientist at the Toronto Rehabilitation Institute. Her YouTube page has more than 487,000 subscribers and more than 42 million views. She received a CIHR New Investigator Award, and her research focus is on treatments of chronic pain including medications, complementary and alternative therapies, and rehabilitation.
Today we are focused on Andrea’s book - “8 Steps to Conquer Chronic Pain a Doctor’s Guide to Lifelong Relief.
Great conversation.
So much to learn and think about!
Enjoy!
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