Chronic Pain - Here's what you need to know about the DIMS & the SIMS

Ongoing and severe pain is an incredibly costly health condition. It can be distressing and disabling, and prevent people from doing the things they want to do. A crucial aspect of managing pain is having an accurate understanding of how pain works, and having up to date knowledge about pain is a powerful treatment in itself. In this educational event, Sarah explains the DIMS and SIMS and how they relate to chronic pain. Learn strategies to help you feel better once you understand how danger and safety impact how we feel.

[ImagineLifeTherapy]

I'm curious how we balance this view with actual disabillity? like this teaches that using a mobility aid is a DIM but if you are injured, need the use of a mobility aid or wheelchair, how do you incorporate movement and SIMS while accepting actual disability and limited movement ability? or is does this assume disability doesn't exist? Also what about pain due to infection or autoimmune disease?

[johnathanabrams]

Pain is definitely a sign of tissue damage.

Myofascial trigger points are the most common manifestation of chronic pain. Myofascial Trigger Points are discrete palpble hyperirritable nodules in a taut band of skeletal muscle that can only be diagnosed by systematic palpation of the soft tissue by an experienced examiner. They are a constant source of nociceptive input from the periphery into the centeal nervous system. They have profound changes in the neuromatrix.

Pain is absolutely not just a top down event. Inputs from the periphery cannot be underestimated how much it will contribute to the continuation of persistent pain.