Becoming the Victim: Pain and Hyperalgesia

Hyper-sensitivity of the nervous system, hyperalgesia, complex regional pain syndrome, when the duration of Pain exceeds expected healing times is an Epidemic.  Extrapolating paradigms for treatment from current data is ongoing and cutting edge in current pain approaches.  Here are some interesting statistics and snippets of studies that relate to the title.

… results support a specific association between major sexual abuse and chronic pelvic pain and a more general association between physical abuse and chronic pain.

…Genetic factors, as well as chronic pain in a partner or spouse, contribute substantially to the risk of chronic pain for an individual. Chronic pain is genetically correlated with MDD (major depressive disorder), has a polygenic architecture, and is associated with polygenic risk of MDD.

…42% stressful life event near onset of complex regional pain syndrome.

…54% had a workers compensation claim related to complex regional pain syndrome.  

…47% had physician imposed immobilization.

…66% had myofascial component present at evaluation

1 in 3 women and 1 in 4 men experience intimate partner physical violence, intimate partner sexual violence, and/or intimate partner stalking in their lifetime.

It seems after reflecting the findings from several studies we could infer a genetic component meaning some individuals have greater risk, although not predisposed.  Environmental factors seem to play a significant role as well along with fear and apprehension of one’s own body, i.e. fearful movement.  Environmental factors are significant and highly prevalent seeming to have a positive correlation with an event that creates a victim, i.e. workplace injury, abuse, motor vehicle accident…

This is most certainly food for thought.  Being a blog emphasizing movement, I feel as though addressing pain and apprehension to movement is essential.  Implementing strategies for empowerment and focus on an internal locus becomes critical to the movement professional.  The movement professional should view professional dependencies as unhealthy i.e., external locus, while addressing the high prevalence of myofascial dysfunctions commonly present from someone fearful of movement.  Incorporating an emphasis on reconnecting with the body without shame, fear, and avoidance becomes critical in pursuing function over pain.

—————-

Genetic and Environmental Risk for Chronic Pain and the Contribution of Risk Variants for Major Depressive Disorder: A Family-Based Mixed-Model Analysis
Published: August 16, 2016
—————–
 1994 Aug;84(2):193-9.
Abuse history and chronic pain in women: I. Prevalences of sexual abuse and physical abuse.
Walling MK1Reiter RCO’Hara MWMilburn AKLilly GVincent SD.
—————-
 1999 Apr;80(3):539-44.
Epidemiology of complex regional pain syndrome: a retrospective chart review of 134 patients.
Allen G1Galer BSSchwartz L.