Know Pain, Gain Insight: Museum Lecture on Chronic Pain
1. Museum of Human Disease Disease Discovery Evening Know Pain No Gain
2. The Faculty of Medicine and the University of New South Wales recognise the unique position of the Aboriginal and Torres Strait Islander peoples in Australia’s culture and history. That Aboriginal and Torres Strait Islander peoples have inhabited Australia for well over 50,000 years and that their unique cultures and identities are bound up with the land and sea. They acknowledge that the Aboriginal people are the original owners of the lands occupied and used by the Museum of Human Disease. I would like to acknowledge that this training is being held on Aboriginal Land and recognise the strength, resilience and capacity of Aboriginal people in this Land. We are on Facebook.com/MuseumofHumanDisease and twitter @diseasemuseum #MOHD #Diseasediscovery#painnight
3. DISEASE DISCOVERY 4 Monday 20 June 2011 Dr John Booth: Know Pain or No Gain Welcome to the Museum of Human Disease. Throughout the session and your visit to the Museum we would ask that you adhere to the following: - No food or drink is permitted within Museum Gallery. - Strictly no photography. - Specimens consist of generously donated human tissue. Please view specimens with appropriate respect and dignity. Thank you for your cooperation and we hope you enjoy your visit! We are on Facebook.com/MuseumofHumanDisease and twitter @diseasemuseum #MOHD #DDE4#painnight
4. We are on Facebook.com/MuseumofHumanDisease and twitter @diseasemuseum #MOHD #Diseasediscovery#painnight
5. Museum of Human Disease Disease Discovery Evening Know Pain No Gain
6. KNOW PAIN OR NO GAIN! Dr John Booth (PhD) – Exercise Physiologist Senior Lecturer, School of Medical Sciences, Faculty of Medicine, UNSW
13. Sometimes pain can persist well beyond the expected healing time and termed ‘chronic or persisting pain’ Move it or lose it! Do something now!
14. DESCARTES, EXPECTATIONS, CULTURE Pain operates like a rigid fixed system and a particular injury generates a set amount of pain Pain is physical and mechanical so fix it! Renaé Descartes 1664
15. A Conundrum! Pain can persist without tissue damage or injury (e.g. chronic back pain) Seemingly painful experiences aren’t painful (Aron Ralston, injured soldiers) Expectation can alleviate pain (placebo) Expectation can increase pain(nocebo pain)
16. Pain persists not only in the absence of tissue damage but in the absence of any tissue (i.e. phantom limb pain)!
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18. The central nervous system becomes more sensitive “turning up the pain volume”
19. The spinal cord and brains network of pain centres increases
20. The sympathetic or ‘fight or flight’ nervous system kicks in and can drive the pain process
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22. With longer term pain, pain is elevated to the forefront of consciousness!
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24. Did your thoughts flow and engage in one different thing after another?
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27. There is competition for consciousness awareness, with one perception tending to grab control
28. Some thoughts don’t get prioritised and are dealt with at a sub conscious level
29. Pain can command attention even against determined efforts to resist it and attention increases with anxiety
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31. Most successful contemporary pain treatments involve a combination of education, knowledge, understanding and movement (in conjunction with appropriate drug therapy when necessary).