Chronic Pain Chronic Fatigue Fibromyalgia Myalgia

Chronic Pain Chronic Fatigue PAIN Fibromyalgia Myalgia Learning Objectives

1. Introduction/ history on chronic pain, chronic fatigue, fibromyalgia, myalgia 2. Nervous system, muscular system overview 3. Exploring 4 common beliefs about how the nervous system processes pain 4. General teaching guidelines 5. Setting an intention 6. Check for understanding 7. Conclusion

Brief summary Chronic pain is a common and important problem, but all health care practitioners , even those in pain management settings, continue researching to have a better understanding of pain science. Misconceptions about pain can be a major roadblock in effective interventions. We will discuss some of the latest conceptual understanding of how the nervous system experiences pain and then address the limitations and inaccuracies of common beliefs about pain. We will discuss possibilities and guidelines to teaching to people who are experiencing chronic pain .

• Chronic Pain ( Persistent Pain that lasts weeks to years) • Chronic Fatigue (Profound fatigue, pain, sleep Definition Of abnormalities) • Fibromyalgia (Widespread muscle pain and tenderness) • Myalgia ( pain in a muscle or group of muscles)

What do you believe about pain?

How does the Nervous System Produce Pain????? • Pain Chemoreceptors- Photorecptors- sensitive to changes in sensitive to light chemical concentrations

Mechanoreceptors- Thermoreceptors- stimulated by changes stimulated by change in pressure and in temperature movement

Proprioceptors- specialized Nociceptors- mechanoreceptors in stimulated by tissue skeletal muscle and damage: also called joints pain receptors

Brain Story Time •Location •Type of sensory receptor that sent the signal •Rate of fire of the signal •Pattern of the signals

Expectations Emotions

Past Experience Environment All of This Happens Without Our Awareness!!!!! Internal Pain Control

Courtesy of Central Nervous Meditation System

Anti-Pain Systems Rhythmic Breathing

Belief!!!!!?????

Walking

1. Pain intensity accurately indicates the extent of tissue damage?

3. Pain is a Symptom…………….. Pain is a subjective output of the brain.

It is not an input to the nervous system

What does this mean to us in our Equine Activity?

General Teaching Guidelines

Observe Listen

Exercise Time!!!! Observe, Look AGAIN Open your CNS

No judgement Just Look Wrong???? Horse???? HELP!!!!???? We cannot have their brain make up a new story. But ignoring the pain or pushing through are not options! Believe that change can happen?!

Hypersensitive Nervous System

Sensory Neurons & Nociceptors On Duty, Action Ready At All Times

Getting Started: Define

Discomfort(lack of physical comfort)

Pain(distressing feeling triggered in the nervous system:dull,sharp…)

The Edge (place in discomfort before pain, or in pain before OMG)

Nothing(A place with no feeling, a place without any sensation)

My Challenge to you is to try this: on the ground, sitting on the horse, being led on the horse Feel and Think what it means to make movement comfortable Close your eyes….. feel NOTHING place

Feel your body breathing

3 Goals for this talk *Learn How to Create Change in CNS *Intention Over Perfection *Define: Discomfort Pain The Edge Nothing

Deepen understanding 41 I appreciate you being open to listen to my passionate talk about the body.

I truly look at our body as An Amazing Work of Art.

Thank You, Julie Freeman [email protected] 815-693-2075