#170

[@TheLawWon]

We are all so grateful to both of you. May the best in life come to both of you. ❤

[@giovannagiocondi1303]

Thank you so much to both of you, Dr. Furlan, for the very very interesting video.

[@DrAndreaFurlan]

Our pleasure!

[@nedamotaghian6984]

😅q😂22i​@@DrAndreaFurlan

[@lindacarmelle8333]

What a coincidence! I just viewed Emma McAdam's channel the other night for the first time=) Love this crossover interview event!

[@marel.1766]

So disappointed to hear Dr. Furlan. I’m sure there are situations where chronic pain is a learn condition, but what do you do about nerve damage? I don’t even know what causes my pain. The pain appears 6 to 12 hours later, so I find myself trying to figure out exactly what I did that created it. So tell me how telling myself that I’m not broken, but I am fine. It’s gonna help me in this situation?

[@tracycreaser4462]

I watch you both ❤.Thanks for what you both do xx

[@susannasenti2871]

I have nerve impingement in my lumber spine from a car accident which even gave me temporary paralysis so no my chronic pain is coming from damage and I was told by specialists I need surgery which I was denied by my corrupt lawyer and auto insurance. I still get small events of paralysis yet I have been classified as chronic pain.

[@annapacura3090]

me too I have a lower back pain then I wet to the doctor the xray result I have a lumbar spine

[@GailH-y6i]

SIMPLE T2 weighted MRI without TOXIC CHEMICAL DYES is all one needs to see spinal cord and spinal nerve damage. ESI's using NEUROTOXIC CHEMICALS in lui of oral opiates/opiods was, and is, a bad idea and there will be a reckoning for the harms and deaths caused by this abusive relationship. Psychiatry crossed over into a wrong lane they had no business being in and the destruction of lives lost on an objective scale is absolutely colossal !!!

[@GailH-y6i]

paralysis is caused from spinal injuries, some from accidents, others from medical procedures (IOTROGENIC) , ie: Failed Back Surgeries, Epidural Steroid Injections, minimal invasive proceedures, use of TOXIC chemicals ie: contrast dyes used in imaging...if the spinal injury is not directly from accidents, car, falling from a higher ground etc.

[@1111fairy]

I believe there is a perception aspect. My problem is i really struggle to perceive & communicate pain in a normal way. Most doctors treat me like im crazy. I definitely do have chronic pain, I also have a high pain tolerance, and i am also hypersensitive. Its all nuanced. Ive had period cramps worse than labor. Ive been under anesthesia and felt them cutting me. Ive had no response to narcotics whatsoever. Ive walked on a broken ankle. But cant walk with sciatica. But ive also screamed when a kitten walks across my lap or had to change clothes if theres a tag or can’t sleep is theres a grain of dirt in my bed. My muscles feet back and knees hurt 90 % of the time, but its so normal i can usually tune it out like background noise until its unbareable or im quiet/still. Sometimes my pain is much worse when i am in bed and much less when i am moving. Ive also had shadow tooth pain after a root canal. I cannot describe my pain very well. Stab, throb, ache, shooting, I have no idea. Or rate it on a scale from 1-10. I have no idea. Like im uncomfortable enough to go to the dr, but im not dead yet lol But I suspect I have a little of both. Neurodivergence as well as chronic inflammation in joints & muscles, and i am hyper mobile so i have dislocation. I also struggle with proprioception. Sometimes i forget why i have a big bruise, forget to eat, walk into doorframes. if i am expecting pain it is more comfortable than if it’s unexpected, Ive spent my entire 45 years in pain but invalidated and dismissed to the point ive just accepted it and gave up on doctors. Ibuprofen, chamomile, and ginger seem to help. Aspirin, and acetaminophen do nothing. Narcotics just help me dissociate so i dont care, kinda takes the edge off i guess, but pain is still there in the background

[@cdracos1]

Sounds a lot like fibromyalgia

[@veronical3135]

Do some research on MagnesiumL-Threonate. It helps with pain and brain fog.

[@StanleyCharles-h3r]

Nice video Dr Andrea Furlan and you are always excellent ❤❤❤❤❤❤

[@gtessgossage3867]

Superbly helpful Clarified more concepts for me in my long covid Vaxx chronic pain journey. Both of your professions layer brilliantly. Would you all consider creating a course?

[@StefBarber]

Thank you for this interview and video!! 👍🏻

[@sharmisthapancholi3109]

Thank you both for this video .God bless you 🙏🌹

[@DrAndreaFurlan]

Our pleasure!

[@therealtoni]

I got quite an education today!

[@amitabh15]

Dr. Furlan. I’m in Calgary, Alberta. I have this with CRPS, tinnitus, visual snow, visual vertigo. I was diagnosed with FND and given education on pain neuroscience and sent to EMDR therapy for childhood trauma. What do you do with your patients with graded motor imagery?

[@staceynguyen1876]

I tried the foghorn breathe.. it is awesome I suffer from chronic pain with fibro and cfs Migraine sufferer as well

[@DrAndreaFurlan]

Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔 on youTube. so you get notified when I post new videos. And please remember, I do not give individual medical advice via social media or email.

[@jo-annsiebert4860]

Fantastic information.

[@DrAndreaFurlan]

Thank you for your comment

[@cdracos1]

Not one mention of people that have fully recovered from chronic pain ??

[@GailH-y6i]

because they don't and won't with CENTRALIZED PAIN. This talk is only spewing illusions, mind trickery, which is an unheard of medical abuse. There are some desensitization techniques that help with peripheral nerve pain but once pain is centralized it's not going anywhere because it more often than not, becomes progressive. Nerves are like electrical wireing, positive and negative conductivity. Why wire are covered with a rubbery material. When pain becomes CENTRALIZED the nerves loose that protective covering, they become "de-mylinated", left raw.

[@DiamondEyez456]

3:53 - it's beyond annoying..it's maddening aka frustrating, upsetting, and disruptive to function 'normally' while having to also manage the pain firing off. Why do you think most people end up taking their lives? annoying is when someone pokes you..that is annoying. I suggest using the actual verbiage and descriptions your patients tell you and I am sure they have expressed it in frustrating overwhelm and angry tears b/c it could drive a person 'mad'.

[@katygirl9221]

I'm going to report this 😑 it's a very dangerous video!

[@heidikruklis7768]

Excellent conversation!!!

[@alicewilson5414]

YES! Let's just tell people that it is all in your head!!! Nice science!

[@jmc8076]

Pain does originate from brain signals but physical sensations are very real. If you stopped nerve signalling from the brain it would stop. Try video ‘How brain programming causes chronic pain’ and talks by Professor Lorimore Mosely. They use diagrams and examples and Dr Mosley has chronic pain. Hope this helps.

[@MarshaMarshaMarsh4]

No more long term opioids. And, I’m sure it’s only coincidence that these new studies/sciences that opioids don’t help ppl w chronic pain happened around the same time as cp patients began being blamed for the “opioid epidemic.” 🤨

[@dharmasenadeyalage2041]

Thank you for intaview.

[@kamuconkamucon8543]

Is there or is it possible to make a pain detector/measure?

[@marcelatabares5432]

How to manage trigeminal neuralgia pain. It is crazy.

[@augustfourteen1680]

Yeah me too i have that kind of illness 😢😢 im having now anxiety and depression due this illness.. doctor only said im just only do things to enjoy myself coz my pain is only in my mind.. but its real its really pain in my back like thers stubbing , pin and needles and crawling inside my body 😢

[@Boojerella]

Would love to know if glutamate is the actual excitatory - alarm signal neurotransmitter triggering the pain? Brain retraining / nervous system regulation seems to turn glutamate back into ATP production from this trigger of danger… And might explain why NMDA receptor antagonists like ketamine and memantine calm the alarm and shut glutamate off? (Also related to Robert Naviaux’s Cell Danger Response) Thanks for any feedback!

[@DrAndreaFurlan]

yes, glutamate is excitatory

[@minzymoon1897]

I have anxiety and i got jerk in my body when i go to sleep it happen more.. How to managed it

[@shad6519]

My whole body joint is painful, sleep deprived because of over active bladder, headaches and anxiety issues. Please help me with one medicine which can help me sleep properly at night. I live in Mississauga. Please help and take my blessings.

[@dreed1058]

I WISH my brain could block the synapses that cause my sciatic pain! I've tried everything - and go to monthly pain dr for injury that happened years ago. I was hit by 18 wheeler and rolled over highway 3 times! I came home that night intact, but with spinal and neck injury that has only gotten worse. I've avoided surgery, but thus year plan on spinal fusion. I don't have a "list" of behaviors, I just HURT, and I am broken. I know the before, and after.

[@EmergeAndSeeTherapeutics]

I'm so sorry you are going through this.❣

[@lesliefleming4359]

Hi doctor, I wish you practiced in the US. I have nine compression fractures in my spine from taking prednisone for 15 years. I have to take prednisone for a obscure disease called retroperitoneal fibrosis. I have been to five pain clinics. Also have IBS and two aortic aneurysms caused by the retroperitoneal fibrosis. i’ve gotten spinal injections, facet nerves burned off, physical therapy, chiropractic but the only thing that works is opioids. I get 60 low-dose hydrocodone in a month but it’s only enough to last me 20 days. My GP says she’s not comfortable prescribing any more than that because she doesn’t know anything about opiates. Just venting I guess. Venting because I have no place to turn. Have a good day

[@susancole227]

Idiopathic retroperitoneal fibrosis is a subtype of IgG4-related disease. The go to treatment is steroids, but there are others as well. I have IgG4-rd in my pancreas and biliary tract, and salivary glands. It’s a rare condition, but they’re finding more & more about it. I can’t do steroids, so I had to use a form of chemo called rituxan. I didn’t want to live the rest of my life on chemo so I changed my nutrition to whole food plant based, no refined sugar. I haven’t needed chemo in 5 years. Lifestyle changes make huge differences.

[@ArisConstantinidis-fd9kr]

What is the treatment of pain caused by stress please, im from Algeria, i try to listen to you but i can't understand well, so please write me the answer is better, thank you so much

[@A.PraveenRichard]

Hi madam.I have l4 l5 S1 ,disc budget can you help me.

[@KathleenDavey-c2s]

My symptoms are more debilitating chronic fatigue that are overwhelming and very scary.

[@bevvallieres4139]

How much pain are you in Doctor? And what did you do to make yourself not in that pain?

[@GailH-y6i]

You can not fabricate pain, period Why? Because you can not remember pain once it passes and therefore you can not create pain. Ask any person who's had a broken bones, a child who had their tonsils removed, appendicitis, Gal-bladder, kidney stones, labor pain etc. to describe exactly what the pain was like, exactly where pain was, how long their pain lasted etc. and they will only remember that it "hurt" or it was "painful", and not much more other than perhaps the sequence of events that led up to their pain event. All past tence. That boot story is ridiculous. So is the 34min.vs 35min of driving. Either these two patients are exaggerating beyond belief or the story tellers are. Millions of women have quick, non eventful deliveries of their children. My mother 4, one delivery of twins. Both grandmothers had their children at home, including the delivery of my mother. Images/Pictures don't lie, the lie becomes when the doctors don't know how to read the Images/Pictures....especially Spinal Images...and unless the doctor writes on the image requisitions exactly what they want to rule in or out the radiologists aren't necessarily going to look for, let's say "nerve root clumping" "empty thecal sac" "Arachnoiditis", "Adhesive Arachnoiditis", "Cauda Equina Syndrome", all very painful conditions often diagnosed as CENTRALIZED PAIN accompanied by INTRACTABLE PAIN (ie: a constant burning torch up the rectum and genitalia, gasoline and match thrown all over the back, buttocks, legs and feet) and people have to live with this pain using their mind and opiates, without opiates, the pain is suicidal. These are STRONG People, NOT People who have a "opioid abuse disorder", nor are they "addicts". Pain progresses because the disease progresses. Any SPINAL CORD INJURIES/ SPINAL NERVE INJURIES will not benefit from any strenuous exercise, on the contrary, any strenuous exercise could end up paralyzing the patient.

[@DrAndreaFurlan]

Hi Gail H. I'm sorry to disappoint you, but this is how our brain and body works. If I tell you what you want to hear, I'll be lying to you. I prefer to tell the truth.

[@DiamondEyez456]

wow..this is off..Comparing a pregnancy to chronic pain...ouuff..miss me with actual understanding. then to say those with chronic pain are like the guy who had the nail and overreacted where there was nothing..for those who deal with chronic pain..way to be super invalidating and gaslight a whole bunch of chronic pain patients..way to throw a comparison..which is what the rest of the medical world does..what are you trying to say??

[@katygirl9221]

Yeah, this video is just wrong! They have no clue about chronic pain!