Pain 12, Chronic pain

[@ishouldbesleeping1354]

I have Fibromyalgia and every accident, every surgery, every osteoarthritic progression, leaves me with never ending pain. My body NEVER “forgets” a trauma, or drama. My brain stays hyper vigilant and ANY assault is carried about my mind and body forever. I am in tremendous pain, with inflammation, and fatigue. My mother had it. I think my son has a distant form of it. So thx for showing me the inner workings. It’s petrifying to live in an opioid lock down and have NO alternatives that work. Your presentation made sense.

[@Campbellteaching]

Have you been able to see a medical genetics expert? They might be able to help with an underlying diagnosis? I assume you have tried Amitriptyline? Think about foods than might help to lower inflammation as well.

[@Gpacharlie]

Gee Wiz I came across your comment. My body responds like yours. I suggest you also look into Forest Tennant, MD and his discussions on Centralized Intractable Pain Disorder and the most recent research regarding microglial cell response and hormone tests. David Hanscom, MD and his work regarding the Neurophysiology of Chronic Pain and his book “Back In Control” and Dr Shubiner who describes “Mind Body Syndrome,” and it’s list of symptoms. Good luck and God bless you.

[@mamaneelie]

Gee Wiz Hi, just seen your comment and Johns reply. I also have fibro and have found great control with Amitriptyline as he suggests. I still get a flare up occasionally but vastly improved"

[@Thebohemiangirl1]

Dr Campbell, could you please do an updated report on Chronic pain conditions with concurrent conditions? Im on Amithripthaline, but for a small percentage of improvement, I gain so much weight...adding other issues 😢 please do an update on treatment and tests. 🙏🇨🇦2024 Ps. I'm fighting a titanium plate rejection, w level 4 allergy. Do you have a way to be contacted??

[@salome3049]

I wish all doctors were aware of this mechanism.I was not given the appropriate analgesic treatment after trauma and was kept in fear partially created by doctors and partially my own horrific interpretations...Psychological help would be a blessing at that time...I realised it years later when dealing with other problems. Doctors should know better, sorry to say this but not all patients are into books and research on internet. Thanks for these videos.

[@Campbellteaching]

I am sorry you have, and are having, this experience.

[@Gpacharlie]

Dr. John Campbell You are a kind man. Thank you. Kindness is an analgesic.

[@THISISBEAR]

Dr, Campbell I found my way here as i have been following your videos about Covid 19 which are terrific, anyway, I have been suffering from chronic pain for almost 25 years. I was in a car accident where the car I was driving was stopped and I was was struck from behind at 50-60 kph. My life fell apart. I was treated for what was deemed to be minor soft tissue injuries and concussion (which left me with it's own set of problems) I still suffer from pain spikes at least once every 2 weeks that leave me bed ridden for up to 5 days at a time and I often lose up to 10 pounds with every spike through vomiting, diarrhea, sweating and shivering. I sometimes have to take prescription strength anti nauseants to get the vomiting stopped to try to prevent dehydration. I now have to take Tramadol everyday as it is the only thing that has allowed me to have any life at all and many types of medications have been tried, some with very bad side effects, along with anaesthetic injections into my spine at the worst spot, which is right between my shoulder blades. The injections didn't work for long. The Tramadol is terrible stuff and i wish I did not have to ever see another pill in my life. I have to take them with Gravol ( an anti nauseant here in Canada )because they make me terribly nauseous but that said, I am terrified that my doctor will end up no longer being able to prescribe me anything because of the opioid crisis and what little life I do have will disappear completely into a blinding world of unbearable pain. I always said if the car accident didn't get me the pain and the pills to deaden it would. For chronic pain patients, the choices are never easy and for every choice there is a price that must be weighed.. I hope there is serious research being put into chronic pain, it's life stealing and soul crushing. I can say pills are not the answer, they are a part of it but not all of it. They address a symptom but not the cause. I use mindfulness and try to focus away from the pain during spikes, i try to control my breathing etc. Sadly, biofeedback is not available where I live, as I would dearly love to give that a shot. I think depression is inevitable with long term intractable pain but it too has to be managed as it feeds into an already vicious cycle. I just wish doctors could find the key to getting rid of pain, to make it stop for pain patients everywhere. Thank you for your educative and insightful videos.

[@salome3049]

That is very kind. Having healthier detachement from the pain now...and I learned a lot.About life in general. Though awareness is needed.Your work is precious.Thanks.

[@TheZzmel]

Hi Dr. J This part of the survey really demonstrated to me how pain comes about whether it would be Acute or chronic. To me, the interest lies in Chronic pain. This I have been diagnosed by various methods such as MRI's, CAT scans which my pain doctors has discussed to me by observing the results of the tests provided. First I am not a doctor and just a patient who can benefit by what you have demonstrated by visual drawings and explainations that pertain to me and other's who have to deal with chronic pain. For many years I suffered with this and no one explained it to me as you have. Although you have the expertise and technical knowledge as a doctor, I was able to understand what you demonstrated. To me that is important as I want to better understand chronic pain and how it comes about. I have to watch all of your video's and I will do so. Thanks for an opportunity to be able to write down my view points. Mel

[@Gpacharlie]

+MelTopf. Hi Mel. I am also a chronic pain sufferer. I have found these classes from Dr. Campbell to be very helpful. Knowing more about what is actually happening takes much of the mystery away and helps with a real reduction in the anxiety component of pain.

[@TheZzmel]

Thanks Chuck. I have watched one of his presentations and he is very knowledgeable on many different topics with the human body. It is a good thing that he is on you tube and can be of great help. I haven't watched the one on chronic pain yet. Will do so though. mel

[@Campbellteaching]

+Mel Topf Lets hope you are able to work out ways to reduce your pain, and hopefully at some point eliminate it all together. I only wish I had more to offer, best wishes, John

[@TheZzmel]

Thanks John for your reply. I don't expect to get rid of the pain completely as I have suffered with it for many years. It would be terrific if I can just reduce it so I can function better.

[@Gpacharlie]

+Mel Topf amen brother

[@tomnps1671]

Thank you! Great presentation!

[@alisbarber5235]

Great collection of tutorials. I am a hypnotherapist wishing to learn more about the mechanics of pain and I can certainly say you have made the education very 'painless'. Thank you.

[@Nidhi-ll3yq]

Thank you Doctor ! Your videos on Pain are excellent !!!

[@Gpacharlie]

Thanks to your videos I have a new tactic and renewed hope against debilitating pain. I now consider all of the receptors and the inflammatory potentials of all of the tissues. Instead of being so distraught that I go and have someone surgically damage more tissue, I accept the rollercoaster of inadequate pain relief and now understand that there is probably a highly sensitized endless loop circuit active in my spinal cord. and instead of just trying to chronically accept the mediocre I now accept deeper bottoms and ride them out, then I attack the pain with everything at my disposal and am able to carve out a day and a half of function. I am still inadequately armed for the fight and the resultant down days may prove too much but now I can battle on my own terms. Knowledge is power.

[@hethsie]

your podcasts are really useful! I'm doing a pain module as part of a degree programme & it was helpful to watch all the videos on pain. Thanks again!

[@johnsherman7289]

Add DMSO to your research. it's safe ,cheap, and effective.

[@cj7ification]

Thanks for the videos on pain, it really helped a lot :)

[@charlessoukup1111]

I am 75, crippled AND long term pain. Took a spill in my hallway getting to bathroom, so got to monitor some shoulder acute pain AND chronic back pain...effect of opioids on each, tried to sense brain paths with each, changes in each, shoulder pain receded, back pain stayed unchanged. I believe the brain is the sensor but I can't seem to get on the wavelength of plasticity to affect either of the pains I was having, and still am the chronic

[@Nidhi-ll3yq]

And, you are a wonderful teacher :)

[@Gpacharlie]

The treatment with analgesics in the acute stage is even less employed now. Because of the “opioid crisis” pain patients are being left to suffer with a shrug by many doctors. Finally though there are some doctors who are beginning to understand. Hopefully we will soon come to a place where we recognize chronic pain early and get after it quickly. The suffering is beyond description.

[@Campbellteaching]

Excellent point, I personally give 5 - 10 mg does of iv. morphine every day on ED. It's such a satisfying procedure as you can see the pain drain away from your patients face. As long as the morphine is given when the patient is actually in pain, I have never had a patient become addicted in the acute pain situation. Of course I also use NSAIDs with paracetamol (acetaminophen) combined a lot, this works well for a lot of pains. PR diclofenac is also great for renal colic.

[@Gpacharlie]

Dr. John Campbell I would probably have been able to keep my career in Biomedical Instrumentation service for another 10-20 years with your protocol. Might have even remained married. Water under the bridge now so now I am learning to ‘manage’ chronic pain and prevent flare ups. Though that early ‘acute’ phase does require an informed patient doing our part too.

[@Gpacharlie]

Dr. John Campbell Also do you have a recommended treatment plan when it does become chronic? I am now with the VA in USA and beginning their ‘new’ pain management program with an emphasis on Cognitive training. I’ve been doing this on my own for years but they ( doctors ) just kept reducing my daily opioid dose from where I was getting a reasonably good stretch of moderate pain relief daily at 90 mg/eq. with no apparent tolerance issues or side effects, just consistent pain relief of 40-50%. Now at 45 mg for a full year and pressure to reduce further. At a certain level of pain trying to employ awareness and breathing and meditation is a non-starter. One has to get down to a consistent level of relief to be able to do this mental work. I call it “breakthrough relief” and on my 0-10 scale it is a 5.5. It’s a very real point and there is a significant difference between a 5.4 and a 5.6. At a 5.4 I can breathe and even smile and the pain is no longer all consuming. At a 5.6 the experience is a significant anxiety increase and marked increase in whole body tension. I could live happily at a consistent 4.9, could go back to part time work at a 3.9, but I haven’t experienced those levels in many years. I hope to get consistently more functional and then volunteer my time working with people who struggle with this disorder. I have learned so much but what a hard lesson.

[@Gpacharlie]

Dr. John Campbell Things have become very backwards with the opioid crisis to the point now where in the US they are so opposed to opiates that they are restricting them even post surgery. I think they are inadvertently creating (Centralized Intractable Pain) patients as we speak. I don’t understand why common sense and logic seem to be now uncommon in pain medicine but your warnings about reducing the pain in the acute phase is going completely unheeded.

[@Sketch1994]

@@Campbellteaching You sir are god's gift to humanity. Doctor's don't care about relieving their patients of suffering nowadays.

[@abbasyousif5556]

thanks doctor it is very useful

[@peter357]

Thanks!

[@publichealthnews8095]

Thanks doctor

[@jennywhiteing9978]

watched all your pain videos, thank you so much for putting me out of pain for leaning pain LOL

[@mariaboonen2498]

Fix the sours 🙏

[@eboghossian]

wonderful sessions for a clever and smart Lecturer

[@wytrose4602]

God bless you..

[@wytrose4602]

I was told that YUP..

[@physioism2447]

Thank you for the very informative videos. Can I please ask is this cycle of chronic pain you explain also the same as the term "central sensitisation"? Thank you

[@suziq8649]

WHAT ARE ANALGESICS?

[@agalyailangovan]

make more videos sis

[@susanmohammed2575]

make more vids

[@wytrose4602]

Dr . Campbell I have looping in my bowels and since I have cancer from my Implant. A long journey to present. Few things I have learned that helps for chronic constipation non drug won't negative effect your work herbs K Swiss is a life saver. One more thing. Glutton or what a difference does that makes.. I was constinstatly in the ER.. since my doctor here aren't getting a full med education. EHR system is being used to cover up malpractice. LABELING PPL INAPPAPRATLY DENYING CARE.. total nightmare.. ultra High motablism.

[@ahamadali6963]

SOP Class OF 2018