This goes to show that people without pain just don't understand people with pain. We as a society are still at our medical infancy on understanding pain.
I agree with you 100%. The field of pain science is relatively new. If you think that the digestive system has been described since 1600s, the pain system has only been discovered in 1960, so we are almost 400 years behind.
Absolutely 💯% . I thought about riding in a car with something rigid in my seat so I can experience pain and get a somewhat understanding of my spouse's pain. I know it's not exact.
@@DrAndreaFurlan And Psychology is even further behind. It's more like a pseudo-science than any real medical practice. Better off cutting a chicken and reading the blood splatter. Voodoo medicine and toxic meds.
@@Voila1999 The fact you are contemplating this indicates to me you have empathy for others that have no choice whether they experience chronic pain or not. Be well Viola✌🏼
I have been dealing with chronic pain for 35 years with varying success. Not everyone catastrifizes the event, but it is essential to work towards a great peace fulness with your God. Make your hope a safe place, be involved with kind people. God orchestrated my life to find a greater Grace than what I was experiencing. I am well cared for by my relationship of 25 years, despite others exiting and loss of function , loss of Job. We must continue to define parameters for our greatest existence possible and allow ourselves to grieve , and acceptance can flow as we work with Christ as our healer. Understand all the science, examine what you can make better and choose to experience other somotic feelings that can override what you are feeling from your nervous system. Experience, laughter, sorrow for others, joy , peace, frustration when it's appropriate for change. God will bring you to the other side of yourself. Realize you are not the only person experiencing these things. Bring yourself to a place of being grateful. 😂
I am a recent LCSW with CPTSD and I have been watching you for years. Thank you so much for helping me heal and inspiring me to move forward. You are making a great difference in the world and I send you. great respect and gratitude.
My journey to chronic severe pain began in 1984 while working on a military project on a remote tiny island in the Pacific. The degenerative chronic severe pain I live with originates in my spine and affect everything attached to it. Dealing with the depression cycle is all too often is more challenging than what is required for the pain management. Blessed Be to All of you that live with chronic pain. May you achieve mastery over the pain. 🙏🏼
I have fibromyalgia, Ehlers Danlos Syndrome, Interstitial Cystitis, IBS and Hashimoto’s. I have always been very open to the theory regarding chronic pain that is talked about here. I’ve had chronic pain for 8 years. I’ve tried all of the treatments mentioned here, and I’ve only had minor success. I am not in any way obsessed with imaging. I don’t think there is anything wrong in my MRIs or X-rays. I don’t have fear of movement. I am a very objective person. I’m very ambitious. I have a full time job as an IT manager. I always commit to things. I think the healthcare system needs to be more open to studying other treatment options and stop being condescending, as I feel the doctor here was. Lidocaine infusions have helped. I think we just don’t know enough, and the palliative care approach in the US is a joke. Love your channel but felt this one wasn’t very helpful (not on you). There are people who talk about similar stuff in videos that I feel are more accessible.
I have idiopathic peripheral neuropathy. I'm 10 years in and looking for some kind of relief. I literally watch Therapy in a Nutshell while I'm doing neurofeedback. Neurofeedback has changed my life. In 2 months I've cut my chronic pain in half.
Hi @slcpunk_ I am sorry to hear about all your pains. There are cases of mixed pains, the person might have all 3 types of pain: nociceptive, neuropathic and nociplastic. I find that if they can be helped with psychology and neuroplasticity techniques it is much easier to treat the other types of pain.
Check out what I said. If you come to me I can help you. I know what causes Fibromyalgia,..am writing a book on it. It is caused by doing repetitive movements withthe legs, that create a twist in the body. There is an easy resolution to, that I figured out a few years ago.
When you have chronic spinal pain, after a failed laminectomy, all the journaling, mindfulness, meditation, and anything else like that does not help. There is a reason for the pain. The nerves are damaged and nothing is going to make it better.
It might not fix it but it does help. Having a calmer nervous system will always benefit you with any issues you have. I have IBS and painful bladder syndrome, meditation, stretching and breathing exercises make a big difference in how often I flare and how long it lasts.
AGREED. Holy wow, Emma. You and your guest are so far off the mark on this one. She is buying hard into the existence of nociplastic pain, even though the term, made up by doctors, has not been fully accepted by the AMA, and been criticized for being, at best, unuseful and, at worst, harmful when used to deny people disability designation or various types of treatment. I have lived with debilitating pain from a failed spinal fusion for over 20 years. (And the resulting disk herniations HAVE lasted for 20 years so how dare she say that all disk herniations heal). It is not a "subjective" problem and it is NOT an "illusion". This is just another doctor grasping at straws to explain something that is not well understood in order to validate themselves. Try validating the patient. "Conditioned behavior", "catastrophizing", "normal for age" "deceptive pain" and comparing the human pain response to Pavlov's dogs? Wow. One more doctor using a fancy way to say "it's all in your head". My naturopathic doctor says clearly, when you feel pain, stop doing it. When the body sends a pain signal it is REAL - whether a doctor can explain it or not. This doctor is even discounting the pain that shows up on scans and imaging. Does she promote using mindfulness in lieu of anesthetic for surgery? Think about it. If her assumptions are correct, we don't need it. The statement "we all heal" discounts the suffering that we deal with every day. Her recommendations are great for people with acute or mild discomfort, but are dangerous for people whose pain is sending an important message that something is very wrong with the system. It's common knowledge in reputable pain research and brain imaging that people's brains process pain differently and this should be used for personalized treatment interventions, not for discounting that pain is real. I can assure her that the "internal pharmacy" is out of stock and permanently closed for people with chronic pain. End of.
I’m sorry, but “we all heal”… not true! Sometimes it just doesn’t happen! Some doctors just DON’T get it! I’m so tired of hearing the same things over and over again and it’s SO tiring and emotionally exhausting
Now, I admit I didn’t listen, BUT as someone who’s had chronic stuff for a long time and has been working on mind/body strategies, here’s what I’ll say and hope it helps. A lot of times, people who have chronic pain after say, an injury or maybe a surgery or accident, actually DO heal from the injury itself ;all the imaging shows a beautiful healed body part… but then the pain keeps going. This can happen because of the brain. Different people call it different things but one term used is neuroplastic pain. This means the brain for one reason or another, continues to believe there is some kind of problem and so continues to create pain signals. Those people have technically “healed” yet they are still in pain. THAT pain is considered neuroplastic and it can be cured through using mind/body strategies, not typical medical strategies. Now obviously some conditions don’t qualify for that title. If you’re interested, there a great book called The Way Out by Alan Gordon. It’s about how to heal from the kind of chronic pain (or other symptom) that I mentioned. It’s an easy read/listen and is really encouraging. People you can listen to on TH-cam include Christi Uipi (love her!), Howard Schubiner and David Strachs. I hope this helps you!🙂.
You are still alive so you have time to heal please don't give up and try to believe you can heal and you are strong godbless you anyone else reading this wish you all the healing health and happiness always 🙌🏽🙏🏽🫶🏽
I have one mayor problem with all these discussions. And this may well be projection on my part but it always feels so condescending when doctors and ppl who study pain talk about what you should do to get better from Chronic pain. Always endup feeling like the reason I am still in pain every second of every day is because I gave up or something similar. I have done years of these sessions of trying to change reaction to sensations they talk about and it does not work for my pain. I fully admit to being scared of the pain, but pain often being chalked up to being almost a mindset problem I get upset about it.
That's why it's very hard to get better the pain is real caused by your own brain. Bend over and get a pain then tell your brain it's a liar you know you are healthy. Doing this over and over. Your brain will move the pain from the back to legs. Even to a spot on your ankle that you hurt two years ago. All lies. People get nervous they sweat or get stomach aches. You are just better at it. It really is a fight, you are in control. Do what it takes to beleave the real you. Some people develop because of the need to be perfect some to avoid social interactions and many other reasons. Does not matter what is the reason. Only thing that does is being and acting healthy. Yes it will hurt but more you tell yourself that it's just your brain the less control it will have. You can be fine very fast. Try
Thank you Emma! This is another very helpful video.All videos don't need to apply to everyone.Your knowledge, compassion, empathy and caring are so evident in all of your videos.Thank you for all that you do!
It is extremely hard and terrifying to listen to this. I have lived with high pain for 34 years. I've been diagnosed with Fibromyalgia, Myalgic Encepalimyalitis, Hashimoto's Thyroiditis, Long Covid and I am still recovering from viral meningitis symptoms which started 5 months ago. I've also been diagnosed with depression and anxiety. I don't even remember what it feels like to not have pain. You talk about undoing synopsis and I WANT to be fixed. I WANT to have a life finally. But I do not (as far as I'm aware) have a thing that has broken me. These illnesses can't be seen on tests. Yet, they are very real. I have seriously struggled with chonic pain for so long that I don't even remember what it feels like to not have pain. So, I can't say to myself, "My broken bone is healed now." I once DID break my shoulder and it hurt like hell, but then it healed and doesn't hurt. That pain experience was different than my chronic pain. I don't understand why and how this applies to me to fix me. But I NEED relief desperately! How can this help me!?
You need a complete physical and emotional overhaul, under Doctor, fast, change diet, get treatment for ptsd, your body is holding accumulative stress and trauma- I wish you well ….
@@nisey504 You know nothing about this person and should keep your medical advice to the nothing you know. Stop invalidating someone because someone told you something in a video once.
Somatic therapy and F E C O( full extract cannabis oil or once called Rso help. )Yes i agree with ptsd is its own pain and needs proper treatment. I. I agree fully on the diet change . Peace to you .@@nisey504
Thank you so much for this video. I’m not even to minute 4 yet and I burst into tears because I have been walking the tightrope between dealing with real pain and also telling myself I’m not crazy for almost 10 years now. It doesn’t get better, but I’ve learned better coping mechanisms. Thanks again and can’t wait to listen to the rest of this interview. ❤
Love your videos. You have a wonderful way of explaining the human brain. I’m very fortunate to have stumbled across your channel! Please keep up the great content 😊
Thank you Emma, I am so excited to see a respected practitioner like you spreading the word about mind-body approaches to pain! It may not be for everyone, but everyone should know it is an option for them.
I got to the 20 minute point of this video and realized I needed to pay better attention, so I started it from the beginning. Really amazing, thank you.
Wow! I now have some hope for the chronic pain which has diminished the quality of my life of for so long! Thank you Emma, for bringing Dr Furlan's work here, and for your input as well. Your channel has been of so much help to me. May God bless you always.
Prayers for all with Chronic pain. Does this doctor or you ever recommend whole food plant based eating. To reduce inflammation in the body. Detox and eat healthy will 100% reduce inflammation. Opiods are highly over used leading to addiction on top of Chronic pain. Mind body and spirit. I was in a wheelchair and went whole food plant based diet and within 1 week was feeling better. Thank God for exercise and eating healthy and sleeping good.
There r several comments that view this as negative. Done CBT and I’m in ACT now & has moved me in an upward direction a few degrees. And I’ll take it! Kept me from going over the edge. The somatic part is new to me. Just to be clear we do feel pain. It that the message of pain is screwed up and needs to be interrupted and retrained. There IS value in these suggestions. If We are already at our wits end … what do we have to lose? Meds do little for my chronic pain.
I have had chronic pain my whole life, even as a small child and it has become very severe in the 10 last years. I just wanna say that your comment in the beggining "can you imagine that?" Sent me into tears. I wish everyone had that kind of empathy. Being gaslight, ignored, neglected and even violented is possibly the worst part of this hell. Honestly I don't even know how I survive, I find it hard to comprehend the amount of pain and suffering I love thru even myself so I understand that people have a hard time comprehending it. I just wish they would trust me. You don't need to understand, you just need to trust me.
I dont think this aproach to fibromialgia is the best I have ever seen. The most important compounds - basically nutrition and stress management - are very underestimated. Sugar, hidratos de carbono and Toxic things like alcohool, pesticides, herbicides, colorants, conservantes, must be out of the diet. Ignoring this is ignoring the ambiental Root of the problem.
@@eduardasaandresen2052 yup, I don't agree with the whole video at all, I only commented on that specific phrase. Because we can disagree on treatments but still respect each other.
Apart from a sudden traumatic injury, pain in the muscular system is always caused by the body's struggle to hold itself up. When the body is not structurally sound, other muscles called compensating muscles must tighten to prevent the body from collapsing.. this blocks blood flow, which is what causes pain. Blaming the nervous system is not correct. Blaming the brain does not help people who are in pain. I have been a massage therapist for 26 years. People need to start "touching" people to learn what pain is. It drives me crazy when people act like they are experts, when they obviously know nothing of what they are talking about
What would you recommend for people who have engaged in these treatments without success? Over a year's work with a pain team (including extensive pain education, exercise, nutrition, sleep, mind-body, journalling, medication for comorbidities etc) has done little to nothing, and the learned helplessness is real!
I didn’t listen to a lot of this but do know some about the topic and found her explanations to be perhaps confusing. If you like books, The Way Out by Alan Gordon is excellent. People to listen to on TH-cam include Christi Uipi, Dr David Clarke, Dr Howard Schubiner and many others. These folks really know how to explain it so it’s pretty simple to grasp. It’s really fascinating to me at least and I am personally working my way out of a bunch of stuff. I encourage you to dive a little deeoer
I love your stuff normally Emma, but not this one. The guy with the nail in his boot who thought he was in pain even though it went between his toes? Your guest is taking this very rare occurrence, this anecdotal evidence, and projecting it on all patients who have chronic pain. That's just bad science. It's been over ten years since my fibromyalgia resolved but this stuff still makes my blood boil. Just because this apparently happened to some guy doesn't mean that my pain wasn't real or that it was all in my head. The symptoms of fibromyalgia and the side effects from NSAIDs are identical, and I don't think that's a coincidence, but you'll never hear doctors talking about that. I can't count the people who tried to tell me it began and ended in my brain. That's gaslighting. These same practitioners often did not properly examine me, wouldn't touch my arm when I told them I had objective signs of pain, like muscle wasting. I finally bought a laser from a vet and treated myself. That's not "learned helplessness." The areas of my body that I had lasered stopped hurting and the areas that I hadn't treated yet still hurt. That's not in my head. Also ESWT works wonders for fibromyalgia. Doctors don't like it.
Talk to someone who understands what chronic pain is? How many patients has this doctor actually cured? How can you call yourself an expert in something that you can't fix? Exercise leads to flare-up. Strength training is the worst possible advice you could give someone with fibro. I'm sure this doctor has heard that thousands of times from patients and never listened. Pain does NOT work the same as anxiety. It's not fear, because fear does not respond to laser and ultrasound, but fibro does is upwards of 80% of patients. She's ignoring objective evidence like MRIs and xrays, and instead gaslighting patients with a script that comes straight from Workers Compensation Boards and is used to deny valid claims. It also makes friends and family skeptical and tends to reduce the help that fibro patients so desperately need. Whenever I heard this #@Z!!! I asked doctors about blind people. We know that blind people have changes in their brains that cause other senses to be more acute. Does that mean that there is nothing physically wrong with their eyes? Of course not. Does a change in your brain mean that objective findings on an MRI are not valid? Does it exclude everything else that might be happening like hormone imbalances or sleep apnea? Of course not. Do doctors tell blind people that their disability is all in their brain, that they have" learned helplessness," that xrays are not valid, and that they can overcome blindness with mindfulness? Of course not. You can disprove your guest's theories with basic logic. No medical degree needed.
In the last 30 years, physios stopped using ultrasound and this also corelates with the rise in fibromyalgia. I used to wonder why someone like me who got fibro from a repetitive strain injury ended up with the same symptoms as someone who got it from a traumatic injury like a car accident. What's the common denominator? WE TAKE THE SAME MEDS. Again, not in your brain, and until doctors admit that there is a connection, millions of people will suffer from this debilitating condition, some will become addicted to opioids, and lots will overdose or commit suicide. I had a stash of sleeping pills and a vacuum cleaner hose, so it infuriates me to listen to someone smirk about this, and provide tired old theories as if they were new and revolutionary. Water-based exercise is particularly bad because you can't feel the pain as much in the cold water so it's much easier to injure yourself and pay for it for weeks or months. Doctors love to recommend this and get very angry if you try to explain why it doesn't work. Journaling? Are you kidding me? When I had fibro I couldn't write a grocery list. You do tremendous damage by calling this "learned helplessness" and equating it with depression, Emma. I'm so disappointed to hear you say this. Your guest doesn't mention sleep apnea, anemia, or hormone levels, all of which contribute to fibro. Why would you when you're trying to convince people that their pain is all in their head? Instead she's prescribing sleeping pills, opioods, and of course, anti-inflammatories which inhibit tendon to bone healing--you know, the stuff on MRIs. www.shoulderdoc.co.uk/news/view/295 I'd also like to report that, although this video made me very angry, I don't feel any pain whatsoever. Why? Because I have been appropriately treated with ESWT (high-powered ultrasound) and laser, and I no longer have fibro, although I did waste 25 years of my life in horrible pain, listening to doctors like the one on your show. If people like her could cure chronic pain, they wouldn't call it chronic pain.
Don’t feel gaslit if someone says the pain started in your brain though! Literally all pain messages are created in the brain!!! All pain is real because it is all experienced! But not all pain is from tissue damage! The boot story is supposed to be an example that shows how powerful our brain is! He sees the nail- message goes to brain-brain perceives likely injury-creates pain signals so man will not further injure foot. And there was no damage! We have generally been taught that if our hand hurts, that pain is generated in our hand, but it isn’t even though that’s where we feel it! Sigh. When I first saw this video title I thought “Yay! Emma’s getting into the bio-psycho-social model of care now (mind/body medicine)” but from the comments I can tell it didn’t really hit the mark. I’m glad you were able to find to true source of your pain and get rid of it! And I’d be interested in anything you have regarding NSAIDS even though I don’t have fibro. There ARE a lot of people who have pain that is not medically explained (or other symptoms like dizziness). Some people have symptoms only because their brain is creating the symptoms, and nothing else. Sometimes people have neuroplastic pain which can be treated with some the things you mentioned It really is dependent on if a direct physiological cause can be identified. It seems to me from the comments that most people were not blessed by this video no matter where they were in their pain/symptom journey! Personally I struggle with medically unexplained dizziness and chronic muscle tightness. It is all neuroplastic and can be healed and I’m working on it. Journaling, self-compassion and assistance from therapists can all help. If you’re curious, a few people you can search on TH-cam would be Howard Schubiner, David Strachs and Christi Uipi and Alan Gordon. Alan has a great book called “The Way Out”. I highly recommend it! Signed- another person frustrated with modern medicine.
@@suzannemartin6817 "Don't feel gaslit..." Really? You're going to try to gaslight me about being gaslight? LOL You don't need to explain the video to me, and I don't need advice about pain management. I no longer have fibromyalgia.
I love how Dr. Andrea consistently stresses on the fact that "we all heal". I can almost sense how empathetic she is to people who are suffering and it is very reassuring to hear her say this. - Having said that, I also understand how people with terrible, chronic, real pain can feel devalued by this conversation. I hope that the message that "your pain is real" gets conveyed to all of them. Yes medicines work, but in a number of cases the pain may be enhanced or made chronic due to to psychological and neurological conditioning AS WELL. I'm sure their motive was not to infuriate people or trivialize their feelings.
It is very tricky to deliver this message in clinical practice. Each patient is different and we need to find out what they know before we start teaching them.
All pain is real but not all pain is based on a current physiological cause. Pain is created in the brain so anytime our brain gets messages from our body (or our amygdala) that indicate something bad or dangerous is going on it can create pain in response. This is called neuroplastic pain and this is 100% treatable. This is not really all that new but is not taught and would cause big pharma to lose tons of money! You can look up Dr Howard Schubiner, Dr John Strachs, Christi Uipi, Alan Gordon or Dr John Sarno. Check out a podcast called “tell me about your pain”. Lots and lots of resources. In Fact, the actress Maylim Baylik had debilitating back pain that actually was neuroplastic and she got rid of it! She has a podcast episode with Alan Gordon. It’s actually really fascinating and full of hope for all of us who struggle.
They both mentioned several times about pain that will not end and I appreciate the balance. I also appreciate the hope that while I have nothing wrong with any part of my body (they can’t find anything ) I do suffer from cptsd and will pursue her recommendations. We can’t know if our body is working against us trying to help us unless we try. The smoke alarm is a great example. I’m going to see if I have faulty wiring! I’ll be thrilled if I do and can adjust and if not. Knowledge is always best.
There are so many online resources for that!! May I recommend a wonderful book by Alan Gordon called “The Way Out”. It’s available in print and as an audio book. Also you can listen to people like Christi Uipi, Howard Schubiner, John Strachs. ❤️
Can you make a video outlining the takeaway from this video? I just find it long and hard to follow. But would love to hear what you have to say and what you know and can teach us about changing our brains to feel pain less often in the body.
So why do any diagnostic imaging if you're just going to discount its relationship to pain? I've been through two courses at the pain treatment center and tried it all to no avail. For years the exam question has been, "Do you have any numbness tingling, or shooting pains down your leg." When those symptoms eventually appear they are like, it's not significant. So I said why did you even ask that question? Why am I even here when you negate everything and offer me no solutions?
I just wonder if this womannhas ever suffered chronic pain? How arrogant. Even if there is a small qmount of conditioning involved . Just aonother way for the doctors to say "its all in your head" 😡
Wow, now I know that the reason of my anxiety is my chronic back pain. Im always thinking that every time my back hurt I always think that I’m gonna die anytime soon. I am over thinker person this is my problem. I need this and I need mental exercises. Thank you 🙏🏻
I enjoyed this episode but I think we need to be careful about saying these people have this part of the insula stimulated and they know their pain will end and others have another part of their insula stimulated and catastrophize and don't know their pain will end. It could leave people thinking they have the "wrong" kind of brain when the "wrong kind" of brain doesn't even exist. For those who have chronic pain associated with autoimmune disease I recommend looking into Dr. Maggie Yu and her autoimmune program which focuses on managing pain, but mostly on putting the disease into remission with hormone balance, blood sugar mapping, food mapping, etc. She does believe in supplements and formulates her own. ❤️❤️❤️
@@bleeepbloop Early rehabilitation is the recommended thing to do. While ice and elevation might help decreasing swelling and pain in the short term, it constricts the blood vessels near the injury and shuts off the blood flow that brings in the healing cells of inflammation. There is an interesting article from Dr. Gabe Mirkin who actually invented the RICE acronym. He stepped back from his view after learning about the role of inflammation in the healing process.
Well here in Alberta we still use it and it has helped me. My husband is a specialized trainer who works in a physio clinic and also trains all our future law enforcement officers for their fitness course test. He also lives with a wife who has a back injury from skiing about 30 years ago. He still uses RICE as a treatment in fact I am doing it right now for pain in my foot and now it’s spreading to my leg.
I had surgery on my foot 6 months ago, and the best thing for my acute pain was RICE. Not even painkillers had the same effect as RICE (rest, ice, compression and elevation). My foot is totally fine now.
Perhaps it will help to start by seeing a well-regarded neurologist AND the best possibly regarded pain management physician. Best of luck, best of health.
there is medication now for nerve pain. IT helps, but it's not an opioid or pain pill per say. If you have a primary care dr, I would ask them about it.
@@natalieg5601 Thank you and I do have a primary Doctor and They have me scheduled for a X-ray but it just started after I got a booster shot for Newmonia that was on the 13 of December didn't have a problem before then.
I have the same sir, and I have to say if you are really having trouble nerve pain or even the restlessness that comes with the bad nerves you may want to ask about gabbapentin, or taking magnesium at night (as long as you don’t have a thyroid condition). It saved my life and I will take it for the rest of my life. There is also lyrica but that will also affect your mind so I would ask your doc about these. Good luck dear sir.
@@rivchick Thank you for your support I'm really not sure what I have I was fine till I went for my yearly check up and they give me a booster shot for Newmonia and by the time I got back home I couldn't get my leg fixed where it didn't hurt I'm a Retired heavy equipment mechanic and never had problems with my legs or back . Thanks again just to have your support means a lot 🙏
Wow that was awesome! I’ve been learning from this channel more recently, but Dr. Furlan has been “with” me since I attended the UHN pain clinic in 2020 and her colleague instructed me to watch some of her videos for pain education, and practice the physiotherapy exercises from some others. My frozen shoulder “thawed” but I still do some of the exercises nightly. 😊
I don’t understand this one. Doctors telling patients to disregard MRI’s just because ‘nobody has a normal MRI’ seems so odd. The person could have had chronic pain for 10 years and the disc issue for the same amount of time so it be causing the pain but there is no way to tell when exactly the issue arrived. And I’ve tried all the exercises, meditation, journaling etc in the world but it definitely isn’t a cure for chronic pain even if it is useful. Y nervous system is definitely more stressed now seeing that medical professionals still have no real hard answers or understanding of our situation.
I agree @sicpunc, I got out of RSD 20 years ago not through traditional treatment. Now I have CRPS because of surgery- this is not a helpful video. I also have EDS and lidocaine doesn't do a thing. Chronic is real and many doctors who are "supposedly" pain management doctors deny it. Still this video isn't helpful.
I have CRPS as well, the only thing I have heard that helps, including my own drs. is ketamine infusions under medical expertise, I go to a pain clinic. Do you have a limb that yours is in'? Mine is my left foot.
Lived with migraines for 20 years. Best doctors, tried everything. It was when I found a community, 12 step, surrender, a personal relationship with the lord. Am not discounting what is said here, however, believe this is far to complicated, 46:27 we are not doctors.and living with pain…..🙏🏻God can do what I couldn’t, eventually began doing much of this, eating, exercising. But his love support of community seeing & hearing what a power greater us, does WORKED ! Shocking my doctors. I truly l Found many of your videos so helpful. Keeping it simple, taking off the pressure. Hope this makes sense. Love is the most powerful medicine.. For anyone no many your beliefs or not believing, it’s just having a higher power, can be your dog. My heart goes out to all in pain.
Why support such gaslighting? Very disappointing to see such an "expert" preaching that chronic pain is all in our heads. I have already gotten enough of this nonsense from plenty of misinformed individuals. Some of us have genetic diseases that cause constant and painful symptoms.
“We don’t treat the MRI. We treat the patient.” That is a ridiculous statement in so many ways. And It sure doesn’t seem like it depends on the patient. Drs are saying bc some people don’t have pain so you shouldn’t. Everbody is different and might feel pain with disc issues while another person doesn’t. I had high hopes for this video but every chronic pain video I listen to seems to blame the patient again and again.
17:52 when people come with images its because were desperate for you to understand our pain is real. Invalidating it by saying these images arent important and brushing them aside is not okay. Its straight up gaslighting. Those images can be our only hope of proving its not all in our head. With a chronic condition like EDS, exercise isnt going to fix the very real systemic issues going on in our bodies. I had to stop watching because this is not good or helpful advice.
So, we all get older... And just accepting pain in older age or xhronic pain is inevitable, on everybody's MRI .... Sonjist get over it ? Or slap some CBT on it andd send them home? Has this womqn had chronic pain? Terrible arrogance. 😡
Not forgetting pain can come an go, we all know about weather changes and increases or decreases. At 73 it is much easier to take t3s, and top it before it arises, acknowledging the doctors see no reason to medicate constantly.
Any recommendations for medications that help with chronic pain and anxiety . I have chronic TMJD that triggers anxiety, and the anxiety triggers the pain. Tricyclic antidepressants maybe ? I’m just afraid antidepressants with cause clenching and grinding…
If docs can’t tell you for sure why you have that pain- like, it’s not definitive-they “think” It’s because of this or that, but aren’t sure, may I recommend The Way Out by Allan Gordon? It’s a great book on healing chronic pain that is not well explained by imaging or tests. It is very easy to read/listen to and is very encouraging with lots of patient stories, jokes, and actionable items. And know too that chronic pain (and other chronic symptoms) often go hand in hand with anxiety and can create a never ending loop. so if you can find a good person to help with resolving your anxiety it might just help your pain too. I’m right there with you!
I really appreciate this ! I will keep you in and everyone else dealing with chronic pain in my prayers. There has to be a way out of this and hope for us to live to the fullest. Thank you for the book recommendation; I’ll check it out !!
I have chronic pain in my knees due to chondropatia III/IV stage and suffer from endometriosis. I had 4 serious surgeries on knees and nothing helped. Also I'm too young for knee replacement. I gave up on op treatment and going to start microdosing lsd🤷♀️ The pain is that bad that I almost bite off the concrete of walls. Endometriosis pain was even worse but in my early 20s I got rid of my period chemically. At least half of the pain is gone forever. Ps. It's not recommended to use cannabis due to THC overload called CHS. It is as painful as giving birth and you can't literally stop vomiting. Lsd has no side effects
She is very wrong in that pain killers doesn't work for chronic pain. They do work but should of course be used sparingly. Her attitude towards her patients is pretty terrible. Imagine coming to a doctor with terrible pain and they tell you "but you can move" lol.
I think you're putting words in her mouth.. throughout the video, from the very beginning she also stressed how the pain is very real. It seems like you're picking an choosing information that kinda aligns with the perception you already have about doctors/specialists - which is another small part of the problem that we with chronic diseases have. In no way does what dr.andrea says trivializes pain.
She uses the example herself, she says that if people come in with scans showing that their back is messed up she will tell them that "they can move and look strong" and that she does not want to see the scans.
@@sandrairen1988 Totally agree on how that can be extremely insensitive. She should have spoken more on how this is not a one-size-fits-all kinda approach. Further along in the podcast she does insist on the importance of medication for neuropathic pain while side by side working on the psychological part of it. She insists on diagnosis, medicine and surgery for pain when needed - her approach is more suited for pain that doesn't show structural problems or a diagnosable reason for the pain
Health care costs are out of control. Going WFPB vegan can save money, pain and suffering from disease. Lower your chance of high blood pressure, heart disease and cancer by going vegan. Hospitals, doctors offices and schools should be places where good nutrition is taught and provided not places that contribute to disease and obesity. It is crazy the hospitals are feeding people the very food that caused the heart disease, high blood pressure or cancer that they are treating. Every person in the hospital should receive some nutrition education before being released. Every doctor visit should be an opportunity to educate patients about how food choices impacts their health outcomes. The fact that doctors do not get nutrition training as part of their training makes no sense. Medicare and Medicaid should require nutrition education as part of patient care. Focus should be on food choices, stress reduction, improving sleep and daily exercise.
What a load of codswallop brought to us by the APA that needs to stay in their lane and treat mental illness. Last time I checked severe arthritis isn’t listed as a mental disorder in the DSM-V.
She has some helpful tips but looks like an ass other times. She acts like folks know every detail of everything happening. My femurs are falling apart and sometimes there are bone chips in my knee. Sometimes the pain is arthritis, sometimes it's because my bones are breaking and it's hard to use these tricks when the pain may be very real or may be from past damage. How do you use these things in the in between? Whether it's waiting for an MRI, switching doctors, anything. What do you do in the middle. In the present. Doctor said "you should be healed". Yet he is hesitant to do an MRI after removing a drill bit that was embedded in bone. Telling me he fixed it the first time. 6 surgeries later and I've been told I'm shit out of luck until I'm old enough to get a knee replacement. Good luck walking is what I was told. I'm 28. She means well but needs to check herself a bit.
I enjoy these type of videos, but they are too long for me. I wish they would be more concise so that I have the time and mental energy to watch the whole video.
Sending love to all my fellow chronic pain warriors 💕
Started at 19 now I am 22 I am done with this pain 😢
This goes to show that people without pain just don't understand people with pain. We as a society are still at our medical infancy on understanding pain.
I agree with you 100%. The field of pain science is relatively new. If you think that the digestive system has been described since 1600s, the pain system has only been discovered in 1960, so we are almost 400 years behind.
Absolutely 💯% . I thought about riding in a car with something rigid in my seat so I can experience pain and get a somewhat understanding of my spouse's pain. I know it's not exact.
If u have nerve damage u ARE broken sorry.
@@DrAndreaFurlan And Psychology is even further behind. It's more like a pseudo-science than any real medical practice. Better off cutting a chicken and reading the blood splatter. Voodoo medicine and toxic meds.
@@Voila1999 The fact you are contemplating this indicates to me you have empathy for others that have no choice whether they experience chronic pain or not.
Be well Viola✌🏼
Pain may always be there until we die, but I believe acceptance of reality and having a discernment skill to be grateful, helps reduce the suffering.
I have been dealing with chronic pain for 35 years with varying success. Not everyone catastrifizes the event, but it is essential to work towards a great peace fulness with your God. Make your hope a safe place, be involved with kind people. God orchestrated my life to find a greater Grace than what I was experiencing. I am well cared for by my relationship of 25 years, despite others exiting and loss of function , loss of Job. We must continue to define parameters for our greatest existence possible and allow ourselves to grieve , and acceptance can flow as we work with Christ as our healer. Understand all the science, examine what you can make better and choose to experience other somotic feelings that can override what you are feeling from your nervous system. Experience, laughter, sorrow for others, joy , peace, frustration when it's appropriate for change. God will bring you to the other side of yourself. Realize you are not the only person experiencing these things. Bring yourself to a place of being grateful. 😂
I am a recent LCSW with CPTSD and I have been watching you for years. Thank you so much for helping me heal and inspiring me to move forward. You are making a great difference in the world and I send you. great respect and gratitude.
Can't thank you enough for addressing chronic pain on your channel. ❤
My journey to chronic severe pain began in 1984 while working on a military project on a remote tiny island in the Pacific.
The degenerative chronic severe pain I live with originates in my spine and affect everything attached to it.
Dealing with the depression cycle is all too often is more challenging than what is required for the pain management.
Blessed Be to All of you that live with chronic pain. May you achieve mastery over the pain. 🙏🏼
I have fibromyalgia, Ehlers Danlos Syndrome, Interstitial Cystitis, IBS and Hashimoto’s. I have always been very open to the theory regarding chronic pain that is talked about here. I’ve had chronic pain for 8 years. I’ve tried all of the treatments mentioned here, and I’ve only had minor success. I am not in any way obsessed with imaging. I don’t think there is anything wrong in my MRIs or X-rays. I don’t have fear of movement. I am a very objective person. I’m very ambitious. I have a full time job as an IT manager. I always commit to things. I think the healthcare system needs to be more open to studying other treatment options and stop being condescending, as I feel the doctor here was. Lidocaine infusions have helped. I think we just don’t know enough, and the palliative care approach in the US is a joke. Love your channel but felt this one wasn’t very helpful (not on you). There are people who talk about similar stuff in videos that I feel are more accessible.
I have idiopathic peripheral neuropathy. I'm 10 years in and looking for some kind of relief. I literally watch Therapy in a Nutshell while I'm doing neurofeedback. Neurofeedback has changed my life. In 2 months I've cut my chronic pain in half.
@@JennBarker-eo3gxthat's great news to hear.
Hi @slcpunk_ I am sorry to hear about all your pains. There are cases of mixed pains, the person might have all 3 types of pain: nociceptive, neuropathic and nociplastic. I find that if they can be helped with psychology and neuroplasticity techniques it is much easier to treat the other types of pain.
@JennBarker-eo3gx Can you tell me more about Neurofeedback? Interested in help for my chronic pain
Check out what I said. If you come to me I can help you. I know what causes Fibromyalgia,..am writing a book on it. It is caused by doing repetitive movements withthe legs, that create a twist in the body. There is an easy resolution to, that I figured out a few years ago.
When you have chronic spinal pain, after a failed laminectomy, all the journaling, mindfulness, meditation, and anything else like that does not help. There is a reason for the pain. The nerves are damaged and nothing is going to make it better.
And the doctor who did the surgery said nothing I can do, right?
It might not fix it but it does help. Having a calmer nervous system will always benefit you with any issues you have. I have IBS and painful bladder syndrome, meditation, stretching and breathing exercises make a big difference in how often I flare and how long it lasts.
@@EffectivePickyEatersSolutions you are absolutely right!
AGREED. Holy wow, Emma. You and your guest are so far off the mark on this one. She is buying hard into the existence of nociplastic pain, even though the term, made up by doctors, has not been fully accepted by the AMA, and been criticized for being, at best, unuseful and, at worst, harmful when used to deny people disability designation or various types of treatment. I have lived with debilitating pain from a failed spinal fusion for over 20 years. (And the resulting disk herniations HAVE lasted for 20 years so how dare she say that all disk herniations heal). It is not a "subjective" problem and it is NOT an "illusion". This is just another doctor grasping at straws to explain something that is not well understood in order to validate themselves. Try validating the patient. "Conditioned behavior", "catastrophizing", "normal for age" "deceptive pain" and comparing the human pain response to Pavlov's dogs? Wow. One more doctor using a fancy way to say "it's all in your head". My naturopathic doctor says clearly, when you feel pain, stop doing it. When the body sends a pain signal it is REAL - whether a doctor can explain it or not. This doctor is even discounting the pain that shows up on scans and imaging. Does she promote using mindfulness in lieu of anesthetic for surgery? Think about it. If her assumptions are correct, we don't need it. The statement "we all heal" discounts the suffering that we deal with every day. Her recommendations are great for people with acute or mild discomfort, but are dangerous for people whose pain is sending an important message that something is very wrong with the system. It's common knowledge in reputable pain research and brain imaging that people's brains process pain differently and this should be used for personalized treatment interventions, not for discounting that pain is real. I can assure her that the "internal pharmacy" is out of stock and permanently closed for people with chronic pain. End of.
Kratom will! It’s helped my chronic pain after failed back surgery.
I’m sorry, but “we all heal”… not true! Sometimes it just doesn’t happen! Some doctors just DON’T get it! I’m so tired of hearing the same things over and over again and it’s SO tiring and emotionally exhausting
Now, I admit I didn’t listen, BUT as someone who’s had chronic stuff for a long time and has been working on mind/body strategies, here’s what I’ll say and hope it helps. A lot of times, people who have chronic pain after say, an injury or maybe a surgery or accident, actually DO heal from the injury itself ;all the imaging shows a beautiful healed body part… but then the pain keeps going. This can happen because of the brain. Different people call it different things but one term used is neuroplastic pain. This means the brain for one reason or another, continues to believe there is some kind of problem and so continues to create pain signals. Those people have technically “healed” yet they are still in pain. THAT pain is considered neuroplastic and it can be cured through using mind/body strategies, not typical medical strategies. Now obviously some conditions don’t qualify for that title. If you’re interested, there a great book called The Way Out by Alan Gordon. It’s about how to heal from the kind of chronic pain (or other symptom) that I mentioned. It’s an easy read/listen and is really encouraging. People you can listen to on TH-cam include Christi Uipi (love her!), Howard Schubiner and David Strachs. I hope this helps you!🙂.
You are still alive so you have time to heal please don't give up and try to believe you can heal and you are strong godbless you anyone else reading this wish you all the healing health and happiness always 🙌🏽🙏🏽🫶🏽
Caitlin is a great healer google 😂 her
I have one mayor problem with all these discussions. And this may well be projection on my part but it always feels so condescending when doctors and ppl who study pain talk about what you should do to get better from Chronic pain. Always endup feeling like the reason I am still in pain every second of every day is because I gave up or something similar. I have done years of these sessions of trying to change reaction to sensations they talk about and it does not work for my pain. I fully admit to being scared of the pain, but pain often being chalked up to being almost a mindset problem I get upset about it.
That's why it's very hard to get better the pain is real caused by your own brain. Bend over and get a pain then tell your brain it's a liar you know you are healthy. Doing this over and over. Your brain will move the pain from the back to legs. Even to a spot on your ankle that you hurt two years ago. All lies. People get nervous they sweat or get stomach aches. You are just better at it. It really is a fight, you are in control. Do what it takes to beleave the real you. Some people develop because of the need to be perfect some to avoid social interactions and many other reasons. Does not matter what is the reason. Only thing that does is being and acting healthy. Yes it will hurt but more you tell yourself that it's just your brain the less control it will have. You can be fine very fast. Try
Thank you Emma! This is another very helpful video.All videos don't need to apply to everyone.Your knowledge, compassion, empathy and caring are so evident in all of your videos.Thank you for all that you do!
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It is extremely hard and terrifying to listen to this. I have lived with high pain for 34 years. I've been diagnosed with Fibromyalgia, Myalgic Encepalimyalitis, Hashimoto's Thyroiditis, Long Covid and I am still recovering from viral meningitis symptoms which started 5 months ago. I've also been diagnosed with depression and anxiety. I don't even remember what it feels like to not have pain. You talk about undoing synopsis and I WANT to be fixed. I WANT to have a life finally. But I do not (as far as I'm aware) have a thing that has broken me. These illnesses can't be seen on tests. Yet, they are very real. I have seriously struggled with chonic pain for so long that I don't even remember what it feels like to not have pain. So, I can't say to myself, "My broken bone is healed now." I once DID break my shoulder and it hurt like hell, but then it healed and doesn't hurt. That pain experience was different than my chronic pain. I don't understand why and how this applies to me to fix me. But I NEED relief desperately! How can this help me!?
You need a complete physical and emotional overhaul, under Doctor, fast, change diet, get treatment for ptsd, your body is holding accumulative stress and trauma- I wish you well ….
@@nisey504you forgot to ask if they've already tried yoga
@@nisey504 You know nothing about this person and should keep your medical advice to the nothing you know. Stop invalidating someone because someone told you something in a video once.
@@nisey504 I've seen a plethera of doctors over the years. Nobody has an answer.
Somatic therapy and F E C O( full extract cannabis oil or once called Rso help. )Yes i agree with ptsd is its own pain and needs proper treatment. I. I agree fully on the diet change . Peace to you .@@nisey504
Hey Emma, I love your video's! they are sooooooooooooooo helpful and I love how clear you are in them. Thank you so much!
Thank you so much for this video. I’m not even to minute 4 yet and I burst into tears because I have been walking the tightrope between dealing with real pain and also telling myself I’m not crazy for almost 10 years now. It doesn’t get better, but I’ve learned better coping mechanisms. Thanks again and can’t wait to listen to the rest of this interview. ❤
Love your videos. You have a wonderful way of explaining the human brain. I’m very fortunate to have stumbled across your channel! Please keep up the great content 😊
Yes, Emma has a kind way of explaining things.
Thank you Emma, I am so excited to see a respected practitioner like you spreading the word about mind-body approaches to pain! It may not be for everyone, but everyone should know it is an option for them.
I agree with you. Not all cases of chronic pain are nociplastic pain (a problem of the wiring in the pain system).
@@DrAndreaFurlanhave you read The Way Out by Alan Gordon? Great book on the topic
@@suzannemartin6817 Yes, I did.
What did you think of this book?
I got to the 20 minute point of this video and realized I needed to pay better attention, so I started it from the beginning.
Really amazing, thank you.
Thank you for your comment!
As a therapist I thank you! I learned so much!!!
Wow! I now have some hope for the chronic pain which has diminished the quality of my life of for so long! Thank you Emma, for bringing Dr Furlan's work here, and for your input as well. Your channel has been of so much help to me. May God bless you always.
Thank you Kathleen!
So exactly what part she said made an actual difference in your pain reality? Did hope diminish your day-to-day level of pain?
Prayers for all with Chronic pain. Does this doctor or you ever recommend whole food plant based eating. To reduce inflammation in the body. Detox and eat healthy will 100% reduce inflammation. Opiods are highly over used leading to addiction on top of Chronic pain. Mind body and spirit. I was in a wheelchair and went whole food plant based diet and within 1 week was feeling better. Thank God for exercise and eating healthy and sleeping good.
Yes, I agree with you.
There r several comments that view this as negative. Done CBT and I’m in ACT now & has moved me in an upward direction a few degrees. And I’ll take it! Kept me from going over the edge. The somatic part is new to me. Just to be clear we do feel pain. It that the message of pain is screwed up and needs to be interrupted and retrained. There IS value in these suggestions. If We are already at our wits end … what do we have to lose? Meds do little for my chronic pain.
The pain is real, and there is treatment for nociplastic pain
I have had chronic pain my whole life, even as a small child and it has become very severe in the 10 last years.
I just wanna say that your comment in the beggining "can you imagine that?" Sent me into tears. I wish everyone had that kind of empathy.
Being gaslight, ignored, neglected and even violented is possibly the worst part of this hell.
Honestly I don't even know how I survive, I find it hard to comprehend the amount of pain and suffering I love thru even myself so I understand that people have a hard time comprehending it. I just wish they would trust me. You don't need to understand, you just need to trust me.
I dont think this aproach to fibromialgia is the best I have ever seen. The most important compounds - basically nutrition and stress management - are very underestimated. Sugar, hidratos de carbono and Toxic things like alcohool, pesticides, herbicides, colorants, conservantes, must be out of the diet. Ignoring this is ignoring the ambiental Root of the problem.
@@eduardasaandresen2052 yup, I don't agree with the whole video at all, I only commented on that specific phrase. Because we can disagree on treatments but still respect each other.
Two of my favorite ladies in one video. Wow!!!😃🤩
That is very kind of you!
Mine too! ❤
Apart from a sudden traumatic injury, pain in the muscular system is always caused by the body's struggle to hold itself up. When the body is not structurally sound, other muscles called compensating muscles must tighten to prevent the body from collapsing.. this blocks blood flow, which is what causes pain. Blaming the nervous system is not correct. Blaming the brain does not help people who are in pain. I have been a massage therapist for 26 years. People need to start "touching" people to learn what pain is. It drives me crazy when people act like they are experts, when they obviously know nothing of what they are talking about
I started following Dr Andrea and you during pandemic. What a lovely surprise to see a video of you together.
Me too! Started watching both several years ago. Love seeing you both together.
What would you recommend for people who have engaged in these treatments without success? Over a year's work with a pain team (including extensive pain education, exercise, nutrition, sleep, mind-body, journalling, medication for comorbidities etc) has done little to nothing, and the learned helplessness is real!
Thanks to each of you. I learned much from this discussion.
I'm glad to hear that.
while alot of this is helpful it disregards the many different degrees and types of chronic pain.
I didn’t listen to a lot of this but do know some about the topic and found her explanations to be perhaps confusing. If you like books, The Way Out by Alan Gordon is excellent. People to listen to on TH-cam include Christi Uipi, Dr David Clarke, Dr Howard Schubiner and many others. These folks really know how to explain it so it’s pretty simple to grasp. It’s really fascinating to me at least and I am personally working my way out of a bunch of stuff. I encourage you to dive a little deeoer
I love your stuff normally Emma, but not this one. The guy with the nail in his boot who thought he was in pain even though it went between his toes? Your guest is taking this very rare occurrence, this anecdotal evidence, and projecting it on all patients who have chronic pain. That's just bad science. It's been over ten years since my fibromyalgia resolved but this stuff still makes my blood boil. Just because this apparently happened to some guy doesn't mean that my pain wasn't real or that it was all in my head. The symptoms of fibromyalgia and the side effects from NSAIDs are identical, and I don't think that's a coincidence, but you'll never hear doctors talking about that. I can't count the people who tried to tell me it began and ended in my brain. That's gaslighting. These same practitioners often did not properly examine me, wouldn't touch my arm when I told them I had objective signs of pain, like muscle wasting. I finally bought a laser from a vet and treated myself. That's not "learned helplessness." The areas of my body that I had lasered stopped hurting and the areas that I hadn't treated yet still hurt. That's not in my head. Also ESWT works wonders for fibromyalgia. Doctors don't like it.
Talk to someone who understands what chronic pain is? How many patients has this doctor actually cured? How can you call yourself an expert in something that you can't fix? Exercise leads to flare-up. Strength training is the worst possible advice you could give someone with fibro. I'm sure this doctor has heard that thousands of times from patients and never listened. Pain does NOT work the same as anxiety. It's not fear, because fear does not respond to laser and ultrasound, but fibro does is upwards of 80% of patients. She's ignoring objective evidence like MRIs and xrays, and instead gaslighting patients with a script that comes straight from Workers Compensation Boards and is used to deny valid claims. It also makes friends and family skeptical and tends to reduce the help that fibro patients so desperately need. Whenever I heard this #@Z!!! I asked doctors about blind people. We know that blind people have changes in their brains that cause other senses to be more acute. Does that mean that there is nothing physically wrong with their eyes? Of course not. Does a change in your brain mean that objective findings on an MRI are not valid? Does it exclude everything else that might be happening like hormone imbalances or sleep apnea? Of course not. Do doctors tell blind people that their disability is all in their brain, that they have" learned helplessness," that xrays are not valid, and that they can overcome blindness with mindfulness? Of course not. You can disprove your guest's theories with basic logic. No medical degree needed.
In the last 30 years, physios stopped using ultrasound and this also corelates with the rise in fibromyalgia. I used to wonder why someone like me who got fibro from a repetitive strain injury ended up with the same symptoms as someone who got it from a traumatic injury like a car accident. What's the common denominator? WE TAKE THE SAME MEDS. Again, not in your brain, and until doctors admit that there is a connection, millions of people will suffer from this debilitating condition, some will become addicted to opioids, and lots will overdose or commit suicide. I had a stash of sleeping pills and a vacuum cleaner hose, so it infuriates me to listen to someone smirk about this, and provide tired old theories as if they were new and revolutionary. Water-based exercise is particularly bad because you can't feel the pain as much in the cold water so it's much easier to injure yourself and pay for it for weeks or months. Doctors love to recommend this and get very angry if you try to explain why it doesn't work. Journaling? Are you kidding me? When I had fibro I couldn't write a grocery list. You do tremendous damage by calling this "learned helplessness" and equating it with depression, Emma. I'm so disappointed to hear you say this. Your guest doesn't mention sleep apnea, anemia, or hormone levels, all of which contribute to fibro. Why would you when you're trying to convince people that their pain is all in their head? Instead she's prescribing sleeping pills, opioods, and of course, anti-inflammatories which inhibit tendon to bone healing--you know, the stuff on MRIs. www.shoulderdoc.co.uk/news/view/295 I'd also like to report that, although this video made me very angry, I don't feel any pain whatsoever. Why? Because I have been appropriately treated with ESWT (high-powered ultrasound) and laser, and I no longer have fibro, although I did waste 25 years of my life in horrible pain, listening to doctors like the one on your show. If people like her could cure chronic pain, they wouldn't call it chronic pain.
Don’t feel gaslit if someone says the pain started in your brain though! Literally all pain messages are created in the brain!!! All pain is real because it is all experienced! But not all pain is from tissue damage! The boot story is supposed to be an example that shows how powerful our brain is! He sees the nail- message goes to brain-brain perceives likely injury-creates pain signals so man will not further injure foot. And there was no damage! We have generally been taught that if our hand hurts, that pain is generated in our hand, but it isn’t even though that’s where we feel it! Sigh. When I first saw this video title I thought “Yay! Emma’s getting into the bio-psycho-social model of care now (mind/body medicine)” but from the comments I can tell it didn’t really hit the mark. I’m glad you were able to find to true source of your pain and get rid of it! And I’d be interested in anything you have regarding NSAIDS even though I don’t have fibro. There ARE a lot of people who have pain that is not medically explained (or other symptoms like dizziness). Some people have symptoms only because their brain is creating the symptoms, and nothing else. Sometimes people have neuroplastic pain which can be treated with some the things you mentioned It really is dependent on if a direct physiological cause can be identified. It seems to me from the comments that most people were not blessed by this video no matter where they were in their pain/symptom journey! Personally I struggle with medically unexplained dizziness and chronic muscle tightness. It is all neuroplastic and can be healed and I’m working on it. Journaling, self-compassion and assistance from therapists can all help. If you’re curious, a few people you can search on TH-cam would be Howard Schubiner, David Strachs and Christi Uipi and Alan Gordon. Alan has a great book called “The Way Out”. I highly recommend it! Signed- another person frustrated with modern medicine.
@@suzannemartin6817 "Don't feel gaslit..." Really? You're going to try to gaslight me about being gaslight? LOL You don't need to explain the video to me, and I don't need advice about pain management. I no longer have fibromyalgia.
I have same as you mentioned can you please suggest me what i should have to do to get rid from the pain please
I love how Dr. Andrea consistently stresses on the fact that "we all heal". I can almost sense how empathetic she is to people who are suffering and it is very reassuring to hear her say this. - Having said that, I also understand how people with terrible, chronic, real pain can feel devalued by this conversation. I hope that the message that "your pain is real" gets conveyed to all of them. Yes medicines work, but in a number of cases the pain may be enhanced or made chronic due to to psychological and neurological conditioning AS WELL. I'm sure their motive was not to infuriate people or trivialize their feelings.
It is very tricky to deliver this message in clinical practice. Each patient is different and we need to find out what they know before we start teaching them.
@@DrAndreaFurlan Agreed
All pain is real but not all pain is based on a current physiological cause. Pain is created in the brain so anytime our brain gets messages from our body (or our amygdala) that indicate something bad or dangerous is going on it can create pain in response. This is called neuroplastic pain and this is 100% treatable. This is not really all that new but is not taught and would cause big pharma to lose tons of money! You can look up Dr Howard Schubiner, Dr John Strachs, Christi Uipi, Alan Gordon or Dr John Sarno. Check out a podcast called “tell me about your pain”. Lots and lots of resources. In Fact, the actress Maylim Baylik had debilitating back pain that actually was neuroplastic and she got rid of it! She has a podcast episode with Alan Gordon. It’s actually really fascinating and full of hope for all of us who struggle.
They both mentioned several times about pain that will not end and I appreciate the balance. I also appreciate the hope that while I have nothing wrong with any part of my body (they can’t find anything ) I do suffer from cptsd and will pursue her recommendations. We can’t know if our body is working against us trying to help us unless we try. The smoke alarm is a great example. I’m going to see if I have faulty wiring! I’ll be thrilled if I do and can adjust and if not. Knowledge is always best.
This video is too long. I think in many cases chronic pain is caused by CPTSD. I would love to see videos on how to heal from chronic pain.
There are so many online resources for that!! May I recommend a wonderful book by Alan Gordon called “The Way Out”. It’s available in print and as an audio book. Also you can listen to people like Christi Uipi, Howard Schubiner, John Strachs. ❤️
Can you make a video outlining the takeaway from this video? I just find it long and hard to follow.
But would love to hear what you have to say and what you know and can teach us about changing our brains to feel pain less often in the body.
I feel like it was really weirdly edited. Like there are cuts mid-sentence or mid-idea… like they rushed to shorten a much longer conversation.
So why do any diagnostic imaging if you're just going to discount its relationship to pain? I've been through two courses at the pain treatment center and tried it all to no avail. For years the exam question has been, "Do you have any numbness tingling, or shooting pains down your leg." When those symptoms eventually appear they are like, it's not significant. So I said why did you even ask that question? Why am I even here when you negate everything and offer me no solutions?
I just wonder if this womannhas ever suffered chronic pain? How arrogant. Even if there is a small qmount of conditioning involved . Just aonother way for the doctors to say "its all in your head" 😡
Wow, now I know that the reason of my anxiety is my chronic back pain. Im always thinking that every time my back hurt I always think that I’m gonna die anytime soon. I am over thinker person this is my problem. I need this and I need mental exercises. Thank you 🙏🏻
I love this information. Need some videos on how to feel painless again and learn to love again.
I enjoyed this episode but I think we need to be careful about saying these people have this part of the insula stimulated and they know their pain will end and others have another part of their insula stimulated and catastrophize and don't know their pain will end. It could leave people thinking they have the "wrong" kind of brain when the "wrong kind" of brain doesn't even exist.
For those who have chronic pain associated with autoimmune disease I recommend looking into Dr. Maggie Yu and her autoimmune program which focuses on managing pain, but mostly on putting the disease into remission with hormone balance, blood sugar mapping, food mapping, etc. She does believe in supplements and formulates her own. ❤️❤️❤️
They have the theory but they don't have the answers.
“The Way Out” by Alan Gordon. 👍👍👍👍 highly tecommend
Then move on!
Please note that RICE (at 5:55) for acute pain is outdated for almost a decade now and is not longer recommended. It impairs and delays healing.
Outdated? when you sprain an ankle you’re not supposed to walk on it
@@bleeepbloop Early rehabilitation is the recommended thing to do. While ice and elevation might help decreasing swelling and pain in the short term, it constricts the blood vessels near the injury and shuts off the blood flow that brings in the healing cells of inflammation. There is an interesting article from Dr. Gabe Mirkin who actually invented the RICE acronym. He stepped back from his view after learning about the role of inflammation in the healing process.
Well here in Alberta we still use it and it has helped me. My husband is a specialized trainer who works in a physio clinic and also trains all our future law enforcement officers for their fitness course test. He also lives with a wife who has a back injury from skiing about 30 years ago. He still uses RICE as a treatment in fact I am doing it right now for pain in my foot and now it’s spreading to my leg.
I had surgery on my foot 6 months ago, and the best thing for my acute pain was RICE. Not even painkillers had the same effect as RICE (rest, ice, compression and elevation). My foot is totally fine now.
I'm a 78 year old man with panic anxiety and have got nerve pain up and down my leg is there anything I can do for it?
Perhaps it will help to start by seeing a well-regarded neurologist AND the best possibly regarded pain management physician. Best of luck, best of health.
there is medication now for nerve pain. IT helps, but it's not an opioid or pain pill per say. If you have a primary care dr, I would ask them about it.
@@natalieg5601 Thank you and I do have a primary Doctor and They have me scheduled for a X-ray but it just started after I got a booster shot for Newmonia that was on the 13 of December didn't have a problem before then.
I have the same sir, and I have to say if you are really having trouble nerve pain or even the restlessness that comes with the bad nerves you may want to ask about gabbapentin, or taking magnesium at night (as long as you don’t have a thyroid condition). It saved my life and I will take it for the rest of my life. There is also lyrica but that will also affect your mind so I would ask your doc about these. Good luck dear sir.
@@rivchick Thank you for your support I'm really not sure what I have I was fine till I went for my yearly check up and they give me a booster shot for Newmonia and by the time I got back home I couldn't get my leg fixed where it didn't hurt I'm a Retired heavy equipment mechanic and never had problems with my legs or back . Thanks again just to have your support means a lot 🙏
Wow that was awesome! I’ve been learning from this channel more recently, but Dr. Furlan has been “with” me since I attended the UHN pain clinic in 2020 and her colleague instructed me to watch some of her videos for pain education, and practice the physiotherapy exercises from some others. My frozen shoulder “thawed” but I still do some of the exercises nightly. 😊
This was absolutely fascinating!!
I don’t understand this one. Doctors telling patients to disregard MRI’s just because ‘nobody has a normal MRI’ seems so odd. The person could have had chronic pain for 10 years and the disc issue for the same amount of time so it be causing the pain but there is no way to tell when exactly the issue arrived. And I’ve tried all the exercises, meditation, journaling etc in the world but it definitely isn’t a cure for chronic pain even if it is useful. Y nervous system is definitely more stressed now seeing that medical professionals still have no real hard answers or understanding of our situation.
Very insightful and helpful! Thank you!!
I'm glad to hear you like it.
I agree @sicpunc, I got out of RSD 20 years ago not through traditional treatment. Now I have CRPS because of surgery- this is not a helpful video. I also have EDS and lidocaine doesn't do a thing. Chronic is real and many doctors who are "supposedly" pain management doctors deny it. Still this video isn't helpful.
I have CRPS as well, the only thing I have heard that helps, including my own drs. is ketamine infusions under medical expertise, I go to a pain clinic. Do you have a limb that yours is in'? Mine is my left foot.
I have a shoulder injury that wont go away for 1 and a half years. Do I have to train through the metal pain then?
Spectacular. You've gained a new subscriber!
I hope you follow me too!
Lived with migraines for 20 years. Best doctors, tried everything. It was when I found a community, 12 step, surrender, a personal relationship with the lord. Am not discounting what is said here, however, believe this is far to complicated, 46:27
we are not doctors.and living with pain…..🙏🏻God can do what I couldn’t, eventually began doing much of this, eating, exercising. But his love support of community seeing & hearing what a power greater us, does WORKED ! Shocking my doctors. I truly l
Found many of your videos so helpful. Keeping it simple, taking off the pressure. Hope this makes sense. Love is the most powerful medicine..
For anyone no many your beliefs or not believing, it’s just having a higher power, can be your dog. My heart goes out to all in pain.
Love this video
Many thanks!
Wow, this looks good. Thank you
The music video is so amazing 🎉
Okay I have acute burning sensation and tingling😢 is it also due anxiety?? Horrible
air creates 100% relief
Why support such gaslighting? Very disappointing to see such an "expert" preaching that chronic pain is all in our heads. I have already gotten enough of this nonsense from plenty of misinformed individuals. Some of us have genetic diseases that cause constant and painful symptoms.
Dr Goldner Hyper nourishment
What do you call a pain that comes and goes regularly in the same area, but has periods of inactivity?
“We don’t treat the MRI. We treat the patient.” That is a ridiculous statement in so many ways. And It sure doesn’t seem like it depends on the patient. Drs are saying bc some people don’t have pain so you shouldn’t. Everbody is different and might feel pain with disc issues while another person doesn’t. I had high hopes for this video but every chronic pain video I listen to seems to blame the patient again and again.
Would this apply to Chronic dizziness?
17:52 when people come with images its because were desperate for you to understand our pain is real. Invalidating it by saying these images arent important and brushing them aside is not okay. Its straight up gaslighting. Those images can be our only hope of proving its not all in our head. With a chronic condition like EDS, exercise isnt going to fix the very real systemic issues going on in our bodies. I had to stop watching because this is not good or helpful advice.
Please any help.for tourette syndrome
Chronic pain is the most terrible thing can happen to a human, i had after a surgery, i was able to fix it. Let me know if you interested
I have noticed my nervous system still over active a migraine in relation to the magnitude of the migraine.
So, we all get older... And just accepting pain in older age or xhronic pain is inevitable, on everybody's MRI .... Sonjist get over it ? Or slap some CBT on it andd send them home? Has this womqn had chronic pain? Terrible arrogance. 😡
The Way Out by Alan Gordon…great book on healing chronic pain. Written by a guy who had chronic pain. 👍
Not forgetting pain can come an go, we all know about weather changes and increases or decreases. At 73 it is much easier to take t3s, and top it before it arises, acknowledging the doctors see no reason to medicate constantly.
This is allll alllll my life 😢
Any recommendations for medications that help with chronic pain and anxiety . I have chronic TMJD that triggers anxiety, and the anxiety triggers the pain.
Tricyclic antidepressants maybe ? I’m just afraid antidepressants with cause clenching and grinding…
Venlafaxine and pregabalin can help with both pain and anxiety (but please consult your doctor as I ofc don't know your situation!)
If docs can’t tell you for sure why you have that pain- like, it’s not definitive-they “think”
It’s because of this or that, but aren’t sure, may I recommend The Way Out by Allan Gordon? It’s a great book on healing chronic pain that is not well explained by imaging or tests. It is very easy to read/listen to and is very encouraging with lots of patient stories, jokes, and actionable items. And know too that chronic pain (and other chronic symptoms) often go hand in hand with anxiety and can create a never ending loop. so if you can find a good person to help with resolving your anxiety it might just help your pain too. I’m right there with you!
I really appreciate this ! I will keep you in and everyone else dealing with chronic pain in my prayers. There has to be a way out of this and hope for us to live to the fullest. Thank you for the book recommendation; I’ll check it out !!
Anything natural to take for pain
I have chronic pain in my knees due to chondropatia III/IV stage and suffer from endometriosis. I had 4 serious surgeries on knees and nothing helped. Also I'm too young for knee replacement. I gave up on op treatment and going to start microdosing lsd🤷♀️ The pain is that bad that I almost bite off the concrete of walls. Endometriosis pain was even worse but in my early 20s I got rid of my period chemically. At least half of the pain is gone forever.
Ps. It's not recommended to use cannabis due to THC overload called CHS. It is as painful as giving birth and you can't literally stop vomiting. Lsd has no side effects
She is very wrong in that pain killers doesn't work for chronic pain. They do work but should of course be used sparingly. Her attitude towards her patients is pretty terrible. Imagine coming to a doctor with terrible pain and they tell you "but you can move" lol.
I think you're putting words in her mouth.. throughout the video, from the very beginning she also stressed how the pain is very real. It seems like you're picking an choosing information that kinda aligns with the perception you already have about doctors/specialists - which is another small part of the problem that we with chronic diseases have. In no way does what dr.andrea says trivializes pain.
She uses the example herself, she says that if people come in with scans showing that their back is messed up she will tell them that "they can move and look strong" and that she does not want to see the scans.
@@sandrairen1988 Totally agree on how that can be extremely insensitive. She should have spoken more on how this is not a one-size-fits-all kinda approach. Further along in the podcast she does insist on the importance of medication for neuropathic pain while side by side working on the psychological part of it. She insists on diagnosis, medicine and surgery for pain when needed - her approach is more suited for pain that doesn't show structural problems or a diagnosable reason for the pain
Anyone suffering with RLS like me every single night struggling to sleep 🙋♂️
Narcissistic husband abuse causes fibromyalgia, I've had for30 years. Trauma is the cause. I'm constantly on edge can't relax
I move in a new place and the fridge notice is load and boiling room next to me Every morning wake up with pain
What about a disease? Like where your skin is falling off?
I would think they would.see pain signatures in you brain why can't the ultrasound Lazer it out.
It's pretty well what my Tinnitus is
Health care costs are out of control. Going WFPB vegan can save money, pain and suffering from disease.
Lower your chance of high blood pressure, heart disease and cancer by going vegan. Hospitals, doctors offices and schools should be places where good nutrition is taught and provided not places that contribute to disease and obesity. It is crazy the hospitals are feeding people the very food that caused the heart disease, high blood pressure or cancer that they are treating. Every person in the hospital should receive some nutrition education before being released. Every doctor visit should be an opportunity to educate patients about how food choices impacts their health outcomes. The fact that doctors do not get nutrition training as part of their training makes no sense. Medicare and Medicaid should require nutrition education as part of patient care. Focus should be on food choices, stress reduction, improving sleep and daily exercise.
Meat is required in human diet and nothing is able to replace it.
@@ronidm7052 Many top VEGAN athletes would disagree.
Also a look at people’s ACES score as that contributes to all sorts of negative health outcomes.
Not all chronic pain is invisible 🙈
Yep
What a load of codswallop brought to us by the APA that needs to stay in their lane and treat mental illness. Last time I checked severe arthritis isn’t listed as a mental disorder in the DSM-V.
"This BABY is ready to POP OUT." My wife had the same experience. POOF!
OUCH!!😥
She has some helpful tips but looks like an ass other times. She acts like folks know every detail of everything happening. My femurs are falling apart and sometimes there are bone chips in my knee. Sometimes the pain is arthritis, sometimes it's because my bones are breaking and it's hard to use these tricks when the pain may be very real or may be from past damage. How do you use these things in the in between? Whether it's waiting for an MRI, switching doctors, anything. What do you do in the middle. In the present. Doctor said "you should be healed". Yet he is hesitant to do an MRI after removing a drill bit that was embedded in bone. Telling me he fixed it the first time. 6 surgeries later and I've been told I'm shit out of luck until I'm old enough to get a knee replacement. Good luck walking is what I was told. I'm 28. She means well but needs to check herself a bit.
This still confirms health care os gull of crap!!
I enjoy these type of videos, but they are too long for me. I wish they would be more concise so that I have the time and mental energy to watch the whole video.
First red flag - all the chiros will tell you - hey alpha guy you are broken
Fast
Ms
I really hope that her patients are still alive. I guess she is only taking about psychosomatic pain in this video.
I've heard there's nothing physically wrong with you. Do you want pain medication? No, i want to find out how to stop the pain, not mask it.
Why do you allow people in the comments to advertise highly addictive and destructive drugs like kratom?:)
Something being highly addictive is a myth. Read the Freedom Model
I swar i love emma if i could meet her i would marry her❤
You should get a muppet that looks just like you!