Chronic Pain – No…It’s Not All In Your Head!!!

Adrian Picca
Physio Physique medical illustration portraying chronic pain caused by fibromyalgia.

INTRODUCTION

Pain is a universal experience. Whether it’s a stubbed toe, a lingering backache, or the relentless grip of chronic pain, we all know what it feels like. It’s a natural response from our body’s alarm system to warn us of potential harm.

 

But what happens when the alarm doesn’t turn off? What if you’ve had an MRI, X-ray, CT scan, or ultrasound, only to be told that nothing is wrong, yet the pain remains? That’s where things get complicated.

 

Pain is not just a physical sensation; it’s deeply connected to how our brain interprets signals from the body. This blog unravels the mystery of pain, helping you understand why it persists and, more importantly, how you can take back control with the right approach, including physiotherapy.

pain: your body's security system gone overboard

Most of us believe that severe pain equals a severe injury, but that’s not always true. Pain is the body’s way of protecting you. When you twist your ankle, the pain changes your behaviour to reduce the load and allow it to heal. In this sense, pain is your protector and helps to keep you safe from injury.

 

But sometimes, the alarm system becomes too sensitive. A classic example is phantom limb pain, where someone feels pain in a limb that no longer exists. How is that possible? Because pain isn’t just about the body; it’s about how the brain processes information. If the brain believes protection is needed, it creates pain, even when there’s no actual danger.

 

When recovering from an injury, we often avoid movement to prevent more harm. But avoiding movement for too long can backfire. The longer we stay still, the stiffer and weaker we become, reinforcing the pain pathway. 

 

The key is to move safely and progressively. This is where physiotherapy plays a crucial role. We can guide you back to full activities safely and gradually without the risk of reaggravating your injury.

pain 101: how your body and brain communicate

Our bodies are equipped with specialised neurons that detect potential harm, whether it’s mechanical (a sharp object), chemical (inflammation), or thermal (heat). When activated, these neurons send signals to the spinal cord, which then relays them to the brain. This process, called ‘nociception,’ happens all the time, but not every signal results in pain.

 

Pain only happens when the brain decides the signal means danger. And here’s the fascinating part, your brain makes this decision based on past experiences, emotions, and even your beliefs about pain. If it thinks you’re in danger, it creates pain to protect you. Physiotherapy helps rewire these pain responses by teaching the body and brain that movement is safe again.

Diagram of how pain is transmitted along the nerves in response to injury

why chronic pain is like a faulty smoke alarm

Imagine your nervous system as a smoke alarm. It’s supposed to go off when there’s a fire. Just like pain is supposed to warn you of injury. 

 

But what if your alarm is too sensitive? What if it blares every time you make toast, even when there’s no smoke?

 

That’s exactly what happens with chronic pain. Your nervous system stays on high alert, triggering pain even when there’s no real threat. This is why chronic pain isn’t just about tissue damage, it’s about an overactive alarm system. 

 

The good news? Just like you can reset a smoke alarm, you can retrain your nervous system through movement, understanding, and the right guidance.

hidden triggers: Stress, beliefs and your pain experience

Pain is influenced by much more than just physical damage. Stress, anxiety, and even your beliefs can amplify pain. Ever notice how pain feels worse when you’re exhausted or overwhelmed? That’s because your nervous system is already on edge.

 

If you believe you’ll never get better, that belief alone can make recovery harder. But when you understand how pain works, you take back control. Physiotherapy doesn’t just treat the body, it helps reshape the way you think about pain, breaking the cycle of fear and avoidance.

5 Factors that affect the pain alarm system

chronic pain: stuck in an endless loop?

Chronic pain is pain that lingers long after an injury should have healed. The brain stays stuck in alarm mode, making pain feel just as real as it did on day one, even when there’s no ongoing harm. Over time, the nervous system gets better at producing pain, making it harder to break free. Your body learns pain like a bad habit.

 

 

But there is a way out. Retraining your pain system starts with understanding it. By addressing lifestyle factors like sleep, stress, diet, hydration, and movement, you can calm an overactive nervous system. Physiotherapy plays a crucial role, offering the right exercises and treatments to restore movement and confidence.

The endless loop of chronic pain

summary - retrain, don't restrain

Pain is not always a sign of damage. Like a smoke alarm that won’t turn off, chronic pain can persist long after the danger is gone. The good news is that you have the power to retrain your pain system. With education, movement, and physiotherapy, you can quiet the alarm and reclaim your life.

 

The next time you experience pain, remember, it’s your body trying to protect you. But you don’t have to let it control you. Recovery is possible, and with the right guidance, the pain can fade into the background where it belongs.

 

Recovering from chronic pain requires a holistic approach and combines education, hands-on physiotherapy and the introduction of safe exercises. 

 

Take back control of your health and wellness and book in with one of our skilled physiotherapists today.

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