We are all striving to be the best versions of ourselves, and our physical, emotional, and mental health is foundational for achieving health and success in every realm of our lives. Chronic pain, however, remains a significant barrier for many individuals. With 51 million Americans suffering from chronic pain, which lasts for three months or more and impacts daily life, addressing this issue is more critical than ever.
In this post, we dive deep into chronic pain management with the help of Dr. Tarek Hussein, a PhD in physical therapy with over 32 years of experience. Chronic pain is complex and often requires a holistic approach to treatment. Dr. Hussein, who works with Sydenham Clinic patients in Houston, Texas, emphasizes the importance of looking beyond just the physical aspects of pain.
Holistic Evaluation of Pain
Pain isn’t always just about physical discomfort. According to Dr. Hussein, it’s essential to evaluate pain from a sociological, physical, and mental perspective. For instance, not all pain originates from musculoskeletal issues. In some cases, the source of pain could be visceral, coming from internal organs. A classic example is cardiac pain, which isn’t typically felt in the heart itself but often manifests in the jaw, neck, or shoulder due to shared nerve pathways.
Understanding this phenomenon, known as segmental innervation, allows healthcare providers to determine the real cause of the pain. For example, a patient experiencing back pain may be suffering from a kidney or liver issue. By taking a holistic approach, physical therapists can rule out these underlying causes and offer more effective treatments.
The Impact of Mental Health on Pain
Another critical factor in chronic pain is mental health. Conditions such as depression and loneliness can significantly contribute to chronic pain. Research shows that these emotional states can manifest as physical discomfort, limiting a person’s ability to function normally. The connection between emotional and physical health underscores the need for addressing both when treating chronic pain.
Countries around the world are recognizing the rising epidemic of loneliness and its effects on health. In the United States, loneliness is now a growing epidemic, and addressing the psychological aspects of pain is becoming just as important as treating the physical symptoms.
Prevention through Body Mechanics and Posture
Prevention is another key component of managing pain. Dr. Hussein stresses the importance of proper body mechanics and posture in preventing chronic pain, especially as we age. He advises people to develop good habits early in life, such as walking every day with correct body mechanics—maintaining proper alignment of the head, shoulders, and spine. Even walking, something as simple as 20 minutes a day, can be beneficial when done mindfully with proper posture.
When lifting, pushing, or pulling objects, it is crucial to be aware of body positioning. Dr. Hussein advises lifting close to the core, squatting instead of stooping, and always engaging the strongest muscles—your legs—rather than straining your back.
Flexibility and Range of Motion
Maintaining flexibility and range of motion is equally important as we age. Dr. Hussein encourages incorporating stretching exercises into daily routines to prevent adhesions that can limit joint movement. Stretching not only enhances flexibility but also helps preserve muscle strength and joint function.
Simple daily motions, like raising your arms above your head and stretching to the full range, are beneficial for maintaining joint mobility and muscle flexibility. Dr. Hussein recommends performing these stretches every morning to support long-term health and prevent injury.
Chronic pain is a complex, multidimensional issue that requires a holistic approach to healing. By understanding the physical, mental, and emotional factors that contribute to pain, individuals can work towards a more comprehensive treatment plan. Incorporating daily habits like mindful walking, proper body mechanics, and stretching can also help prevent pain from taking root in the first place.
In treating pain, prevention, and management go hand in hand. Whether it’s addressing the root cause or preventing future pain, a holistic, informed approach is key to living a life free from chronic discomfort.