by Eric Reynolds

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Although a necessary requirement for using doctors is to start mastering yourself, it is just as important to understand who and what you may have to deal with when seeking help for your pain.

The first and perhaps most surprising thing you need to know is that most medical doctors receive very little if any formal training in the management of pain. While excellent training programs in pain management exist, they are relatively few in number and usually attended by doctors who have already completed their training. There is no officially recognized specialty in pain medicine in Canada and the United States. Thus any doctor can legally call himself/herself a pain specialist regardless of qualifications.

Lack of adequate physician training means that access to care is limited. Despite increasing recognition in the medical literature of the high human and economic cost of chronic pain, getting appropriate treatment remains a struggle for far too many patients. Therapies available on the Internet and elsewhere may number in the hundreds or more but none is a sure-fire cure and many are suspect.

When seeking help, you must be armed with an understanding of the above. There are limits to the amount of care you can get from doctors, depending on their experience and/or area of expertise. Knowing this, you can avoid feeling you have to beg for or demand a kind of care from a doctor unequipped to provide it.  It is far more productive to regard a doctor as a source of information or possessor of skills that can be of use to you, even if only in a limited way.

While the reality of chronic pain is a grim one, it is also a changing one. Chronic pain is far more widely recognized as a disease than it was even 20 years ago. Research has established the need for multidisciplinary approaches to treatment. There is good help available. It is just not perfect or found in every office, clinic and hospital. Even if the doctor you see can’t take away your pain, that same doctor may still be able to help in some fashion. If you want a doctor for an ally you must learn what he or she can actually do for you and be willing to learn about it.

Meditation is not about learning to meditate

by Eric Reynolds

“Meditation is not a process of learning how to meditate; it is the very inquiry into what is meditation. To inquire into what is meditation, the mind must free itself from what it has learned about meditation, and the freeing of the mind from what it has learned is the beginning of meditation.”      – J. [...]

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How to Help Yourself (#4-Using Doctors)

by Jan Carstoniu

So far in this series, the focus has been on what people with pain should be doing for themselves to help them take charge of themselves. In this post, the emphasis is on how rather than what.
There are many methods and techniques that can help train calmness and relaxation. They are widely accessible. In last [...]

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The 3 Breath Relaxation Technique

by Eric Reynolds

Of the variety of methods we offer to manage stress and pain, one of the most important is the ability to induce relaxation.  I have thought about what methods would be the most helpful for you to be able to release tension and handle stress. The Three Breath Technique is amazingly simple and effective so [...]

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Help Yourself First (#3-Using Doctors)

by Jan Carstoniu

In order to use doctors and by extension the entire health care system including private insurers, you need to be able control yourself. If you have little or no control over yourself how can you possibly expect to influence others?
But controlling yourself is hard when you’re always in pain, nobody seems to understand you and [...]

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Accepting Reality (#2-Using Doctors)

by Jan Carstoniu

It is not fair that you have chronic pain. Our health care system isn’t equipped to provide you with optimal care. Your insurer, compensation board, employer, friends or family may not understand what it is like for you. Even the doctors you see may seem more suspicious than supportive when you repeatedly ask for help. [...]

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Anger (#1 Using Doctors)

by Jan Carstoniu

Everyone with health related problems can use a doctor as an ally. This is especially true for people with chronic pain. At their best, doctors can provide good management, appropriate referral, emotional support and advocacy. But chronic pain patients are frequently managed poorly and marginalized. How can this be?
Doctors are highly trained professionals and most [...]

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Pain Lessons From the Boat

by Eric Reynolds

I have had a lot of good feedback about The Boat Story. It seems that many readers relate to the process I outline there and can see their own situation a bit more clearly after reading the story. This is very gratifying and I thank those who have expressed their appreciation.
Because of the interest in [...]

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Practice Makes Better (#7 Pain and Fear)

by Jan Carstoniu

Let me summarize this series: the neurological and physiological changes caused by pain and fear bond them together. Fear and pain magnify each other. The fear of pain leads to avoidance of activity that is self-reinforcing. So-called pain behavior and non-organic signs, common in chronic pain patients, are indicators of significant distress associated with pain.
Pain [...]

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