by Manon Bolliger, facilitator & retired naturopath with 30+ years of practice | About Your Health, Addressing Your Pain
In the last post we began to look the changing role of the Doctor in a health care approach that treated the patient as a whole and meaningful entity. As a person with a life experience that had a bearing upon their existing state of health. We saw that taking a full...
by Manon Bolliger, facilitator & retired naturopath with 30+ years of practice | Addressing Your Pain
A 2003 systematic review of antidepressant treatment for chronic back pain concluded they produce only moderate symptom reduction (Staiger et al., 2003). Another recent review concluded that many drugs used for back pain are no more, or only slightly more, effective...
by Manon Bolliger, facilitator & retired naturopath with 30+ years of practice | Addressing Your Pain
Animal models for chronic pain are insufficient, despite pioneering work in the late ‘70s to mid-80s. These models have at least confirmed that chronic pain states are biological entities and not just patients’ imagination. Also, they allow for a mechanistic study of...
by Manon Bolliger, facilitator & retired naturopath with 30+ years of practice | Addressing Your Pain
In their research, Korff and colleagues have observed a continuum of chronic pain, with no distinct class of chronic pain patients. No clear demarcation distinguished persons with possible or probable chronic pain from those with less significant and enduring pain....
by Manon Bolliger, facilitator & retired naturopath with 30+ years of practice | About Your Health, Addressing Your Pain
In the last post we raised the issue of defining chronic pain. One suggestion was to define it in terms of duration. Van Korff & Dunn, in Chronic Pain Reconsidered (2008), argue that “while conceptually appealing, this approach has not produced reliable or valid...
by Manon Bolliger, facilitator & retired naturopath with 30+ years of practice | About Your Health, Addressing Your Pain
Patients seeking care for pain want to know whether it is likely to improve or run a chronic course, not just its cause and how it might be relieved and managed. But it is difficult for the doctor to give a clear and reassuring answer. Korff and Dunn, in their book,...
by Manon Bolliger, facilitator & retired naturopath with 30+ years of practice | About Your Health, Addressing Your Pain
If you are in a continual state of stress, like in PTSD, this greatly affects your interoceptive ability. To foster interoceptive accuracy, it is important to move the client from a sympathetic state into a parasympathetic or vagal state, which is what happens with...
by Manon Bolliger, facilitator & retired naturopath with 30+ years of practice | Addressing Your Pain
The problem with pain is that most people who experience it are convinced of its presence and when as a therapist you suggest that there may be a way of changing your relationship to it, they can feel threatened. The first threat is personal; in that, they may fear...
by Manon Bolliger, facilitator & retired naturopath with 30+ years of practice | Addressing Your Pain
In my last post I discussed how understanding the mind-body connection enables doctor’s to better LISTEN to symptoms. Toward the end I cited the case of pain as an illustration. Today I want to explore that topic a little more deeply. Consider the experience of pain:...
