CHRONIC PAIN'S PERFECT STORM
LEAVES SUFFERERS SHIPWRECKED
Not only will these folks likely end up with some sort of Chronic Pain issue; when they go to the doctor for EXAMINATIONS and TESTS, their pain will probably be blamed on the most common scapegoats --- ARTHRITIS and FIBROMYALGIA. While people with these problems certainly exist in significant numbers, "Arthur and Fibro" usually get more credit than they deserve. Problems in the Fascia often lead to Chronic Pain's "Perfect Storm" because.......
- Fascia is arguably the single most pain-sensitive tissue in the body (see link at beginning of the post). When you couple this with the fact that it is also the most abundant Connective Tissue in the body, you can begin to see the potential for disaster looming on the horizon.
- Fascial Adhesions will not show up on MRI (HERE). I realize that most of you believe that your pain is so bad it should make your MRI glow red (HERE). Unfortunately, Fascia is so thin that it will not show up excepting in certain places like possibly the PLANTAR FASCIA (no, it does not do a good job with the THORACOLUMBAR FASCIA) What happens when your MRI comes back negative? You are likely to be labeled a hypochondriac, DEPRESSED, a drug seeker, or trying to get on SSI Disability (unfortunately, there are lots of people in each of these categories). Once your insurance company says it will not pay for any more tests or treatments, you will be discarded by the medical community like a piece of trash, or forwarded on to "Pain Management" where standard fare is THE BIG FIVE and any number of invasive procedures.
- If you have areas of Fascial Adhesions (the SCAR TISSUE that the medical community usually refers to as "FIBROSIS"), they can cause problems like ALLODYNIA OR HYPERALGIA. In other words, Scar Tissue has the potential to be ridiculously pain-sensitive when compared to normal tissue --- up to 1,000 times more pain-sensitive (HERE). Few doctors are aware of this, nor do they seem to be aware of the intimate relationship between inflammation, fibrosis, and degeneration (HERE) --- of if they are, they're doing a great job of keeping it a secret.
- It's increasingly likely that your doctor will likely not touch you or examine you (they usually rely on imaging and other diagnostic testing) ---- which is really the only way of determining whether or not Fascial Adhesions might be present (HERE or HERE). Yesterday I treated a young physician who has been dealing with progressively worsening CHRONIC NECK PAIN. One of his big complaints about his care (one that I hear regularly), is that when he went to pain specialists, neurologists, orthopedists, etc, they did not touch him, watch him move, check RANGES OF MOTION, or look at anything else that might actually provide some valuable clues as to what the problem is. Instead, tests were ordered, pictures were taken, blood was drawn, and he was charged incredible amounts of money for injections of BOTOX, CORTICOSTEROIDS, or LIDOCAINE, and then prescribed the STANDARD MEDICATIONS when nothing was found.
FIBROSIS: AN UNHOLY RECIPE FOR DISASTER
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