Emotional Factors When we talk about emotional factors in relation to pain, it can be natural to think “why do they keep asking me about how I am feeling?” or “do they think this is all in my head?”. It is important to emphasise a message that has already been referenced multiple times – the pain is absolutely not in your head, all pain is real! Simply, we understand that psychological and emotional factors can influence pain, so it is important that we have conversations about this to understand what we can do to help! Suffering with persistent pain can impact on lots of areas of your life, such as your ability to perform activities that are meaningful to you, as well as impacting on personal relationships, your sleep, your work – just to name a few. This can then cause psychological and emotional anguish, which can then cause the nervous system to become even more hyper-vigilant and stressed, causing even more pain, which in turn can then further cause negative emotions. It becomes a vicious cycle. We can’t separate these things, we must acknowledge the relationship and understand the importance of addressing mental health factors to assist with pain management – linking back into the biopsychosocial model which we discussed earlier. Physical factors and emotional factors can be working together to cause your persistent pain. You can have a muscle strain without feeling stressed, and you can feel stressed without having a muscle strain – but if you combine the two together, it can increase your chances of having persistent pain. Just like Coca Cola and Mentos – individually, they are safe, but you add them together and it causes an eruption. When you work with your Physiotherapist or Exercise Physiologist, it is important they get the full-picture and understand all the factors that can be “in your cup”, which may include how you are feeling and your emotions. You can then work together to look at some simple strategies to help manage these. It is important you understand why these questions may be asked and why an emphasis may be placed on psychological factors. It is not about diminishing the importance of the physical factors of your condition – it is about understanding all of the factors that are an important piece of the puzzle when developing a plan to help you!
References: Lehman, G. (2017). Recovery strategies: pain guidebook. Retrieved from http://www.greglehman.ca/recovery-strategies-pain-guidebook
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