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Why You Can't 'Fix' Your Pain

Peter Abaci, MD - Blogs
By Peter Abaci, MDBoard-certified anesthesiologist and pain specialistJanuary 30, 2020

As my patients can tell you, I’m a big fan of positive thinking. But there are times when an overly optimistic attitude or misguided belief about what’s possible can actually get in the way of healing. One example of this, which I see often, is the notion that there is a cure or fix for everything that hurts.

Quite understandably, many patients go to their doctors with the goal of getting fixed. They want to find out what the problem is, get it fixed, make the pain go away, and then move on with their lives. But humans are not machines – you can’t just replace or repair a broken part and then everything runs as good as new. The pain you experience is often the product of many interconnecting factors and not just one simple cause. Human beings simply don’t come with an easy-to-read owner’s manual.

Back pain is a prime example. Back pain or sciatica may indeed start with a trigger, like a herniated disc or a lifting injury. But a single targeted tissue injury can quickly lead to a train of events that include back muscles tightening up, joints stiffening, and nerves to malfunction. As this happens, the back gets harder to move, the legs get weaker, and it becomes increasingly difficult to sleep, get comfortable, or go to work. If this situation continues, then a person can easily become anxious, depressed, withdraw from friends and family, and feel the pinch of lost income.

Expecting that all of these complex and interconnected problems will get solved simply by undergoing back surgery to “fix” something structural can turn out to be a recipe for disaster. Recovering from an extensive back surgery like a fusion can mean months or years of recovery without a guarantee of substantial and lasting pain relief. Regardless of the treatments you choose, I think it helps to adopt the mindset of healing from what hurts as opposed to focusing on a quick fix or cure. Muscle imbalances, inflamed joints, herniated discs, and injured nerves can all go through a recovery process, and the more time and attention we put into that, the better the outcome.

And it’s not just the body that needs to heal. The psyche and soul of the person in pain need a path to ease uncomfortable mood changes and provide relief from overwhelming stress. Continuous pain can trigger a “flight or fight” response, which leads to changes in the nervous system, endocrine system, and immune system that keep us constantly on edge and in panic mode. One surgery or treatment won’t necessarily restore emotional balance and make all of this disappear.

Healing can also mean acceptance of what is, with all of its imperfections. For instance, a natural part of how the body heals is to lay down scar tissue. A broken bone or torn tendon can heal, but it won’t look exactly the way it did before the injury. We can’t go back in time and look, move or feel exactly the way we did years ago, so it’s better to focus our time and energy on making today the best it can be. Acceptance is not giving up, but rather reaching an understanding of how we can be the best version of ourselves after all that we have gone through.

Both the human body and the human spirit are designed to heal, repair, and restore itself when injured. Shifting from a “fix it” mindset to one focused on healing can open up new doors toward better pain management and well-being.

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About the Author
Peter Abaci, MD

Peter Abaci, MD, is one of the world’s leading experts on pain and integrative medicine and serves as the co-founder and Medical Director for the Bay Area Pain & Wellness Center. He is a dedicated healer, author, and radio celebrity. To learn more about Dr. Abaci, visit his website.

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