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Stewart Loughlin's activity

In group: Mental health and persistent pain

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  • Stewart Loughlin posted an update in the group Mental health and persistent pain 5 years, 1 month ago

    Hi new to the group,
    I have a special interest in neuropathic pain and spinal pain, this focuses around the relationsbip between mental wellness\trauma and the impact this has on symptoms.

    I have some experience of this and find the subject fresh and interesting, there is a dynamic between activity – mental wellness and pain behaviour. This is focusing on neuro but may be relavant to toher dmains within the subject.

    • Yes, I agree, and from a psychological perspective, a focus on and engagement in activity can help enhance confidence in managing pain.

      • I agree, and I think there could be more than that at work. Grief and stress related to loss can make pain present more acutely – I would be interested in any studies of this. Engagement in life will help with pain management but I have found that when one is presented with extreme circumstances of loss this can cause further episodes of extreme symptoms.

    • Yes, I think with regard to pain management it is crucial to optimise mental health and reduce negative stressors. It would be interesting how this might be modeled and explored via Bayesian Nets and similar methodologies.

    • HI stewart, I see a large number of FM patients and I can definitely agree that stress and traumatic chronic stress is abig part of their pain flares and frequent presentations to their GP or secondary care or ED. The issue is that because we, as HCPs, are not joined up and we give conflicting diagnoses and keep medicalising it in the fear that we may be caught out, means that the patient then attributes their flares to something arthritis related rather than recoognise the stressful events for what they are