Depression plays a meaningful role in chronic back pain – taking a few preventative steps can help patients significantly by giving them more control over their condition.
For some people, the depression and stress resulting from chronic pain can become all-consuming, and have the potential to prolong and significantly worsen the pain.
Increased pain can, in turn, cause increased depression and stress, creating a cycle of depression and suffering that can be hard to break.
Chronic pain is defined as any pain that persists for more than 3 – 6 months.
This type of pain is also referred to as chronic benign pain or “chronic non-cancer pain.”
Neck and back pain can become chronic in several ways.
Examples include the following:
With any chronic neck or back pain, it is important to be cognizant of the potential development of depression, as depression can worsen and prolong the pain.
Health professionals will often refer to a patient’s “suffering,” which is the physical pain combined with the emotional component (e.g. depression).
Following are some steps to help manage or proactively prevent both the chronic pain and the associated depression that may develop:
Many physicians are not trained to look for depression during pain treatment.
Speaking to a Chiropractor about symptoms of depression, while still in the acute pain phase, can alert him or her to the need for treatment of both conditions.
While one patient may experience a full recovery from the initial period of acute pain, a patient who shows signs of or is more prone to stress and depression, or with a history of clinical depression may be more susceptible to developing a chronic pain problem that lasts beyond the initial acute pain phase.
A knowledgeable physician can recommend a treatment plan that addresses the patient’s depression as well as their physical pain and discomfort, giving the patient the best chance at a good outcome.
It is advisable to speak with a doctor if any of the following common symptoms of depression are noticed:
Similarly, individuals should speak with their doctors if they believe they are exhibiting symptoms characteristic of stress-related back pain, which are comparable to those of fibromyalgia:
In many stress-related back pain cases, patients describe pain associated with “moving around” or pain that becomes considerably worse either just before, during, or just after a stressful experience or event.
Chronic pain can also be heightened by things such as physical deconditioning due to lack of exercise and a person’s recurring thoughts about grief.
A proper training program and practicing distraction, guided imagery, and other cognitive techniques, are all excellent coping strategies that can help prevent the pain from becoming worse.
Recognizing stress triggers or emotional triggers that cause additional pain is the first step in helping manage pain—at least in part—by helping the individual learn to avoid or eliminate these triggers.
This “stress” results in increased pain. Establishing a behavioral strategy for being early to appointments, and relaxing once there, can go a long way toward resolving this stress and the pain exacerbation.
This is adequate time and pain management.
Patients can monitor how their stress and anxiety affects their back pain by keeping a diary of when their back pain changes and what kinds of pressure could be triggering the pain.
This exercise can provide and identification of the elements in one’s life that affects the pain.
Recognizing how stress affects pain provides the ability to decrease pain without prescription pain medications and some level of empowerment over chronic pain.