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Psychosocial Determinants of Musculoskeletal Pain

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Lee Wickham DC FRCC

Lee Wickham DC FRCC

I'm a non spine-centric Chiropractor and a 'Neuroplasticity' advocate, who believes in variety of movement.

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Musculoskeletal pain is essentially pain felt in the body or thought to be coming from muscles and joints (tendons, ligaments and fascia also). Psychosocial describes factors in a persons life that affect, impact, alter or change the way a person thinks and socialises.

I joke in my practice that the cause of back and neck pains, headaches and migraines is work! Therefore curation of such pains would occur if work was given up. In reality it is the perceived control, support and satisfaction of a person within their role at work, the spending of their time as well as inconsistencies between effort and reward that have been highlighted as features of psychosocial (pain) factors in the workplace. (1)

The interaction we have with our pain and the common brain states that we reside in will also affect our experience of pain. Disproportionate pain, where pain is intense yet tissue damage is minimal, can trigger fear avoidance behaviour which is a strategy in real life to keep an experience. Replace pain with pleasure and take a moment to consider how much effort would need to be diverted to your strategy of living a life to avoid all pleasure. A strategy that would inevitably make you hyper-vigilant about pleasure experiences drawing your attention to, not away from, pleasurable experiences.

Chiropractic Care includes the advice and knowledge passed to you by your chiropractor about your symptom experience. Gaining insight into why you might have a painful body can relieve the intensity and duration of your pain. Facilitating improved muscle and joint balance through Chiropractic adjustments complements your insight derived from talking to your knowledgeable chiropractor. Chiropractic Care is an opportunity to learn a new normal whilst unlearning the unwanted, old (painful) normal.

  1. Vargas-Prada S and Coggon D Psychological and Psychosocial Determinants of Musculoskeletal Pain and Associated Disability. Best Practice and Research: Clinical Rheumatology 2015 June; 29(3) 374-390.
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