Unlearning Pain

2. An Introduction to Unlearning Pain

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Two articles mentioned in the video

This article provides a brief overview and highlights the limitations of cognitive-behavioral and mindfulness-based therapies for chronic pain. It introduces six lesser-known interventions to address these shortcomings and outlines an integrative model for psychological assessment and treatment of centralized pain.

This article discusses Emotional Awareness and Expression Therapy (EAET). Previous studies indicate that EAET can significantly reduce pain, however, only one trial compared EAET and cognitive-behavioral therapy (CBT) for fibromyalgia. This trial compares EAET with CBT in older, mostly male, ethnically diverse veterans dealing with chronic musculoskeletal pain.

Current methods of pain treatment and why they are limited

This article from the reputable Cochrane Library explores the application of CBT and ACT for chronic pain in adults, revealing that while these therapies consistently produced effects, the reductions in pain were small.

This large study contrasts CBT with mindfulness for individuals experiencing chronic back pain. The findings indicate that both treatments yielded comparable pain reduction, albeit modest and not sustained over an extended period.

This paper provides a review of the impact of mindfulness on chronic back pain, revealing that the observed effects were only temporary and small.

This review article examines the utilization of opioids and indicates a scarcity of evidence supporting their efficacy in treating chronic pain

This is a review of injection therapies for back pain showing little efficacy.

This article is a study showing that injection therapy for spinal stenosis has little efficacy.

This paper shows that conservative treatment for sciatic pain is equivalent to surgery.

The second is an article by Richard Deyo about who really needs back surgery.

This paper shows that spine surgery was not better than cognitive interventions for people with chronic back pain, after having back surgery in the past.

Finally, this last paper shows that spinal surgery was not significantly better than conservative treatment for lumbar disc herniation.

Some books and excellent resources about back pain

Crooked, by Cathryn Ramin;

Back in Control and Do you really need back surgery? By Dr. David Hanscom;

Watch Your Back! By Richard Deyo.

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