• Alan has completed the new Pain Recovery Program. To read or share it, use this updated link: https://www.tmswiki.org/forum/painrecovery/
  • Welcome to the new TMS Wiki server! Things aren't finished yet: email is not set up, so notification and password-reset emails don't go out, and new registrations are paused until email is installed. Details and updates are in this thread (click here). Locked out? Email tmswikisignups@gmail.com from the address where you receive TMS Wiki notifications.

New Program Day 11: Pain Reprocessing

Thank you Nicole.. I'm in tears reading your post. You GET IT. I feel hopeless and comforted at the same time... I wish I could let go of my FEAR of pain and the structural BS the doctors over the past two years have drilled into me... They DAMAGED my thinking, how I see myself, my confidence in my body's ability to repair itself... It's HORRIBLE... AND yet, while I refute their MRI findings as an explanation for all this, a little incredibly persistent voice inside my brain keeps saying "what IF they're right?".. What if my spine IS crumbling? What if I need surgery? What if I wind up in a wheelchair? Who will take care of me since I have no family? My nervous system is frazzled, overwrought and exhausted... And I know that can make initiate pain too... Im a train WRECK. Emotionally and physically.. I just don't know what else to try. :(
This is why i'm glad i havent tried any invasive procedures like nerve abalation, even though i thought about it. But an injection is what started my PN. I figure this Mind/body stuff is my last ditch effort for a pain free life. Ever noticed on chronic pain forums nobody seems to get better? They try all sorts of injections, and surgery, and you rarely see a cure or success story. However, this is the only forum where iv'e seen hope and people actually heal. it gives me hope.
 
All the time. However, have you ever noticed that a good cry reduces your pain temporarily? It does for me. I used to never know why that happened, but since learing of TMS and feeling emotions, i think the crying is helpful. Dont hold it back, let it flow.
the last 2 years have been filled with thoughts like "i hope when i go to sleep tonight, i never wake up" or "i'm a damaged, broken human who was born wrong, and i dont belong on this planet." i would read about central sensitization (something that chronic painers develop because the whole nervous system gets jacked up) and think "well, that's it. it's incurable and my shit genetics have failed me, and now i've failed others. i'll NEVER get better."
those are the thoughts and phrases i'm trying very hard to to say or think. Now, as i stated abouve, i do take painkillers. If i dont (not sure i'd be able to keep a job) i go into wounded animal mode and i'm snapping, freaking out, and telling people i want to die, etc.
It's like you're my twin.. I say the same things and have the same thoughts.. I understand your feelings COMPLETELY. I have also tried pain medication and, also PT.. none made any significant difference... I never fought so hard at anything in my life. To heal, get my life, strength, confidence and quality of life back again... And STILL I'm failing at it. My mind is MINE, so why can't I get it to STOP hurting me??
 
It's still early. And when you try really hard, you might be reinforcing a new problem; urgency. A lot of this pain is because our nervous systems are jacked up, and calming that down is a huge part of healing. It's hard, i get it. I have had anxiety my whole life and negative thoughts. Now i'm seeing i need to rewire my brain and change my entire personality. That part will be the hardest, but what do we have to lose? Besides, being a negative scared person is just no way to live in general, whether you have pain or not.
 
It's not only being a negative thinker that hinders me, but the looming doubt of TMS over all... I've always been terrified of health issues and now that I'm over 50, age and the inevitable affects on the body terrify me.. I still have nightmares about my MRI.. And having had surgery on my back some 22 yrs ago... Was pain-free until about a yr ago.. Has programmed my brain to fear my back permanently... I can't understand how I was fine for over 2 decades.... I can't deny that I had unprecedented emotional issues and near homelessness occur in the past year and the loss of a 20 year relationship with someone I had a very deep bond with.. Someday I will figure this all out.
WOW! I think you've already figured it out but just don't know it. I hear critical thoughts, pressure thoughts, and fear thoughts all in one short post! I'm a hypochondriac as well, YOU CAN GET PAST IT! The stressors you just put out there would crush most of us. You are living proof that you can overcome just about anything but your mind had obviously reached it's breaking point and said "Well lets shut this down now. This is an easy one, I'll attack the back since there is a history of pain to use as my jumping off point). You are the perfect subject for TMS, this course, the help that is here, everything. Take a deep breath and know that you are ABSOLUTELY on the right track!
 
"The brain creating pain via the autonomic nervous system to create a diversion from subconscious and unconscious thoughts that it feels need to keep buried."

This theory seems to have been left behind. I seem to remember reading that this was one theory as opposed to this new mind-body theory we are doing now. I'll have to try to find where I think I saw that.
 
One thing that is extremely important to understand is how this all ties together. TMS theory has evolved for a long time. From Dr. Sarno's first book to his last, you saw the theory develop from "we may be on to something here" to "this covers so much more than pain and is a very real cure". All that said, Alan can correct me if I'm wrong, the pain starts initially with TMS, the psychological part, tension myositis syndrome. The brain creating pain via the autonomic nervous system to create a diversion from subconscious and unconscious thoughts that it feels need to keep buried. Once this pain is established, it's our focus, our every thought. Now that this pain is a part of our mental structure, here comes the cycle of fear, the cycle of pain, the neural pathways. This goes on for weeks, months, years and now it's a part of our every day lives. At this point, we can change the acronym of TMS from "Tension Myositis Syndrome" to "The Mindbody Syndrome". This is where the program we are currently studying becomes so important.

I feel that it is very important to initially deal with the initial aspects of repressed rage, etc if for nothing else, to understand fully the cycle of what you're dealing with and where it came from. However, I've found that once you're years into the pain cycle, these newer tools we're learning will be the ones that help the most. Also, I hate using the term pain cycle as I know many of us here have pain, but it's not our main issue. I can attribute anxiety, panic, sensitive stomach, numbness, tingling of extremeties, dizziness/vertigo, neurological issues, I could go on and on, all to TMS over the years. Back pain is a pretty easy one for me at this point in my recovery. As a matter of fact I woke up the other morning with horrible back pain out of nowhere. Using these new techniques that Alan has so graciously given us, I was able to work my way completely out of it within and hour. I'm developing the same skills with the chronic dizziness I've experienced on and off for pretty much my whole life as well. Onward and upward with an attitude of positivity and patience!

"Using these new techniques that Alan has so graciously given us, I was able to work my way completely out of it within and hour."
What did you do specifically?

Yes, it's not just pain. I also have pain, anxiety, depression, numbness, tingling due to peripheral neurology, etc.

I just don't know how to figure out or handle the buried thoughts that TMS is diverting me from! Nor how to change the neural pathways.
 
I feel all those same ways too... About myself. Guilty for bringing others down, no fun anymore.. I often need help, can't lift heavy and daily necessary activity is hindered. I miss my "old self"... Super energetic, goofy sense of humor, always on the go... Im old, but 51?? I feel cheated out if ten years or so... I could maybe accept such limitations at 60, 65...but not now!!! I sound pathetic I know, but I can't even type this out without crying! Is it always this hard?? Does anyone else EVER feel so lost and overwhelmed??
I also feel very similarly. I've lost 9 years of my life to incapacitating back pain, and it's often a struggle to get through the day without crying. There is so much rage at being in this situation, but also, being a negative thinker too, I worry, scratch that, am TERRIFIED of the future, as I have no idea when or if this nightmare will ever end. I'm 47 now, and am worried I may never get back to the person I was before. I know that negative thoughts and expectations are not helpful, and am trying to work on these. And I'm finding that doing this program is helping wuth my anxiety, though not the pain just yet. I want to become outcome independent! My question is, what if the pain I get from sitting, standing, etc doesn't come on while I'm doing it, but the next day - if I overdo things or go above my pacing times, I feel more pain the next day, not while I'm doing the activity. How do I work with telling my brain it's safe to sit, stand, walk if the pain is so delayed? I have constant pain anyway, so I suppose I could work with that, but if I go over my pacing times, the pain the next day is extremely incapacitating, and more than I can handle.
 
My brain was saying "you can only do this for about 5 miles, and then i'm going to send you burning signals to stop". Not to mention, every time i rode, i would have this cycle of fear. I'd have fear before i got on the bike like "how many miles am i gonna last? will this screw up my friend's rides too if i need to turn around and go home?" Then after each ride, i'd be crossing my fingers like "omg i hope i didnt damage the nerve!!!" My riding was surrounded by fear.
When i finally learned about TMS, i started telling myself "ok, try not to be scared, and pretend it's the old days where you had awesome long rides with your friends. you arent damaging the nerve, it's just hypersensitive. and you MIGHT flare up, but you know you'll return to baseline and be fine. it's not dangerous".
I suggest you keep the exercise going, just try not to think about "will this hurt me later?" Try your hardest to pretend you never had TMS and keep walking like you used to.

Thanks. These are good thoughts.
 
First off, I've been a Sarno disciple for over 15 years so I'm very versed in what's going on and how it effects the mindbody connection. I used to search for what my mind was trying to block from coming out. As I stated in an earlier post, I've found through this course that once the years of neural pathways are built and strong, we need to shift to other methods. I used the somatic tracking first. the key here is setting your expectations. Again, patience is a huge part of this and it doesn't happen immediately, especially if you're new to this. somatic tracking isn't meant to kill the pain, it's meant to create new, safe neural pathways. The next thing was to reflect on Alan's video stating, if it was an injury or deformity, it would hurt all the time. This came on for no reason whatsoever so I comforted myself by knowing that this was absolutely without question a TMS based issue. Once I took all of that in I started feeling better to the point that I forgot about it. Once I focused on it again, I'd feel a little pain which only served to give me confirmation of what it was. More bullets to use against this thing! I know that sounds simple, but again, I'm years in to figuring this thing out. For some of us it's an almost instant fix from the beginning. For others, it moves around from place to place, especially if we had developed serious neural pathways for years without knowing what TMS even was. The other HUGE thing that can't be focused on enough is outcome independence.
 
I'd just like to add that an instance of "frozen shoulder" was healed when I discovered it was due to unacknowledged grief. I told my physician, Dr. David Schechter, about it (Dr. Schechter is a TMS physician in Los Angeles) and he confirmed he'd been hearing about grief as a trigger for TMS.

I'd had the frozen shoulder for some time. I went the medical route and was doing very painful physical therapy for about 3 months when it dawned on me it could be TMS. This was about 20 years ago. I tracked down someone who worked with body/mind issues, an intuitive healer, trained in numerous alternative methodologies.

During a session of over an hour with her I burst into tears recalling the death of a graduate professor who I'd never mourned. I found out he died from a friend who read his obituary. I'd missed the memorial. Several years had passed. I made an action plan--on the next anniversary of his death to send notice describing what a great professor he was and why I missed him. I got off the phone and the arm I'd been unable to move more than 6 inches away from my thigh simply elevated itself to shoulder height. I did continue the physical therapy until the arm had full mobility. The physical therapy, though painful, didn't trouble me any more. I wasn't worried. I completed the therapy in 6 months instead of the prescribed year.

Crying helps. Chemicals are released in tears that can't be released in any other way. You can't sweat them out, you can't eliminate them through the digestive tract or urinate them out, you can't vomit them out. Only the tear ducts can release them, through crying. Crying can help with not only grief, but anger and fear. In any moment it can change the bodymind's experience and open new avenues for healing and action.
 
Some of those responding to Alan Gordon's post today say they wish there was a list of simple things to do to counter TMS. I think the list is in Dr. Sarno's 12 Daily Reminders in Healing Back Pain and journaling to discover our repressed emotions causing pain.

Also, I like these three steps to TMS healing, from Fiona Childs:

Accept what is.

Let go of what was.

Have faith in what can be.

Here are Dr. Sarno's 12 Daily Reminders, in an extended version from Herbie Douglas:
  1. The pain is due to TMS. This is real pain or anxiety but its caused by subconscious tensions and triggers, stressors and traits to your reactions and fears and also when at boiling point your conscious tension can and does cause real pain too.
    2) The main reason for the pain is mild oxygen deprivation. This means that when you are in pain then the the blood is restricted from going to your lower back for instance. The blood being restricted causes oxygen deprivation which causes the pain - remember, where theirs no oxygen then there is pain in the body. Also, The pain stays because of fear and focus to physical organic symptoms and repressions.
    3) TMS is a harmless condition caused by my REPRESSED EMOTIONS so even though you think you can harm yourself from the years of pain you have felt and how you feel in general -- so far no reports have been heard from tms healing knowledge causing damage to anyone, it only helps.
    4) The principle emotion is your repressed ANGER -- this means under your consciousness lies something that happens automatically to everyone. Tmsers have repressions that are stored because of our personality traits,traumas, stressors, fears, strain, etc... When these stored repressions build and build then eventually they cause the brain to send pain into your body to keep you from having an emotional crises. The mind-body thinks its helping you.
    5) TMS exists to DISTRACT your attentions from the emotions, stressors, tensions and strains of your personality traits because if you can get distraction then you wont have to be in emotional turmoil. When you don't face and feel your emotions and they get repressed cause you didn't want to deal with something -- they are just adding up in this beaker, ready to pour over and create real pain and anxiety in your body.
    6) Since my body is perfectly normal, there is nothing to fear. So in reality when I fear the pain or anxiety I just cause myself undo strain and tension adding to the beaker of pain. If I fear then I feed the pain, If I fear Its impossible to recondition. Fear keeps the pain and anxiety alive in the body through focus.
    7) Therefore, physical activity is harmless. If I want to work against the pain I can but its better to lose some of the pain through losing your focus on the body and not fearing the pain. I can start my life over, I don't have to be in pain trying to heal cause I can face the repressions through awareness and journaling.
    8) I am resuming all normal physical activity. I don't fear moving anymore. I believe in my bodies ability to heal now. I can move how I want and my patience in flow will be my power. I will not fear moving anymore. I will also practice going out and acting normal again, not in fear of what pain might do to me.
    9) The pain is unimportant and powerless. Its only power is how it's hidden -- it's illusion, It's fear.
    10) I will keep my attention on the emotional issues. I will think about my emotions and feel my emotions throughout the day. I will not judge, criticize or fear my emotions. I will not run from my emotional issues but face everyone of them. I will feel my emotions fully and cry if I need to. Then I will release the emotion and get my mind and thoughts back to my life and living in the present, in flow.
    11) I am in control of all of this. This is how I recover.
    I will be thinking PSYCHOLOGICALLY AT ALL TIMES. This means I will keep my thoughts on psychological issues like happiness, fear and anger -- traits and triggers, conditioning and journaling. The science behind mind-body/tms healing, etc.... This way I will not feed my thoughts to the body -- that is a trick of TMS.
    12) TMS will always try to get me to focus on the body caused by the pain until I break its show and flair. When I get my attention off physical symptoms and on emotional issues and psychological issues then I will not feed the fear of the physical issues anymore thus making the tms of no effect. This will in return, give us the cure.
 
Thanks. A lot of this stuff is kind of confusing to me and abstract. I need to come up with some simple "to do" things to counter the TMS. Like when I feel pain, do such and such. Do I push through the pain, ignore it, do the activity anyway even though it usually makes the pain worse? While telling myself it is safe, it is safe. I kind of need simple bullet points on simply what to do when in pain. I guess I'll go over all the days so far and try to come up with such a list.
Sorry for your pain also :(

I feel the same way you do. I tell myself I am safe and nothing is physically, wrong, yet the pain is constant and relentless and consumes all of my attention.
 
One thing that is extremely important to understand is how this all ties together. TMS theory has evolved for a long time. From Dr. Sarno's first book to his last, you saw the theory develop from "we may be on to something here" to "this covers so much more than pain and is a very real cure". All that said, Alan can correct me if I'm wrong, the pain starts initially with TMS, the psychological part, tension myositis syndrome. The brain creating pain via the autonomic nervous system to create a diversion from subconscious and unconscious thoughts that it feels need to keep buried. Once this pain is established, it's our focus, our every thought. Now that this pain is a part of our mental structure, here comes the cycle of fear, the cycle of pain, the neural pathways. This goes on for weeks, months, years and now it's a part of our every day lives. At this point, we can change the acronym of TMS from "Tension Myositis Syndrome" to "The Mindbody Syndrome". This is where the program we are currently studying becomes so important.

Thank you bluesboy63. This paragraph helped me a lot!
 
Here's a quick to-do that helps me (I read the book 1 week ago today and I'm able to do more than I have in 19 months... but the pain is still 100% there):
- Recognize what you CAN do that you couldn't do before (walk/sit/stand without a cane/cushion/ice pack, etc, drive for longer distances, etc). i.e., don't go by the level of pain, but by the level of what you've been doing (and if you haven't been doing more than what you were doing before, then you haven't read the book!). So to-do #1: recognize what you HAVE done that's better
- 2: Remind yourself that your MRI and SPECT scans (I'm using my experiences, but substitute yours) revealed no cancer, no hidden fracture, and nothing that people without pain don't have (i.e., a hernation or bulge or even a crack are not enough to be the cause of this much pain, de facto). So to-do #2: remind yourself: you're NOT putting yourself in danger by doing this activity - IN SPITE of the pain that accompanies it
-3: Distract yourself. Put your heart into whatever you were doing as if the pain wasn't there (EVEN THOUGH IT IS). i.e., were you doing the bills? Then do them with gusto! Were you walking the dog? Then do it with gusto! (And if you're like me, you'll find BOTH things happen: moments of "hey, the pain isn't so bad right now!" as well as "Oh @#$% the pain is worse than ever!"
-4: Know that with your stubbornness your brain will eventually give up and stop sending you pain sensations, but (and I needed to read this for myself in this daily reminder: "the very nature of trying to get rid of our pain involves a sense of URGENCY (emphasis mine) – which subcommunicates a message of danger as opposed to safety." Exactly. To-do #4 is: remember that the brain wants you to feel a sense of URGENCY (i.e., get the ice pack NOW; lie down NOW; take your meds NOW; etc). Don't fall for it!
- 5: Don't kill yourself doing this. This is my first week and I got the biggest sense of guilt when the fear of another back spasm (which threw me to the ground and landed me in the hospital 19 months ago) when I "gave in" to the fear, grabbed my valium and laid on the ice for 20 minutes for the near-spasm-but-not-quite throbbing to subside. i.e., To-do #5: Give yourself a break, then with new determination, get back at it (i.e. doing whatever you were doing WITH the pain) as soon as you're ready, even if that's the next hour or next day if it's already bedtime.

There you go. I have utter faith that eventually, to quote the article again: "OVER TIME, sensory reprocessing can allow your brain to self-correct". This is my single biggest reminder to myself: OVER TIME. I have ZERO patience, and that is my personal biggest challenge. Yes, this system sounds awesome, but my pain is RIGHT HERE RIGHT NOW.

And THAT is the first thing that has to be reprogrammed in my head: THERE IS NO RUSH. But, knowing my activity is simply NOT DANGEROUS, no matter HOW MUCH IT HURTS, I will continue to be active. @#$% the pain!!!

Fight the good fight and know you're not alone! I'm with you! And be with me! I'm hurting too! But NOT FOR LONG!!!!!!!!!!
 
This is an excellent reply and very well thought out... My only issue is this "repressed" rage. I had all the dysfunctional family history and also possess rhe typical personality type of a TMSer... But have ALWAYS been very aware and tuned in to my emotions, especially the negative ones, which now dominate my life.. But due to CURRENT stressors and pain. I'm ANGRY and frustrated ABOUT my pain ruining my life... Nothing repressed. It's current rage.. Which causes my "old injuries" to reproduce symptoms... If that's even possible.
It just seems the more I work at this, the more pain and fear (and depression) I feel. Ready to give up!

Please don't anyone give up. This has taken me a while to figure out too (more than 3 years). But for the past three days, I finally figured out that the only thing holding me back it FEAR!!!!! So as Alan told us in Day 13 or 14 (The Empowerment One) is just go for it. Not kill yourself, but start walking, standing and so forth. Keep saying "I'm not afraid of you anymore....no matter what you do I'm not afraid." Or some tips from Sarno himself: "I will not allow my life to be controlled or impaired by pain/fear." I substituted fear because fear is the main culprit. I'm in day 3 or 4 of doing that, and am doing much better. Another thing Alan said is "don't worry about the pain." You defiantly stand up to the FEAR (not the pain)....for some reason it makes a difference. Diss the pain/fear....curse to it if you have to. The somatic soothing really helps also when you just need to comfort yourself...to tell yourself you're OK. I use two sides of my mind...the conscious side as my rational comforting friend. Like many of us we had childhood issues and we didn't get what we needed. We needed to protect ourselves, because no one else would. We become hard on ourselves and expect too much of ourselves. So the soothing is to say..."hey you're going to be OK because I'm (conscious mind) here to take care of you....sounds weird, but works. AND be patient with yourself. We are all stronger than we think while at the same time, we need to comfort ourselves. I hope this helps others!!!! Feel good!
 
@bluesboy63

Your posts on this thread are beautifully crystal clear. Like you, I'm a TMS old timer and have come to exactly the same conclusions as to the evolution of both experience and theory. Thank you for taking the time to put fingers to keyboard to craft pure healing ambrosia.

For those who are new or are struggling please take heart. It may serve you best to find things that soothe and calm you. It took me a while to find these balms but they remain true touchstones for me. I write more about this in 'my story'.

We all need to find our own healing path. This is why it is terribly difficult for others to say what will help, what will heal. There are principles only. For example, I do not relate to the sports analogies used here but I am able to translate them into more artistic possibilities. A sense of humour and the spirit of fun are great allies when it comes to teasing out what works for you.

Healing, like living, is all about crafting, creating, curiosity and love.

Plum x
 
Day 16: Sensory Reprocessing and Systematic Desensitization

In November of 1956, Soviet premier Nikita Khrushchev attended a reception at the Polish Embassy in Moscow. Addressing a group of Western ambassadors, he uttered the phrase, “My vas pokhoronim.”

This was translated to mean “We will bury you.”

Given that it was the height of the Cold War, this was no small declaration. The translated quote was published in newspapers across the country, terrifying millions of Americans that nuclear war imminent.

There was no danger though – it was a misinterpretation.

Khrushchev was simply talking about his faith in communism’s staying power.

Sensory Reprocessing

When you have an injury, a danger signal is sent to your spinal cord via nerve fibers. The signal is then passed up the spinal cord on to your brain. Your brain correctly interprets the message, and you feel pain.

TMS is simply a misinterpretation of danger.

Your brain is interpreting a safe message as if it’s dangerous, and processing pain as a result.

One way to overcome TMS is simply to expose this misinterpretation.

Sensory reprocessing involves teaching your brain that the message it’s interpreting as dangerous is actually safe.

On Day 4 of the program, you met Felicia, a woman who felt pain when she would turn her neck.

We used sensory reprocessing to teach her brain that it was simply misinterpreting safe sensations as dangerous.

Watch this section of the clip again, with that in mind:


Even if we know logically that our pain is psychogenic, our primitive brains don’t.

One way to deactivate our danger signals is to gently communicate the following message to ourselves:

“This unpleasant sensation I’m feeling does not mean that there’s anything wrong with me, it’s simply my brain misinterpreting the messages that it’s getting. These sensations are completely safe.”

It’s important to remember that the goal is not to get rid of the pain. In fact, the very nature of trying to get rid of our pain involves a sense of urgency – which subcommunicates a message of danger as opposed to safety.

Over time, sensory reprocessing can allow your brain to self-correct – learning to accurately interpreting the messages it receives.

On the Road

John Madden was a Hall-of-Fame NFL broadcaster. Every season from 1979-2009, he traveled from city to city to announce the games.

His first year on the job, he was flying out of Tampa, and before the plane even took off, he had a panic attack.

“You think you’re going to die,” he said, “I was sweating, shaking…the whole thing.”

A few weeks later, he got back on a plane, and had another panic attack. And then it happened a third time.

After that, he bought a bus. And for 30 years he drove around the country, and never stepped foot on a plane again.

maddenbus.jpg

Systematic Desensitization

The only way to change our relationship with fear is through exposure. But sometimes, like with John Madden, exposure alone can just lead to a deepening of our phobias.

To overcome fear, we often need repeated exposure while having corrective experiences (ie. getting simultaneous messages of safety or empowerment).

Systematic desensitization is a great technique to safely increase your exposure to a fearful stimulus – in our case, psychogenic pain.

It incorporates anxiety regulation and gradual exposure, progressively teaching your brain that the pain is not actually dangerous.

On Days 9 and 10 of the program, we covered somatic tracking – how to attend to the physical sensations of anxiety in your body, without fear, and without ulterior motive.

Often the question comes up, “Can I do the same thing with the pain?”

Yes, but there’s an additional challenge. It’s difficult to focus on our pain without fear and without ulterior motive – because we’re so used to being scared of it and wanting it to be gone.

But with gradual exposure, you can learn to attend to the pain without fear and motive. And once you’re able to do this – authentically – your brain will learn that these sensations are not dangerous, and the pain will eventually fade.

The following is an audio exercise using systematic desensitization to help you mindfully attend to painful sensations.


Click here to download the mp3 audio file

As you practice the techniques of sensory reprocessing and systematic desensitization, please share in the comments below what comes up for you and how you feel. I’ll be checking in throughout the day.

[​IMG]
Alan - My pain gets worse and spreads through my pelvis the more I think about it. I am scared to death of it and its become one of my greatest fears. Fearing the pain just feeds it and increases it correct? I find myself checking in on the pain every minute of the day, even when its not there. Thoughts?
 
Last edited:
I also feel very similarly. I've lost 9 years of my life to incapacitating back pain, and it's often a struggle to get through the day without crying. There is so much rage at being in this situation, but also, being a negative thinker too, I worry, scratch that, am TERRIFIED of the future, as I have no idea when or if this nightmare will ever end. I'm 47 now, and am worried I may never get back to the person I was before. I know that negative thoughts and expectations are not helpful, and am trying to work on these. And I'm finding that doing this program is helping wuth my anxiety, though not the pain just yet. I want to become outcome independent! My question is, what if the pain I get from sitting, standing, etc doesn't come on while I'm doing it, but the next day - if I overdo things or go above my pacing times, I feel more pain the next day, not while I'm doing the activity. How do I work with telling my brain it's safe to sit, stand, walk if the pain is so delayed? I have constant pain anyway, so I suppose I could work with that, but if I go over my pacing times, the pain the next day is extremely incapacitating, and more than I can handle.
i've been asking that same question about delayed pain here. it's hard to know if i'm going to flare myself if i dont feel much pain during the activity itself. however, people here have also had delayed pain and healed. In other words, it's still TMS. That was the hardest part that made me an almost non-believer.
 
  • Like
Reactions: Kat
I need to come up with some simple "to do" things to counter the TMS. Like when I feel pain, do such and such. Do I push through the pain, ignore it, do the activity anyway even though it usually makes the pain worse? While telling myself it is safe, it is safe. I kind of need simple bullet points on simply what to do when in pain. I guess I'll go over all the days so far and try to come up with such a list.
That's a great idea, rb. Coming up with your own list is a great way to make it your own. Often it's less about what we do and more about how we do it.

For example, let's say you have the following fear thought; "This pain is never going to go away!"
You might respond by saying to yourself, "That's just a fear thought, you're safe."

But what's the energy behind those words? Are you authentically soothing this terrified part of yourself? Are you urgently repeating a mantra to try and get rid of the pain?

Often, it's the energy behind the interventions that's the most important part.
 
Back
Top