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Introduction to Good Brain Bad Brain Chronic Pain

Aug 25, 2022
Hi my name is Michael Copeland I'm the lead psychologist for the

pain

coping program and I'm here today to show how the

brain

works with acute

pain

and then

chronic

pain and I call this story pain up pain down

brain

good

brain bad so let's travel through this journey and show you how it works first of all we want to talk about the origin of the pain so let's say you burn your hand the pain starts at the area of ​​injury and goes up we call nerves peripheral to the spinal cord. To reach the brain, pain has to go through a door in the spinal cord to reach the brain.
introduction to good brain bad brain chronic pain
This is important to remember, as pain then travels through different areas of the brain. First you get to the primary fight or flight or freeze part. of the brain the primary brain tells the body to be on high alert we call this the stress activation response this is the

good

brain because the primary part of the brain is designed to keep us alive then it travels through different areas of the brain next goes to the emotional part of the brain the emotional brain remembers past threats this is a good brain because the emotional part of the brain helps us remember what happened in the past to guide our actions for current threats the pain then travels to the emotional part of the brain front of the brain the thinking brain the thinking brain considers all the options this is good because then we can make decisions instead of just acting in primary survival mode then it goes to the action part of the brain the thinking brain tells the action brain what option you choose what actions you want to initiate, then the brain starts to send the pain signal down with u n action plan this is what we call pain down the first option that might come up would be to remove your hand from the flame or the thinking brain might say there is something more important to survival like catching a hot pot before it falls on you your son this is back pain let's go back to the idea of ​​sharp pain well sharp pain affects only the f area or that specific part of the body in the brain we have maps in the brain so there is a map on the left side of the brain for the right hand and vice versa, the map for the left hand is in the right side of the brain. about 5% of each area in the brain and that's a good brain healthy brain give us a living brain now how does this go wrong good if the brain and body response goes on and on and this fight flight or freeze response continues for a long time? changes start to occur in the brain, spinal cord and tissues and that's what we call

chronic

pain for three to six months those 5% areas can grow to about 25% of each area of ​​the brain and that's the beginning of the bad brain cycle and that pain map starts to stain from one part of the brain to another part of the brain in the motor area, that's why the pain can start to grow and it can even stain on the right and left side of the bodies and that's why pain can do what we call my great for someone to start w With a left shoulder and then over time a right shoulder starts to hurt so the pain maps keep sending pain signals even when those tissues they've been cured and that's a bad brain really taking over and hijacking the brain.
introduction to good brain bad brain chronic pain

More Interesting Facts About,

introduction to good brain bad brain chronic pain...

Downward pain signals keep the fight or flight going. Freezing and the immune system on high alert creates more inflammation instead of curing inflammation which is the bad brain taking over, so how can we fix chronic pain or even avoid it by addressing it early? Well, we can calm the response of the brain and the body. Tell the bad brain to stop taking over get the good brain back so these are some of the exercises we do in the program cope with pain identify your thoughts and emotions if you are saying to yourself if you are having your pain oh i can't deal with this well i want you to tell yourself i can cope with this pain even if you don't really believe the brain and the pain response don't know you can trick your brain it will believe you and turn off the fight f light response or frozen so do exercises like this every day track your thoughts and turn them into positive thoughts that you can deal with that you can relax yourself you can plan strategies and the good brain can regain control now i want to get back to that idea of ​​the pain door and I'm going to show you an exercise so I want you to bite your lower lip with your upper teeth and know that the pain scale goes from zero to ten ok we're just going to go to a five no I don't want blood in this exercise so I want you to place your teeth on top of your lower lip and just apply a little bit of pressure now raise one hand and make a fist in that hand and, as I tell you, we count. from one to five you will lift one finger at a time and bite harder each time and then i will tell you to do something else so now put your hands up start biting now bite harder make a harder one two it has been harder to a three then go to a four go to a five now wave your hand shake shake shake shake shake shake stop shaking what happened to the pain let me explain where it went we have two sets of nerves that go to the brain from the body the small nerves is where it travels pain big nerves we use for movement like hand waving or activating walking and our survival instinct said hey it's more important to run away than feel pain when we're proverbially running away from a tiger so it became more predominant and let it go through the door first and then he would knock on the door. pain, that's why we tell people to get active is very effective in closing the door, how else can we avoid or solve chronic pain?
introduction to good brain bad brain chronic pain
Can we change our brain map of pain? Think back to when you were learning to write your name and cursive writing. the brain map for the curse of writing didn't exist until you had practiced and practiced it started the size of the head of a pin and grew to the size of a pea and now you can do it very fast so now i want to do another exercise with i love you to write your signature in the air like you're signing a check or signing a credit card slip and do it with your dominant hand very fast just drag it and again very fast ok now try it with your non-dominant hand not so easy is it or fast this time with your dominant hand?
introduction to good brain bad brain chronic pain
I want you to write it in the air, but this time close your eyes and visualize the signature as an image, so take a snapshot and keep it in your brain. imagine yourself with your non-dominant hand there you go you are starting to build a new brain map next i want you to think about the way you used to move before your illness or injury if you have a back then think about the way you used to get up from your chair or walk or doing your job or some activity that you really enjoyed I know it can be sad to think about but the reason we are doing this is to reactivate that brain map the way you used to instead of using the map of growing pain over time just visualize it relax and take a deep breath keep visualizing it ok now if you keep doing this over time you can reduce the pain map and regrow that old brain map let's combine it with another exercise now this is really interesting if you put a mirror in front of the face that hides the affected part of the body, so if it's a hand, hide that hand and hide the eye that can see that hand and put the mirror reflecting towards the unaffected limb and move the unaffected limb it looks like you are the affected limb ok now this is harder to do with the back it works for one leg or one arm but if you have a leg or an arm this could be great now move it nice keep moving keep tricking the brain now eventually then you will start moving the hidden limb, the affected limb behind the mirror and the brain map won't know it's in pain and we'll be back to train the brain, so if you practice this movement visualization exercise in a free and fluid way. like the mirror exercises and these left/ri dominant non-dominant hand exercises every day for six weeks we can grow the old motion map and reduce that annoying pain map we can affect the top pain the bottom pain go back to the good brain and calm the bad brain thank you for your time today

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