Chronic Pain / Tension Myositis Syndrome FAQs

Your pain is real, just as all pain is real. You're NOT weak, sick, crazy, imagining this pain, or consciously deciding for it to happen! We now know that based on medical science that when we experience physical or psychological stress, it can create real physical symptoms in the body. This is an example of our fight or flight response, which is our body's way of keeping us alive. All pain is created in the brain, either in the immediate response to a physical injury, or in the case of chronic pain, because of over-active neural circuits in the brain. It is not your fault. In fact, this is human - every human has had a mindbody reaction before (e.g. when you get embarrassed, your cheeks may turn red.) The great news is that brain-generated pain is learned, which means it can also be unlearned.

So was I, and so were almost all of my clients. This is a common thing that doctors tell people, but the science tells a different story. While it’s important to get a physical examination to rule out fractures, tumors, infections, etc., blaming chronic pain on a structural abnormality is often like blaming migraines on grey hairs. In fact, in a recent study of back pain sufferers, 98% had a spinal 'abnormality' on their MRI, but in only 12% of cases were these abnormalities actually causing pain! The other 88% of sufferers had pain caused by neural circuits. Consider also that 30% of 20-somethings without any back pain have herniated discs. 84% of 80-somethings without any back pain have herniated discs! The same goes for pain in the neck, knee, ankle, and other areas. These findings are normal, and occur with age, but are rarely the cause of pain. More and more doctors are figuring this out.

It's true that everyone has stress, some worse than others. But science shows that how we interpret stress has a bigger effect on our health than the amount of stress we have. And it turns out that how you interpret stress changes your body’s response to stress. People who experience a large amount of stress - but do not perceive it as harmful - have better health outcomes than those who experience little stress! We don't entirely know why stress can create pain in one person, and not another. But it does have a lot to do with your interpretation of stress, and what you've been through in life. But we do know that everyone suffers from stress-related symptoms from time-to-time, some more severely than others. Fortunately, we also know that chronic pain is often generated from a stress response in the brain, which means that it's reversible.

We know that genetics can play an (often small) role in certain chronic pain conditions. However, these are predisposing factors - they do not cause the symptom onset. Symptom onset occurs when those genes are activated or triggered, generally through fear, anxiety, worry, or injury. It's far more likely for the child of a back pain sufferer to have back pain not because of genetic predisposition, but because the exposure to a trusted figure with pain conditions the child with certain beliefs (e.g. the back is "weak" or certain physical activities are dangerous). This conditioning is 'priming the pump' for pain to occur later in life. We also know that although genetic evolution can take thousands of years, we can alter gene expression in a short amount of time. For example, studies show that meditation can alter your gene expression in a positive way in a very short amount of time. This means that genes that are activated can be deactivated. And chronic pain symptoms are often reversible because the neural-circuits causing pain can be deactivated.

Accidents and injuries occur. However, the human body has an incredible ability to heal - from broken bones, ligament tears, etc. Consider that the biggest bone in the body, the femur, can heal - and actually become stronger than before the fracture - in just 8 weeks! What often happens is an injury can transition from being 'acute' to 'chronic' through fear, worry, and the activation of neural circuits. If we took a fMRI of your brain right after your accident, it would show pain in the brain regions associated with bodily feeling. However, after a certain number of weeks, when pain persists, other brain regions light up - ones associated with emotions, learning, and memory! The pain then becomes learned - like a bad habit. Consider also that despite an average number of car accidents, whiplash doesn't exist in Lithuania, and that whiplash can be generated by a fake car accident. Pain is often not due to ongoing injury from an accident that happened years ago, but neural circuits driven by fear, anxiety, and worry. And these neural circuits can be turned off, no matter how long you've been in pain.

This is very common. In the case of chronic pain, these areas of muscle tension are generally caused by the brain. They are a symptom of pain, rather than the cause of pain. As the nervous system is calmed through neural circuit retraining, these areas of muscle tightness go away, along with the pain.

This is very common. Many people have pain or symptoms that are generated by movement, activity, weather, heat, cold, light, sound, certain people, foods, or pressures. In each case, these are triggers not causes of pain. Like Pavlov, who taught his dogs to salivate by ringing a bell without food, your brain learns to associate symptoms with these activities. This is a conditioned response. In the same way that we can learn to ride a bike or learn an instrument, we can 'learn' pain, too. These triggers also generate symptoms outside of our conscious awareness. Research shows that most decisions are made subconsciously, and we make subconscious associations all the time. Consider that you are more likely to rate someone's behavior as disagreeable if you are subsequently exposed to a strong smell, and you're more likely to say someone is likable if you're holding a warm cup of liquid. In the same way, you don't need to be consciously aware of these triggers (e.g. that the weather has changed) in order to have symptoms arise.

We have learned of the immense power of the brain to create pain and to resolve it. If you believe you're broken or damaged, you will have fear, which will perpetuate the pain cycle. There is no trickery involved here - we're getting to the truth that you're not broken, not damaged, and your very real pain is coming from neural circuits in the brain, not a structural problem. This is why healing from chronic pain using a mindbody approach is not like taking an antibiotic, which will work whether or not you believe in it. This approach requires the client to take an active role in healing. When you believe - and know - that you're not broken, your fear level goes down. This is a key factor to stopping the pain/fear/pain cycle.

If you are in chronic pain, there is still a 'threat' that is being perceived. While emotional processing is a key to recovery, there is also education, breaking conditioned responses, and unwinding harmful personality traits. Each of these may need to be addressed in order to become pain free. The good news is that the inner work you've already done will be a massive help in your healing journey.

Not all chronic pain patients have had a difficult childhood. Issues can stem from adulthood, how we treat ourselves, or conditioned responses. But no matter how great someone's childhood was, how much love we've received, we do not come out without some scarring. It may not be big traumatic events. Sometimes personality traits and emotional turmoil can result from the equivalent of small paper cuts, or from things that didn't happen versus what did. Parents who are therapists will tell you this; they'll say it's about 'minimizing' adverse impacts on children instead of preventing them outright.

My holistic coaching program empowers individuals not just to become chronic condition-free, but also make systemic change in their own lives. We’ll focus on developing self-awareness and breaking through limiting beliefs and repressed emotions so you can live an unrestricted and purposeful life again.

There is no right or specific time to recover; everyone is different. Some symptoms may go away within weeks or days; others can take months to resolve. My goal as a coach is to empower my clients to not only recover, but also learn tools they can practice for the rest of their lives - long after we're done working together.

My coaching program is not for everyone. I look for individuals who are: ​ Open-Minded: To new ideas, and believe there’s hope. Active Players: Those who are committed to being an active player in their lives, not passive participants Willing to go deep: Change can be uncomfortable. But that’s where growth happens. Be willing to go deep - especially when it’s scary or uncomfortable. Committed - To do the work necessary to make deep, personal change. I can’t help you if you don’t do the work. Fun: This work can be fun, spontaneous and creative. I look for clients to bring an optimistic attitude. Not that everything is positive & awesome, but that it can and will get better.

If you fit into any of the below categories, my coaching is probably not for you: ​ Those who want to keep playing the victim card. Yes, we all do this on occasion. But if you refuse to take responsibility for your life, and simply believe you can’t change, then this program isn’t for you. If you’re looking for a procedure, pill, or physical treatment to cure you, this is not it. Coaching requires your active involvement, being comfortable with discomfort, in order to take control of your life. Those who are close-minded. If you aren’t open to the idea that something psychological can be causing your pain other than the physical diagnosis you’ve been given, then this isn't for you.

Each one of my coaching engagements is unique, driven by my client’s development needs, real-time challenges, and content from my holistic coaching framework. My coaching is on a monthly basis. We’ll generally meet weekly for an hour (except for a 90 minute intake session). Contrary to other practitioners like therapists or doctors, I can also be available by email, text and phone outside of scheduled coaching hours when the need arises. I typically start with two or three month engagements, with an option to extend.

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