Your mind can be trained to control chronic pain. But it will cost you - STAT

There was plenty to blame: the car wreck that broke his back. The job pouring concrete that shattered his spine a second time. The way he tore up his insides with cigarettes, booze, cocaine, and opioids.It all amounted to this: Carl White was in pain. All the time. And nothing helped — not the multiple surgeries, nor the self-medication, not the wife and daughter who supported him and relied on him.Then White enrolled in a pain management clinic that taught him some of his physical torment was in his head — and he could train his brain to control it. It's a philosophy that dates back decades, to the 1970s or even earlier. It fell out of vogue when new generations of potent pain pills came on the market; they were cheaper, worked faster, felt more modern.But the opioid epidemic has soured many patients and doctors on the quick fix. And interest is again surging in a treatment method called biopsychosocial pain management, which trains patients to manage chronic pain with tools ranging from physical therapy to biofeedback to meditation. It helped Carl White, a 43-year-old social worker from Leroy, Minn.The catch? It can take weeks and cost tens of thousands of dollars — and thus remains out of reach for most patients with chronic pain."We've been banging our heads on the wall, and banging our fists on the door, trying to get insurers to pay for this," said Dr. Bob Twillman, executive director for the Academy of Integrative Pain Management.&qu...
Source: Psychology of Pain - Category: Anesthesiology Source Type: blogs

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