1. What is
Neuroplastic Pain?

arrow
What are the typical symptoms of neuroplastic pain?Why am I in pain? Why does the pain not go away?Bottom Line

MBS (Mind Body Syndrome), also known as PPD (Psychophysiologic Disorder) or Neuroplastic pain (Neural Circuit/Neuroplastic pain), is a general name for physical symptoms that do not result from physical or structural damage to the tissue itself (such as in disease/fracture/tumor situations) Infection).
The pain results from over-excitement and fixation of neural pathways in the brain and central nervous system. The driving force behind the pain phenomenon is a combination of factors such as psychological stress, negative emotions and fear of the symptoms themselves.

What are the typical symptoms of neuroplastic pain?

The pain/symptom/syndrome can appear anywhere in the body. However, there are more common symptoms such as: migraines and headaches, back pain, neck pain, whiplash, fibromyalgia, irritable bowel syndrome, painful bladder syndrome, chronic fatigue, tinnitus, pelvic pain, vulodynia, sciatica, pain in the feet, pain in the facial area, sensations of numbness/tingling/paresthesias, dizziness, severe period pains and more. The appearance of the symptom/pain is varied.

It can start gradually or suddenly, after an initial injury or without any physical injury whatsoever.

The diagnostic process should be done by a doctor familiar with the subject and the characteristics of neuroplastic pain. The purpose of the diagnosis is to rule out a structural/physical source of the pain (for example, pain due to a tumor/disease/fracture, nerve damage, etc.) and to confirm that it meets the criteria for neuroplastic pain.

To get an idea if this is relevant for you, you are invited to fill out the self-diagnosis questionnaire.

brain

Why am I in pain? 

Contrary to popular belief, pain is not created in the body part itself but in the brain.
Pain is a response from the brain designed to protect us from what it perceives to be dangerous (actual or potential). The brain receives information from the environment, and what is happening in the body, and decides whether and how to activate a pain response, when to raise the level of pain and when to quiet it.

When the brain concludes that we are in danger, neural connections are activated between the various brain cells, and a special neural pathway is created to transmit pain to the body.

Most of us have experienced a headache after a very busy day or a stomach ache before an important test or job interview. These are everyday examples of the direct influence of the danger mechanism in the brain on the sensations in the body. In most cases, the pain will go away when the stressful or threatening event is over.

On the other hand, when the pain is chronic, the danger mechanism in the brain "works overtime" and does not relax, even if the original threat is no longer relevant. For example, the pain might have started with a physical injury but continues months or years after recovery (most injuries heal within 3-6 months).

In this case, there is a "disruption" in the brain's danger system, which continues to recognize signals coming from the tissue that was injured as dangerous, even though the physical damage has healed.
And what about pains that appear "out of nowhere", without any initial physical injury?

It is important to know that the brain's danger system does not distinguish between physical injury and a powerful emotion (such as anger, sadness, insult, rejection), a threatening thought or a traumatic memory. Stress can originate in everyday life, in trauma we experienced in the past and even in demands we make on ourselves (such as being overly demanding, perfectionistic, pleasing others, etc.).
All of these can cause the brain's danger mechanism to conclude that we are facing a significant threat.

This process often occurs under our radar in an unconscious way, involving the autonomic nervous system.

The problem is that when the pain appears, most of us do not suspect that there is an element of psychological threat in the process and look for the problem in the body.
We focus on trying to "fix it" and treat the painful area/organ. Because the problem is not in the body, these attempts fail one after the other and lead straight into the emotional vortex of anger, frustration and fear of the symptoms themselves.

Unfortunately, these reactions are in themselves "fuel" for the brain's danger mechanism, which recognizes them as signals of a threatIn response, it continues to activate the nerve pathways that produce pain. This creates a closed and discouraging cycle in which the very reaction to pain perpetuates it.

arrow
arrow

Why does the pain not go away?

When the pain lasts for a long time and the neural pathways in the brain are activated often, they become stronger. Neural pathways that are transmitted over and over become a sort of "speed dial", making it easier for the brain to activate them. Just like we learn to play the piano or ride a bicycle - the more we repeat an action, the more we strengthen the neural pathway in the brain and it becomes easier.

The same goes for the "pain melody" - the brain learns to play it and gets better at producing it. Moreover, as much as it sounds fictional, over time the brain adapts to the pain itself and lowers its sensitivity threshold in receiving messages coming from the body's tissues and interpreted as dangerous.

As a result, the brain will begin to play the "pain melody" even in response to very mild signals from the tissue (which is not injured at all).

Therefore, often, chronic pain intensifies over time and physical stimuli which were never bothersome at all in the past become painful (such as gentle touch on the skin in the painful area, contact with a certain piece of clothing, etc.).

The pain results from the "replay" of neural pathways from the brain to the body, and therefore can manifest anywhere in the body. It can appear gradually or suddenly, regularly or occasionally, in an area where there was a previous injury or without any initial damage to the tissue.

arrow
arrow

The pain is always real,
100% felt in the body and is not imaginary.
It is not "in your head" It is in your brain!

!Important

The important news- You can recover from neuroplastic pain/MBS

Symptoms that emerge from activation of neural pathways in the brain and overexcitation of the central nervous system are temporary, harmless and completely reversible!

Just as the brain has learned to turn on the pain pathways, it can also turn them off. The brain adapts and changes at any time, and therefore even if the pain is powerful and lasts a long time - it is reversible! There are currently research-based psychological methods that focus on changing the brain's assessment of danger (whether it is a sensory or emotional source) and have been found to be effective in treating pain. With the right knowledge and mental tools, you can get out of the cycle of chronic pain.
Even after a long time, change is possible!

Bottom Line

soissors

1. What is neuroplastic pain?

Neuroplastic pain/MBS includes physical symptoms that do not result from physical injury. The symptoms can appear in extremely high intensity, in all parts of the body, gradually or suddenly, after an injury or without an initial injury.

Although the source of the pain is not a physical injury, the pain is 100% real and felt in the body. 

The pain is caused by the brain perceiving danger. The threat can be of physical, emotional or combined origin.

In response to the actual or potential threat that the brain detects, neural connections are formed between the brain cells—a kind of neural pathway that transmits pain to the body.

Over time, if the assessment of danger does not change, the brain will continue to activate the same neural pathways over and over again, and they will become a kind of "speed dial.” That is, the brain learns to activate them more quickly and efficiently.

Neuroplastic pain, despite its intensity and duration, is not dangerous and it is reversible. Just as the brain has learned to activate the pain pathways, it can use the appropriate mental tools to deactivate them. 

download

Next chapter

arrow
heart