You might hurt, throb or sting in one place or all over. You might feel soreness in your muscles or an ache deep down in your bones. The worst part? It can be hard to describe to your doctor, because it just hurts, and it has for a long time.
Such are some of the symptoms of chronic pain, a disease that happens when you hurt — sometimes inexplicably — for six or more months or longer than would generally be expected for recovery to a specific disease, injury or surgery. Other symptoms of chronic pain include:
Sometimes, chronic pain stems from an injury that may have been corrected with surgery but continues to ache long after it heals. Some people have prolonged joint or back pain, while others experience chronic pain from underlying problems, such as arthritis or cancer. Still for others, the pain just appears with no notice or good reason.
Typically, chronic pain falls into one of two categories. Causes and treatments depend on which of the two types you experience.
Pain Caused by a Chronic Issue
Most of the time, pain serves an important purpose: To protect against peril. Think of it as a messenger, sending a signal through the nerves to the brain when you're injured: "Hey, something's wrong here!"
But when you have a chronic issue, the signal gets sent over and over again. That's the type of pain experienced by people with chronic diseases like these:
Even though underlying issues are the cause, pain that lasts longer than 12 weeks is a disease — not just a symptom. That's because when the hurt evolves from acute to chronic, it often becomes its own diagnosis, study authors recently noted in the Journal of Pain Research.
Pain Caused by Nerve Damage
When someone is living with chronic pain caused by nerve damage, the cause is less clear. Sometimes, the pain messenger service has a glitch and sends a signal about a danger that's not really there. Maybe it did exist long ago, from a previous injury perhaps, but the nerves never got the memo that you're healed. They still fire warnings to the brain, which in turn causes the perception of pain. Causes of this tough-to-crack pain can include:
Make no mistake, though; "mystery pain" is not entirely psychological. People who live with these kinds of inexplicable pain have likely heard at least once that they have a "made-up disease," as one author wrote for Harvard Medical School. While some mental disorders like depression or anxiety can make pain worse, nerve disorders trigger real, physical responses to pain stimuli.
Chronic Pain Treatment: How to Manage the Pain
Pain can vary from person to person, so treatments do, too. And though many types of chronic pain can't be cured, they can be treated or managed. This means that while drugs or therapies — such as neurostimulation — may not eliminate the pain forever, they can reduce the pain for a better quality of life with continued treatment.
"Sitting at home disabled because of your condition is no way to live. If there's an alternative, you may still be able to get out and experience life," said Debby Triplett, a 62-year-old Louisiana woman whose doctors tried several treatments aimed at relieving her foot pain.
Seven years after trying a spinal cord stimulator that delivered traditional tonic stimulation failed to give Debby adequate relief, her doctor replaced the system with a neurostimulator that deliver's Abbott's BurstDR therapy. BurstDR™ stimulation is a physician-designed therapy form of SCS clinically proven to provide superior outcomes for patients with chronic pain over traditional SCS therapy.1
"I haven't looked back since my new stimulator has been implanted," Debby said. "It's like going back to being a normal person again. It can change your life; it changed mine."
Always consult with your doctor before beginning any treatment program.
Life Beyond Pain
An estimated Millions Americans live with chronic pain, according to the American Academy of Pain Medicine. While their path forward may be difficult, new technologies and treatments mean that plenty of them live happy, fulfilling lives while keeping their pain in check. It's entirely possible — chronic pain be darned.
1Deer T, Slavin KV, Amirdelfan K, et al. Success Using Neuromodulation With BURST (SUNBURST) Study: Results From a Prospective, Randomized Controlled Trial Using a Novel Burst Waveform. Neuromodulation. 2017.
This story reflects one person's experience; not everyone will experience the same results. Talk to your doctor about the benefits and risks of your treatment options. St. Jude Medical does not provide medical services or advice as a part of this website.
IMPORTANT SAFETY INFORMATION
RX ONLY
Proclaim™ SCS System
Brief Summary: Prior to using these devices, please review the User's Guide for a complete listing of indications, contraindications, warnings, precautions, potential adverse events, and directions for use. The system is intended to be used with leads and associated extensions that are compatible with the system.
Indications for Use: Spinal cord stimulation as an aid in the management of chronic, intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with the following: failed back surgery syndrome and intractable low back and leg pain.
Contraindications: Patients who are unable to operate the system or who have failed to receive effective pain relief during trial stimulation.
Warnings/Precautions: Diathermy therapy, implanted cardiac systems, magnetic resonance imaging (MRI), explosive or flammable gases, theft detectors and metal screening devices, lead movement, operation of machinery and equipment, postural changes, pediatric use, pregnancy, and case damage. Patients who are poor surgical risks, with multiple illnesses, or with active general infections should not be implanted.
Adverse Effects: Painful stimulation, loss of pain relief, surgical risks (e.g., paralysis). User's Guide must be reviewed for detailed disclosure.
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