[lit-ideas] Re: Kyphoplasty?

  • From: Andy Amago <aamago@xxxxxxxxxxxxx>
  • To: lit-ideas@xxxxxxxxxxxxx, lit-ideas@xxxxxxxxxxxxx
  • Date: Mon, 14 Feb 2005 11:46:10 -0500 (GMT-05:00)

-----Original Message-----
From: Judy Evans <judithevans001@xxxxxxxxxxxxxx>
Sent: Feb 14, 2005 10:26 AM
To: lit-ideas@xxxxxxxxxxxxx
Subject: [lit-ideas] Re: Kyphoplasty?

Monday, February 14, 2005, 3:10:42 AM, Andy Amago wrote:



AA> A.A.  Physical therapy can provide relief regardless of the
AA> origin of the pain by stretching out the knotted muscles and
AA> strengthening them.


But physio alone may not be appropriate.



A.A.  Perhaps.  Still, physical therapy is nearly always prescribed, even if 
surgery is the modality used.  




AA>  Since surgery is how surgeons make money, it
AA> sounds like you found a scrupulous doctor,


I saw him on the NHS; NHS surgeons don't make money by carrying out
operations. 



A.A. Then how do they make money?





AA> even if it cost you
AA> physical therapy.

and was a denial that there was any physical problem (my GP was
furious -- he'd examined my back when it was in spasm and knew the
case history -- all he could do was provide stronger painkillers; and
I continued to pay osteopaths.


A.A.  What was causing the spasms?




AA>  "Stress" is now known to originate within, not
AA> without.

I'd like a reference to this really rather remarkable theory (I admit
I continue to find certain "stressful" events "stress" me).



A.A. Rather remarkable?  If you say so, but it's ancient news.  If it were 
otherwise, the same situation would evoke the same response in everyone.  
Instead, some people are stressed driving; others not.  Likewise public 
speaking, or things that don't go as expected.  Some people freak out.  Others 
are unphased.  Conclusion:  the remarkable theory that it is not events but 
one's reaction to events that cause the physiological cascade of events called 
stress, one of which is muscle tightening.  Ancient, as in really really old, 
news.





AA>  I would say "anxiety", "anger", "frustration", that
AA> winds up in tense back or other muscle instead of "stress".


Ah. A Sarno disciple.  Stripped of its Freudianism, Sarno's approach
is helpful (if not new).  Unfortunately people too often ignore Sarno's caveats
i.e. that his methods should only be used when someone has been
diagnosed as having the precise condition his methods relate to, and
(therefore) when someone has no physical injury.



A.A. Never heard of him.  It stands to reason that one first rule out something 
physiological, and in the absence of empirical evidence go the mind-body route. 
 Or conclude one is possessed.  Either works.




=AA>> y in fact was not performed.  Relaxation techniques are proven to reduce 
ch=
AA>> ronic pain.  The University of Massachusetts Hospital has a whole 
departmen=
AA>> t on this.  Newsweek ran a cover story on it not too long ago.  Old news, 
a=
AA>> s I say, at least since the 80's.

AA> How do you define chronic pain? As "non-acute"? as "long-term"? or
AA> as pain whose known physical cause had been removed?


AA> A.A. How many ways are there to define chronic?

(chronic *pain*) Within the medical profession, at least three.



A.A. What are they?



AA>  Ongoing
AA> intractable pain.  I don't know what you mean by "pain whose
AA> physical cause has been removed".  By definition, once a cause is
AA> removed, the pain should abate.

*should*.  "Chronic pain" is defined by some experts as pain that
persists after an injury has healed (they give time limits).
Research that may be a by-product of research into phantom
limb pain shows (and is still showing) conditions (such as a kind of
neurological mis-wiring) that produce pain whose original physical
cause has been eradicated.  "Knotted muscles"/"inner stress" are not
thought to be anything to do with this.


It will take me a little while to find references on this


A.A.  Healing an injury isn't necessarily getting to the cause of pain.  
Sometimes a body part heals completely, sometimes not.  I don't know what 
neurological mis-wiring means.  Sounds like the brain sending signals to the 
body to give it some sort of information, such as, man you piss me off but I 
can't admit it to myself, so the signals go into the body, out of sight of the 
censoring brain.  


Andy Amago



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