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Pain

A trauma-sensitive guide to understanding pain

 

Pain is always real.

 

Therapy Alberta

Pain can shape every part of your day.

Some people notice it as a sharp flare, a dull ache or a body that never fully settles.

Others notice it in what they’ve stopped doing, like walks, plans or hobbies they used to love.

Some notice it when someone asks why they seem tired, angry or far away.

Maybe you feel:

  • alone
  • braced
  • fragile
  • irritable

Pain is a signal from your nervous system.

Understanding your pain can make it feel less frightening.

Etymology

 

pain

from the Latin poena, torment

 

Therapy Alberta

What is Pain?

Pain is a physical and emotional experience that signals your body may be in danger.

Pain acts as a protective alarm.

Pain is always real, and it’s shaped by your body, mind and life together.

How much it hurts depends on injury, stress, sleep, mood and what you’ve lived through.

Recurring or chronic pain is common, and about 1 in 5 Canadians live with it.

Pain can look different across people, from limping or wincing to staying quiet and pushing through.

The question is how much pain is shaping your life.

Signs and Symptoms of Pain

Physical

  • clenched jaw
  • guarded movement
  • poor sleep
  • stiffness

Mental

  • bracing for flares
  • brain fog
  • forgetfulness
  • trouble focusing

Emotional

  • dread of flare-ups
  • grief for your old life
  • irritability
  • low mood

Social

  • canceling plans
  • feeling like a burden
  • hiding discomfort
  • pushing through

What Causes Pain?

Pain that lingers is usually shaped by several things:

  • Your body: injury, illness, surgery or a sensitive nervous system can keep pain signals turned up.
  • Your experiences: accidents, trauma or past pain can teach your body to brace and protect.
  • Your relationships: being doubted or unsupported can add stress and make pain harder to bear.
  • Your world: bias in health care, long wait lists and costly treatment can leave pain untreated.

Resting and guarding can protect you, and too much of either can leave your body stiffer and more sensitive.

Your pain is real, whether or not a test can explain it.

Pain and Your Nervous System

Pain can keep your nervous system on guard.

You might notice tight muscles, shallow breathing or a body that won’t fully settle.

Stress, poor sleep, worry and feeling alone can keep you in fight or flight and turn the pain signal up.

Fear, tension and pain feed each other in a cycle.

When you brace, your body carries even gravity at a higher cost, and that effort can hurt.

Bracing is your body’s way of protecting you from more harm.

Softening at any point in the cycle can change how much it hurts.

Pain and Trauma

What if your body learned to brace before the pain?

After trauma, your body can tense, and stay tense.

Pain can also flare with reminders, like a hospital smell, a certain movement or a raised voice.

That’s part of why pain and trauma show up together.

Pain after trauma can look like flinching at touch, pushing through to seem strong or going numb.

Each of these once helped you get through something that felt unsafe.

With safety and care, your body can begin to ease its guard.

Ways to Care for Yourself

Find the okay spots

Notice one place in your body that feels okay, like maybe your toes. Let your attention rest there.

Offer warmth

Try a warm cloth or your own hand on the place that hurts. Let comfort sit beside the pain.

Wrap in support

Notice where you’re holding, like your thighs or arms. Wrap yourself in a scarf to support that spot.

Grieve what changed

Make room for sadness about what pain has changed. Those feelings belong in a life with pain.

When to Get Help

You might tell yourself you just have to live with it.

But pain can affect your mood, sleep, work and relationships too.

It might be time to reach out if pain:

  • gets in the way of your life
  • has lasted longer than expected
  • keeps you from things you love
  • makes you feel dismissed

It doesn’t have to be constant or severe.

When you feel hurt, it’s time to get help.

Therapy can help you suffer less, even when pain is still there.

Curious how therapy helps with pain?

 

Pain Therapy

Questions About Pain

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Resources for Pain in Alberta

If you're in crisis, call or text 988 any time, day or night. For more crisis lines across Alberta, visit our crisis support page.

Support Lines

  • Mental Health Helpline: 1-877-303-2642. Free support and referrals for anyone in Alberta, 24/7.
  • 211 Alberta: Call or text 211, or chat online, to find local mental health services and community supports.
  • Health Link: 811. Talk to a nurse any time, including about new or changing pain.

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