The Spiritual Component of Chronic Pain Management
My wife and I were at a gathering last night and the topic of pain management came up since that’s what we are passionate about. As we were talking about our beliefs about pain and what constitutes effective pain management we described the importance of working with the whole person.
Unfortunately, most people undergoing traditional pain management usually get symptom management. Most often the symptoms (pain signals) are “treated” with medication—90 percent of people undergoing pain management in the United States are prescribed opiates. The opiates will give some relief from the pain but usually it just masks or covers the problem. The medication was never meant help the person manage the psychological/emotional, social, or spiritual components of chronic pain.
Chronic pain affects you physically, psychologically, socially and spiritually—body, mind, spirit.
- Physically, chronic pain raises stress and drains physical energy
- Psychologically, chronic pain affects your ability to think clearly, logically and rationally, to manage feelings and emotions effectively
- Socially chronic pain affects your ability to use consistently responsible behaviors, thus affecting others
- Spiritually, chronic pain can keep you separate from your inner self and/or Higher Power.
Holistic health is a term used by alternative medicine advocates to describe medical care that views physical, mental, and spiritual aspects of life as closely interconnected and balanced. Martha Cleveland (1999) in her book Chronic Illness and the Twelve Steps: A Practical Approach to Spiritual Resilience, maintains that dealing with the emotional and spiritual components of chronic pain is an extremely effective treatment approach.
Another approach is Kundalini Yoga a system of meditative techniques and movements within the yogic tradition that focuses on psycho-spiritual growth and the body’s potential for maturation. Human beings have both a physical self (based on the health of our brains and bodies) and a non-physical self (based on the health of our value systems and spiritual lives). Most people who have learned to effectively manage their chronic pain find that they need to invest regular time in developing themselves spiritually (in other words, exercising the non-physical aspects of who they are).
My new book Managing Pain Before it Manages You: Using the Addiction-Free Pain Management® System covers the importance of using a multiple-disciplinary team approach that includes the Bioplogical, Psychological, Social, and Spiritual components of pain. If you want to learn more about this treatment systme please check out our website at www.addiction-free.com and go to our publications page to check out my book.

April 14th, 2008 at 10:45 pm
Thanks so much for all the great information. I’m on a number of meds for chronic pain. One is FMS, the one for which I take the meds is the neuropathy in my entire left foot (accident), and half of my right foot. I am now on Duregesic 100 mcq q 48hrs, and methadone 10mg, 1 -4 times a day. I’m also on Neurontin 600mg, 4 times a day. I’ve still had a considerable amount of pain. Walking is still very painful after 3 years, including a surgery from a specialist which was supposed to fix it…….I was so disappointed. I walk in home 3 miles a day for the past month (missed a few days) to try and keep the FMS in check. The FMS pain used to be helped tremendously with the 3 miles, but since having the neuropathy, it seems to trigger the pain of the FMS. I’m already taking large does of laxatives and otc to bulk the stool. I eat a large salad everyday, and try to keep my diet having a lot of fiber in it. I still feel very bloated though. Any suggestions?
Thanks ahead of time.
April 14th, 2008 at 10:50 pm
I just emailed you about the FMS and neuropathy. I also would like your suggestions for sleep and a muscle relaxant. It’s hard to relax when your foot hurts as much as it does. My doc doesn’t want me on a muscle relaxant and something for sleep when on everything else. He says that I should just enjoy the extra time I’m awake and use it to my advantage. Unfortunately, the lack of a good nights sleep only makes the pain worse. My Dr. is Chinesse and English is a second language for him. It’s his way or no way. Do I need to find another Dr. or is toughing out the sleep problem one I should just deal with it.
Frustrated in California
June 11th, 2010 at 7:33 am
You have certainly been very busy for us, thank you all.Can’t wait to see what you’ve all been up to for 2010