So, I'm thinking my next course of action may be Cognitive Behavioural Therapy and/or antidepressants.
It's looking as if I may have to deal with this pain as it seems unlikely there is a magical cure.
Depression, stress, and chronic pain share some of the same neurotransmitters and nerve pathways. Chronic pain causes changes in the hormones in your brain. It will make you less able to deal with stressful situations. As neurochemical changes take place, your bodies response to pain increases, you become oversensitive to pain. It becomes a vicious circle as ongoing pain makes you less able to cope with day to day situations, imbalances continue and quite often everything will seem to spiral out of control.
Cognitive Behavioural Therapy (CBT) is well documented as helping with chronic pain. It acknowledges that the pain is real, and not all in your head. It is reported as helping you to deal with your pain, to find ways of coping. As pain is processed by your brain, it may help learning to deal with how it is processed, to address thoughts, actions and behaviours that influence this pain. I have discussed before the cycle of stress and pain and the influence of chemicals released by your brain. It stands to reason therefore that if you can reduce this stress by learning coping strategies then you may be able to exert some kind of power over your brain and the release of these chemicals; to stop this downward negative spiral.
By taking control of my pain, acknowledging it, may make me feel more in control of the situation. It should be empowering allowing me to have the appropriate coping strategies. This in turn may well have a physical effect by reducing the stimulation of the chemicals involved in the pain response.
I don't know....but it is worth a try.
Additionally my GP has mentioned antidepressants to me before. I have resisted up to date. However, if I need to find coping strategies, this may well be a good one. Antidepressants used for pain are thought to influence the way nerve impulses are transmitted. As mentioned before, many neurotransmitters for pain and our mood are shared. They are responsible for keeping a pain situation going, or indeed to resolve it. Antidepressants do not work for all types of pain. But, for me, it may be worth trying.
Obviously I would normally say treat the underlying cause, not just the symptoms. 'Prevention is better than cure'. However I have now exhausted that. I know I'm dealing with several issues now. Most of them I have tried treatments for, the other cause are apparently not able to be remedied.
So, I shall for now try and remain positive, and explore the possibility of CBT and antidepressants.
Nurse who suffers chronic tailbone pain
- Pain in the arse
- I am a Registered Nurse who has suffered with tailbone pain for over 8 years. Like all chronic pain, it is essential that sufferers get the correct support, diagnosis and treatment appropriate for them as an individual. This blog follows my journey with chronic pain, it expresses my personal opinions and thoughts. It is not intended as a replacement for advice or treatment from your normal Healthcare Provider.