The Painful Truth: The new science of why we hurt and how we can heal

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The Painful Truth: The new science of why we hurt and how we can heal

The Painful Truth: The new science of why we hurt and how we can heal

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M onty Lyman is a British doctor and The Painful Truth is his second book, released in 2021. It provides excellent explanations of persistent pain and the research around it. It has already changed how I consult patients presenting with pain in general practice. There is lots of interesting information on the value of social relationships including things in synchronicity like singing. Fascinating information around bias around race even in medical students. And in women where much of the 20th century they were given hysterectomies when they were said to be in pain and that pain was not treated in the same way as it might've been had they been male. The value and role of isolation is as significant as the risk of smoking 15 cigarettes a day. So we need to find ways that we can synchronise and help people socialise and not feel that isolation. The link between isolation and pain is very real. Showing once again the impact of emotions, feelings and expectation The science of pain and its reality has been linked to real-life situations and practices masterfully in “The Painful Truth”, and one of the areas that the author focuses on is that of medical trials, especially concerning the use of placebos. An interesting concept is that of the “Open-label placebo” which involves actually telling the patient that whatever they are taking is a placebo instead of the real drug. Fascinatingly, this has been found to be effective in pain relief, often actually being as successful as a placebo given in the usual context blind to the patient. This time, there is actually no ethical issues. Ethics is an idea that is commonly brought up in this book, which good ethical practice being central to medicine and how humans conduct medical practices.

There appears to be a difference between people seeking pleasure and avoiding pain but actually the true analogy is people seeking rewards and avoiding punishment. Some of us find pain to be pleasurable, think of people who do marathon runs, or like me, love hot chilli peppers. And somebody who might think a mouldy piece of bread is disgusting when they are fully fed might consider it a pleasure or a reward to those who have been starving for two days. Exploring cutting-edge research that encompasses everything from phantom aches to persistent pain, as well as interviews with survivors of torture and those who have never felt pain, Dr Lyman not only provides hope for reducing and managing pain but takes us to a deeper understanding of what it means to be human.The placebo effect which could be nothing more than a sugar pill can change the way our mind perceives and works on the mindbody connection. This is such an important factor in how our body can respond to pain as well as healing in certain conditions. The placebo can change and alter the chemistry in our brain with neurotransmitters like dopamine and opioids in our brain and allows us to release these neurotransmitters which can then influence and reduce the impact and effects of pain.

Durerea nu este în corp, dar nici nu se găsește doar în minte: durerea este în persoană. Pentru a trata durerea, trebuie să tratăm omul în persoană.” cuvintele negative și mediul tensionat afectează creierul, starea psihică și pe cea fizică. Cuvintele pot răni la propriu ! The author explains how hypnotherapy helped him with irritable bowel syndrome syndrome and research is showing hypnotherapy can work on some elements of pain. The author then goes on to detail how pain can be relieved but in ways we would not expect, and crucially talks about why these ways work. Hypnosis is an interesting therapy that Lyman believes can be extremely effective, when combined with modern virtual reality (VR) related therapies. This is because it actually helps lead to increased connectivity in the brain to the prefrontal cortex and insula, which are parts of the brain associated with feelings, and this in turn leads to increased mind-body control. Lyman writes about many studies that prove the effectiveness of hypnosis-VR treatment as well as many other therapies mentioned in the book, which helps to convince readers of the validity of his words. An accessible and well-written book... [Dr Lyman] takes us into the world of pain: its weirdness, its growing pervasiveness and how it's been misunderstood for centuries. ― Mail on Sunday

All pain manifests itself in the brain, and the brain can change the physical behaviour of your body. Think fight or flight, where fear response can cause eyes to dilate, veins to contract (so we might bleed less if cut), the heart to beat faster so that we can either fight or run faster than without it. Sadness can manifest itself with the physical manifestation of wet tears from our eyes. What is phantom limb pain? Can words actually hurt? Why do we experience pain, even after we've healed? A reason we should try to maintain a healthy weight isn't just because increased weight adds to stress on our bones and muscles but also because it increases diseases within our fat cells.

The mind manifestation can change physical response and that's not just in tears when sad but also on the flight and flight response where the whole body will alter into a completely different physiological response. This includes changes to a blood system, our eyes dilate, and we have the ability to reduce the amount of blood that might be released if we are bleeding.The brain contains 86 - 100 billion nerves and possibly as many as 10,000 billion connections but we can rewire our brains. The more we use certain brain receptors and how they communicate with one another through neurotransmitters then the body begins to remember the feeling of new pain rather than actual physical pain. We need to understand that pain can easily exist in the absence of injury, and overprotection is often the root cause of chronic, persistent pain. The most effective, evidence-based treatments for chronic pain are ones that provide our brain with evidence of safety and reduce the evidence of threat. Trying to ‘fight’ pain with anger or denial never works, and therapies designed to remove a supposed ‘issue in the tissue’ rarely work, or rarely work in the way they purport to. I find it hard to read books written by doctors but Dr. Monty Lyman turned out to be an exception. He is a medical doctor, author and research fellow at the University of Oxford. When an old injury started to hurt again, I thought I would read up on the pain which led me to this book: The Painful Truth. In this book, Dr. Lyman looks at the various aspects of the pain which are quite uncommon but make a lot of sense and I don't think that most of the doctors pay attention to the various facets of pain discussed in the book. A few things I've learned from the book: Not since GCSE Biology has my reading material been so scientific. As I approach my late twenties, I've increased my skincare routine tenfold, and now I'm taking it up a notch by learning how our largest organ actually works. The Remarkable Life of the Skin will make you scratch, squirm, inspect and neglect, but what a read it is. If those aforementioned textbooks had been written by the highly entertaining Dr Monty Lyman, I might have paid more attention. Plus, no other Tube read has ever garnered so many double-takes. Vogue

We know pain when we feel it. We fear it and try to avoid it. But do we know what it really is? We're currently experiencing a Renaissance in pain science. In recent years our understanding of pain has altered so radically it's fair to say that everything we thought we knew about pain is wrong. As Dr Monty Lyman reveals, we misunderstand pain - with harmful consequences.We're experiencing a Renaissance in pain science, and in recent years our understanding of pain has radically changed. But as Dr Lyman reveals, most of us misunderstand pain — with harmful consequences.



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