Chronic spine pain is a complex and often debilitating condition that goes beyond just physical discomfort. It’s not simply a symptom of a structural issue in the spine—chronic pain involves the brain, nervous system, and even emotional well-being. Renowned spine surgeon Dr. David Hanscom, author of Back in Control, offers groundbreaking insights into managing and overcoming chronic spine pain without always resorting to surgery.
What Is Chronic Spine Pain?
- Definition:
Chronic spine pain is pain that persists for more than three to six months, long after the initial injury or condition has healed. It often becomes a condition in itself, affecting every aspect of a patient’s life. - Common Causes:
- Degenerative disc disease
- Herniated discs
- Spinal stenosis
- Failed back surgery syndrome (FBSS)
- Nerve compression (e.g., sciatica)
However, Dr. Hanscom emphasizes that chronic pain is often not directly tied to the structural abnormalities visible on an MRI, such as disc bulges or mild arthritis. Instead, the pain can stem from how the brain processes pain signals.
Dr. Hanscom’s Perspective on Chronic Pain
- The Neuroplasticity of Pain:
- Chronic pain rewires the brain, creating pathways that amplify pain perception.
- Over time, the brain becomes hypersensitive, interpreting even minor sensations as painful.
- The Role of Stress and Anxiety:
- Stress, anxiety, and unresolved emotional trauma can fuel chronic pain.
- The nervous system becomes stuck in a “fight-or-flight” state, perpetuating the pain cycle.
- Surgery Isn’t Always the Solution:
- Hanscom advocates against surgery for chronic pain unless there is clear evidence of a structural issue that directly correlates with symptoms.
- Many patients find relief through non-surgical, mind-body approaches.