When chronic pain becomes a medical condition in its own right
Pain is undoubtedly an unpleasant sensory and emotional experience. Still, it is necessary because it takes over the organism’s biological warning system in the event of physical injury or dysfunction and has a rehabilitative effect by forcing the affected region of the body to rest. As such acute pain is often of short duration, is easily localized, and is causally treatable.
However, if the pain lasts longer, if it loses the connection between cause and sensation, or if this connection cannot be established even at the beginning, it may have to be assumed to be an independent disease pattern: somatoform disorders, characterized by chronic pain that is distressing and destructive – life-defining. It is estimated that 15% of the population suffers from such a disorder. Often depressive moods or anxiety occur in the course of this. Those affected are severely restricted in their daily lives by the symptoms and perceive a reduced quality of life.
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Chronic pain can manifest itself in very different ways. Affected persons may experience a general feeling of discomfort or even a complete restriction of movement. In most cases, chronic pain results in a general change in behavior, for example, in the form of a protective posture, which severely impairs the affected person’s everyday life and quality of life. The following forms of pain are among the most common chronic pains:
People with such a pain disorder do not infrequently go through an excessive journey through several doctor visits in search of a somatic finding. Often, this hunt for results that certify the integrity of the pain is not crowned with success. However, even without abnormal laboratory findings or x-rays, there is no doubt that the pain is real. This can have other consequences in addition to the pain itself:
If a physical illness results in pain that lasts longer than three to six months and therefore becomes entrenched over months or even years, chronic pain develops. By this time, this persistent pain has long since developed its own dynamics without any actual warning function for the body. Pain is more than the physiological correlate of tissue damage. It presupposes consciousness and attention and is thus never free of affective influence. It is an overall psychophysical event, with biological (e.g., genetically determined increased excitability of the nervous system), psychological (e.g., emotions, cognitions, expectations & attitudes, coping strategies), and social (e.g., social networks, living conditions) factors influencing and mutually reinforcing each other.
As part of inpatient treatment at LIMES Schlosskliniken, affected patients undergo an extensive anamnesis and diagnostic phase to determine the individual disease factors. By embedding them in a multimodal, individualized clinic concept, the therapy modules can be adapted to the specific requirements of the individual. This is because a close link between psychotherapy, specialist presence, physiotherapy, and a medically based sports concept is essential in this area. Thus it is possible to achieve an increase in the quality of life, which is the top priority.
In the course of treatment at the LIMES Schlossklinik, a model of the disorder is developed, which helps to understand the disease’s interrelationships and recognize psycho-physiological interactions. Specific measures and strategies for coping with pain are developed, increasing self-efficacy expectations. An integrative therapy approach enables a combination of behavioral therapy and depth psychological elements, the content of which is rounded off by the development of mindfulness-based methods and relaxation techniques to focus attention and increase the ability to self-regulate consciously.
Seamless interlocking of interdisciplinary therapies for optimal therapeutic success
Within the framework of a comprehensive sports concept, the aim is to establish a balance between sparing and excessive stress, thereby promoting a decoupling of activity and pain. Through these methods in a protected, quiet environment, the LIMES Schlossklinik strives to increase subjective well-being and improve the skilled handling of chronic pain.