Experiencing pain is a normal part of everyone’s lives. Our body senses threats via nerve endings called nociceptors which send signals up to the brain. However, over time or after an injury, our nerve cells can become over-sensitized. This means they react more strongly to something that normally
wouldn’t hurt or would hurt less. This is called “SENSITIZATION”. When sensitization happens, the signals transmitted to the brain occur more frequently, more efficiently and can be experienced anywhere in the body (something you don’t want!). Sensitization can contribute to chronic pain conditions such as fibromyalgia, headaches and persistent low back pain. Sensitized individuals may also experience other systemic symptoms such as chronic fatigue, mood changes, sleep problems or difficulty concentrating.
If you’re based around Stouffville, and seeking relief from persistent pain, physiotherapy offers effective treatment options. Our team of skilled professionals, specialize in managing central sensitization and related conditions. In this post, we’ll explore central sensitization, its causes, and how physiotherapy can help alleviate symptoms and improve your overall well-being.
When we are sensitized, we may experience:
- pain that is out of proportion to the actual damage, known as Hyperalgesia
- pain that spreads to other areas of the body, known as Referred Pain
- pain that lasts a long time = Chronic/Persistent pain
- pain that is triggered by harmless things like touch, pressure or temperature, called Allodynia
Chronic pain and central sensitization is a biopsychosocial experience and can affect anyone, but some people may be more prone to it than others due to:
- genetic factors: history of chronic pain in the family
- environmental factors: occupation (repetitive activities), prolonged sustained postures
- social: life stressors, job dissatisfaction, interactions with boss/colleagues at
- work, or with family/friends at home.
Ok, now what do I do about it?
Treatment involves DESENSITIZING your central nervous system. Our bodies are constantly changing and adapting to internal and external stimuli. Research has suggested that we may be able to RETRAIN our brain and take advantage of the powers of NEUROPLASTICITY, which is when the brain changes in response to experiences, good or bad. Physiotherapy offers evidence-based treatments that aim to desensitize the central nervous system and improve neuroplasticity. These interventions can
effectively reverse the mechanisms behind sensitization.
Some promising treatments include:
- regular exercise: Regular physical activity can decrease the sensitivity of our nervous system by
changing processes at the cellular level, re-calibrating the nociceptive signals sent to the brain. Exercise doesn’t have to be high-intensity or involve going to the gym. Low-impact activities such as walking, swimming, or yoga can be effective in reducing nervous system sensitivity. Try to aim for at least 30 mins per day 4-5x per week. - acupuncture: acupuncture blocks pain by activating a variety of bioactive chemicals through peripheral, spinal, and supraspinal mechanisms. Specific systemic insertion points by an experienced practitioner centrally through the spine (neck, upper and lower back) and peripherally (ankle, feet, hands) can unblock neurovascular pathways and promote increased blood flow.
- lifestyle modifications: correct ergonomic setup at work (use of a standing desk), change of posture
throughout the day (every hour), work-life balance, positive social experiences (friends and family),
relaxation techniques such as meditation and yoga.
Take the first steps towards your recovery by booking an initial assessment with one of our experienced physiotherapists. We offer a range of services at our clinic in Stouffville, including physiotherapy and massage therapy. Personalized treatment plans are provided that incorporate manual therapy,
electro-acupuncture, and tailored home exercise programs. Book your initial assessment using the link below:
https://stouffvillejointventure.janeapp.com
https://beaconhillphysio.janeapp.com
Remember, chronic pain and central sensitization require consistent effort and active participation to observe significant improvements in symptoms. With the guidance of our physiotherapy team in Stouffville, you can embark on your road to recovery and regain control of your life.
