Controversial Article About Pain | Arthritis Information
http://www.channel4.com/news/articles/society/health/arthrit is+pain+linked+to+emotion/355952
It's interesting that they only mention OA patients. I'm curious about this entire article, because to me, it's VERY confusing. I'm wondering if it's misleading as well. How did you all interpret(sp) it?
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I am more prone to believe the opposite is true..that the osteoarthritis causes these areas of the brain to become more active......more apt to being stimulated. Far be it from me to question published research, but then again, to me that would make more sense unless they had a control group for this particular group. Since I did not read the research study itself, I am not quite sure what to make of it.
Sometimes when studies are written in summary like that, you have to understand that not all the info is there. It would be interesting to note if the study was performed on those without osteo to see if the same holds true.
Like I said, I am more prone to think that the opposite is true. The brain works in mysterious ways and is not always as predictable as what we might think it is. Just cause a particular sequence happens, does nto always mean that it was caused by the seemingly causal factor.
jode
I feel that the article has value even tho they did testing with only OA patients. OA is a chornic illness also but without as many treatments or meds as RA. I bet RA would show emotional prominence also if they tested any amount of people with RA. We read so many posts where people are just so emotional over their pain and frustrated with it. I feel that after awhile the emotional part takes over with more importance than the pain we are feeling itself. I hate to sound ignorant, but I really didn't quite understant what they were trying to get at.
In addition to RA, I also have OA throughout my body. In fact the OA has done more damage than the RA has. I would very much like to read more than just the summary in this article. There has to be more to it.
I agree, Katie, it is very confusing, as written.
Thanks for sharing,
Nini
Maybe it is the emotional wear and tear on the nervous system from the pain that causes it......good point.
Maybe people with RA and well as the article states, OA, have a stronger connection neurally to the cingulate cortex, thalamus and amygdala.I dunno but it is very interesting and I would like to research it further. I love studying the brain! It is so phenomenal!
Oh I am sure the study is valid...( I just had a prof that made sure we looked at all angles ect. in a research study)......I did pass anyway!
If there is more activity in those areas that would certainly indicate the emotional aspect....it is all systemic.
This too!:
"This suggests that arthritic pain has more emotional salience than experimental pain for these patients, which is consistent with the unpleasantness scores they themselves gave," said Dr Bhavna Kulkarni, who led the University of Manchester team.
"The increased activity in the areas associated with aversive conditioning, reward and fear, which are less-commonly activated during experimental pain, suggests they might be processing fear of further injury and disability associated with the arthritic pain."
AMEN TO THAT!!!!!!!!!!!!!!
I think what they were trying to get at, is that the brain processes pain in two different areas. Each area could, in theory, be treated differently for the pain. Does that make sense???
Hmm, how interesting. I think they were trying to get at is that with the OA pain there was more going on in the brain than just the pain - eg fear, shame, emotions around disablement like anger etc. So with the experimental pain it was "pure" pain dealt with as it was but with the OA pain there was something else going on aswell which I suppose makes sense if you think that the brain knows this is an ongoing, chronic condition nad is likely to get worse, will have consequences for normal functioning etc. rather than the pain of say a stubbed toe which you brain knows will get better and is likely to be short term. I suppose it could apply to any chronic condition which causes pain? It could therefore lead to a different approach to treating chronic pain, rather than just giving painkillers and leaving you to feel rubbish maybe it will give a better focus on emotional well-being?
KT
It is a very interesting article, and I agree that emotion can make oa, ra whatever you have worse because of your frame of mind. I know that when I am stressing I have a tendancy to feel the pain more then when I am doing fine. Even my psoriasis flares worse if I am stressing so emotion is involved with it. meme
Perhaps this is where a bigger study into AD's for pain for the cronicly ill person comes in? EH?
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