Fibromyalgia and the brain

“Your brain is the command center of your body”, Daniel G.Amen

There are about 100 billion neurons within the nervous system ; the neuron is the basic working unit of the human brain. Just imagine that! All these little neurons (cells within the nervous system) communicate with one another to transmit information through a complex web to other cells. The chronic pain that we fibromyalgia sufferers deal with on a daily basis is produced by our brain from these neurons. Ah, but we can control this pain, if we remember control rather than eliminate! So, what have researchers found about how this can be done? What can we do to take charge of these neurons that seem to be in a constant state of firing off messages of pain? There are, in fact, several strategies that seem promising, but only one will be discussed here, as its relationship to Mindfulness Meditation is another which I have discussed in depth over the years. In my view the two are closely related.

A popular approach to pain management is a form of therapy called ‘Acceptance and Commitment’. Primarily this means an acceptance that one does have pain, it is chronic, and yet to go on to engage in those things in life that gives one  pleasure. In short, it is a commitment to pleasurable activities by not engaging in negative thoughts about the pain, what caused it, and all memories of the past experiences of this pain. This kind of therapy, in my view, can be as effective through Mindful Meditation. It is possible to change the brain through discipline and consistent letting go of the thoughts that reinforce the feelings associated with the pain. The brain, after all, is plastic (“neuroplasticity”, which I have discussed so often in other blogs) and can change. That doesn’t mean the pain will go away, but rather it is an acceptance of it and a commitment to live life to the fullest by exploring the thoughts that arise in relation to the feelings and a willingness to accept what it is (again my favourite quote : “it is what it is”). An example that I use while meditating is this- I tell it I haven’t the time to think about it right now. I say ” I will make an appointment with you (the pain) later on, but for now I am letting you go from my thoughts”. It may sound hokey but it does work. I wish I could say that I am always successful with this strategy, but of course it doesn’t mean the pain has disappeared. Rather, it helps me to live life as fully as I can accepting my dis-abilities, rather than giving in to hopelessness. It is giving those little neurons a message to take to the brain that is less anxiety provoking.

This may appear to be “New Age” to some but Mindfulness Meditation is increasingly being used in chronic pain clinics and in other health facilities with mounting evidence- based research to support its effectiveness. Once again, while trying not to be repetitive (impossible since I have written about MM so frequently in other blogs), I am suggesting that accepting our pain while changing our  behaviour towards it will reduce the usual catastrophising that gives rise to even more distress. Both Acceptance and Commitment therapy and MM aspire to this goal.

In usual academic writing it is required to cite references, document findings, and generally to attribute one’s views to have originated from others. This site is not of that ilk, rather it is for a general readership. I therefore present covers of books which have helped me along with these searches in my own journey and I do not plagiarize, nor steal ideas that are not widely known. However, in this instance I do want to acknowledge that the form of psychotherapy of ‘Acceptance and Commitment’ was developed in the late 1980s by Steven C. Hayes, Kelly G. Wilson and Kirk Strosahl. It is similar to that of Mindfulness Meditation in that it is intending to “be present” (in the moment) with what is. In the case of MM it is also to “be without judgment”, “being with”,  and “letting go”. Read as many of the Dr.Jon Kabat-Zinn MM books as you can, most of which are cited in other blogs of this site. In the meantime do check out Daniel G. Amen’s  brain books and presentations on PBS about changing the brain!

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4 comments

  1. Gail Lauricella says:

    I also have had fibromyalgia for over 40 years and was very sick and debilitated for many of those years. Somewhere in the journey I taught myself 2 very helpful things. The first is not to hold onto the pain like a friend but to let it flow out of your body instead of embracing it. The second and I don’t know how I did it was to clear my mind which makes me not worry. I am a prayer warrior for many people so these people are like an ongoing movie in my head. They just pass in and out calmly!

  2. Nancy MIller says:

    I would love to read more about this disease,I was told that I have it when I went to the Mayo clinic many years ago but never how to help it or any medicines I could take to help some of this wide spread pain.

  3. Barbara Keddy
    Barbara Keddy says:

    Dear Nancy:
    Welcome to this site! There are so many blogs and comments here on this exact site that can help you. I hope you read them and are able to contribute to the dialogue.
    Best wishes,
    Barbara

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