Summary of the Links Between Depression & Pain from Literature:
Certain antidepressants are prescribed as pain killers
The comorbidity between depression and patients with chronic pain syndromes is high.7
Pain avoidance can lead to continual withdrawal from activities and eventual depression.
Negative emotional experiences can cause the sensation of pain in the absence of tissue damage.3
Cognitive processes like expectation can modulate the effectiveness of analgesia
Depressed chronic low back pain (CLBP) patients had higher levels of pain compared to CLBP patients without depression.8 Work and activity impairment was twice as high in the depressed individuals.8
Opioid-stimulated and total striatal dopamine (DA) release levels are reduced in animal models of chronic pain, suggesting a neurological link to depression.9
Melzack R. Pain and the Neuromatrix in the Brain. Journal of Dental Education. 2001;65(12):1378-82.
Taylor A et al. Microglia Disrupt Mesolimbic Reward Circuitry in Chronic Pain. Journal of Neuroscience. 2015;35(22):8442-8450. doi:10.1523/jneurosci.4036-14.2015.
Borsook D, Edwards R, Elman I, Becerra L, Levine J. Pain and analgesia: The value of salience circuits. Progress in Neurobiology. 2013;104:93-105. doi:10.1016/j.pneurobio.2013.02.003.
Shulman B, Marcano A, Davidovitch R, Karia R, Egol K. Nature’s wrath—The effect of weather on pain following orthopaedic trauma. Injury. 2016;47(8):1841-1846. doi:10.1016/j.injury.2016.05.043.
Figueiredo ECQ, Figueiredo GC, Dantas RT. Influence of meteorological elements on osteoarthritis pain: a review of the literature. The Brazilian Journal of Rheumatology. 2011; 51(6):616-628.
Funakubo M, Sato J, Obata K, Mizumura K. The rate and magnitude of atmospheric pressure change that aggravate pain-related behavior of nerve injured rats. International Journal of Biometeorology. 2010;55(3):319-326. doi:10.1007/s00484-010-0339-8.
Asmundson GKatz J. Understanding the co-occurrence of anxiety disorders and chronic pain: state-of-the-art. Depression and Anxiety. 2009;26(10):888-901. doi:10.1002/da.20600.
Tsuji T, Matsudaira K, Sato H, Vietri J. The impact of depression among chronic low back pain patients in Japan. BMC Musculoskeletal Disorders. 2016;17(1). doi:10.1186/s12891-016-1304-4.
Massaly N, Morón J, Al-Hasani R. A Trigger for Opioid Misuse: Chronic Pain and Stress Dysregulate the Mesolimbic Pathway and Kappa Opioid System. Frontiers in Neuroscience. 2016;10. doi:10.3389/fnins.2016.00480.
We live in a modern society, but we each respond differently to modern conveniences. Our height, shape and proportions cause us to interact uniquely with our environment and to adapt to activities and traumas we’ve experienced. This helps some of us develop a healthy movement system while the rest of us develop a painful one
It’s the same routine every time. Your training was just filled with blood, sweat, and tears – sometimes one more than the others. You sit down and instinctively grab your shaker cup that’s filled with all your post-workout powders. What’s left in your huge jug of water is thrown into the cup, and you shake that baby with all the energy that’s left. Voila, that summarizes most people’s post-workout nutrition in a nutshell. Not a great deal of thought
I kid you not, 80-90% of people resolve their low back pain in 3 months with OR without a therapist laying a finger on them. This is when most people with low back pain give me a look of disbelief (sometimes even more), but it’s something we see clinically. Of course, there are special cases as well as ways to speed up the process and prevent the pain from coming back. If you have neurological symptoms such as accompanying pain that shoots down your leg, that can last as long as 2 years before you experience any relief.
From an anatomical standpoint the problem lies in your pelvic floor health which I’ll explain in more detail shortly. However, if I told you the purpose of a squat is not actually for working out you’d probably think I’m crazy. For years it’s been a staple in every lifter’s workout assuming they don’t skip leg day. Days of agony from stiff legs after a good squat may seem like further evidence against my point. Hear me out though. Before the invention of the toilet, how do you think we pooped?
Watching George St-Pierre (MMA legend) popping shark cartilage pills was the first time I obsessed over glucosamine. His analogy when he brought up shark cartilage was that your body is like a car. Athletes like him treat their bodies like Ferraris meaning they need premium fuel. After hearing this I thought man, I’m at least a ford mustang, why haven’t I used this savage supplement before? I wouldn’t be surprised if you found glucosamine in a convenience store nowadays although it may not be from a shark.
Little did I know how popular this question was until I was in the process of googling it. Without even finishing the phrase “Do I need a pe” Google automatically gave me “Do I need a personal trainer?” and not “Do I need a pet?” as a drop-down option. Quite frankly, this made me realize that this question is on the mind of almost anyone deciding to make a change for their health. So I began looking deeper into the search results for this question and they were pretty underwhelming.
Ever stuck for an energy-packed snack before squeezing in a quick workout? Between working the 9 to 5 grind, picking up the kids from the sitter, and whipping up a quick dinner you tend to forget to think about the nutrition you need before a workout. Did you know that dates are the powerhouse of all fruits? Dates are also traditionally used to break fast during the month of Ramadan! They are a high source of natural sugars such as sucrose, fructose and glucose; making them great for an afternoon pick-me-up!
After speaking to hundreds of clients in Mississauga about their training injuries over the past year, I realized that nearly everyone used cold application differently. A popular misconception is that you are reaping all the benefits from icing as long as you apply some form of it to any type of injury. Not only can incorrect application of ice prove to be ineffective, it may even do the opposite of what was intended and become damaging to the body. Yes, there are some inherent physical differences in people that call for more or less cold application. Apart from that research has presented ideal parameters including temperature, duration, method, and purpose that everyone should be aware.
As I type this article, I become conscious of how I position my wrists due to the topic at hand (pun definitely intended). Carpal tunnel syndrome (CTS) is relevant to anyone who uses a keyboard a lot, plays a musical instrument, or uses small tools on a daily basis repeatedly. Around 10% of people are either dealing with some form of CTS or are in the process of developing it in North America.