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Understanding Chronic Pain | Chiropractic Care Clinic

by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Biocentrism, Chiropractic, Chiropractic Examination, Chiropractic News, El Paso Chiropractic News, Fibromyalgia

A range of factors can play an essential part in the experience of chronic pain. Pain is the body’s normal reaction to an injury or illness, But for many people, pain can be a constant.

When pain lasts for 3 to 6 months or more, it�s called chronic pain. If you hurt day after day, it can take a toll on your emotional and physical health. And, if your emotional and physical health are affected, a variety of fundamental microorganisms can be affected as well. In order to maintain overall health and wellness, following a biocentric approach can often help best understand the impact of maintaining the health of every part which makes the human body. It may be beneficial to view this model to conceptualize the complex nature of this frequent condition.

Tissue Damage

This is damage or injury to the tissue which often generally can be the start of pain. The tissue damage causes input to the nervous system, commonly identified as the pain signal. This is also termed as “nociceptive input.” Each cell in the body comes together to form a variety of complex tissues, which independently come together to form organs and other important structures, each in charge of performing essential functions for the body.

Biocentrism,�the view or belief that the rights and needs of humans alone are not more important than those of other living things, explains how taking care of every single structure in the body, such as the cells which form tissues, even including microorganisms, can ensure the well-being of the body as a whole. Damaged tissues can often be a sign of a deeper issue within the human body. Tissue damage can be additionally caused by a variety of other issues.

Pain Sensation

In the simplest terms of this model, pain sensation is the actual perception that occurs in the brain following the nerve signals, due to nociception, which travel from the periphery into the central nervous system. Whilst nociception occurs at the site of injury, pain sensation is experienced in the brain. The human body is not simply a single organism, it is comprised of a wide variety of microorganisms, many of which help maintain the well-being of the nervous system.

Thoughts

Cognitions or ideas occur and are an assessment of the pain sensation signal coming into the nervous system as well as events surrounding it. These thoughts can be unconscious or conscious and will influence the way pain signals are perceived. For example, general body aches and stiffness are traditionally considered to be “good pain” when those happen after a vigorous exercise session, whereas they’re perceived as bad pain when related to a health illness, such as fibromyalgia,�a chronic disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness.

Emotions

The psychological component of pain is a person’s response to thoughts about the pain. If you believe (thoughts) that the pain is a serious danger (e.g. a tumor), subsequently emotional responses will incorporate fear, depression, and anxiety, amongst others. If you believe the pain isn’t a threat, then the psychological response will probably be negligible. Chronic pain has been a misunderstood condition and it’s effects have been reported to cause an array of emotional as well as mental disorders, due to the difficult ability to assess such conditions.

Suffering

The term “suffering” is often employed as a synonym for “pain” even though they’re theoretically and conceptually distinct. For example, a broken bone might cause pain without discomfort (since the individual knows the pain isn’t deadly and the bone will heal). By comparison, bone pain due to a tumor might cause the identical pain for a break but the distress will be much greater because of the “meaning” behind the pain (that tumor could be life-threatening). Suffering is connected to the psychological component of pain. For certain conditions which cause chronic pain, often seen in patients with fibromyalgia, a condition believed to have no cure, the fact alone that the individual’s symptoms of discomfort will never “go away” can implement a great deal of suffering.

Pain Behaviors

Pain behaviors are defined as things people do if they are in pain or suffer. These are behaviors that others observe as indicating pain, like limping, grimacing, talking about the pain, moving and taking pain medication. Pain behaviors are in reaction to all the other facets in the pain system model (tissue damage, pain feeling, thoughts, emotions, and distress). Life experiences, expectations, and ethnic influences also affect pain behaviors of the way the pain is expressed in terms. Interestingly, pain behaviors are also influenced by the environment, like how others react.

According to biocentrism, taking care of the environment, including taking care of all forms of life, such as its plants and animals, among others, is ultimately important towards the health and wellness of every organism. For example, if the food we eat is being properly taken care of, its full benefits can be properly absorbed. Nutrition is an important contributing factor for people with chronic pain. A balanced nutrition, consisting of healthy products, can help.

Additionally,�the�psychosocial environment includes each of the environments where an individual resides, works, and plays. Studies have consistently proven that these surroundings influence how an individual will reveal pain behaviors.

The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�

By Dr. Alex Jimenez

Additional Topics: Wellness

Overall health and wellness are essential towards maintaining the proper mental and physical balance in the body. From eating a balanced nutrition as well as exercising and participating in physical activities, to sleeping a healthy amount of time on a regular basis, following the best health and wellness tips can ultimately help maintain overall well-being. Eating plenty of fruits and vegetables can go a long way towards helping people become healthy.

FECA: Injury Compensation for State & Federal Employees | Chiropractic Care

by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic, Chiropractic News, El Paso Chiropractic News, Federal Employee Work Injuries, Med-Legal Corner, Physical Rehabilitation, Spine Care

Federal employees that are injured at work do not get benefits through workers’ comp insurance or their nation’s workers’ comp program.

Instead, federal employees receive workers’ compensation benefits through the Federal Employees Compensation Act, abbreviated as FECA, except for railroad workers, longshoremen, black lung coal miners, and refuge workers (that are insured under their own national laws for workers’ compensation). Members of the USA armed forces are also not considered federal employees for purposes of FECA.

FECA provides benefits and injury compensation for workers injured on the job, or even if their injury happened during the course and scope of their employment offsite. FECA covers both injuries and occupational diseases that arise over time work conditions. The United States Department of Labor, through the Office of Worker Compensation Programs, administers the workers’ comp benefits provided by the Federal Employees Compensation Act.

Qualifications

Coverage under FECA, or the Federal Employees Compensation Act, is supplied to all national government employees regardless of the number of years of service, nature of the position, or kind of job they perform. In order to be covered by FECA, you must be employed by the federal government, not a private government contractor. If you are currently working for a private business, the workers’ compensation laws in the state will cover you.

For the injury or illness to qualify under FECA, then you must have become injured while performing duties of your job or you developed a disease because of the conditions and hazards inherent in your job. This may consist of accidents occurring while working or traveling offsite as well.

FECA does not cover injuries and diseases that arise because of activities beyond the “course and scope of your employment.” Activities beyond the course and scope of employment include commuting to and from work, recreational excursions, and activities for private reasons. Injuries sustained while intoxicated or under the influence of non-prescription drugs will not be covered by the Federal Employees Compensation Act. FECA also provides benefits to surviving family members for employees that die on the job while performing work-related pursuits.

Back Pain in Federal Employees

As with anyone experiencing symptoms of back pain after being involved in a work accident, due to aggravated conditions or illness, or simply from wear-and-tear injuries, it’s essential for federal employees to seek the proper care and benefits for their symptoms to receive immediate medical attention. Spine issues resulting in sciatica can be debilitating and may affect an employee’s capability to work. Programs for federal employees like FECA may help substantially improve an individual’s overall health and wellness, allowing them to return to work as soon as possible.

FECA Workers’ Compensation Benefits

If your FECA workers’ compensation claim is permitted, you will start to receive workers’ compensation benefits to compensate you for your injury or illness and help you with the recovery. First, FECA will cover all necessary and appropriate claim-related medical therapy. This includes prescriptions, surgery and rehabilitation.

The Federal Employees Compensation Act provides compensation if a worker is disabled and unable to work as a result of industrial injury or occupational disease. You will be compensated by your service directly for your lost wages and more. Should your inability to work exceed 45 days, FECA will cover your wages that are lost.

If your workers’ compensation claim is based on an occupational disease, you’re entitled to compensation for lost salary from FECA after an initial three-day waiting period.

If your injury or illness results in permanent partial disability or permanent total disability, FECA will provide advantages and additional benefits. The total amount of the compensation is based on the severity of your permanent disability and the effect it has on your earning capacity. And if you have dependents, you will probably receive increased permanent disability compensation to account for your own requirement to supply for those dependents.

In the event that you need job retraining to return to the workforce after your injury or illness FECA provides compensation. Dependents are eligible to receive survivor’s benefits. For further details regarding the benefits of the Federal Employees Compansation Act, visit the�Division of Federal Employees’ Compensation (DFEC).

Speak to an Attorney

If your FECA employees’ compensation claim is refused, your claim may be more complicated, or your injury may have been considered more severe. You should carefully consider speaking to a lawyer in your area experienced in FECA employees’ compensation law. Although an attorney isn’t necessary to obtain workers’ compensation benefits, an attorney can help in ensuring you get all of the benefits you’re entitled to get, guiding you through the procedure.

By Dr. Alex Jimenez

References: Division of Federal Employees’ Compensation (DFEC)

Additional Topics: Back Pain

Back pain is one of the most common symptoms reported among the general population. While back pain can occur due to a variety of injuries and/or underlying conditions, a work accident has often been associated as a frequent origin of back pain issues. Back pain can affect an individual at least once throughout their lifetime. Fortunately, federal employees who experience back pain, such as symptoms of sciatica, can benefit from programs like FECA.