HCT For The Relief and Control Of Chronic Pain

Author: Traci Patterson, CH, CI – Founder and Director, Advanced Pathways

 

You are not your pain. You can make that statement a reality by utilizing the powerful protocol of Hypnosis Combined Therapy (HCT).  HCT can harness your ability to retrain neural pathways and develop new patterns in the brain and body, to help you reclaim control.

HCT is a combination of clinical hypnosis/hypnotherapy, biofeedback, light/sound therapy, neuroplasticity training, working with the limbic system, cell memory, and more. This protocol has given patients, on an international basis, the ability to dramatically decrease pain levels (many do gain remission), increase restorative sleep, decrease and control stress, anxiety and/or PTSD, and regain their lives.

Clinical trial evidence over the past 10 years, confirms that hypnotherapy treatments are effective for reducing daily pain intensity levels in people with chronic pain.

My own experience of living with chronic pain (Complex Regional Pain Syndrome) means that I have a real understanding of the impact it has on all areas of life. Chronic pain doesn’t just impact one area. It hits patients in ways that were never expected. The isolation, stress, anxiety, depression, and feelings of helplessness can be overwhelming. The good news is this can change. You can have the ability to change the way you experience your body and your life – to take control again.

When pain persists, your role in managing it becomes really important. What you think, feel and do on a day-to-day basis, has an effect on your pain. In order to change your pain state it is necessary to change your thoughts and emotional responses.

HCT is a powerful tool that helps you take back control over your pain and your life by enabling you to change your thoughts and emotional responses to both your pain and to external factors. This will assist you to retrain neural pathways and calm down the over sensitized state of your central nervous system, helping you lay down new templates of response in the areas of the brain responsible for determining the pain experience.

With HCT you will be able to promote and experience the healthy effects of positive energy in your life, empowering you to get back in the driver’s seat of your life once again.

What exactly is chronic pain?
Pain is considered chronic when it occurs for most days of the week and persists for longer than three months. It includes persistent pain that no longer has an identifiable cause where the original injury has healed, as well as pain that has an identifiable cause such as arthritis, fibromyalgia, TMJ dysfunction, cancer, diabetic neuropathy, shingles, multiple sclerosis etc. It also includes persistent pain that has no identifiable cause at all.

It is now estimated that over 100 million Americans suffer from chronic pain. Push the numbers out on an international basis and chronic pain is becoming an epidemic. The cause and treatment of persistent pain is complex, added to which is the enormous impact chronic pain has on a person’s ability to function effectively in the wider areas of family, social and work life.

Chronic pain and illness is debilitating, isolating and extremely stressful. There is no single approach or ‘magic bullet’ solution to treating chronic pain. Rather, it’s a matter of being in charge of your health management and decisions, choosing the right combination of treatment strategies and health care professionals to help you improve your health outcomes and the quality of your life.

How do we know that hypnosis can actually make a difference for pain?
There is physical evidence that hypnosis works to alleviate chronic pain, and medical imaging studies have shown that hypnotic therapy influences all of the cortical and neuro-physiological processes that underline pain. Current scientific research shows that hypnotherapy treatment causes both pain perception thresholds, and pain tolerance levels, to be strikingly increased.

Why use Hypnosis Combined Therapy (HCT) to treat chronic pain?
HCT is safe, drug free, non-invasive, evidence based and also works to support other medical and alternative therapeutic approaches you may be using in your multidisciplinary approach to healing. My own experience of utilizing a range of health options including hypnosis to gain long-term remission in my own journey with chronic pain (CRPS) is a valuable resource that I bring to patients. I can help you navigate those choices to find what’s right for you, so that you gain real improvements in wellbeing and quality of life.

Science has discovered that thoughts, emotions and physical movement create chemical reactions in our body, which either calm down our central nervous system or turn the alarm volume up. By changing your response to pain and the way you think about pain, you can in fact change your pain state. Plus, when we tap into previous memories of being healthy and happy it allows us to rebuild the neuro-net that our brain relies on and our cell memory.

How we focus our attention can have a significant impact on our experience of pain. Research has shown that being able to focus attention on a task, activity, or experience – or to distract yourself – reduces pain and distress for people in chronic pain. The more we can divert our attention from pain, the less signal we create in our pain pathways. The less signal in our pain pathways, the less pain receptors and sprouts our nerves create, and the less sensitive our nerves become. When engaged in or focus on enjoyable experiences, we increase our production of good chemicals (neurotransmitters), such as endorphins. And, as you know, these ‘good’ chemicals help to calm pain pathways even more. Because hypnotherapy is a state of focused concentration it can create and absorb you in a desirable and comfortable state, and your brain can start to pay attention to that instead of pain.

We also want to focus on the Vagus nerve and the importance it has in chronic pain. The Vagus nerve is one of the largest nerve systems in the body. The name Vagus is Latin for “wandering,” which describes the long and complicated path this nerve takes through the body and all of the different systems it comes in contact with. In some cases this nerve is linked to medical conditions such as low blood pressure, and in other cases doctors will stimulate this nerve to help treat disorders. Stimulating the Vagus nerve with something as easy as an abdominal breath can release endorphins, serotonin, and melatonin.

Biofeedback allows us to objectively monitor your heart rhythms and display the physiological level of coherence – an optimal state in which the heart, mind and emotions are operating in sync and balance, and the immune, hormonal and nervous systems function in a state of harmonious coordination.

Pain and the brain…
Pain is an output our brain makes to defend us. It is what alerts us to danger and it acts as a protective mechanism to make us stop and do what we need to, to take care of ourselves. Our brain decides if something is painful or not. This is hard to comprehend because we feel pain in parts of our body, therefore we believe the pain comes from those parts, but in fact pain is determined by the brain.

However, when pain is ongoing the body’s danger response to sensory input becomes over sensitized and the alarm system stays on red alert causing a process called ‘Central Nervous System Sensitization’; then fears, thoughts and beliefs become involved and start contributing to the chronic pain state. Chronic pain sufferers end up feeling as though pain has engulfed their life, feeling helpless and hopeless. The good news however, is that HCT can change that. It can help you break the chains that chronic pain holds you in, thereby letting in the possibility for change and new perspectives.

A Multimodality / discipline approach…
A multimodality approach is needed in order to address the different facets of physical and emotional health involved in the treatment of chronic pain. Once you decide to get involved in your own healing, as captain of your team, you will need to find the protocol and/or team that works best for you.

Clinical trial findings and MRI studies support the fact that hypnotherapy is a valuable tool that will support your ability to learn new ways of dramatically decreasing your chronic pain and dealing with the impact it has had on your life.

What the research tells us…
• The brain is plastic! The brain’s neuroplasticity means that it is not a fixed and final thing; it can change the way it works and the way your body responds to its messages. “Neruo is for ‘neuron’, the nerve cells in our brains and nervous systems. Plastic is for ‘changeable…modifiable’” (The Brain That Changes Itself, Norman Doidge MD, 2007).
• The neural pathways that take messages to and from the brain can be altered, and new paths can be created. The latest brain research shows that our brain has the ability to change its function and structure through thought and activity, but only when it is in a state of openness, creativity and freedom from stress. Because hypnotherapy helps you reduce the significant levels of stress that occur in your body as a result of experiencing ongoing pain, it creates the necessary open and creative space for your brain to begin changing its responses. (Neuro Orthopaedic Institute Australasia, August 2011)
• Thoughts are one of the most powerful influences on your mood and emotions. The way you think about yourself, your situation, and your future is extremely important in chronic pain, for a number of reasons. The more you can reduce your own distress with your thinking, the more you reduce your adrenaline levels, which in turn is good for desensitizing your nervous system. The more you can generate helpful thinking patterns that improve your mood, the more helpful neurotransmitters you are likely to produce, such as opiates. These are your body’s natural ‘feel good’ chemicals. When your body produces ‘feel good’ chemicals, they help to reduce the level of signal in your pain pathways. (CPA Australia http://www.chronicpainaustralia.org.au)
• Research has shown that being able to focus attention on a task, activity, or experience – or to distract yourself – reduces pain and distress for people in chronic pain. An important point about attention is that we all only have a limited amount of attention to allocate to various aspects of our experience. If much of our attention is taken up by a particular thing, then there is less attention to be allocated to anything else. (CPA Australia http://www.chronicpainaustralia.org.au)
• There is growing recognition that hypnosis is helpful for altering the thoughts and beliefs that contribute to the pain state.
• The findings suggest that self-hypnosis training for chronic pain has two primary effects (a) it creates a long lasting (possibly permanent) change in the way the person and brain processes pain information, so that they experience a decrease in ongoing daily average pain, and (b) provides skills that they can use on a regular basis to experience periods of comfort.
• New sciences such as New Biology, Quantum Physics, and Molecular Science, all recognize that human beings are a dynamic organic process. These scientific perspectives contend that it is not the individual parts, but the whole that provides for in-depth understanding. The human organism is not perceived as isolated or compartmentalized, but rather is studied as a living system. No longer an “it “ – an object – the human being is recognized as a dynamic ever-changing process, embedded in a field of relationships and information. (From Changing the Language of Body: from Object to Process article by Liz Koch). This relational field moves between your thoughts, emotions, and body and is intrinsically linked. Hypnotherapy works with the whole person in a powerful way that harnesses their mind, body spirit self to achieve healing and transformation.
• Researchers are not sure exactly how or why biofeedback works. However, there does seem to be at least one common thread: most people who benefit from biofeedback have conditions that are brought on or made worse by stress. For this reason, many scientists believe that relaxation is the key to successful biofeedback therapy. When your body is under chronic stress, internal processes like blood pressure become overactive. Guided by a biofeedback therapist, you can learn to lower your blood pressure through relaxation techniques and mental exercises. When you are successful, you see the results on the monitor, which encourages your efforts. (University of Maryland Medical Center)
• The limbic system can influence chronic pain. A conceptual framework is presented suggesting conscious and subconscious interpretation of emotional responses to events can impact all systems of the body generating or modifying chronic pain symptoms. The limbic system can directly modify the activity of the autonomic, immune, endocrine and musculoskeletal systems. Through these systems it is able to alter the activity in all other systems. It is important to note that multiple systems are being affected simultaneously. The end result is that pain may be felt in a specific region, which can be viewed in the context of current knowledge on pain physiology and the neuromatrix. (University of West London)

You can utilize HCT to break the chains from chronic pain. Doing so will help you to regain your life by dramatically decreasing your pain, increasing restorative sleep, decreasing and controlling stress, anxiety and/or PTSD, and empowering you to engage in a meaningful life again.

 

Hypnosis Combined Therapy: Providing Treatment Options and Relief for CRPS and Chronic Pain Patients

By: Traci Patterson, CH, CI – Owner and Founder, Advanced Pathways Hypnosis

Today, over 1 million people are diagnosed with CRPS (Complex Regional Pain Syndrome) aka RSD (Reflex Sympathetic Dystrophy) worldwide. While staggering, patients are not being given the options of treatments outside the box that can help them such as Hypnosis Combined Therapy (HCT). What we have found through research and tried methodology is HCT gives hope, and restores chronic pain patients’ lives.

The majority of patients diagnosed with CRPS aka RSD are treated with traditional methods (i.e. NSAIDS, PT, OT, local blocks, regional blocks, lumbar sympathetic blocks, ganglion blocks, pain medications/opioids, spinal cord stimulators and even pain pumps), and most do not see long term or permanent relief. Unfortunately, physicians are not trained in alternative or integrative methods to treat CRPS/RSD and other chronic pain conditions. Thus, patients and their loved ones do not hear about other options. Sometimes, we have to be our own advocate as a patient and bring this information to our physician. I did, and it changed my life.

HCT has allowed countless chronic pain patients (CRPS/RSD, Fibromyalgia, phantom limb pain, chronic migraines, neuropathic pain, PTSD, etc.) to dramatically decrease their pain levels, if not get completely into remission, and regain their functionality. HCT therapies include: hypnosis, biofeedback, neuroplasticity training, cell memory, resetting the chronic pain loop in the limbic system, and more.

Hypnosis as an adjunct to medicine allows one to decrease pain and enhance healing. Often, a person with chronic pain may feel helpless, lost, and victimized. Hypnosis gives the person greater self-control, which decreases the effects on the autonomic system that activates the fight or flight response. Self-control also decreases the level of stress hormones. Both the reduction in fight or flight, and the decrease in stress hormones, can lead to a significant decrease in pain.[1]

If you have experienced hypnosis, you know that hypnosis is nothing more than focus and concentration. Hypnosis allows one to comfortably and easily set aside all the demands and pressures of everyday life. If you have never experienced formal hypnosis before, you will truly enjoy the experience. More importantly, it opens the door to a new perspective for making healthy changes in your life.

Many misconceptions about hypnosis exist today. However, the practice and process of hypnosis remains a consistent and safe approach to relieving anxiety, decreasing stress, and reducing pain. Many modern studies support the positive results of hypnosis. Although science continues to study why hypnosis works, there are many studies that reveal the complex interaction between our minds and our bodies, and our brains and our thoughts.[2] The National Institutes of Health (NIH) conducts and supports medical research throughout the nation, and they support hypnosis for pain control. The Joint Commission for Accreditation of Healthcare Organizations (JCAHO) endorsed hypnosis as a complementary, non-pharmacological management of pain in 2000.

Hypnosis works with the subconscious mind. The subconscious mind is not just in the brain or the head. According to research completed by Candace Pert, Ph.D., a research professor in the Department of Physiology and Biophysics at Georgetown University, she states, “The subconscious mind is a part of every cell within the body. Every cell in the body has memory units. Each cell has over 6,000 receptor sites for proteins capable of interacting with signals and converting those signals into intracellular activity. Through molecular division, each cell divides into a daughter cell and the mother cell dies. The daughter cells replace the parent cells; however they still contain the cellular activity or memory of the mother cell. This cell replacement process occurs every three months, except in skeleton cells that divide every six months. With each division and replacement new memories can replace old memories, creating new behaviors from the cellular level.”[3]

Another key area of focus is working with the limbic system and the autonomic systems of the body. We understand that the human body is made up of four significant vital signs: heart rate, blood pressure, temperature, and respiratory rate. Pain was added to this list of vital signs in 2000 by JCAHO. As with other vital signs, pain impacts a number of functions such as emotions, behavior, long-term memory and olfactory senses. The limbic system influences these same functions. Understanding how pain interacts in the limbic system and how it operates helps patients break the pain loop and move beyond chronic pain. “When we think the Limbic System responds”[4].

When the limbic system functions abnormally, numerous health problems can occur. Physical problems such as a lack of sleep, too much stress, or chronic pain, exacerbate the problems created by an out-of-balance limbic system. The results are devastating. In some cases, depending on the external factors, these imbalances can result in post-traumatic stress disorder (PTSD). This is the essence of stress turning into distress.

Hypnosis works well with the limbic system, specifically the Amygdala and the Hypothalamus, to change the stress response. Hypnosis allows a focused concentration and relaxation, resulting in an increase in oxygen throughout the body’s cells. This increase in oxygen has a major influence on decreasing a patient’s autonomic response to stress. Dr. John Rowlingson, the director of the University of Virginia Department of Anesthesiology Pain Management Center, is quoted as saying, “The limbic system might explain why therapies that act primarily in the brain, such as hypnosis, biofeedback, and brain stimulation, work so well to control pain.”

Hypnosis Combined Therapy – the research and science of the mind-body connection, knowledge of how brain mechanisms interact, and pulling this together in individualized treatment plans, is what makes it so successful. Utilizing different techniques through HCT, patients are able to break the chronic pain loop, bypass those devastating memories, and set a path towards hope and a new life.

This is the time when opioid restrictions are being put in place and the consequences will be dire for pain patients if they do not have options to turn to.  Every patient is different as are their needs.  Therefore, they need to find a treatment options / protocols that are right for them.  Just as we are advocating for the right for physicians to treat their patients and prescribe medications – it is just as important to advocate for access to all treatment options.

 

[1] Temes, Roberta, PhD. (1999). Medical Hypnosis and Introduction and Clinical Guide. New York: Churchill Livingstone.

[2] Lipton, Bruce, PhD. (2005). The Biology of Belief. Scottsdale: Conference Recordings.

[3] Pert, Candace B. PhD (1999). Molecules of Emotion. NY: Touchstone Publishing.

[4] Siegel, Ronald D. PsyD, Michael H. Urdang and Douglas R. Johnson M.D. (2002) Back Sense. New York: Broadway Books.