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HOW CHRONIC PAIN AFFECTS SLEEP AND ANXIETY?

People who suffer from chronic pain can get serious mental and physical health problems. People with chronic pain may suffer from depression and anxiety, as well as self-perpetuating insomnia. When someone cannot sleep due to pain, for example, they may become anxious. Sleep problems and depression may make them more sensitive to pain, which increases their sensitivity when they wake up. Here in this article you will read everything that you should know about how chronic pain affects sleep and anxiety and how you can overcome this problem.

WHAT IS PAIN?

The feeling of pain is a signal that our nerve receptors send to our brain when we experience something wrong. We can feel acute or chronic pain. Acute pain is that which lasts only for a short period of time, such as the pain associated with a broken bone that later heals. Pain that is chronic refers to chronic recurring pain, or pain that does not go away after a short period of time. Chronic pain includes lower back pain, headaches recurrent, fibromyalgia, arthritis and cancer pain. A number of factors determine how our minds interpret pain, including factors such as our physical health, our mood, and the particular circumstances surrounding the pain. Pain can affect our sleep patterns when it occurs at night. Chronically ill people are probably going to suffer from sleep deprivation for a long time.

HOW CHRONIC PAIN AFFECTS SLEEP?

For your body to perform well, you must get sufficient sleep. When you suffer from chronic pain, however, sleep can become difficult. As many as 67%-88% of all chronic pain patients suffer from sleep disturbances. The term ‘sleep disturbance’ is used to describe all types of sleeping difficulties. Chronic pain patients commonly suffer from insomnia, hypersomnia, restless leg syndrome, and sleep apnea. Sleeping difficulties make dealing with pain even more difficult, creating a vicious cycle. Sleep disturbances associated with pain are more likely to occur the next evening, and so on. Stress on the nervous system caused by insufficient sleep can exacerbate pain. Pain signals are amplified by this kind of stress.

DIFFERENT WAYS CHRONIC PAIN AFFECTS SLEEP

Insomnia 50% of people with insomnia also suffer from chronic pain. When you don’t sleep enough on a regular basis, you suffer from insomnia. It’s usually either difficult to fall or stay asleep. Sometimes, people have trouble with both. In pain patients, insomnia can be caused by:

● Anxiety ● Pain ● Regulating body temperature ● Daytime sleeping A side effect of painkillers is causing patients to sleep during the daytime and have trouble regulating their body temperatures. Sleep disorders are best treated through cognitive behavioral therapy (CBT). Using this practice, the sleep cycle can be broken and new associations can be created with sleeping. The goal of cognitive-behavioral therapy is as much to assist patients in managing their pain on their own as possible, returning to daily activities, and improving their current quality of life. COBT is commonly utilized in collaboration with chronic pain rehabilitation programs. An important component of pain management is to reduce any stressors related to chronic pain, such as anxiety and depression, in order to reduce any negative effects from living with chronic pain.

Restless Leg Syndrome

The urge to move your legs uncontrollably is a symptom of Restless Legs Syndrome. Getting comfortable enough to sleep is a challenge due to this condition. Restless leg syndrome frequently occurs in patients with chronic pain conditions. An underlying condition of the nervous system, which is often associated with chronic pain.

Hypersomnia

When people think about sleeping disorders, they typically associate them with lack of sleep. However, this isn’t entirely true. Patients with chronic pain may experience hypersomnia. Patients with this condition sleep too much. Sometimes it is the result of medication or depression. There is a high rate of depression among pain patients. A person experiencing chronic pain may find depression difficult to deal with as the pain can be debilitating, limit their ability to do things they love, or prevent them from being independent. Chronic pain patients are more prone to hypersomnia due to depression.

Sleep Apnea

During sleep, people experience sleep apnea, which causes them to temporarily stop breathing. The most common form of OSAS is obstructive sleep apnea. Are snoring, obesity, type II diabetes, or heart disease the most common causes. The prevalence of OSAS was higher in females than in males, with 55.4% of patients reporting chronic widespread pain. Chronic pain and OSAS are associated with higher levels of pain and a lower quality of life in women. There are various treatments available for sleep apnea including lifestyle changes (for example, losing weight, avoiding alcohol, or quitting tobacco), mouth pieces, or devices such as C-PAPs. You should treat sleep apnea since it can dramatically affect your quality of life. Patients who take pain medication are especially vulnerable to sleep apnea.

The relationship between anxiety and chronic pain

It is quite possible that anxiety is the most common complication of chronic pain. Anxiety often comes along with chronic pain. It is because pain is a warning signal. As a warning, pain indicates that there is a problem in the body and that attention is required. As such, pain initiates the fight-or-flight response when it is perceived as a warning signal.

In the same way that the nervous system responds to a threat, it responds to pain.

● Feelings of alarm, anxiety, and distress

● Having increased muscle tension, increased blood pressure and heart rate, as well as increased gastrointestinal reactivity.

● Fear of pain and a tendency to worry and fear it as a result of a more acute understanding of the danger

● Guarding, staying home, resting, and avoiding activities that might increase pain are examples of avoidance behaviors. These responses may be quite helpful in acute pain. By correspondingly being scared, you can seek help and guard yourself against further injury. When chronic pain occurs, avoidance and anxiety emerge. The anxiety and avoidance behaviors that occur with chronic pain become chronic in themselves. As a result of chronic anxiety, the patient feels edgy and alarm. The pain sufferer becomes fixated on pain, which preoccupies his or her mental space. Each daily decision seems to be determined by the amount of pain the patient is experiencing at that moment. Chronic muscle tension also contributes to chronic pain. Chronic avoidance behavior leads to social isolation, inactivity, deconditioning, and eventually, disability. Anxiety and chronic pain share a common cause in the nervous system. A persistent state of reactivity has become embedded in the nervous system. As a result, there is often a relationship between anxiety and chronic pain. Chronic pain can lead to anxiety because it is associated with a condition known as ‘central sensitization.

Treating anxiety in chronic pain rehabilitation programs

Rehabilitation programs for chronic pain are the only treatments that treat anxiety as well as chronic pain. Through such programs, patients learn self-management skills, return to work, and overcome problems such as anxiety. The most effective treatments for anxiety are commonly used in chronic pain rehabilitation programs, including cognitive behavioral therapy, antidepressants, and mild aerobic exercise.

It is very important to treat chronic pain immediately and effectively. According to what we discussed earlier, it can damage body cells. Chronic pain can lead to insomnia and anxiety if it cannot be controlled. Chronic pain patients benefit greatly from rehabilitation programs since they learn how to manage their pain and prevent anxiety attacks.

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