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This is the second of a three part series on pain. The first part can be read here

Pain can persist for a variety of reasons, and it is a complex and multifaceted phenomenon. The persistence of pain is often attributed to a combination of physical, psychological, and social factors. Here are some of the key reasons why pain may persist:

1. Injury or Tissue Damage: One of the most common causes of acute pain is tissue damage or injury. When tissues are damaged, the body's nociceptors (pain receptors) send signals to the brain. In some cases, the underlying injury may not fully heal, leading to ongoing pain.

2. Chronic Conditions: Pain can persist when it is associated with chronic medical conditions such as arthritis, fibromyalgia, neuropathy, or chronic migraines. These conditions often involve ongoing inflammation or dysfunction in the body that generates pain signals.

3. Neuroplasticity: The brain has the ability to change and adapt in response to pain. In some cases, persistent pain can lead to neuroplastic changes in the central nervous system, making the brain more sensitive to pain signals and amplifying the perception of pain.

4. Psychological Factors: Emotional and psychological factors can influence pain perception and its persistence. Conditions such as anxiety, depression, and stress can exacerbate pain or make it feel more intense and longer-lasting. The fear of pain can also contribute to its persistence.

5. Pain Memory: The brain can create a "memory" of pain, where past experiences of pain can influence how an individual perceives and responds to future pain. This can lead to pain persisting even when the original cause has resolved.

6. Central Sensitization: Some individuals experience a phenomenon known as central sensitization, where the central nervous system becomes overly sensitized to pain signals. This can result in the perception of pain even without ongoing tissue damage.

7. Environmental and Social Factors: Social and environmental factors, such as a lack of social support, poor living conditions, or limited access to healthcare, can contribute to the persistence of pain. These factors can make it more difficult for individuals to manage their pain effectively.

8. Medications and Treatment: In some cases, pain can persist due to inadequate or inappropriate treatment. Patients may not receive the right medications or therapies to address the underlying cause of their pain.

9. Maladaptive Coping Strategies: Some individuals develop maladaptive coping strategies, such as avoidance of physical activity or excessive reliance on pain medications, which can lead to the persistence of pain.

10. Individual Variation: People vary in their susceptibility to pain and their ability to cope with it. Some individuals may have a higher pain tolerance or be more resilient to pain, while others may be more vulnerable to its persistence.

It's important to recognize that pain is a subjective experience, and its persistence can vary greatly from person to person. Addressing persistent pain often requires a multidisciplinary approach that may involve medical treatment, physiotherapy, psychological counseling, and lifestyle modifications. Pain management should be tailored to the individual's specific circumstances and needs.

If you need some help with pain because it's stopping you from doing the activities you love, our physios are experts in helping people with pain. Give us a call on 98388449 or book online at

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