No catastrophizing

During the acute recovery phase of healing from mesh pain a positive attitude and positive emotional support is very important. Patients who seek out negative reinforcement are hurting themselves. This is not the time to try to figure out what went wrong or if you made a mistake. It is the time for healing.

Activity Restrictions During Recovery – Baby steps

These instructions are specifically for my patients. After mesh removal surgery I advise patients to not lift more than 20 pounds and to not exercise more than casual walking for six weeks. Casual walking means on a flat level surface at a casual pace, like you were walking with your mother. After that I want patients to gradually and slowly increase their activity as tolerated in baby steps.

Mesh pain is a combination of acute pain coming from peripheral stimulation and chronic pain coming from central sensitization. Once mesh is removed and the acute phase of healing is over, the peripheral stimulation of acute pain is gone. What remains is chronic pain’s central sensitization. Central sensitization fades over time if it is not reactivated by peripheral stimulation.

This means if you do to much too soon and hurt your self you can reignite the central sensitization after it appears to be gone. This is why I instruct patients to increase their activity in baby steps day by day to avoid grossly overdoing it. If you grossly over do it and retrigger the chronic pain full force you have to go back to square one and not do anything for six weeks. I have heard this story over and over again, patients doing too much too soon. My least successful patients are the ones who try to push through the pain which is a horrible idea.

I don’t want patients to stay in bed either. Inactivity leads to deconditioning, activity intolerance and pain intolerance.

If you take baby steps and you do a little too much one day you are not knocked back to square one. You only need to rest for a couple of days and then you can resume your activity escalation slowly.

The rate of recovery varies greatly between patients. The ones that never seam to get better are the ones who are in an endless cycle of injury, inactivity, re-injury. This is where attitude comes into play. You have to own and take control of your pain while maintaining a positive attitude.

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I have heard many anecdotal stories form my mesh pain patients that smoking marijuana alleviates their pain. Recent research is beginning to explain why. It is no longer just the fringe that is supporting this.

Throughout our central and peripheral nervous system we have nerves which synapse with other nerves and send signals. At the synapses where one nerve sends its signal to the next nerve there are receptors that control the transmission of the signal to the next nerve. All of our drugs that we use to treat pain work by activating or blocking receptors. In the human central nervous system there are endocannabiniod receptors which modulate pain signals in key areas of the brain, mid brain, brain stem and spinal cord.

Cannabidiol(CBD) is a cannabinoid found in marijuana. It is different than THC in that it is not psychoactive but it has the same pain benefit.

I would like to know if any meshpain patients have positive experiences with marijuana or CBD.