The techniques that Drs. Lee and Middaugh teach are designed mainly to deal with secondary pain, the pain associated with the involuntary muscle tightness caused by anticipation or fear of pain. This muscle guarding against repeated pain is often experienced as soreness in the upper and lower back, as well as the neck and shoulders. Participants in the group were encouraged to learn to recognize early symptoms of their pain so they can problem solve, manage crisis, take the time to work on changing and diminishing the pain, and get to the doctor early. With practice of progressive muscle relaxation, guided imagery, and breathing skills, the physiology of pain is changed.
Patients have a better sense of self-management and control.
They feel less hopeless about being able to manage their chronic pain. Their quality of life is improved, sometimes dramatically. Of course, none of this will work if one doesn't work and practice diligently. The pain specialists suggest that folks with chronic pancreatitis get on a regular schedule of strengthening and stretching muscles. Aerobic conditioning builds up one's endorphin system and helps the internal body chemicals to deal with pain, as they are designed to do.