Depression and Chronic Pain

Discussion in 'Fibromyalgia Main Forum' started by Kellyrow, Oct 17, 2005.

  1. Kellyrow

    Kellyrow New Member

    Well, I was told last week that my pain is from depression, they don't know what they are talking about. I am more sure now. After four days of research, I have found proof!!! There was a study done on both depression and chronic pain by the University of Michigan Medical Center. They said that Depression and Chronic Pain need to be treated separately!!! I hope this will help some of you with your doctors!!! Here is a Copy of what they printed:

    Treat Depression and Chronic Pain Separately, Researchers Say

    ANN ARBOR, MI -- May 5, 2005 -- Depression often causes a duet of anguish among people already suffering from chronic pain. But the two conditions retain their independence from one another, and this may explain why medications used to treat patients' depression might not help them manage their pain, a new study says.
    Researchers at the University of Michigan Health System and the University of Cologne, Germany, have used functional imaging of the brain to determine that in patients with the chronic pain syndrome fibromyalgia, their level of depression has little influence on the intensity of pain they experience. This could be one of the reasons that treating a patient's depression by prescribing an antidepressant that has no analgesic (pain-killing) properties may have little or no impact on their pain.
    The study, in the May issue of Arthritis & Rheumatism, notes that doctors often lump together the two conditions when they treat patients experiencing both of them. Some 30 to 54 percent of people with chronic pain also have a major depressive disorder.
    "There is an incorrect impression among many doctors that if you treat a patient's depression, it will make their pain better. Not so," says Daniel J. Clauw, M.D., one of the authors of the paper. Clauw is director of the U-M Chronic Pain and Fatigue Research Center and professor of rheumatology at the U-M Medical School. "If someone has pain and depression, you have to treat both."
    The study involved 33 women and 20 men with fibromyalgia, a type of chronic pain that affects several million people, more often in women than in men, and typically involves tenderness to the touch, stiffness and fatigue. In addition to those 53 patients, another 42 healthy companion participants were involved in the study.
    The testing included a measurement of pain experienced by subjects based on their tolerance of pressure applied to their left thumbnails using a hard rubber probe. Researchers also conducted interviews and had the subjects fill out questionnaires. Using functional MRI (fMRI) scans, researchers compared the subjects' magnitude of pain, experimental pain sensitivity and symptoms of depression. The study was conducted at the Georgetown University Medical Center before Clauw and several colleagues moved to U-M.
    Clauw and the other researchers found that in fibromyalgia patients, much less pressure was required to activate the neurons associated with acute pain in the brain's sensory domain than among the healthy controls.
    Clauw says that some other clinical research has supported the idea that pain and depression should be treated independently from one another. This, however, is the first time it has been shown using fMRI brain scans.
    "We have seen that if you give antidepressants to the average patient with fibromyalgia, they'll come back a couple of months later and say, 'My pain isn't any better, but I don't feel so sad about it,' " Clauw says. "Our research provides further evidence that these pathways are quite independent."
    While this study looked at fibromyalgia patients, it is possible that the results may apply to people who have other chronic pain conditions, such as low-back pain, irritable bowel syndrome and vulvodynia, the researchers say.
    SOURCE: University of Michigan Health System
  2. Kellyrow

    Kellyrow New Member

    I just think whoever is going to a doctor and they tell you it is your depression, whip this out and tell them they are full of it!!! If they think you are full of it, make them bite their tongue!

    I went through this last week and cried for an hour because the pain specialist would NOT help me. So, I don't want anyone to have to continue going through all of this. The doctors are supposed to care and help us, however,them telling us they can't or won't help makes us more stressed out and in a TON more pain than we already have!!!

    So, next time you visit a new doc, take this with you just in case! I am looking for a doc that will help right now. Hopefully I will find one!!!!

    Thank you to all of you for your support!!
  3. NyroFan

    NyroFan New Member

    Kellyrow:
    I believe they are two different things and should be treated seperately. Also: anxiety.
    Related maybe, but distinctly different and have to be treated so.
    Hugs,
    NyroFan
  4. Bambi

    Bambi New Member

    This is truly a breakthrough study and all these doctors AND insurance companies need copies! My printer is broken right now, figures! I would love to have one since our insurance is making me go through hoops every 6 months to renew pain medication.
  5. dancingstar

    dancingstar New Member

    Kelly,

    That old "you're in pain cause you're depressed" thing is just horrid!

    It will be particularly horrid for them if it's proven that there's an element of heart problems involved in FM/CFS that they've all managed to ignore. Leave it to modern medicine to overlook the obvious and try to take the easy way out by trusting what Pharma is telling them.

    grumble...grumble...grumble.... :)
  6. Kellyrow

    Kellyrow New Member