Healing Chronic Back Pain

  • Erik Peper San Francisco State University
  • Jillian Cosby
  • Monica Almendras
Keywords: back pain, imagery, visualization, holistic health, self-care, relaxation

Abstract

This case report describes the self-healing process by which a 28-year-old woman who had scattered her L3 vertebra, broken both sides of her jaw, and fractured her left shoulder in a motorcycle accident. After the accident, she underwent two surgeries to replace her shattered L3 as well as fuse her L2 and L4 vertebrae. A year later, she continued to take 5–10 mg of Baclofen and 300 mg of Gabapentin three times a day to control her pain. After one year, she enrolled in a holistic health class that included self-healing practices. She implemented self-healing imagery and other self-regulation strategies, and after three weeks she stopped all medication. At the 18-week follow-up, she is pain free. Discussed are the steps of the self-healing strategies she implemented to improve her health.

Author Biography

Erik Peper, San Francisco State University
Professor Institute for Holistic Health Studies Department of Health Education

References

Anziani, M., & Peper, E. (2021). Healing from paralysis-music (toning) to activate health. The Peper Perspective. https://peperperspective.com/2021/11/22/healing-from-paralysis-music-toning-to-activate-health/

Battino, R. (2020). Using guided imagery and hypnosis in brief therapy and palliative care. Routledge.

Bresler, D. (2005). Physiological consequences of guided imagery. Practical Pain Management, 5(6). https://www.practicalpainmanagement.com/treatments/complementary/biobehavioral/physiological-consequences-guided-imagery

Eriksen, J., Sjøgren, P., Bruera, E., Ekholm. O., & Rasmussen, N. K. (2006). Critical issues on opioids in chronic non-cancer pain: An epidemiologic study. PAIN, 125(1), 172–179. https://doi.org/10.1016/j.pain.2006.06.009

Green, E. E., Green, A. M., & Walters, E. D. (1970). Voluntary control of internal states: Psychological and physiological. The Journal of Transpersonal Psychology, 2(1), 1–26. https://atpweb.org/jtparchive/trps-02-70-01-001.pdf

Hadjibalassi, M., Lambrinou, E., Papastavrou, E., & Papathanassoglou, E. (2018). The effect of guided imagery on physiological and psychological outcomes of adult ICU patients: A systematic literature review and methodological implications. Australian Critical Care, 31(2), 73–86. https://doi.org/10.1016/j.aucc.2017.03.001

Heinz, N., Peper, E., Harvey, R., & Almendras, M. (2022, September). Benefits of holistic health stress management classes: Outcome comparison between in-person and online classes. Presented at the 21st meeting of the Biofeedback Federation of Europe, Montesilvano, Italy.

Higgins, C., Smith, B. H., & Matthews, K. (2019). Evidence of opioid-induced hyperalgesia in clinical populations after chronic opioid exposure: A systematic review and meta-analysis. British Journal of Anaesthesia, 122(6), e114–e126. https://doi.org/10.1016/j.bja.2018.09.019

IsHak, W. W., Wen, R. Y., Naghdechi, L., Vanle, B., Dang, J., Knosp, M., Dascal, J., Marcia, L., Gohar, Y., Eskander, L., Yadegar, J., Hanna, S., Sadek, A., Aguilar-Hernandez, L., Danovitch, I., & Louy, C. (2018). Pain and depression: A systematic review. Harvard Review of Psychiatry, 26(6), 352–363. https://doi.org/10.1097/HRP.0000000000000198

Koob, G. F. (2020). Neurobiology of opioid addiction: Opponent process, Hyperkatifeia, and negative reinforcement. Biological Psychiatry, 87(1), 44–53. https://doi.org/10.1016/j.biopsych.2019.05.023

NIH-NIDA. (2022). Opioid overdose crisis. National Institute on Drug Abuse. https://nida.nih.gov/research-topics/opioids/opioid-overdose-crisis

Parisien, M., Lima, L. V., Dagostino, C., El-Hachem, N., Drury, G. L., Grant, A. V., Huising, J., Verma, V., Meloto, C. B., Silva, J. R., Dutra, G. G. S., Markova, T., Dang, H., Tessier, P. A., Slade, G. D., Nackley, A. G., Ghasemlou, N., Mogil, J. S., Allegri, M., & Diatchenko, L. (2022). Acute inflammatory response via neutrophil activation protects against the development of chronic pain. Science Translational Medicine, 14(644). https://doi.org/10.1126/scitranslmed.abj9954

Peper, E. (2018). Breathing reduces acid reflux and dysmenorrhea discomfort. The Peper Perspective. https://peperperspective.com/2018/10/04/breathing-reduces-acid-reflux-and-dysmenorrhea-discomfort/

Peper, E. (2022). Resolving a chronic headache with posture feedback and breathing. The Peper Perspective. https://peperperspective.com/2022/01/04/resolving-a-chronic-headache-with-posture-feedback-and-breathing/

Peper, E., Covell, A., & Matzembacker, N. (2021). How a chronic headache condition became resolved with one session of breathing and posture coaching. NeuroRegulation, 8(4), 194–197. https://doi.org/10.15540/nr.8.4.194

Peper, E., Gibney, K. H., & Holt. C. (2002). Make health happen: Training yourself to create wellness. Dubuque, IA: Kendall-Hunt. https://he.kendallhunt.com/make-health-happen

Peper, E., Harvey, R., Cuellar, Y., & Membrila, C. (2022). Reduce anxiety. NeuroRegulation, 9(2), 91–97. https://doi.org/10.15540/nr.9.2.91

Peper, E., Lin, I.-M., Harvey, R., Gilbert, M., Gubbala, P., Ratkovich, A., & Fletcher, L. (2014). Transforming chained behaviors: Case studies of overcoming smoking, Eczema, and hair pulling (Trichotillomania). Biofeedback, 42(4), 154–160. https://doi.org/10.5298/1081-5937-42.4.06

Peper, E., Mason, L., Harvey, R., Wolski, L., & Torres, J. (2020). Can acid reflux be reduced by breathing? Townsend Letters-The Examiner of Alternative Medicine, 445/446, 44–47. https://www.townsendletter.com/article/445-6-acid-reflux-reduced-by-breathing/

Peper, E., Mason, L., & Huey, C. (2017a). Healing irritable bowel syndrome with diaphragmatic breathing. The Peper Perspective. https://peperperspective.com/2017/06/23/healing-irritable-bowel-syndrome-with-diaphragmatic-breathing/

Peper, E., Mason, L., & Huey, C. (2017b). Healing irritable bowel syndrome with diaphragmatic breathing. Biofeedback, 45(4), 83–87. https://doi.org/10.5298/1081-5937-45.4.04

Peper, E., Miceli, B., & Harvey, R. (2016). Educational model for self-healing: Eliminating a chronic migraine with electromyography, autogenic training, posture, and mindfulness. Biofeedback, 44(3), 130–137. https://doi.org/10.5298/1081-5937-44.3.03

Peper, E., Sato-Perry, K., & Gibney, K. H. (2003). Achieving health: A 14-session structured stress management program—Eczema as a case illustration. 34rd Annual Meeting of the Association for Applied Psychophysiology and Biofeedback. Abstract in Applied Psychophysiology and Biofeedback, 28(4), 308. https://biofeedbackhealth.files.wordpress.com/2013/12/2003-aapb-poster-peper-keiko-long1.pdf

Rossman, M. L. (2019). Imagine health! Imagery in medical self-care. In A. A. Sheikh (Ed.), Imagination and healing (pp. 231–258). Routledge.

Rossman, M. L. (2000). Guided imagery for self-healing. New York, NY: New World Library.

Sheng, J., Liu, S., Wang, Y., Cui, R., & Zhang, X. (2017). The link between depression and chronic pain: Neural mechanisms in the brain. Neural Plasticity, 2017, Article 9724371. https://doi.org/10.1155/2017/9724371

Shepherd, J. (2012). A broken body isn’t a broken person. TEDxKC. https://www.ted.com/talks/janine_shepherd_a_broken_body_isn_t_a_broken_person

Tan, G., & Jensen, M. P. (2007). Integrating complementary and alternative medicine into multidisciplinary chronic pain treatment. In G. Tan & M. P., Jensen, Chronic pain management (pp. 75–99). CRC Press. https://www.taylorfrancis.com/chapters/edit/10.3109/9781420045130-6/integrating-complementary-alternative-medicine-multidisciplinary-chronic-pain-treatment-gabriel-tan-mark-jensen

Treede, R.-D., Rief, W., Barke, A., Aziz, Q., Bennett, M. I., Benoliel, R., Cohen, M., Evers, S., Finnerup, N. B., First, M. B., Giamberardino, M. A., Kaasa, S., Korwisi, B., Kosek, E., Lavand'homme, P., Nicholas, M., Perrot, S., Scholz, J., Schug, S., Smith, B. H., … & Wang, S.-J. (2019). Chronic pain as a symptom or a disease: The IASP classification of chronic pain for the International Classification of Diseases (ICD-11), PAIN, 160(1), 19–27. https://doi.org/10.1097/j.pain.0000000000001384

Von Korff, M., & Simon, G. (1996). The relationship between pain and depression. The British Journal of Psychiatry, 168(S30), 101–108. https://doi.org/10.1192/S0007125000298474

Wahl, T. (2011). Minding your mitochondria. TEDxIowaCity. https://www.youtube.com/watch?v=KLjgBLwH3Wc

Warraich, H. (2022). Medicine has failed chronic pain patients. Here’s what they need. Pscyhe, Aeon. https://psyche.co/ideas/medicine-has-failed-chronic-pain-patients-heres-what-they-need

Yong, R. J., Mullins, P. M., & Bhattacharyya, N. (2022). Prevalence of chronic pain among adults in the United States. PAIN, 163(2), e328–e332. https://doi.org/10.1097/j.pain.0000000000002291

Published
2022-09-29
Section
Clinical Corner