Why pain can become worse: There is a “wind-up phenomenon” that causes untreated pain to get worse. Nerve fibers transmitting the painful impulses to the brain become “trained” to deliver pain signals better. Just like muscles get better at sports with training, the nerves become more effective at sending pain signals to the brain. The intensity of the signals increases over and above what is needed to get your attention. To make matters even worse, the brain becomes more sensitive to the pain. So your pain feels much worse even though your injury or illness is not getting any worse. At this point, pain may be termed chronic pain.
Treatment for chronic pain usually requires a detailed and well-planned treatment protocol. Care must be taken to make the necessary changes in the associated structures without irritation of the already irritated nervous system. Patient’s treatment plans are completely individualized and re-evaluated and progressed routinely to accommodate the special needs of each patient.