The difference between Chronic and Acute Pain in HMS

[Spireite]

The question is though, how some of us with JHS don't have the unrelenting pain?

I have plenty of hypermobile joints and sublux and dislocate merrily and have many other problems mainly neurological but not pain. No it isn't good cos doctors only understand pain, want to treat only pain and couldn't care less about any neurological problems.

[paw]

Spireite I think it's all down to injuries. For instance I had an ankle fracture and even though that ankle had been way too mobile it didn't hurt very often. I lasted 28 years without pain there. I had a couple of sprains that healed fairly normally and the ankle worked and it was good. After the fracture I have had problems off and on ever since. At this moment I have an ankle sprain and pain for no known reason.

I also had a bad shoulder injury years ago. I did not have pain there till it tore in half in 2004. Ever since then it hurts and if I use it much it is a big problem and very painful. Both the ankle and the shoulder have chronic pain. Both joints also have acute pain when for one reason or another it is like a new injury with the intense pain that will hopefully get somewhat better.

I just take a little extra pain medicine as instructed by my GP when I have an injury. Obviously I have had the same genes all my life but the pain comes with injuries for me. More injuries = more pain, both chronic and acute pain. I don't really separate the types of pain, it wouldn't help me or change how I do things.

[gila]

paw- I dont think the chronic pain is always/totally injury (or at least not 'discernible injury') related- although for me it did start in the shoulder after an injury...over a couple of years it spread body wide- to parts I hadnt discernibly injured since a kid/ever...and only as a kid I subluxed my ankles frequently, then nothing for years and only really after I had chronic pain all over did other bits start to sublux...

prof g though said there was a theory that maybe we had so many 'micro-injuries' (not really noticeable to us) that one day the pain signaling system just goes haywire

but generally... the exact how and why of chronic pain syndrome pain is not understood yet- also not in the 'normal' population and they get it too (after accidents/illnesses/surgery/or 'no discernible' reason like non-bendy fibromites) -

I guess the 'how and why' might be the same in us than in normals/fibromites- a not fully understood "illness/malfunction" of your pain nerves/pain system-

and just like some of us have/dont have 'secondary' POTS/guts probs etc- some of us do/dont have chronic pain...
xxg

[paw]

Gila I am considering injury to be damage. It happens when my hip slides a little out of the socket but does not fully dislocate and I don't even really think about it because that happens all the time. Still there is some damage caused by the scraping and the cartilage is being worn down. Over time all those little injuries add up to a hip that is severely damaged. The hip damage changed how I walk and the SI joints are damaged. There was no big injury to the SI joints that I know of but they are damaged now and hurt all the time for the last few years.

I did not have damage there many years ago and I did not have chronic pain. I have little injuries all the time that I can't say "I fell" or something like that but there is increased pain and loss of function. Those add up for me. Reaching for a cup on the shelf should not cause or really be considered an injury for most people but sometimes it is for me. I recently cleaned the kitchen and scrubbing harder than usual has had me in pain for a week. There was injury to my shoulder or reactivation of previous injury. Either way it is a mix of acute and chronic pain.

We all might be a bit different, that is how it seems for me.