Comprehensive list of mind-body conditions that can be unlearned with pain recovery coaching

Note: the links below take you to resources pages on a website for the film This Might Hurt, which Kent co-directed, and for which he wrote the content. He feels comfortable working with people who are dealing with any of the conditions on this list.

anxiety, chronic abdominal pain and spasms, chronic arm or leg pain*, chronic back pain and spasms*, chronic neck pain, chronic tendonitis, repetitive strain injury (RSI), complex regional pain syndrome (CRPS), depression, dizziness (including PPPD & MmDS), face pain*, fibromyalgia, insomnia, brain fog, irritable bowel syndrome (IBS), painful bladder syndrome (interstitial cystitis), pelvic floor dysfunction, POTS (postural orthostatic tachycardia syndrome), temporo-mandibular joint dysfunction (TMJ), tension and migraine headaches, post-concussion syndrome, tinnitus (ringing or distortion in the ears), burning mouth syndrome, vulvodynia, coccydynia, some people with neuropathic pain, trigeminal neuralgia and other neuralgias, post-exertional malaise and chronic fatigue (ME/CFS), some people who are told their chronic pain is due to Hypermobility Ehlers-Danlos Syndrome (hEDS), and conversion disorders / functional neurological disorders, plantar fasciitis/foot pain.

* “As long as the X-rays and MRIs do not show a tumor, infection, inflammatory condition, or fracture, and if the neurological examination is normal to rule out nerve damage, then: the presence of degenerative discs, spurs, facet problems, and bulging discs should not be interpreted to be causing pain.” (citation: Howard Schubiner, MD)

The PPDA list also includes additional disorders like inappropriate sinus tachycardia, paresthesias (numbness, tingling, burning), dizziness, eczema, non-epileptic seizures, globus sensation, burning chest pain (resembles acid reflux), difficulty breathing, chronic cough, spastic dysphonia, chronic hives, hypersensitivity syndromes (to touch, sound, smells, foods, chemicals, electrical waves, medications), multiple chemical sensitivity, piriformis syndrome, whiplash, patellofemoral syndrome, myofascial pain syndrome, amplified musculoskeletal pain syndrome (AMPS), as well as psychological disorders like obsessive-compulsive disorder, panic attacks, anxiety disorders, post-traumatic stress disorder (PTSD), eating disorders, and substance use disorders.

Additionally, many people who explore alternative medicine receive holistic diagnoses like adrenal fatigue, chronic Lyme disease, leaky gut syndrome, toxic heavy metal accumulation, candida overgrowth. These diagnoses can lead to the same incorrect belief that the body is damaged, and it can also activate the nocebo effect, or pain -> fear -> pain cycle. Patients who live in fear of a post-infectious agent wreaking havoc in their bodies can also unlearn the fear cycle and recover.

And then there are a handful of rare structural conditions, including Mast Cell Activation Syndrome (MCAS), that are sometimes applied to people very loosely, when the criteria for diagnosis should be much more precise. For people dealing with a confirmed or questionable structural diagnosis but hoping to add mind-body treatment, a simple option is to start doing the mind-body work, which is quite conservative (while continuing any medical care) and see if the symptoms respond.

Pain recovery coaching is generally not recommended for people with cancer, infections, fractures, muscle diseases, and other structural problems associated with tissue damage. However, it is unfortunately quite common, even routine, that people are incorrectly told they have structural problems which are not actually responsible for causing their symptoms.