Recovery From Injury Quotes

How many mental health problems, from drug addiction to self-injurious behavior, start as attempts to cope with the unbearable physical pain of our emotions? If Darwin was right, the solution requires finding ways to help people alter the inner sensory landscape of their bodies. Until recently, this bidirectional communication between body and mind was largely ignored by Western science, even as it had long been central to traditional healing practices in many other parts of the world, notably in India and China. Today it is transforming our understanding of trauma and recovery.

Men and women drink essentially because they like the effect produced by alcohol. The sensation is so elusive that, while they admit it is injurious, they cannot after a time differentiate the true from the false. To them, their alcoholic life seems the only normal one. They are restless, irritable and discontented, unless they can again experience the sense of ease and comfort which comes at once by taking a few drinks—drinks which they see others taking with impunity. After they have succumbed to the desire again, as so many do, and the phenomenon of craving develops, they pass through the well-known stages of a spree, emerging remorseful, with a firm resolution not to drink again. This is repeated over and over, and unless this person can experience an entire psychic change there is very little hope of his recovery. On the other hand—and strange as this may seem to those who do not understand—once a psychic change has occurred, the very same person who seemed doomed, who had so many problems he despaired of ever solving them, suddenly finds himself easily able to control his desire for alcohol, the only effort necessary being that required to follow a few simple rules.

Individuality is deeply imbued in us from the very start, at the neuronal level. Even at a motor level, researchers have shown, an infant does not follow a set pattern of learning to walk or how to reach for something. Each baby experiments with different ways of reaching for objects and over the course of several months discovers or selects his own motor solutions. When we try to envisage the neural basis of such individual learning, we might imagine a "population" of movements (and their neural correlates) being strengthened or pruned away by experience. Similar considerations arise with regard to recover and rehabilitation after strokes and other injuries. There are no rules; there is no prescribed path of recovery; every patient must discover or create his own motor and perceptual patterns, his own solutions to the challenges that face him; and it is the function of a sensitive therapist to help him in this. And in its broadest sense, neural Darwinism implies that we are destined, whether we wish it or not, to a life of particularity and self-development, to make our own individual paths through life.

Further evidence for the pathogenic role of dissociation has come from a largescale clinical and community study of traumatized people conducted by a task force of the American Psychiatric Association. In this study, people who reported having dissociative symptoms were also quite likely to develop persistent somatic symptoms for which no physical cause could be found. They also frequently engaged in self-destructive attacks on their own bodies. The results of these investigations validate the century-old insight that traumatized people relive in their bodies the moments of terror that they can not describe in words. Dissociation appears to be the mechanism by which intense sensory and emotional experiences are disconnected from the social domain of language and memory, the internal mechanism by which terrorized people are silenced.

To my mind, every emergency room should have a low-intensity laser for people with stroke or head trauma. This therapy would be especially important for head injuries, because there is no effective drug therapy for traumatic brain injury. Uri Oron has also shown that low-intensity laser light can reduce scar formation in animals that have had heart attacks; perhaps lasers should be used in emergency rooms for cardiac

An injured man would heal in time, and his pain would gradually diminish and ultimately disappear, because injury was a part of the human condition. A man was born to be hurt from time to time, and the mechanism for recovery was born with him.

Three things happen when you apologize sincerely. First, you acknowledge someone’s anger or sadness. You validate that they have reason to be angry or that their anger is real. This often disarms them. Research shows that, after the apology, they no longer see you as a threat or as someone who might again harm them. They drop their defensive posture. And finally, when you’re successful, their brain prepares to forgive. They may even be able to move on from the source of injury entirely. Beverly Engel, a psychotherapist who specializes in trauma recovery, writes in her book The Power of Apology, “While an apology cannot undo harmful past actions, if done sincerely and effectively, it can undo the negative effects of those actions.

When the tumult of war shall cease, and the tempest of present passions be succeeded by calm reflection, or when those, who, surviving its fury, shall inherit from you a legacy of debts and misfortunes, when the yearly revenue scarcely be able to discharge the interest of the one, and no possible remedy be left for the other, ideas far different from the present will arise, and embitter the remembrance of former follies. A mind disarmed of its rage feels no pleasure in contemplating a frantic quarrel. Sickness of thought, the sure consequence of conduct like yours, leaves no ability for enjoyment, no relish for resentment; and though, like a man in a fit, you feel not the injury of the struggle, nor distinguish between strength and disease, the weakness will nevertheless be proportioned to the violence, and the sense of pain increase with the recovery.

Trauma is a thief. It steals our childhoods, years of our adult lives, or even our entire lifetimes. It takes away our ability to feel connected to others, to feel like we belong in the world, and to receive and extend love. It prevents us from growing and thriving. It steals our relationships, work, physical health, families, communities, spirituality, hobbies, passions, and identity. And to add insult to injury, trauma then demands that we grieve these losses in order to heal from them, which can feel overwhelming.

Trauma is a thief. It steals our childhoods, years of our adult lives, or even our entire lifetimes. It takes away our ability to feel connected to others, to feel like we belong in the world, and to receive and extend love. It prevents us from growing and thriving. It steals our relationships, work, physical health, families, communities, spirituality, hobbies, passions, and identity. And to add insult to injury, trauma then demands that we grieve these losses in order to heal from them, which can feel overwhelming.

Wall and Melzack showed how a chronic injury not only makes the cells in the pain system fire more easily but can also cause our pain maps to enlarge their “receptive field” (the area of the body’s surface that they map for), so that we begin to feel pain over a larger area of our body’s surface. This was happening to Moskowitz, whose neck pain was spreading to both sides of his neck. Wall and Melzack also showed that as maps enlarge, pain signals in one map can “spill” into adjacent pain maps. Then we may develop referred pain, when we are hurt in one body part but feel the pain in another, some distance away.

As the third evening approached, Gabriel looked up blearily as two people entered the room. His parents. The sight of them infused him with relief. At the same time, their presence unlatched all the wretched emotion he'd kept battened down until this moment. Disciplining his breathing, he stood awkwardly, his limbs stiff from spending hours on the hard chair. His father came to him first, pulling him close for a crushing hug and ruffling his hair before going to the bedside. His mother was next, embracing him with her familiar tenderness and strength. She was the one he'd always gone to first whenever he'd done something wrong, knowing she would never condemn or criticize, even when he deserved it. She was a source of endless kindness, the one to whom he could entrust his worst thoughts and fears. "I promised nothing would ever harm her," Gabriel said against her hair, his voice cracking. Evie's gentle hands patted his back. "I took my eyes off her when I shouldn't have," he went on. "Mrs. Black approached her after the play- I pulled the bitch aside, and I was too distracted to notice-" He stopped talking and cleared his throat harshly, trying not to choke on emotion. Evie waited until he calmed himself before saying quietly, "You remember when I told you about the time your f-father was badly injured because of me?" "That wasn't because of you," Sebastian said irritably from the bedside. "Evie, have you harbored that absurd idea for all these years?" "It's the most terrible feeling in the world," Evie murmured to Gabriel. "But it's not your fault, and trying not to make it so won't help either of you. Dearest boy, are you listening to me?" Keeping his face pressed against her hair, Gabriel shook his head. "Pandora won't blame you for what happened," Evie told him, "any more than your father blamed me." "Neither of you are to blame for anything," his father said, "except for annoying me with this nonsense. Obviously the only person to blame for this poor girl's injury is the woman who attempted to skewer her like a pinioned duck." He straightened the covers over Pandora, bent to kiss her forehead gently, and sat in the bedside chair. "My son... guilt, in proper measure, can be a useful emotion. However, when indulged to excess it becomes self-defeating, and even worse, tedious." Stretching out his long legs, he crossed them negligently. "There's no reason to tear yourself to pieces worrying about Pandora. She's going to make a full recovery." "You're a doctor now?" Gabriel asked sardonically, although some of the weight of grief and worry lifted at his father's confident pronouncement. "I daresay I've seen enough illness and injuries in my time, stabbings included, to predict the outcome accurately. Besides, I know the spirit of this girl. She'll recover." "I agree," Evie said firmly. Letting out a shuddering sigh, Gabriel tightened his arms around her. After a long moment, he heard his mother say ruefully, "Sometimes I miss the days when I could solve any of my children's problems with a nap and a biscuit." "A nap and a biscuit wouldn't hurt this one at the moment," Sebastian commented dryly. "Gabriel, go find a proper bed and rest for a few hours. We'll watch over your little fox cub.

Vitamin D3 boasts a strong safety profile, along with broad and deep evidence that links it to brain, metabolic, cardiovascular, muscle, bone, lung, and immune health. New and emerging research suggests that vitamin D supplements may also slow down our epigenetic/biological aging.29, 30 2. Omega-3 fish oil: Over the last thirty years or so, the typical Western diet has added more and more pro-inflammatory omega-6 polyunsaturated fatty acids versus anti-inflammatory omega-3 PUFAs. Over the same period, we’ve seen an associated rise in chronic inflammatory diseases, including obesity, cardiovascular disease, rheumatoid arthritis, and Alzheimer’s disease. 31 Rich in omega-3s, fish oil is another incredibly versatile nutraceutical tool with multi-pronged benefits from head to toe. By restoring a healthier PUFA ratio, it especially helps your brain and heart. Regular consumption of fatty fish like salmon has been linked to a lower risk of congestive heart failure, coronary heart disease, sudden cardiac death, and stroke.32 In an observational study, omega-3 fish oil supplementation was also associated with a slower biological clock.33 3. Magnesium deficiency affects more than 45 percent of the U.S. population. Supplements can help us maintain brain and cardiovascular health, normal blood pressure, and healthy blood sugar metabolism. They may also reduce inflammation and help activate our vitamin D. 4. Vitamin K1/K2 supports blood clotting, heart/ blood vessel health, and bone health.34 5. Choline supplements with brain bioavailability, such as CDP-Choline, citicoline, or alpha-GPC, can boost your body’s storehouse of the neurotransmitter acetylcholine and possibly support liver and brain function, while protecting it from age-related insults.35 6. Creatine: This one may surprise you, since it’s often associated with serious athletes and fitness buffs. But according to Dr. Lopez, it’s “a bona fide arrow in my longevity nutraceutical quiver for most individuals, and especially older adults.” As a coauthor of a 2017 paper by the International Society for Sports Nutrition, Dr. Lopez, along with contributors, stated that creatine not only enhances recovery, muscle mass, and strength in connection with exercise, but also protects against age-related muscle loss and various forms of brain injury.36 There’s even some evidence that creatine may boost our immune function and fat and carbohydrate metabolism. Generally well tolerated, creatine has a strong safety profile at a daily dose of three to five grams.37 7.

Years ago, I received a call from a paramedic I had known for a long, long time. He was a true believer; a provider in it to do good more than to do well. By the tone of his voice, I could tell he was in some serious trouble. His voice did not lie. He was. It seemed that some years earlier he had suffered an injury off the job. The injury resulted in several surgeries and months of painful recovery, physical rehabilitation, and pain medicine. It started as an as-needed remedy for intense pain but before long became a physical necessity. When the actual pain no longer necessitated the monthly refills, the feigned pain took over. When that excuse had run its course, new injuries and favors from friends took over. The cycle had begun. Back at work, he became adept at leading his double life; on the job he was clean, sober, and clear-headed, but off-duty the pills took over. The decline was slow, but steady. It would not be long before he would lose all control. One day, on a call with the entire crew, he found himself in the home of a patient whose medicine cupboard was a veritable treasure trove of pain killing goodies. Jackpot! While logging all of the medicines, it was easy to drop a full bottle of a certain pain killer into his pocket, and he did…completely undetected. The patient was transported, and the scene was cleared, and his addiction would be fed for a little while longer. Nobody would ever know. However, as he exited the scene with his supervisor, he was struck with a blunt and harsh realization: This is not who I am and it’s not who I want to be! While still at the curbside, in front of the patient’s home, he pulled the bottle from his pocket, handed it to his supervisor, and admitted sincerely: “I have a problem. I need help.” His supervisor considered the heartfelt and painfully honest plea for help, but the paramedic was summarily fired from a job where he had an impeccable record of exemplary service for nearly two decades. He was stripped of his Paramedic license and reported to local authorities and was charged with multiple felonies by the District Attorney. That was the response from his supervisor and the rest of the morally superior lemmings up the chain of command. He asked for help, and they fucked him…because they were afraid of what actually helping him might look like to the outside world. Not once was he offered treatment or an ounce of compassion. He asked for help; now he was looking at serious prison time. This brings us to the frightened and helpless tone in his voice when he called me. Thankfully, his story ends with the proper treatment: A new career and the entire criminal case being dismissed (he had a great lawyer). Unfortunately, similar stories continue to play out in agencies, both public and private, all across America and they do not, or will not, end so well.

On the grand scale, I still had more marbles in my bag than most unimpaired folks, which is nice, I suppose. But it doesn’t account for my loss. Discounts my loss, actually. I’m somewhere on the bell curve outside the sympathy line. But I notice the loss. No, I live with the loss. I used to be smarter. I used to be a doctor. Now I’m a low-spark doctor. And I remember who I used to be and how I performed. There is devastating loss here for me.

This gives a whole new meaning to ‘family mobbing.’ According to author and survivor, Stephanie A. Sellers, Ph.D, who wrote the book, Daughters Healing from Family Mobbing: Stories and Approaches to Recovery from Shunning, Aggression, and Family Violence, “Family Mobbing is a group act of aggression that targets a family member. It can be typified by a single act of violence or a pattern of abuse over years. Whether isolated or long-term, mobbing enforces the family’s domination and control over another. As family members continue to tyrannize their target, the aggressive group may expand to include friends, neighbors, business associates, and clergy. Family Mobbing encompasses varied acts of aggression that cannot be understood by examining one motivation or cause. The pattern of behavior always isolates one family member and inflicts as much emotional pain as possible. Unlike sibling rivalry, the intention is to establish superiority or to provoke fear and distress. Factors to consider include the motives, the degree of severity, a power of imbalance, victimization element, physical injuries, and trauma.

Karen Davison is an experienced Nurse who works in a busy hospital in Plano. She has been employed here for around a decade and has helped countless patients with recovery from injury and illness.

It’s an important concept to understand because it directly impacts injury recovery time, tissue repair quality, future injury risk, and overall joint mobility.

This chapter expands on that, focusing on how you can leverage collagen synthesis to speed up recovery from injuries, improve mobility, and build resilient, pain-free joints.

However, when recovery is not adequate, or the tendon damage is too severe, the tendinopathy injury process begins.