Frequently, we hear from people so sick that they do not feel they can be adequate advocates for their own care. A person with SCI probably may not be provided time to get care for both motor/sensory loss AND pain at a single visit. Now, studies in Alzheimer patients show that you must be fairly well just to get care. If you are really sick, you are out of luck
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Pain and emotion. The body has strong links between the two. This does not mean emotion causes pain. It is much more likely to be the other way around. The body has merciful mechanisms to restrict pain information in emergency survival situations, but chronic pain is not known to participate in such protections, probably because mGluR5 does its own thing. The powerful emotional impact of pain is probably routed via the amygdala, and accounts for the findings of increased brain emotional activity on PET, SPECT, and fMRI in experimental pain studies.
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