Pain is the body’s way of signaling that something is wrong. In most cases, pain fades once the underlying issue heals. However, for millions of people, pain becomes a constant companion, lasting for months or even years. This condition, known as chronic pain, not only affects physical health but also has a profound impact on emotional well-being.

Current studies emphasize the strong link between chronic pain and mental illness such as anxiety and depression. Individuals suffering from long-term pain tend to be stuck in a vicious cycle of fear, stress, and emotional distress. But how does chronic pain actually lead to deteriorating mental health, and how can the cycle be stopped?

For over 45 million Americans, chronic pain is a way of life. Although physical pain is the most visible symptom, its impact reaches far beyond the physical body. Chronic pain is frequently accompanied by psychological distress, as many victims experience anxiety and depression caused by their illness.

As per Dr. Ravi Kesari, a general medicine specialist, "Chronic pain and mental illness tend to exacerbate each other. Patients have disturbed sleep patterns, increased mental tension, and depression-like symptoms. This forms a vicious circle in which pain causes emotional distress, which further increases the perception of pain."

This cycle is especially seen in conditions like:

Fibromyalgia – A syndrome of widespread pain, fatigue, and cognitive difficulty.

Irritable Bowel Syndrome (IBS) – A bowel condition frequently associated with stress and tension.

Lower Back Pain – Prolonged pain in the lower back, often accompanied by decreased mobility and depression.

Migraine and Nerve Pain – Prolonged headaches and nerve pain that interfere with daily functioning.

Research indicates that two-thirds of IBS sufferers experience anxiety symptoms, and 65% of patients with depression exhibit chronic pain symptoms. This commonality indicates that mental illness not only heightens sensitivity to pain but also complicates recovery.

How Stress of Chronic Pain Can Rewires Your Brain?

When a person hurts, the body releases stress chemicals such as cortisol and adrenaline to assist in the regulation of pain. Such hormones are helpful during short-term occurrences, but once pain persists over time, continued exposure to stress hormones alters brain chemistry.

"Chronic pain leads to chronic stress, and that changes the neurochemicals in the brain that control mood, thought processes, and behavior," explains Dr. Kesari. "That's why people with chronic pain tend to be irritable, angry, or drained of emotions."

Chronic exposure to stress hormones can cause:

Heightened anxiety and fear reactions, making people excessively careful about everyday activities.

Depression, as serotonin and dopamine levels decrease—two neurotransmitters that produce happiness and motivation.

Cognitive impairment, including problems concentrating, remembering, or deciding.

Pain, Anxiety, and the Fear of Movement

Another very frequent mental impact of chronic pain is kinesiophobia, or fear of movement. Individuals with chronic pain tend to avoid movement for fear of making their pain worse. This avoidance behavior can cause stiffness in the muscles, loss of mobility, and increased pain over time.

For example, a person with chronic back pain might try to avoid exercising, which would further weaken muscles and worsen their condition. This pattern of avoidance and worsened pain begets a spiraling sense of helplessness that further fuels anxiety and mood shifts.

"Anxiety is an understandable reaction to chronic pain," says Dr. Kesari. "People become concerned about what pain will mean for their lives, so tasks that are minor—such as shopping for groceries or socializing—become overwhelming."

Daily Struggles and Self-Esteem Loss

Chronic pain does not only impact mood; it is able to significantly modify the way an individual perceives himself. Most of those who have chronic pain struggle with simple activities such as exiting bed, dressing up, or personal hygiene. Failing to do so by oneself may cause the individual to feel inadequate, frustrated, and socially withdrawn.

As Dr. Kesari describes, "Patients tend to feel ill at ease in social situations because they view their condition as a restriction. This adds to low self-esteem and exacerbates mental illness such as depression."

Considering the complex connection between chronic pain and mental well-being, both physical and emotional welfare must be treated.

Dr. Kesari stresses, "Healthcare providers need to take a whole-body approach to treating chronic pain. That involves coupling conventional pain management with mental health care to break the cycle between pain and emotional distress."

Some strategies that have been found to be effective are:

Cognitive Behavioral Therapy (CBT) – A type of psychotherapy that enables people to deal with negative thought processes and respond to pain.

Physical Therapy & Movement-Based Practices – Gentle exercise, like tai chi or yoga, decreases pain and alleviates fear of movement.

Medication Management – Painkillers can be beneficial, but only as part of a combination of holistic therapies to prevent dependency.

Stress-Reduction Techniques – Techniques such as meditation, deep breathing, and mindfulness assist in balancing stress hormones.

Social Support & Therapy Groups – Sharing experiences with others who live with chronic pain has been shown to combat the sense of isolation and offer emotional support.

Chronic pain is not merely a physical condition—it has a powerful impact on mental health, causing anxiety, depression, and extreme lifestyle constraints. But knowledge of the interlinkage of pain and emotional health can encourage proactive measures toward improved general well-being.

Dr Ravi Kesari is MBBS, MD- General Medicine at Apollo Spectra Hospital, Bangalore in India

Knowing about several conditions and diseases may not seem like a feasible thing to do for many people, but knowledge does come with power. Knowing signs and symptoms of certain diseases can help you tackle them early on. While many people know what insomnia, vertigo etc. are, only a quarter of them are aware of these particular diseases which is responsible for two of the most common issues, malnutrition and pneumonia.

Dysphagia, which is a condition that makes it difficult to swallow, is much more common than you may think. Published in the Dysphagia journal, this study wanted to see how much people really know about dysphagia compared to other health issues. They found that even though lots of folks struggle with swallowing problems, they don’t know the name of the problem or what it causes. The study showed that 99% of the participants knew about insomnia, 87% knew about Vertigo, but only 25% knew about dysphagia

This lack of knowledge is a big deal because it means people might not get the help they need.

What Is Dysphagia?

Dysphagia is a scientific term used for trouble swallowing. The Cleveland Clinic explains that it happens when something goes wrong with the muscles or nerves you use to move food and drinks from your mouth to your stomach. Sometimes, it's a problem with the shape of your throat or esophagus, the tube that connects your mouth to your stomach. When you can't swallow properly, food can go down the wrong way, into your lungs. This can cause a serious lung infection called pneumonia. Cleveland clinic explains that it increases the risk of pneumonia because it can lead to aspiration, where food, liquid, or saliva enters the lungs instead of the digestive tract, causing infection and inflammation.

The Frontiers in Neurology 2022 study found that people who had dysphagia after a stroke were 10 times more likely to get pneumonia. Dysphagia also causes malnutrition as it makes it harder to consume enough food and fluids, potentially leading to reduced appetite, fear of eating, and a decreased enjoyment of meals, ultimately impacting nutritional intake.

Is This A New Issue?

To double-check what people said in the survey, the researchers looked at the records of millions of patients in hospitals. They found that dysphagia was written down in many more records than vertigo. Insomnia was the most common problem, but dysphagia was still a big issue. This means that a lot of people go to the doctor because they’re having trouble swallowing. The records back up the survey: lots of people have dysphagia. It's important to know about this problem because it affects many lives.

Is Dysphagia A Symptom or A Condition

The Cleveland Clinic explains that dysphagia a symptom of various health issues. These problems might involve your brain and nerves, your muscles, or something physically blocking your throat. To help with swallowing difficulties, doctors may prescribe medicine, suggest changes to how you eat, or perform certain procedures.

Why Should More People Know About This?

The researchers who did this study hope that more people will learn about dysphagia. They want doctors and nurses to know more about it, too. They think that if we talk about it more, people who have trouble swallowing will get help sooner. They want more money to be spent on research to find better ways to treat it. Furthermore, they want everyone to have access to good healthcare, so no one has to suffer because they can’t swallow properly. It’s important to spread the word so people get the help they need

We have all heard about the benefits of using sunscreens, but how many of us actually follow it through? Especially among the men, there is a conventional belief that anything on their skin is not manly enough. But, what if I tell you that even someone as strong as John Cena recommends everyone to wear sunscreen? Would you still choose to not use it?

John Cena, actor and the WWE star has recently opened up about a past skin cancer diagnosis in an effort to bring attention to the important of wearing sunscreen. He told People that he grew up in Massachusetts in the 1970s and 80s, and "never" wore sunscreen. It was later in life when he moved to Florida, and there he "fell in love with the sun", but "neglected" to protect his skin and use sunscreen.

“I was stubborn. I didn’t want to have a routine and I also thought the problem would never reach me. And it’s one of those things where I had a ton of exposure with minimal protection and it caught up with me,” said Cena.

How Did The Diagnose Happen?

It was during one of his routine check-ups that made Cena to re-think to use sunscreen. “It wasn’t until I went to a dermatologist and got a skin checkup and had a cancerous spot removed from my right pec,” he said.

Cena is now also the face of a sunscreen brand with SPF 70. He revealed that he was "very lucky" to have a good dermatologist who help him face his fear around his diagnosis.

After the removal of first cancerous spot on Cena's chest, there was another. "A year later, I went back and had another spot removed close to my right shoulder. It shows up like a white polka dot on the side of my chest and on my shoulder. If you watch WWE, you’ll be able to see them," he said.

It was a shock to him, because he never saw being diagnosed with skin cancer coming. "Mind always goes to the worst case scenario," he said. However, it was the diagnosis that allow him to understand the importance of sunscreen that protects one's skin from sun's rays.

“I’m at a great space in my life where that’s now important to me. And I’m so grateful to be able to dodge those two bullets, but I wear them as a reminder of, ‘Hey man, you need to take the extra few seconds to protect yourself every day,’” he said.

ALSO READ: Does Sunscreen Block Your Body's Natural Vitamin D Production?

At What Time Of The Day Should You Apply Sunscreen?

As per the Johns Hopkins Medicine, wearing sunscreen is the easiest and the best ways to protect your skin's appearance and health at any age. It recommends to use it regularly to prevent sunburn, skin cancer, and premature aging.

While everyone needs sun exposure to produce vitamin D, unprotected exposure to the sun's UV rays can cause damage to the eyes, skin, and the immune system.

To protect, apply 1 ounce of sunscreen throughout your body. To protect your face and neck, you will need about half a teaspoon of sunscreen.

Experts also believe that as long as the sunscreen is at least SPF 30 and is water-resistant, it does not matter what order you apply your skin care products. While some people find it is easiest to work with bare skin, some do it at the end.

"If you’re out there and you brush your teeth, at a young age you learned that going to the dentist when your teeth are in bad shape is bad because it’s painful. The same thing will happen if you don’t take care of your skin, and it’s actually easier than brushing your teeth. Because it’s not something you should exercise to just make you look more beautiful,” Cena said.

“It’s something you should exercise to allow you to be who you are for a longer period of time.”

Just as your habits say a lot about you, the way you sleep also shows a part of you. Everyone has their own way of sleeping, whether it is sleeping on their belly, or being in the habit of needing space when they sleep etc. However, there's a less common position that's been named after a dinosaur: the "T-rex." Imagine a T-rex with its tiny arms pulled close to its chest; that's the position we're talking about. People who sleep this way bend their wrists and bring their hands near their body. It might look a little funny, but for them, it's the most comfortable way to fall asleep and stay asleep all night long.

Why the T-Rex Position Feels Comfortable

Experts also believe that when you bend your wrists and bring them close, you're actually relaxing some of the muscles in your arms and hands. Think of it like a gentle hug for your own body. When your arms are straight, those muscles are a little tense. However, when you bend them, they relax, which can feel really good, especially when you're trying to fall asleep. While there is no substantial evidence of how the T-rex position affects your behavior, a similar sleeping position, which is the fetal position, is said to be comforting with arms and feet drawn close to chest like a fetus in the womb. The Sleep Foundation tells that over 60% of adults sleep in this position. It was also hypothesized that people who sleep this way are more anxious and emotional.

Does The T-Rex Position Have Any Downsides?

Sleeping with your wrists bent all night can cause problems. Mayo Clinic explains that your wrists have nerves, arteries, and tendons running through them, and when you bend them for too long, you put pressure on these delicate structures. This pressure can lead to aches and pains in your wrists and even your elbows. You might also feel numbness or tingling in your hands. If you keep sleeping this way night after night, you could develop conditions like carpal tunnel syndrome or tendonitis, which are painful and can make it hard to use your hands. So, while it's comfy, it's important to be aware of the potential issues.

Managing the T-Rex Sleeping Habit

Completely eliminating a comfortable sleeping position can be challenging. Instead, focus on mitigating the potential problems. Here are some strategies as per WebMD

Sleep Aids

Using a body pillow can provide a sense of security and reduce the need to tuck your arms tightly. Weighted blankets can help alleviate anxiety and promote relaxation, potentially lessening the urge for the T-rex position.

Stress Management

Practicing meditation and deep breathing techniques can help manage stress and reduce the likelihood of reverting to the T-rex position. Taking a few minutes to relax and breathe deeply before bed can make a big difference. These practices can help you unwind and prepare for a restful night.

Stretching

Regularly stretching your wrists and arms in the opposite direction of the bent position each morning can help alleviate pain and numbness. Simple stretches, like rotating your wrists or extending your arms, can help improve flexibility and reduce discomfort. Doing these stretches regularly can prevent long-term problems and keep your wrists healthy and strong.