How Nutrition Helps With PTSD

How Nutrition Helps With PTSD

Good Nutrition Is Vital For Physical and Mental Health

Many people, both veterans, and civilians, have to deal with PTSD in their daily life. PTSD is a mental health condition that people may develop, usually after witnessing or experiencing a traumatic event. Such events could be anything from accidents to sexual assault. 

People with PTSD occasionally relive their traumatic experiences through feelings of panic, dreams, or vivid recollections. Treatment of PTSD usually involves various forms of therapy, such as prolonged exposure therapy and cognitive behavioral therapy. Similarly, there are medications to manage anxiety. 

However, one underrated tool for managing PTSD is nutrition. Nutrition is usually associated with heart health. However, its benefits to the body go beyond this. In this article, we’ll go through how nutrition can be leveraged to help with PTSD.

Relationship between nutrition and PTSD

While PTSD may, at first glance, seem like an issue of the mind that has nothing to do with nutrition, this is not true. Good nutrition is vital for overall excellent health, even in relation to mental health. We know that having a healthy diet can help optimize mood and cognitive functions. 

Beyond this, however, nutrition is an essential consideration with PTSD since patients are associated with poor eating habits that can result in other conditions like heart disease and diabetes. So, people with PTSD need to pay close attention to their nutrition and ensure their diet is as healthy as possible.

Steps to using nutrition to help with PTSD

Avoid foods that excessively increase blood sugar levels

If you have PTSD, it’s advisable to reduce your intake of sugar and processed foods. This is because taking in too much sugar can result in insulin fluctuation, which can worsen your emotional responses. 

Hence, while it might be tempting to distract yourself with junk food from time to time, it’s best to opt for a healthier diet for proper emotion regulation. So, as opposed to cakes and biscuits, try to take more complex carbohydrates.

Take prebiotic-rich foods

PTSD can significantly impact your guts, affecting your overall health in many ways. For one, it could lead to an increased risk of cardiovascular disease. You can, however, help support your gut microbiome by consuming more foods rich in prebiotics. Foods like onions, broccoli, garlic, carrots, and tomatoes are naturally rich in prebiotics.

Pay attention to your magnesium levels

Magnesium is an important nutrient, especially for people with PTSD. Unfortunately, there’s evidence to suggest that the western diet, i.e., processed foods, tends to contain low magnesium levels. 

If you are overly reliant on processed foods, you may be magnesium-deficient. This could contribute to anxiety and depression. You can get more magnesium by consuming fish like tuna and vegetables.

Consider taking supplements

Even when you try to make your diet balanced and healthy, you might still end up not taking enough of some essential nutrients. This is why it might be necessary to consider taking supplements. 

If you’re not getting enough magnesium, for instance, you can consume magnesium supplements. You should also consider Omega 3 supplementation since Omega 3 fatty acids have been found to be beneficial for mental health. 

Similarly, branched-chain amino acids (BCAAs) have been associated with reduced risk of anxiety and depression. You can check some top-reviewed BCAA supplements.

Final thoughts

As we’ve shown in this article, your nutrition is relevant to PTSD in more ways than you might think. Overall, it is best to steer clear of processed foods and adopt a healthy diet rich in beneficial nutrients.

About Once A Soldier: Starting in 2017, our mission is to limit the scars of Veteran suicide. We offer prevention services and postvention services. We reach a national audience and our goal is to become the preferred channel for those who want to help Veteran families who need our services. With 17 Veteran suicides a day in 2021, we believe our two niche services will make a difference to each family and to our nation.

OAS Endorses Fast-Track Psilocybin Research

OAS Endorses Fast-Track Psilocybin Research

FOR IMMEDIATE RELEASE May 25, 2021 – Ponte Vedra, Florida

Once A Soldier Endorses a Warp Speed Option for Psilocybin Research To Save Veteran Lives

Psilocybin drugs are the rising starts when it comes to killing PTSD in post-9/11 Veterans

In recent days, we have modified our website to include the three major psilocybin treatment options researched today. MDMA, ketamine and magic mushrooms have separated themselves as superior to big-pharma anti-depressant medications. They have shown the unique ability to rewire the brain and destroy a Veteran’s PTSD. Marijuana to a lesser extend provides mental relief from PTSD, but psilocybin has that extra break-though into the subconscious. That’s where the real healing, and magic, takes place. For examples of what it’s like to meet your demons and win during a trip, check this out.

“There is a mounting body of evidence to support our view. And this research is coming from highly-reputable institutions in the US, such as the psilocybin research coming from Johns Hopkins.  We are losing the war on PTSD. PTSD is what kills our Veterans. All forms of micro-dosing these mind-altering drugs shows greater promise than the current schedule of anti-depressants offered by the Veterans’ Administration. We fast-tracked a vaccine for COVID-19, and rightly so. It’s time for that sense of urgency to motivate more help for Veterans with PTSD.” says Dave Barbush, CEO of Once A Soldier.

Indeed, earlier this year, all of the major Veteran Service Organizations (VSOs) in the nation expressed their support, as well.

The best scenario for a successful psilocybin treatment plan includes a clinical setting, a trained staff, and a low cost. The best part of the data to date has been that the relief comes fast and is near permanent. Veterans themselves have weighed in on their feelings about it. They like the outcome. Their PTSD is gone. They may not like the process, but they don’t like being dulled by their anti-depressants either.

Mr. Barbush continued. “Our motivation for fast-tracking research and a parallel training of staff to be “trip buddies” comes from hearing the suicide stories from Veterans families. The horror inflicted upon the Veteran during war is passed down to the family in the years before the suicide. The suicide itself also enables the disorder to continue to grow.

Furthermore, our position includes a robust go-to market strategy that educates all levels of soldiers and family about PTSD treatments, screenings and practical advice on life insurance and post-suicide options.”

“Let’s face it, we are losing the war on Veteran suicide at this time. The more effort we’ve put into it to date, the less we’ve seen it working. In fact, the numbers are rising. And those numbers – the branded 22 a day, were probably low to begin with.”

 

Can One Single Dose Of Magic Mushrooms Be A PTSD-Killer?

Can One Single Dose Of Magic Mushrooms Be A PTSD-Killer?

More Research Findings in Favor of Magic Mushrooms

They didn’t have PTSD and they are not Veterans, but Native American tribes and Mexican tribes have known the secret of how to kill PTSD for years. Small groups online, and in real life, also know. Once A Soldier advocates that it is time to shine a bright and clear light on this hidden gem of a secret. Magic mushrooms grow naturally all around us and has “magical” effects on rewiring your brain. It’s not secret that current PTSD and veteran suicide prevention methods are working. Magic mushrooms are extremely effective in treated those with mental health issues.

Veterans with PTSD who are killing themselves need fast-tracked access and locally-supplied sources. Once A Soldier believes that magic mushrooms, when microdosed, can kill PTSD. Many Veterans agree as our recent blog post confirms.

magic mental health mushroom

Psilocybin — the active component in so-called “magic” mushrooms — has been shown to have profound and long-lasting effects on personality and mood. But the mechanisms behind these effects remain unclear. Researchers at Copenhagen University were interested in whether changes in neuroplasticity in brain regions associated with emotional processing could help explain psilocybin’s antidepressant effects.

Here is the abstract from their published research findings. No, I don’t understand much of it either, that’s why we include the link to the research paper itself, as well as a link to the more consumer-friendly online article. 

“A single dose of psilocybin, a psychedelic and serotonin 2A receptor (5-HT2AR) agonist, may be associated with antidepressant effects. The mechanism behind its antidepressive action is unknown but could be linked to increased synaptogenesis and down-regulation of cerebral 5-HT2AR. Here, we investigate if a single psychedelic dose of psilocybin changes synaptic vesicle protein 2A (SV2A) and 5-HT2AR density in the pig brain. Twenty-four awake pigs received either 0.08 mg/kg psilocybin or saline intravenously. Twelve pigs (n = 6/intervention) were euthanized one day post-injection, while the remaining twelve pigs were euthanized seven days post-injection (n = 6/intervention). We performed autoradiography on hippocampus and prefrontal cortex (PFC) sections with [3H]UCB-J (SV2A), [3H]MDL100907 (5-HT2AR antagonist) and [3H]Cimbi-36 (5-HT2AR agonist). One day post psilocybin injection, we observed 4.42% higher hippocampal SV2A density and lowered hippocampal and PFC 5-HT2AR density (−15.21% to −50.19%). These differences were statistically significant in the hippocampus for all radioligands and in the PFC for [3H]Cimbi-36 only. Seven days post-intervention, there was still significantly higher SV2A density in the hippocampus (+9.24%) and the PFC (+6.10%), whereas there were no longer any differences in 5-HT2AR density. Our findings suggest that psilocybin causes increased persistent synaptogenesis and an acute decrease in 5-HT2AR density, which may play a role in psilocybin’s antidepressive effects.”

What Veterans Say About Magic Mushrooms 

“I actually use CBD gummies to help me sleep and CBD lotion on my shoulder where I was wounded. It works so damn well. The gummies are amazing. I don’t have to take my Prazosin anymore and the massage oils and lotion I use works wonders on my shoulder and my ankle I broke 6 years ago. I’m not a pothead by any means but marijuana as a whole has changed my life and bettered it. I don’t have to eat opiates like I used to and I don’t have to get fucked up to make it work. I do smoke a bit but just when I need a boost to help me eat when I’m having a bad day. It is literally a medicine to me. Fuck big pharma.”

“Mushrooms saved my life.”

“People have this misconception that trips are all about having fun, giggling and laughing, etc. It can be. Personally, I hate tripping. It’s uncomfortable, I feel like shit, I get sick, and it’s terrifying. That being said, I’m able to work some shit out that I otherwise couldn’t have. I only touch that shit when I’m not doing great emotionally and need a reset.”

“I do microdose on occasion. Nothing more than 0.3 of a gram. Maybe once a month. I cannot notice any effects except that my aggression seems to be mitigated. People that use them to trip are just out for a good time and all this negative press of them have severely hampered the acceptance and research of hallucinogens as a medication.”

“Yeah, I did that for a while as well. Really helped with my anxiety, but when I went in on a few grams, I stopped having anxiety and panic attacks completely after the fact.

It’s worth mentioning that that particular experience was terrifying as fuck, extremely uncomfortable, and exhausting and I haven’t touched them since simply because I haven’t needed to.”

“That’s how you know they work and are non-addictive. There’s this great natural organism we can consume to help us, but it’s also illegal. If one dose can cure you and you never feel the need to take it again, where’s the money?”

Psychelics Glossary

Psychedelics, also known as psychedelic drugs, hallucinogens, or hallucinogenic drugs are chemical substances that induce hallucinations and other sensory disturbances.

ABOUT ONCE A SOLDIER

Our Veterans are killing themselves in record numbers mostly due to PTSD. An overmatched VA can’t take care of them or their families. We will.

Soldier suicide leaves Veteran families with thousands of dollars of bills unpaid, mostly bank loans.

We are the only nonprofit standing with the families after a veteran suicide. Stand with us.

Our Mission: Become the preferred channel for donors, advocates and volunteers who care about veteran families left behind after a soldier suicide.

Links for More Information:

 

An Illustrator’s Journey In and Out of “Shell Shock”

An Illustrator’s Journey In and Out of “Shell Shock”

WW II Veteran Suffers But Recovers from PTSD

George Withers had a whimsical touch in his art that perfectly illustrated the mood in America before and after WWII. Smiles he put on the faces of his subject, even when they were in some unlikely settings, captured George’s glass half-full view of life. Those smiles faded after he returned home from the war. They called PTSD “shell-shock” back then. Whatever it was, it almost robbed him and his family of a fulfilling life together.

With the help of his strong wife Virginia who kept the family together while he was in the hospital for “shell shock”, George broke free from his depression. More that than, he found a new happiness in his illustrations during the late 40s and into the 50s. His happy-go-lucky spirit was reflected in his illustrated stories for many artists including J.D. Salinger for The Saturday Evening Post and Robert Ruark for Colliers Magazine. George Withers leaves behind a legacy of moving illustrations that are a snapshot of the American spirit during those years.

Early Life Moves from Kansas to The Big Apple

Born in Wichita, Kansas on December 20, 1911. Withers graduated with a B.A. in Art from Kansas University. He attended the Art Students League in New York on an art scholarship and studied under George Bridgeman. Growing up in the midwest during the 1930s, George was a big, strong kid – a football player – who somehow found his gift for illustration and used it. Not long after graduating art school, he landed work in Philadelphia as a commercial artist at an ad agency. Illustrating ads for many big brands of the day, he would log almost 500 illustrations alone for 1950s giant Redbook magazine. George was good and success followed him.

Honing his craft and style, he moved to Manhattan. There, he discovered greater success, which included meeting an Irish-American beauty named Virginia who worked there, too. She loved jazz, dancing and eventually George. They married in 1942 and before George went off to war, their son Brian was born.

With George off to war, Virginia would write him about the Manhattan black-outs and how his son Brian was growing. To make ends meet, she still worked at the agency and rented out a room. Having lost both of her parents at a young age, Virginia was a survivor and a practical woman. Those skills would come in handy after her husband returned from the war.

George came home to his familiar Long Island home, but he wasn’t the same. To most in their circle of artist’s friends, life was back to normal. But the smiles weren’t there for George or Virginia. He “got sick” and was admitted into an army hospital in 1946. ??

With her family in emotional and financial trouble, Virginia dug in her Irish-America heels and landed a full-time job at Arthur Murray while dad was hospitalized. She would keep that job and the family together until George worked through his depression and shell-shock.

George Wither’s Wartime Illustrations

Painting Hellish War Images Part of His Daily Duties

The work George Withers painted in World War II was twofold in nature.

On the one hand he was a war artist, working for the Army. He was stationed at ETO Headquarters in Paris, working under Gen. Dwight Eisenhower. The assignments were expansive. There were stories about the Holocaust and its horrors, emaciated people ripped from their families only to die at the hands of fanatic Nazis.

 

Then there were battle images that needed to be painted, along with war-torn landscapes, displaced people and naval battles in the Atlantic and the Pacific. A multitude of military pamphlets and brochures had to be illustrated. And on and on. There was work to be accomplished each day, Monday to Friday, 8 to 5.

But in his free time and on weekends Withers kept drawing and painting, from the moment he entered the Army until the day he returned to New York in early 1946.

GIs took the lindy, the jitterbug, and Big Band music to France, and the Parisians loved it. Ike was in town. At various times DeGaulle, Churchill, and Eden joined him.

Then the war was over. There were nightclubs, jazz joints, and the Cirque de Paris to attend.

The French displayed a wonderful spirit, and so did the Americans. The Nazis were no more, and there was life to celebrate.

A walk in the Bois de Bologne, (which Withers found to be very similar to New York’s Central Park), a boat ride, and Parisians and GIs alike sunning themselves in the park. The images my dad sent home exude an unquestionable freedom. They are the precursors for actors like Marlon Brando and James Dean, whose performances build on the bravado established by American GIs a few years before.

The paintings and drawings my dad sent home were artistic in nature. They weren’t produced for an art director. As a body of work they represent the only time that Dad was truly an artist. He experimented with styles, becoming quite modern in some of the paintings.

He also illustrated many of the letters he sent to his wife.

As an American with a family at home, he couldn’t wait to return. In one letter he said, “When I get to Penn Station I’ll grab the first subway car to our apartment. If the train’s not there I’ll just run home as fast as I can.”

Thanks to Brian Withers who wrote the above for the Chicago Tribune, find it here.

ABOUT ONCE A SOLDIER

Our Veterans are killing themselves in record numbers mostly due to PTSD. An overmatched VA can’t take care of them or their families. We will.

Soldier suicide leaves Veteran families with thousands of dollars of bills unpaid, mostly bank loans.

We are the only nonprofit standing with the families after a veteran suicide. Stand with us.

Our Mission: Become the preferred channel for donors, advocates and volunteers who care about veteran families left behind after a soldier suicide.

PTSD Brain Scans Fall Short for Diagnosis

PTSD Brain Scans Fall Short for Diagnosis

What Do Brain Scans Tell Us About PTSD?

Although researchers do not use brain scans to diagnose PTSD in the clinic, they use them to understand what happens in the PTSD brain.

There is abundant evidence for changes in the structure and function of different areas of brain involved in fear response and anxiety, regulation of emotions, cognitive processing and memory.

For example, there is consistent evidence for reduced volume in the brain region called the hippocampus, which is involved in memory and context processing. This leads to difficulties differentiating cues that resemble trauma, such as the slamming of a door, from the trauma cue itself, such as a gunshot.

What are brain scans?

A brain scan is a general term that covers a diverse group of methods for imaging the brain. In psychiatric clinical practice, brain scans are mostly used to rule out visible brain lesions that may be causing psychiatric symptoms.

However, in research we use them to learn about the pathologies of the brain in mental illness. A common method is magnetic resonance imaging (MRI) that allows us to look at the changes in the volume and structure of different areas of the brain, and integrity of the pathways connecting them.

Then there is functional MRI (fMRI). This method examines blood flow in different areas of the brain as a measure of their dynamic function, mostly in response to a task or event, such as thinking about trauma or viewing of a trauma-related image. I use fMRI in my research to look at the brain circuitry involved in how people can be instructed to learn fear and safety. Positron emission tomography, or PET, and single photon emission CT, or SPECT, are also used in looking at brain function.

At the current stage of the technology and research, psychiatrists, psychologists and neuroscientists only use these methods for researching the brain changes in mental illness, and not for making diagnoses.

In other words, researchers have to combine data from tens of people with a mental illness to determine how, on average, different areas of their brain may differ in volume or function from others. 

 

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How do we diagnose PTSD?

Like most other psychiatric conditions, PTSD is a clinical diagnosis. That means psychiatrists diagnose PTSD by the symptoms presented by the patient. Clinicians look for a constellation of symptoms for a diagnosis:

    • history of exposure to trauma
    • intrusive symptoms such as frequent flashbacks, nightmares, intrusive memories
    • avoiding any reminder of trauma (for example, a veteran avoiding watching the movie “Saving Private Ryan”) and its memories
    • hyperarousal, or being overly vigilant, having sleep disturbances, being easily startled negative thoughts or feelings
      significant distress or dysfunction.

When enough number of the above criteria is met, a clinician makes a diagnosis of PTSD.

Clinicians and researchers use the above criteria for consistency in research. They want to be sure that what they call PTSD across different studies passes the threshold of a certain severity and diversity of symptoms.

However, effects of trauma may not reach the “diagnostic threshold” forPTSD, but can still be very stressing. A traumatized person who has frequent nightmares and flashbacks and avoids leaving their house out of fear, is seriously stressed even though they may not meet the required number of “negative symptoms” per the diagnostic manual. From a clinical perspective, we still address their symptoms and treat them. In other words, what matters in clinical practice is helping with the symptoms that are distressing and cause dysfunction.

Population of U.S. Suffering PTSD

PTSD is common, affecting 8% of the U.S. population, up to 30% of the combat exposed veterans, and 30%-80% of refugees and victims of torture.

This Once a Soldier blog/advocacy post was reprinted in part with permission from and can be found here. 

Sunbelt Wellness Institute Ketamine-Infused PTSD Clinic

Sunbelt Wellness Institute Ketamine-Infused PTSD Clinic

Jacksonville Clinic Sees Encouraging Results Now and Promise for the Future

Treatment-Resistant Mood Disorders Have New Hope in Ketamine PTSD Therapy

If the name Ketamine sounds vaguely familiar to you, you might be thinking about the street drug Special K. Yes, they’re the same thing, but in multiple trials this drug has found a new life in the most amazingly helpful way.

 

 Sunbelt Wellness can be reached at (904) 328-6749

Not Just for Veterans

One-third depressed people don’t benefit from traditional treatments. Luckily, with the relaxation and reclassifications of some drugs, new therapies are showing great results and greater promise. We are happy to feature a local Jacksonville treatment center, veteran run, that is living proof of the benefits for PTSD victims.

Sunbelt Wellness Institute offers a customized cost-effective treatment regimen of Ketamine Infusion therapy, for clients suffering from treatment resistant depression, bipolar depression, post-traumatic stress disorder (PTSD), suicidal ideations and other resistant mood disorders. This therapy has also been effective in chronic pain conditions including complex regional pain syndrome, fibromyalgia, migraines and cluster headaches.

Interview with Dr. Kalynych and Dr. Hogan

HOW DOES IT WORK ?

Most medications prescribed for treatment-resistant mood disorders and chronic pain work by changing the amount of specific neurotransmitters, chemical messengers, in the brain. The side effects of these medications can be debilitating.

Ketamine works in a different way. IVKT triggers a cascade of events in the brain, temporarily blocking the activation of certain chemical receptors in the brain and signaling other pathways. Ketamine works on NMDA receptors, producing a protein that causes rapid growth of new neural connections, or “rewiring” of the brain. This rewiring effect leads to the antidepressant and anti-inflammatory benefits of IVKT.

Intravenous infusion is the Gold Standard for Ketamine therapy and is widely supported in published clinical studies.

 

Conditions Treated

POST TRAUMATIC STRESS DISORDER (PTSD)
PTSD is a disorder that develops in some people who have experienced a shocking, scary, or dangerous event.

It is natural to feel afraid during and after a traumatic situation. Fear triggers many split-second changes in the body to help defend against danger or to avoid it. This “fight-or-flight” response is a typical reaction meant to protect a person from harm. Nearly everyone will experience a range of reactions after trauma, yet most people recover from initial symptoms naturally. Those who continue to experience problems may be diagnosed with PTSD. People who have PTSD may feel stressed or frightened even when they are not in danger.

Symptoms include flashbacks, bad dreams, recurring thoughts, avoidance behaviors, hyperarousal, agitation, cognitive difficulties, and mood disorders. PTSD is often accompanied by depression, substance abuse, or one or more of the other anxiety disorders.

Not every traumatized person develops ongoing (chronic) or even short-term (acute) PTSD. Not everyone with PTSD has been through a dangerous event. Some experiences, like the sudden, unexpected death of a loved one, can also cause PTSD. Symptoms usually begin early, within 3 months of the traumatic incident, but sometimes they begin years afterward. The course of the illness varies. Some people recover within 6 months, while others have symptoms that last much longer. In some people, the condition becomes chronic.

https://www.nimh.nih.gov/health/topics/post-traumatic-stress-disorder-ptsd/index.shtml

DEPRESSION
Depression (major depressive disorder or clinical depression) is a common but serious mood disorder. It causes severe
symptoms that affect how you feel, think, and handle daily activities, such as sleeping, eating, or working. To be diagnosed
with depression, the symptoms must be present for at least two weeks.

Some forms of depression are slightly different, or they may develop under unique circumstances, such as: Persistent depressive disorder, Postpartum depression, Psychotic depression, Seasonal affective disorder (SAD), and Bipolar disorder.

https://www.nimh.nih.gov/health/topics/depression/index.shtml

 

ANXIETY
Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave and can cause physical symptoms.

The term “anxiety disorder” refers to specific psychiatric disorders that involve extreme fear or worry, and includes generalized anxiety disorder (GAD), panic disorder and panic attacks, agoraphobia, social anxiety disorder, selective mutism, separation anxiety, and specific phobias. Anxiety disorders are real, serious medical conditions – just as real and serious as physical disorders such as heart disease or diabetes. Anxiety disorders are the most common and pervasive mental disorders in the United States.

https://medlineplus.gov/anxiety.html

https://adaa.org/understanding-anxiety

SUICIDAL IDEATION
Suicidal thoughts, or suicidal ideation, means thinking about or planning suicide.Thoughts can range from a detailed plan to a fleeting consideration. It does not include the final act of suicide.

Suicidal thoughts are common, and many people experience them when they are undergoing stress or experiencing depression. In most cases, these are temporary and can be treated, but in some cases, they place the individual at risk for attempting or completing suicide.

Most people who experience suicidal ideation do not carry it through, although some may make suicide attempts. Causes of suicidal thoughts can include depression, anxiety, eating disorders such as anorexia, and substance abuse. People with a family history of mental illness are more likely to have suicidal thoughts.

A person who is experiencing or could experience suicidal thoughts may show the following signs or symptoms:

feeling or appearing to feel trapped or hopeless; feeling intolerable emotional pain; having mood swings, either happy or sad; being agitated, or in a heightened state of anxiety; experiencing changes in personality, routine, or sleeping patterns; consuming drugs or more alcohol than usual, or starting drinking when they had not previously done so; engaging in risky behavior, such as driving carelessly or taking drugs; experiencing depression, panic attacks, impaired concentration, and more.

https://www.medicalnewstoday.com/kc/suicidal-thoughts-ideation-193026

 

CHRONIC PAIN
Chronic pain is often defined as any pain lasting more than 12 weeks. Whereas acute pain is a normal sensation that alerts us to possible injury, chronic pain is very different. Chronic pain persists—often for months or even longer. Chronic pain may arise from an initial injury, such as a back sprain, or there may be an ongoing cause, such as illness. However, there may also be no clear cause. Other health problems, such as fatigue, sleep disturbance, decreased appetite, and mood changes, often accompany chronic pain. Chronic pain may limit a person’s movements, which can reduce flexibility, strength, and stamina. This difficulty in carrying out important and enjoyable activities can lead to disability and despair.

https://medlineplus.gov/magazine/issues/spring11/articles/spring11pg5-6.html