The Pain of Clinical Depression

Many of us think of depression as a psychological condition. The causes of depression are sought in the person's childhood or in her personal circumstances as an adult. But within the last 10 or 20 years depression is increasingly being evaluated within a physiological context. Various disease states and physical disorders are being recognized as important contributors to depression. This viewpoint is empowering to persons with depression and often provides a way forward when progress has been minimal or absent.
Those with depression experience both physical and psychological pain. It is well-documented that chronic physical pain can lead to depression. Also, it is well-known that depressive states can cause physical pain. A feedback loop (vicious circle) is often created in which physical pain makes a person's depression worse and the person's depression makes the physical pain worse.
In addition, changes in brain physiology may cause a person to be depressed. In other words, abnormal electrical activity in the brain - which, of course, is not under the person's conscious control - may result in depression. The brain's electrical activity is evaluated by a method known as quantitative EEG (QEEG).1 For those with clinical depression, the QEEG often demonstrates too much slow-wave activity in the left front brain (prefrontal cortex) and too much fast-wave activity in the right prefrontal cortex.
For those with clinical depression, the light of the world is considerably dimmed. The mood of a depressed person is low and he loses interest in normally pleasurable activities. Depressive disorders interfere with a person's work and/or school activities, family life and social life, and overall health. Lack of energy, lack of appetite, and decreased physical activity are all associated with clinical depression.
An access to relieving chronic depression may be found in encouraging the person to begin to engage in physical activity.2,3 Such activity may be difficult for those who are severely depressed, and yet all persons with depression should be presented with this form of therapy.
Additionally, chiropractic care may be of great benefit for those with clinical depression. The pain relief and improved musculoskeletal function afforded by chiropractic care may help reduce the physical component of ongoing depression.
1Hargrove JB, et al: Quantitative electroencephalographic abnormalities in fibromyalgia patients. Clin EEG Neurosci 41(3):132-139, 2010
2Gill A, et al: Clinical Inquiries: Does exercise alleviate symptoms of depression? J Fam Pract 59(9):530-531, 2010
3Uebelacker LA, et al: Hatha yoga for depression: critical review of the evidence for efficacy, plausible mechanisms of action, and directions for future research. J Psychiatr Pract 16(1):22-33, 2010

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  • "Four years ago I fell and badly injured my shoulder resulting in a massive total rotator cuff tear and other various injuries. After more than a year of rehabilitation for my injuries, my orthopedist approved my return to chiropractic treatments with the admonition the my permanent rotator cuff injury be treated with care. As a result, I searched for a new chiropractor who would be able to help my injured shoulder as well as any other problems that developed.

    In 2009 I was blessed to find Dr. Erick Burke, DC, who has been able to help me with all the physical and medical problems that affect me from time to time. Dr. Burke is very knowledgeable and always willing to listen to my complaints and problems, ensures that I understand his instructions and provides me with any treatments that I need.

    I've been to seven or eight chiropractors during my life, Dr. Burke is by far the best chiropractor I've ever been to, and I am so blessed to have found him. I highly recommend Dr. Burke."
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