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Pain Toolkit

6 WWW.CHANGE-PAIN.COM The Persistent Pain Cycle Time off work, money worries, relationship concerns Negative thinking, fear of the future, depression/mood swings Weight gain/loss Stress/fear/ anxiety/ anger/frustration Sleep problems/ tiredness/ fatigue Being less active Persistent Pain Loss of fitness, weak muscles and joint stiffness Create ‘no go’ lists of things you cannot do Sometimes the arrows can also go anti clockwise as well. For example - time off work can lead to negative thinking fear of the future - can lead to stress, fear etc