expert type icon EXPERT

Dr. Keith B. Javery, DO

Pain Management Specialist

Dr. Keith Javery practices Pain Medicine in Grand Rapids, MI. Pain medicine is concerned with the prevention of pain, and the evaluation, treatment, and rehabilitation of patients experiencing pain. Pain medicine physicians use a broad-based approach to treat all pain disorders, ranging from pain as a symptom of disease to pain as the primary disease. Dr. Javery serves as a consultant to other physicians but is often the principal treating physician, providing care at various levels; such as treating the patient directly, prescribing medication, prescribing rehabilitative services, performing pain relieving procedures, counseling patients and families, directing a multidisciplinary team, coordinating care with other healthcare providers, and providing consultative services.
32 years Experience
Dr. Keith B. Javery, DO
  • Grand Rapids, MI
  • University of Kentucky
  • Accepting new patients

What can be done for a low pain tolerance?

“Low pain tolerance” is a difficult phenomenon to treat primarily because pain itself is a subjective experience based upon the brains PERCEPTION of either real or possible potential READ MORE
“Low pain tolerance” is a difficult phenomenon to treat primarily because pain itself is a subjective experience based upon the brains PERCEPTION of either real or possible potential body/tissue damage. Pain itself is therefore comprised of actual or imagined incoming (afferent) signals from the body to the spinal cord and then the brain, where it is processed and then depending on a wide variety of existing and preexisting issues (genetics, preexisting and coexisting physiologic diseases), plus the person's own psychological status, ALL enters into the equation of how much “pain” is actually experienced. Thus, first and foremost, it is important to control and identify the things you can and do what you can about those. As many things are completely out of our control (picking our parents for instance! Lol). Step one is stop anything that will produce and worsen any hyperalgesia (frequent or chronic use of analgesics, especially narcotics), as these are well known to produce low pain tolerance due to hyperalgesia due to glial cell neuroinflammation. Also, obviously ruling out any physical disease states that might be causing pain in the first place. Mental conditioning, cognitive behavioral psychological therapies are known to increase pain tolerances. Anxiety reduction is very important. We all have stress. How we respond to stress is paramount.