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Celeste Cooper / Author, Health Pro, Advocate

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Coping strategies can vary among each of us. I write as a way of coping, others learn new hobbies that fit their abilities. What matters most, is that we find positive ways to cope with our pain and avoid the pitfalls of negativity...             Read On >>                                                  

It’s important to find the right people for your healthcare team. They should be someone you respect and someone who respects you and...  Read On >>



Perpetuating factors can be categorized by things we can change or things we can’t change. Some things we have absolutely no control over like weather related migraine, but most perpetuating factors can be better managed.  

Perpetuating Factors Include:

  • Anatomical abnormalities.
  • Improperly fitting clothing and shoes.
  • Poor posture.
  • Furniture that causes misalignment of the musculoskeletal system.
  • Trauma, surgeries, and scarring.
  • Stress, tension and fatigue.
  • Poor sleeping posture.
  • Your pillow.
  • Poor nutrition.
  • Overconsumption of alcohol.
  • Carrying  an unbalanced load.
  • De-conditioning.  
  • Holding postures or sustaining muscle contraction when trigger points are present.
  • Improper breathing.
  • Static positioning.
  • Overuse or repetitive use of unconditioned muscles.
  • Medications.
  • Neglect of co-existing conditions. 
  • Neglect of spiritual and emotional needs.​

Perpetuating Factors 

Many things can make our pain worse. Coexisting health problems can aggravate pain and other illness, and some things we are doing, or not doing, can add to our misery. If your health problems are not being well managed, if your symptoms seem to escalate or you have new symptoms, inform your doctor. (See communicating). Once we identify coexisting or comorbid conditions, we are able to avoid perpetuating or aggravating factors, and doing this will improve how we feel.

If we understand our co-existing conditions, we can:

  • Identify new symptoms. New symptoms should not be automatically attributed to a long-term problem.
  • Identify any medication side effects that might contribute to a comorbid or co-existing condition. 
  • Avoid certain things that may perpetuate another underlying condition. 
  • Identify the role another condition can play in perpetuation of symptoms
  • Avoid misdiagnosis so proper treatment is not delayed.​​

The Importance of Managing Co-existing Conditions

​ “Prompt has turned into late, not by desire, but by condition.”

Coexisting condition = A condition in addition to another. A patient with more than one disorder is said to have coexisting conditions.
Comorbid condition = A condition that occurs more frequently with one certain disease or disorder.

“It's important for each of us to identify how activities, posture, diet, sleep disturbance, and co-existing conditions can make us feel better or worse. Once aggravating factors are identified, it is important to work on how we can control them so we can avoid letting them spill over into our relationships.” (Spring Devotions).

Perpetuating Factors

Celeste Cooper RN Author - Educator and Pain Advocate