Don’t let the term “somatic pain” throw you. Its NOT what you think it is. Since 2015 the coding and diefinitions have changed. What they have learned is that Chronic pain is an issue all of its own, Even of what caused the pain is removed/fixed the pain often continues anyway. When this happens we see a number of different thinks happen NS often wan to do more stuff or lay it to co-conditions. This seldom is the answer. Others blow you off. The good ones refer you to pain ,amagement specialists. These fall into two groups pill mills which ar found mostly in the NE or FLA and a smattering around the ret of the country or the real deal multipdisciplinary approach.
Chronic pain besides being “a pain” does something else along the way. It literally changes your immune sustem/pain centers. It, put simply. confuses the bejezus out oft them to the point they ar giving you BAD information. Traditional pain medication (usually) cause worse pain over time (hyper analgesia) Surgery etc has little/no effect. When a person has had pain for a while the first thing (IMO) i a persosn needs do is take every option they cah to get your body doing its job and being in charge again instead of surrendering tha job to the pain., The diagnostic code.may be "Idiopathic pain. Somatic pain or simlar. This does not mean the pain is not real or doesn’t need treatment, it only means that its more complicated. Don’t be scared by the term. Its means a specialist in this are will use every tool at hand to get the pain undercontol. Meds of course different kinds of meds to give the immune system a kick in the butt, surgeons, neurologists, Physical therapy to force your body to naturally produce endorphins which control pain, some medictation/self help strategies to allow your mind to tell the body what to do etc.
Lets be honest here. How many of us suffering chronic pain conditions wouldn’t paint ourselves purple, dance naked under a full moon while licking frog slim if there was evidence it helped (Be careful we had a member on another community who thought I was being serious. It turn out well especiually the catching of frogs for the slime living well or the dancing which he chose to do in a city park) These ar complicated contiditions. It would be GREAT if all we had to do was drill a hole in your head and sew in a piece of high tech tent fabric. It doesn’t work that way very often. We need to fight i much harder than that.
Correct most medical professionals only see a few SURGICAL cases of Chiari in their careers. The see many herniations. which sometimes clouds their judgement. By the same token the “Chiari specialists” have an equally bad perception as they see far too MANY cases as surgical (that are not) That why its important to try evererything first including trying to reform your pain management centers. Somatic Pain is not the same things as "malingering, hypochondria, etc where someone is mentally ill and attention seeking. It really is your body betraying you and making a bad situation worse.