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Pain And Physiotherapy
The most common reason a person walks into physiotherapy is because of
pain. Our job as physiotherapists is to reduce and eliminate the pain
and hence it’s important to understand each client’s personal experience with pain and their goals.
starts with interpretation.
It is a process starting from nerves to
spinal cord and lastly to brain cortex where the ultimate decision on
whether it is pain and how intense the pain is felt is made. Each
individual, no matter how big or small the mechanism of injury,
processes pain uniquely.
Some example of this can be found in victims
who felt little or any pain even though massive tissue damage occurred
while others go through debilitating pain with no evidence of bone or
tissue damage. Many factors can explain this and one is how the
peripheral system can be stimulated by our own body chemistry
(neuropeptides) to create more receptors and hence send more signals to
the brain to perceive more pain (Butler & Moseley, 2013).
It has been shown that pain can be amplified by one’s
emotions and past experiences. Poor attitude, negative emotions, being
upset, anxiety, and sadness can influence how much pain is felt. There
is acute pain that warns the body of immediate harm or injury. And
there is chronic pain, pain that is felt more than 6 months (Louw et al,
Just pain itself demonstrates why each treatment requires
individualized approach in hands-on treatment, proper exercise and
education to re-start that connection between the body and brain to
interpret the decrease of pain. As part of regaining power over the
body, it is the clinician’s job to reduce the anxiety or fear of
movement to move toward good clinical outcome (Moseley, 2012).
is most important in this process is getting back to moving properly.
During the process of dealing with pain whether for 1 week or a few
months, movement is changed to protect the painful area. Issues arising
from adopted poor movement patterns, over-exposure to static
positioning, loss of functional range of motion, stability and/or
balance all contribute to the breakdown of good movement (Silfies et al,
To get each client back to proper movement, a plan is set for each specific diagnosis:
is no one size fits all even with the same diagnosis as each person
comes with different specific needs as well as different response to
Any sticking points whether it is joints or
muscles will be addressed with manual skills (a decrease in proper range
of motion will set off a kinetic chain of more issues elsewhere in the
Creating proper stable base and proper firing of
muscles will protect joints, create more efficiency in muscle
contraction and improve movement.
One of the most important factors in creating excellent movement and dynamic stability is the simplicity of balance.
Active and Passive Treatments
the root cause of pain and not just the symptoms: that means
incorporating a mix of passive and active treatments customized to the
specific condition at the proper stage of rehab. Active treatment is
the exercise and movement component of rehab.
includes hands-on treatment with manual skills, use of anti-inflammatory
modalities and joint mobilizations and many other techniques. The
combination of both treatments in the timing and application is the
magic of physio.
References & Citations
Butler, D. S., & Moseley, G. L. (2013). Explain Pain (2nd ed.). Adelaide: Noigroup Publications.
C. L., Ryan, C. G., & Martin, D. J. (2011). Pain neurophysiology
education for the management of individuals with chronic low back pain: A
systematic review and meta-analysis. Manual Therapy, 16(6), 544–549. http://doi.org/10.1016/j.math.2011.05.003
Moseley, G. L. (2012). Teaching people about pain: why do we keep beating around the bush? Pain Management, 2(1), 1–3. http://doi.org/10.2217/pmt.11.73
A., Diener, I., Butler, D. S., & Puentedura, E. J. (2011). The
effect of neuroscience education on pain, disability, anxiety, and
stress in chronic musculoskeletal pain. Archives of Physical Medicine
and Rehabilitation, 92(12), 2041–2056. http://doi.org/10.1016/j.apmr.2011.07.198
S. P., Vendemia, J. M., Beattie, P. F., Stewart, J. C., & Jordon,
M. (2017). Changes in Brain Structure and Activation May Augment
Abnormal Movement Patterns: An Emerging Challenge in Musculoskeletal
Rehabilitation. Pain Medicine,18(11), 2051-2054. doi:10.1093/pm/pnx190
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(or check your pains / injuries)
Phoenix Rehab Physio Services
Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
See all the conditions our principal physiotherapists treat.
HAND THERAPY & CUSTOMIZED SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
- manage and decrease hand pains
- improve range of motion, strength and dexterity
- increase the function of their hand
following injuries or post-operations
Commonly treated hand pain injuries includes
REFORMER CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
- Cupping TCM
- Auricular Therapy TCM
- Herbal TCM Medicine & Supplementation
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required.
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.
Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
do Tell Your Family, Friends And Colleagues About Us =)
We appreciate you as our valued clients and want you to know that the # 1 way we grow as a clinic / brand is through word of mouth referrals from valued patients like yourself.
We prefer not to rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.
book an appointment today
(or check your pains / injuries)
Jun 29, 22 08:32 AM
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