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Chronic Pain

What is it? 

Chronic pain is on the rise with an estimated 10-20% of the population reporting chronic or recurrent pain. Chronic pain is a leading source of human suffering and disability. The factors that predict the development of chronic pain following an acute episode of pain do not relate to any 'biological' factors such as findings on physical examination, or change on X-ray, but to what are termed 'psychosocial variables', such as mood, stress and the social situation in which the pain occurs.

What is the cause? 

Chronic pain is usually caused by an initial injury, such as a back sprain or pulled muscle. It’s believed that chronic pain develops after nerves become damaged. The nerve damage makes pain more intense and long lasting. In these cases, treating the underlying injury may not resolve the chronic pain.
In some cases, however, people experience chronic pain without any prior injury. The exact causes of chronic pain without injury aren’t well understood. The pain may sometimes result from an underlying health condition

With chronic pain, your body continues to send pain signals to your brain, even after an injury heals. This can last several weeks to years. Chronic pain can limit your mobility and reduce your flexibility, strength, and endurance. This may make it challenging to get through daily tasks and activities.
Chronic pain is defined as pain that lasts at least 12 weeks. The pain may feel sharp or dull, causing a burning or aching sensation in the affected areas. It may be steady or intermittent, coming and going without any apparent reason. Chronic pain can occur in nearly any part of your body. The pain can feel different in the various affected areas.

What can we do about it? 

At Sports and Spine Physiotherapy, our approach to managing chronic pain will incorporate an active rather than passive approach. An active approach empowers a client to understand their condition, utilises supervised exercise as a “training ground” to teach the client how to independently upgrade (or temporarily downgrade) their exercise program and how to implement strategies independently to cope with any setbacks.

Your therapist at Sports and Spine will  provide education to challenge your fear that all pain relates to further injury or harm, a graded increase in exercise and activity, general exercise for global reconditioning and to improve mood levels, goal setting and the development of a range of self management strategies that the client may confidently implement to prevent flare ups in pain or to manage exacerbations in pain. The physiotherapist needs to adopt a coaching role, assisting the client to problem solve, rather than a traditional treatment plan.

Goals of treatment may include a return to suitable work, independence with domestic activities, re-engagement in leisure activities and a reduction and cessation of reliance on ineffective pain medications. It is unlikely to be straightforward or easy and people with chronic pain may experience regular set backs during treatment. Indeed it may take many episodes for the person to be consistently confident that they can effectively self manage. However, as this occurs, the frequency of treatment sessions should reduce.
Physiotherapists have a valuable and significant role in empowering clients to manage their pain effectively in order to re-engage in activities that are meaningful to them.

Want to find out more? Book online or give us a call. 

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