Does pain affect movement or does movement affect pain?
Within our clinic we deal with a wide variety of pain states. Pain can be a very complicated and can cause an individual suffering along with challenging their identity. However, it is also beneficial to have a positive outlook on this emotion. It can be living saving, guiding and help us retain our quality of living.
One common attribute of pain we see with our patients is that it can alter the way a person moves bio mechanically and also change the amount of movement an individual is prepared to do.
Movement can be relieving for pain, movement can also be a stressor for pain, some movements can be tolerable whilst others become triggers for setting pain back off.
What we are seeing develop is the affect that our patients beliefs, predictions and expectations has on the results of intervention. The pathway we see for our patients is as follows;
- An individuals experiencing pain in some way begins to alter their movement (either with volume, intensity or biochemically and functionally), this appears to happen over time
- From here, using graded activity we can often challenge the patient with movement to reduce their pain
- From this, confidence in pain free movement grows along with their expectations, which in turn leads to a reduction in pain
Movement itself is a form of medicine, we just need to manage the type and dosage appropriately.