Pain is a personal experience that, if left undertreated or mismanaged, can radically change an individual's quality of life and impact important relationships. Acute and chronic pain is best treated and managed by an interdisciplinary team that actively engages the patient to diagnose and manage their pain for improved well-being, functionality, and quality of life. Recently, the medical community has seen strong evidence accumulated for the benefits of having holistic pain management. It's important to recognise that there isn’t a standard approach to pain management that will work for everyone. Something that works really well for one person may not work for another person with the same problem. Avoiding this streamlined tactic for managing pain is the heart of the holistic model. Whatever the cause of chronic pain may be, its management and relief should take a multidisciplinary track.
HEAL can help the patients manage their pain, especially those suffering from chronic pain. Physiotherapy will teach you how to deal with your symptoms and improve your quality of life in order to help you maintain your functional ability. This will allow people to take control of their pain and learn strategies to try and improve their independence and quality of life.
Myofascial Pain Syndrome (MPS)
Pain of a regional nature beginning within a specific trigger point within muscle/fascia.
Pain can refer.
Associated phenomena may include autonomic abnormalities: Blanching, Coldness, Sweating, Piloerection, Erythema, Hyperesthesia and Hyperalgesia locally or within the area of referred pain.
Trigger Point: A trigger point is a taut band of skeletal muscle located within a larger muscle group. Trigger points can be tender to the touch, and touching a trigger point may cause pain to other parts of the body.
Fibromyalgia Syndrome (FMS)
A chronic, musculoskeletal pain syndrome characterized by widespread pain, tenderness, fatigue, disturbed sleep, cognitive dysfunction and co-morbid syndromes. Central sensitization is a major feature.
"…the most prominent symptom of FM, chronic widespread pain, is neurogenic in origin. The pain seems to result from neurochemical imbalances in the central nervous system that leads to a "central amplification" of pain perception" Clauw, D.
The pain may be characterised as aching or burning in many areas of the body. Physiotherapy is a favourable method to help reduce the symptoms that are associated with fibromyalgia. Specialist physiotherapist can able to provide you with a thorough assessment and treatment plan to suit your needs.
An early diagnosis will allow attention to be focused towards symptom management, attainment of optimal health and maintenance or improvement of function.
Pain can either be nociceptive pain or neuropathic pain. Nociceptive pain is a result of actual or potential damage to the tissues or nerves. Nociceptive pain is when pain messages are sent from the nerves to the brain in response to damage such as a cut, burn or an injury.
Neuropathic pain is characterised by pain arising from inflammation or damage to the peripheral nerves or nerves in the central nervous system (brain or spinal cord).
Merskey H et al. In: Classification of Chronic Pain; Descriptions of Chronic Pain Syndromes and Definition of Pain terms. 1994:209-212
The following conditions may cause neuropathic pain and include:
Diabetic neuropathy - a nerve disorder that develops in some people with diabetes.
Phantom limb pain following an amputation.
Pain following chemotherapy.
Atypical facial pain.
Symptoms: People with neuropathic pain often experience burning, stabbing, shooting pain, electrical shock sensations, prickling, tingling, 'pins and needles' and patches or larger areas of skin with heightened sensitivity.
Physiotherapy techniques will relieve your pain and increase your independence with daily tasks as well as teach you ways to manage your pain in the short and long term.
Complex Regional Pain Syndrome
A variety of painful conditions following injury which appears regionally has a distal predominance of abnormal findings, exceeding in both magnitude and duration the expected clinical course of the inciting event, often resulting in significant impairment of motor function, and showing variable progression over time.
IASP Nomenclature: CRPS I = Reflex Sympathetic Dystrophy & CRPS II = Causalgia . The only difference between the two is the inciting event: minor trauma (I) versus major peripheral nerve injury (II).
Signs & Symptoms: Pain, Sensation- Spontaneous, Constant, Burning, Aching, Throbbing, Disproportionate to the injury and persists beyond normal or expected recovery period, Worst distally, Severe mechanical and Thermal allodynia, Hyperalgesia, and Hyperpathia, Autonomic (Sympathetic)
Abnormalities: Vascular (Hot, Swollen, Eythemetous, Cold, Blanched, Mottled), Sudomotor- (Hyperhydrosis & Hypohydorosis ), Motor- Diffuse weakness of the extremity, but normal EMG/NCS until late in the course of the disease, Tremor & Dystonia occasionally.