Re: Bilateral leg pain

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Re: Bilateral leg pain

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Re: Bilateral leg pain - August 28, 2006 5:29:00 PM

Michelle, MSPT

Posts: 1
Joined: August 27, 2006
Status: offline

Nari,
I don't mean to get in the middle of something not really related to Eric's original question, but if you are only using "kinder" methods to deal with all physical therapy issues then you are missing the boat. Many physical therapy problems require the patient to cause him or herself pain, not only a frozen shoulder as John has suggested. I do not think it is forced or "coercive" therapy if the patient understands why it needs to hurt. Are you trying to say that when a patient is regaining ROM following a total knee that you expect it to be relatively pain-free?
Michelle

(in reply to yarringtonpt)

Post #: 41

Re: Bilateral leg pain - August 28, 2006 9:38:00 PM

nari

Posts: 1568
Joined: November 14, 2003
From: Australia
Status: offline

Michelle

It does depend on what you are treating. A stiff post-replacement will require some pain to achieve function, but it should not require ongoing pain. A "frozen" shoulder should not be forced; there are studies done to demonstrate that there is little difference to be gained anyway whether the patient goes to PT or not. In Australia we tend not to treat these people as the outcomes are the same with or without PT; and why cause more pain to little purpose. We review them periodically and I always used neurodynamics anyway, which is much 'kinder'.

If I have missed the boat, then I wonder about the successes with patients who have been given kinder treatments with minimal Rx pain. I know many PTs believe in the "no pain, no gain" principle but that is not how I work.

With chronic pain, it is even more important not to deliberately cause increased pain. Nociceptive physical therapy is the last thing they need.

Nari

(in reply to yarringtonpt)

Post #: 42

Re: Bilateral leg pain - August 28, 2006 9:44:00 PM

rv36116

Posts: 216
Joined: August 5, 2006
From: Texas
Status: offline

Let's start a new topic on this one, I'll copy and paste and we can go from there. Back to the original topic from this point onward.

http://www.rehabedge.com/ubb/ultimatebb.php?/ubb/get_topic/f/1/t/000834.html

(in reply to yarringtonpt)

Post #: 43