Chronic Pain

Chronic Pain

Chronic Pain can be limiting to your life. It can limit your relationships. It can limit your livelihood. It can limit your physical activity. Over time, people with chronic pain may find themselves isolated, inactive and even depressed.

The only person qualified to manage this important aspect of your life is you. You do not have to do it alone. Assemble a team of friends and professionals to help and support you. Find a physician or therapist you trust. Do not give up if one thing does not work today. Something else will work tomorrow. Ask for guidance. Start small. Appreciate small improvements.

Every person is different. You have to find your own combination of activity, treatment etc. that works for you.

Types of Chronic Pain

How Can Physical Therapy Help?

1. Proper evaluation

Finding the cause of the pain determines treatment success. Evaluation includes range of motion testing of the body part affected. It may include specific, small motions of the joints and muscles. Muscle, flexibility and strength testing is used to design exercises specific to your needs.

After some treatment, the problem will need to be re-evaluated. Once one aspect of the problem has been corrected, other restrictions and pains may appear as they were compensating for or hiding behind the previous restriction.

2. Manual Therapy

There is a variety of manual treatment options available. Treatment is determined on an individual basis, based on what is found during evaluation.

Craniosacral Therapy (CST) is a method of treatment involving gentle touch. The therapist looks for and releases restrictions of motion in the cranial or head bones and in other parts of the body. The therapist works with a subtle motion caused by the rhythmic production of cerebrospinal fluid (CSF) in the brain and spinal cord. Restrictions in the body, particularly in the head and pelvis, may cause migraines, temporomandibular (jaw) joint pain, back pain, or other painful conditions. Treatment tends to be very gentle, relaxing and refreshing.

Myofascial Release (MFR) treatment involves gentle to not-so-gentle manipulation of the fascia. Fascia is the "fabric" that connects and supports body structure. Fascia surrounds muscle, nerve, and bone cells and fibers. It allows one body structure to glide smoothly over its neighbors. Restrictions in the fascia affect the movement of muscles, tendons, and other structures. Releasing restrictions in the fascia makes moving easier and more comfortable.

Visceral Manipulation (VM) is a gentle hands-on therapy that locates restrictions or imbalances involving the organs (viscera), their supportive connective tissues, or the musculoskeletal system of the body.

Muscle Energy (ME) is a technique used to restore motion to specific spine segments. It involves holding and relaxing specific muscles in the back or neck to regain motion and relieve pain.

Facilitated Positional Release (FPR) puts the muscles in a relaxed position, so motion is restored and pain is relieved.

3. Exercise

Exercise is used to maintain gains and retrain muscles weakened by restricted motion and habit. Muscle balance is essential to using the body most efficiently. Exercise should be specific to each person's needs and performed every day independently.

It's time to take control of chronic pain.

Further Information


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Last Updated: April 15, 2009