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Chronic Pain

Chronic pain, or persistent pain, is pain that last for weeks, months or years.

For some, chronic pain is the result of an injury, like a sprained back, or an ongoing problem like arthritis. For others, chronic pain occurs in the absence of a past injury.

Many chronic pain conditions affect older adults. Common chronic pain complaints include headache, low back pain, arthritis pain, or neurogenic pain (pain resulting from damage to the peripheral nerves or to the central nervous system itself).

According to the Global Burden of Disease Study (2015), 1 in 4 people in the world struggle with some form of persistent pain. Historically, the treatment of persistent pain has been deeply rooted in a biomedical model focusing on tissues and tissue injury (Houben, Ostelo et al.2005; Henrotin, Cedraschi et al. 2006; Weiner 2008). Not only have these models shown limited efficacy in decreasing pain and disability, but may in fact have increased fear in patients, which in turn may increase their pain (Greene, Appel et al. 2005; Morr, Shanti et al. 2010). Current best evidence has shown that pain neuroscience educational (PNE) strategies utilizing neurobiology and neurophysiology are able to reduce pain, increase function, reduce fear and catastrophizing, and improve movement and change cognitions and brain activation during pain experiences (Louw 2016). PNE changes patient's beliefs regarding their pain, thus reducing the threat of pain.

I also like this link from Adrian Louw, who taught the course. It is patient-centered and explains why we do PNE: https://whyyouhurt.com/WYH-patient-portal.html#patient-video-1

To find out which locations offer this treatments, please visit our locations page.

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Frequently Asked Questions

  • If we are asking you to do something that is hurting too much, let us know! Physical therapy should not be severely painful. It is not common to be so sore that patients are in pain or it affects their daily life. If this ever happens during or after an appointment, let us know and we will adapt your program.

  • We recommend budgeting 40-60 minutes for a typical therapy session. The only exception to this will be your first visit, which can take about 20 minutes longer due to the physical therapy evaluation your therapist will provide. We also recommend showing up about 10-15 minutes early to your first visit. This way, you can complete the paperwork before your visit time and streamline the process.

  • A typical order for physical therapy will ask for 2-3 visits per week for 4-6 weeks. Sometimes the order will specify something different. What generally happens is for the first 2-3 weeks, we recommend 3x per week. This is because it will be the most intensive portion of your treatment. After that, it is common to taper to 2x weekly, based on your level of function and progress.

  • Yes. Physical therapy works based on the science of how the body rebuilds and heals. The biggest killer of progress is inconsistency. We recommend adhering to your prescribed sessions agreed upon in your PT Eval to achieve desired results.

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