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20 Sep Galway Physiotherapy & Rehabilitation – Pain Timelines & Injury Examples

Posted at 14:01h in Treated by Physio by
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Pain Timelines Injury Examples

  1. Freeze Phase – Initial pain where you feel tense and unable to move

 

  • Instant pain perceived most injuries or potential injuries
  • Takes your attention and possible concern
  • Aim to self-help or request help
  • Lasts a few seconds to a couple of days
  • Protective mechanism
  • Example: Low back pain where onset is like a knife in the back and may have to drop to floor

 

  1. Tense and Wary Phase – Moving for essentials (I encourage movement)

 

  • Acute injury pain, tissues in early repair phase, possible inflammation and power inhibition
  • Last from a few hours to a few days or more
  • Usually two types of pain:
  1. Ache / throb type sensation
  2. Sharp / nasty pain even with gentle movement
  • Example: As above but hobbling around holding on to things, sudden sharp pain with movement, unable to extend certain joints, worse than ‘1’ above

 

  1. Restless Phase – Get moving and trying it out

 

  • Early to middle recovery phase with 4 components
  1. Ache / stiff – area has had enough of being still – move
  2. Throb / dull – that’s enough for now – combine rest and movement
  3. Sharp at end of range – careful but maybe try – repeated movement into resistance
  4. Intense – stop that – high response that wants low force movement

 

  1. End Healing Phase – Relatively pain-silent

 

  • Loss of constant awareness of pain
  • Test it out and really get going
  • End range sensitivity primary concern
  • Train into an desensitize
  • Appropriate training at appropriate time best way to best end results
  • Evidence based gradual exposure and periodization

 

Musculoskeletal physiotherapy conditions and injuries

These are generalized guidelines for almost all musculoskeletal physiotherapy conditions and injuries e.g. back pain, low back pain, disc issues and bulges, sciatica, headaches, shoulder pain, rotator cuff issues, whiplash, neck pain, sports injuries, knee pain etc.

The most important aspects as always are to:

  • Bring positivity and confidence to the person
  • Listen to them thoroughly and discuss any emotion or stressful elements
  • Perform a thorough assessment and differential diagnosis plan as well a detailed previous history and body map, clearing red flags
  • Educate and remove fear and understand the person beliefs on their injury and physiotherapy in general
  • Goal formulation that suits their needs,
  • Evidence based treatment to include movement, gradual exposure and ongoing home and future planning
  • Continued feedback and critical evaluation to achieve patient goals in a timely fashion and ongoing suitable and feasible maintenance