Why Make a Pain Care Treatment Plan?
Pain is the most common reason people seek treatment from a health care professional and, even though one in five adults in Canada experience it, persistent pain is not as well managed as it could be.
Current research is showing that pain is influenced by many factors including biological, psychological and social inputs. That means there isn’t just one contributor to pain, and there isn’t just one possible solution for management and change.
Multi-modal treatments like combining manual therapy, therapeutic exercise and education within a multidisciplinary program are being shown to be more effective for long-term change and management of pain. Making a plan to coordinate more than one type of treatment is a good way to reach your goals.
Injury, Rehabilitation, Mobility
Rehabilitation is important after an injury, post-surgery or with conditions like osteoporosis to get you up and moving again to help tissues heal and adapt.
Minor injuries like sprains and strains are self-limiting and will go away with time and conservative management. With injuries that require compensation, other parts of our bodies can also be affected.
More significant injuries can take more time, and may initially be more concerning because the amount of swelling and stiffness present isn't always indicative of the extent of tissue damage that has occurred. A proper diagnosis can be helpful with recovery.
Exercise programs can also be useful for people with different levels of mobility. Often people tend to do too much too soon, or not enough to make a difference. Knowing how to get back to activity safely can motivate you to continue moving.
Decrease Feelings of Tension
Even when pain is no longer the primary focus, old patterns can resurface when stress and resulting musculoskeletal tensions build up over time and become hard to resolve with the usual strategies.
Hands-on treatments, used as part of longer-term active management, can be a great way to help break a familiar cycle of musculoskeletal tension.
The study of touch on a neurological level supports the pain relieving qualities of manual therapy through interaction with the skin. The tension-decreasing effects of treatment can even help to change your mood for that day.
Move Pain Care provides:
- Knowledge about pain that includes written resources, discussions and answering questions about why you hurt, because knowing more about pain allows you to develop your own strategies as well.
- Manual therapy, because sometimes movement hurts. Hands-on treatment like sustained touch, and soft tissue and joint mobilization, can provide some immediate pain relief to make it easier to move.
- Movement modifications, strategies and exercises that can be fitted into your day to day, or geared toward strengthening or getting back to activities you love.
What Does a Plan Look Like?
Each plan is unique for the situation and goals for progression.
At the initial appointment, we’ll discuss your health history, the circumstances around the presenting issue and ensure that any conditions needing further diagnostics or follow up are considered. As well, goals will be discussed, and at that point we may have some idea of a timeline for meeting those goals. In the week after the first appointment a synopsis of the meeting, some written resources and an outline of a plan will be provided.
The plan may include:
- Hands-on treatment for pain, tension and relaxation
- Information about pain, as it pertains to your situation
- Movement modifications for day to day activities
- Graded increases in movement, exercises and loads
- Habituation strategies to address painful movements
- Realistic time lines for progression based on issues and goals
The MOVE Pain Care Philosophy of Care
Current scientific pain and rehabilitation research are showing that movement is one of the most effective, long-term solutions and/or management strategies for most musculoskeletal pain states; but what that looks like for each person and each situation is different. There is no absolute “right” way of moving, but there are better or more meaningful ways to move, depending on the situation and the goals of treatment.
That said, movement is not a panacea on its own, and effects have been shown to be enhanced by combination treatments that can include manual therapy, pain education, meditation or mindfulness, and talk therapies.
Monica Noy and Tricia Twogood have combined their strengths in manual and physical therapies, pain education, and treatment planning and progression in order to offer therapy that is driven by your values and goals. Treatment plans are negotiated and modified as necessary as you move away from dependence on therapy, to independence and control over whatever situation you are managing.
MPC is care from a biopsychosocial perspective that understands and incorporates the importance of biological, psychological and social relationships that can contribute to, and affect pain and function.
Though we treat most directly the biological inputs with manual therapy, movement strategies and exercise progression, how you feel, how much you know about your situation, and how those things impact your day to day activities are all part of the inputs that make your situation unique to you.
Monica and Tricia have combined their strengths in manual and physical therapies, pain education, and treatment planning and progression in order to offer therapy that is driven by your values and goals.