Helps us answers why your lower back, knee or hip pain.... is occurring.
The next step in the journey is considering pain from Musculoskeletal causes.
Together we look at all the known ways in which the body can be in pain from musculoskeletal injury and pathology.
In a complementary space, this step can often be dismissed and given completely to the other reasons we an be in pain:
trauma
fascia
wind-up & sensitisation of the nervous system
(feeling more pain from less)
The place I am coming from is:
these are real occurrences and being informed matters.
Knowing whether they are present or not, allows us a far greater understanding of what is happening with you as an individual.
Your case history informs this process.
Everything you’ve said offers clues & insight as to whether you have:
Osteoarthritis of your hip
Sacroiliac dysfunction
A sprain or strain in the ligaments and/or tendons of your hip
Trochanteric Bursitis
Fracture or broken bone
Many other options...
In the case of a suspected break, I will help you to get to A&E.
I will support you physically again when it is time to take the cast off & begin rehabilitation.
During this second step, we recognise the signs & symptoms for when we cannot treat.
In the industry we call them red flags. These are major signs that you need to seek primary medical care. In these situations we will always tell you upfront and encourage you to speak to your doctor, or in more emergency cases go to A&E.
It is so important to either rule these parts of pain in, or rule them out.
If we have ruled them out (or if you have been through the medical side of the coin already) then fantastic, we can move on to all the other reasons why pain arrives.
However, if we do not take them into account and miss something then we are not fully informed.
My bias is to include both sides of the coin in your care:
The knowledge and ways to handle pain that occurs from direct physical tissue damage
Alongside the knowledge of how the nervous system can become sensitised to pain through:
Fascia
Immune response
Stress
Subconscious anxious thoughts
Previous experiences and expectations
Trauma
Emotional responses
For instance, if we conclude you have hip osteoarthritis, we can work with it.
We bring all the physical knowledge of pain management and get to pain science by also holding awareness that stress, anxiety, sensitisation of nerves and what you need to do on a normal day all add up to your experience.
Want to know more about the journey through chronic pain?
As ever, thank you for reading.
Comentários