Physiotherapy Solutions

Despite the hope offered by many orthopaedic surgeons, my experience with many of my chronic pain patients are that surgery is frequently ineffective and sometimes makes the pain even worse. To solve chronic pain takes a holistic approach, including diet, lifestyle, psychosocial factors and habitual patterns of posture and movement.

Chronic pain rarely improved by surgery, academic says Studies have shown little evidence for performing surgery on people with chronic pain.

Medical gaslighting - if you are on medications that you believe are harming you then you’re probably right…

The BFD | No, You Are Not Imagining It We need to build an immunity to the collective gaslighting we have endured for decades.

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Yoda right always is 🙂👍

I would agree with this statement. Changing your pattern of gait when walking or running can make a huge impact on potential discomfort or injury

It’s very common to hear runners being told they must switch from a rearfoot to a forefoot strike when running. They’re told “it’s more efficient”, “it reduces injury risk” or “it’s more natural” (whatever that means!) but this is not supported by the research and there are risks involved…
…Any big change in running gait, such as switching foot strike, is likely to increase the load on tissues that aren’t used to it. With moving from rearfoot to forefoot strike this is likely to be the calf and Achilles. In forefoot running Achilles load increases by around 15% which is the equivalent to 48 times body weight per mile (Almonroeder et al. 2013)! It’s no surprise then that I see many runners with Achilles or calf pain as a result of switching foot strike.
One argument for switching to forefoot is that it can reduce stress on the knee. There is evidence to support this but increasing step rate by 5 to 10% can also achieve this without a large increase in calf/ Achilles load.
As ever when treating runners we need to be careful to avoid one size fits all recommendations and reason through the risks and benefits for the individuals in our care.

If you’re not sure what kind of pain you’re experiencing, feel free to come in for an assessment.

🪢 Pain is a complex sensory experience that can be categorized in different ways based on its cause, duration, location, and other factors.

The common types include nociceptive pain, neuropathic pain and nociplastic pain.

If you want to know more about this topic, start your 7-day free trial at Trust me Ed and watch the lecture 'Athletic Back Pain: From Theory to Practice' by Thomas Dekkers!

🔗 https://www.trustme-ed.com/lectures/athletic-back-pain-from-theory-to-practice

Some great advice for those with chronic pain, and good advice for the rest of us for whom life can sometimes be overwhelming! 😊

If you want to recover from chronic pain, your number one priority is to help your primitive brain feel safe, so it can realize that there is no actual danger and stop sounding the alarm (giving you pain and symptoms).

Here are some ideas for sending messages of safety to your brain throughout the day:
1. Reduce your use of technology where possible. Try avoiding looking at your phone first thing in the morning to start each day in a safe, low-alert state.
2. Give yourself some time to slow down. Set your alarm earlier so you can get ready for the day without rushing, and schedule in little breaks to just breathe.
3. Give yourself permission to excuse yourself when feeling trapped. When your pain is high, it's okay to politely step away from a conversation or activity to ground yourself.

By making simple adjustments to some of your daily behaviors, you can keep your brain in a calmer state and reduce your pain or symptoms. Remember, the goal is not perfection. You don't have to make drastic changes to your lifestyle, but simply recognizing behaviors that put your brain on high alert and doing them less can make a huge difference. So, be patient with yourself and trust the process. Your brain and body will thank you for it!

This is a helpful analogy to explain why not every structural abnormality that shows up in a scan is necessarily a cause of pain or other symptoms

I agree with this. Very hard to do without impinging your rotator cuff. But there are alternative exercises to working your shoulders safely

Why don’t I recommend performing shoulder presses? The vast majority of people have poor form/posture performing this exercise causing an impingement/pain in the shoulder. I just wouldn’t do it. It’s not worth it.
Bob

Please consider signing to allow healthcare workers to return to their jobs.

Now over 15,000 signatures in just a few days…the more signatures we get the stronger your voice will be.

Do you agree that we must remove mandates for health workers and return the jobs for desperately needed nurses and GPs?

If you do click the link below and sign in support - and keep sharing.

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If you have persistent pain in your body, or physical injuries that affect your ability to function normally, please don't hesitate to get in touch with me, I would love to help!

Physiotherapy Solutions is now operating from a home-based clinic at 10 Whisky Way, Palmerston North. Same friendly, professional service but now at a quiet semi-rural location!

Physiotherapy Solutions updated their address.

Need to pick up your mood, or overcome depression or anxiety? Try exercise.

Why Exercise Is So Crucial for Maintaining Mental Health Research proves inactivity is the enemy of mental well-being.

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I love this quote, it shifts the emphasis from the therapist or clinician to the patient. I believe it is about empowering your patient's innate ability to heal and regenerate themselves and helping them to own that process.

This is opposed to fixing a machine that is broken and has no ability to help itself.

🍃 🌳 YOUR BODY IS GARDEN 🍃 🌳⠀ ⠀ The body as a machine is a BAD metaphor for the body. ⠀ ⠀ Here's why:⠀ ⠀ ❌ It implies that your body breaks down and is then just broken⠀ ❌It implies that you won't be able to do much about it, but need a specialist to fix/repair it⠀ ❌It disembodies and disempowers you from your body⠀ ⠀ Your body is ALIVE! ⠀ ⠀ Using the body as a garden metaphor is way more ACCURATE.⠀ ⠀ Here's why:⠀ ⠀ ✔️ Your body can and does repair itself (discs heal, bones heal, muscles recover)⠀ ✔️ Your body needs tending to in order to thrive (like water, exercise, and rest) ⠀ ✔️ Sometimes there is nothing "wrong" with your body at all, you just need the right set of conditions (maybe your body is just too tired and overworked; some rest can help change your symptoms)⠀ ⠀ 🌲 YOUR BODY IS A GARDEN 🌲 ⠀ ⠀ Let me know if you have any questions!⠀ ⠀ 🚫 This content is solely for informational purposes and should not be substituted for professional medical advice.⠀ ⠀ ✅ Comment below about your experience⠀ ✅ Share with someone you care about ❤️⠀ ✅ Send a DM if you want to learn how working with me might help you⠀ ⠀ 👉🏼 Follow @thoughtfulphysio to learn more about low back pain and recovery⠀ .⠀ .⠀ .⠀ #bodyisagarden #notamachine #personalempowerment #transformationalcoaching #movewell #lowerback #challengeyourlimits #goalsgoalsgoals #chronicbackpain #chronischepijn #livingwithpain #paincoach #chronicpainsurvivor #persistentpain #fibrostrong #doyourbestandforgettherest #mobilityexercises #lowerbackpain #backpainrelief #moveyourbodyeveryday #backstrength #spinemobility #physicaltherapyworks #virtualhealth #onlinephysiotherapy #onlinefysio #backpainexercises #onlinephysio #paincoach #personalgrowthjourney