Absolutely love where you are going with this. For me, the 'NEED TO INCLUDE' would be a section on how flare ups / pain 'returning' is a natural part of the process and this does not mean that whatever process they are going through is not working and therefore no longer worthwhile / needs to be stopped. I think particularly with chronic pain where a lot of people have seen everyone and done everything it can build a very quick sense of 'well this isn't working / isn't working anymore, stop doing that and move on to the next thing / go back to doing nothing or what is familiar' and the process gets abandoned before it really gets started. Got to crack some eggs to make an omelette!
Thank you for the comment. I think this is absolutely a necessity for the platform. I already have an entire module on Managing Flare Ups of Pain and I will certainly be adding more content to this over the coming months and years!
I'm sure you see this yourself - a lot of people are doing the right thing, are yet to see the full benefit and give up without doing the right thing for long enough.
I personally think a flare up of pain is the ultimate opportunity to demonstrate evidence of safety to the nervous system of a person in pain. Valuable conflicting evidence that would ideally shape their "prediction" towards less perception of threat the next time they experience a flare up of symptoms.
Hi, David - this sounds like a great approach and useful resource you are working on. As a PT I find it's really important to scetch a clear hollistic picture of all the elements that play a role in chronic pain, biopsychosocial factors but also elements like good posture, flexibility, core strenght etc. Pasients who understand the why behind and the importance of their streches and exercises (for example) are far more likely to do it and stick with it if they understand that it's small adjustements that will add up over time and they do not expect instant results. Hope that makes sense.. keep up the good work.
For me, sense making is at the heart of overcoming chronic pain. You can have the best treatment in the world but if your CNS is still perceiving threat whilst you are moving or exercising, your symptoms may not change all that much.
Evidence of safety comes first for a person in pain (IMO) and then we gradually and progressively build them up!
Absolutely love where you are going with this. For me, the 'NEED TO INCLUDE' would be a section on how flare ups / pain 'returning' is a natural part of the process and this does not mean that whatever process they are going through is not working and therefore no longer worthwhile / needs to be stopped. I think particularly with chronic pain where a lot of people have seen everyone and done everything it can build a very quick sense of 'well this isn't working / isn't working anymore, stop doing that and move on to the next thing / go back to doing nothing or what is familiar' and the process gets abandoned before it really gets started. Got to crack some eggs to make an omelette!
Hey Michael!
Thank you for the comment. I think this is absolutely a necessity for the platform. I already have an entire module on Managing Flare Ups of Pain and I will certainly be adding more content to this over the coming months and years!
I'm sure you see this yourself - a lot of people are doing the right thing, are yet to see the full benefit and give up without doing the right thing for long enough.
I personally think a flare up of pain is the ultimate opportunity to demonstrate evidence of safety to the nervous system of a person in pain. Valuable conflicting evidence that would ideally shape their "prediction" towards less perception of threat the next time they experience a flare up of symptoms.
Hi, David - this sounds like a great approach and useful resource you are working on. As a PT I find it's really important to scetch a clear hollistic picture of all the elements that play a role in chronic pain, biopsychosocial factors but also elements like good posture, flexibility, core strenght etc. Pasients who understand the why behind and the importance of their streches and exercises (for example) are far more likely to do it and stick with it if they understand that it's small adjustements that will add up over time and they do not expect instant results. Hope that makes sense.. keep up the good work.
Thank you Dorette!
I am in full agreement with you.
For me, sense making is at the heart of overcoming chronic pain. You can have the best treatment in the world but if your CNS is still perceiving threat whilst you are moving or exercising, your symptoms may not change all that much.
Evidence of safety comes first for a person in pain (IMO) and then we gradually and progressively build them up!
Exactly, well said! I like the idea of evidence of safety, this is such important work.. keep it up!