Monthly Archives: July 2019

Complex Pain

Complex Pain tends to develop over a period of time and has many factors that play a contributing role. As with any pain the body tends to compensate for an issue. For example; lower back pain tends to mean that hips, knees and ankles modify posture to help with pain while standing. Shoulders, neck and upper back modify position when sitting. This can be due to lots of triggers like repetitive physical stress, sitting poorly for extended periods of time, lifting or moving objects. Complex Pain is also linked to fibromyalgia and related conditions.

I met Michaela who was having different pain levels in shoulders, back, hips and calves at different points of the day. The pain varied in intensity which is normal in chronic pain issues and moved around the body which is also normal in complex pain cases. Michaela worked in a garden centre with a very physical and varied job. Easy problems related to lifting and the type of tasks been carried out, wish it was that easy!

Looking for pain triggers  proved difficult as tasks were so varied and were at different times of the day, on each day. The only consistent pain increase related to task was Micheala's lower back and unloading bedding plants. Using InterX I was able to scan for pain points, and hot spots, areas of high nerve pain activity. This allowed for an objective map of the pain in Michaela's body. Then using the InterX device I was able to treat all of the pain areas to reduce the pain and inflammation over a course of 4 weeks. In between treatments I worked on some specific posture exercises and modified how Michalela worked and moved to protect her back.

Accelerated Recovery from Knee Replacement Surgery

I first met Julie 2 weeks post knee replacement surgery. Julie had opted for my home based accelerated recovery programme over 4 weeks. Julie was very able and keen to get back to full time work and her normal activities. Initial session is looking at base line and starting point for pain inflammation and mobility. Julie was able to complete the physio directed exercise and had a good degree of home independence.

The main focus of knee replacement Physio in the first six weeks is to protect the surgery not to help the patient recover. The key elements are bending past 90 degrees and past 110 degrees is desirable. Coupled with this is a focus on getting the knee straight to support general movement. Most patients focus on building up the front of the leg but the calf muscle is always key to support and mobility.

Julie could bend her knee well with 90 degrees and was close to straight, so the initial focus was movement with crutches and building up mobility and strength for everyday activities. Stairs are always a challenge and focus for first week and training along with Range of Movements and power building.

The second week is walking and working with one crutch and standing and bending on one leg for balance and confidence.  Mobility movement increases swelling and InterX helps reduce the impact along with reducing pain from surgery. Third week is walking without crutches in the house and outside learning to walk differently. Final week of the four week programme extends independence and strength and power to do activities along with jumping. This stage Julie smashed and exceeded targets by working extremely hard and had to be reigned in as was working too hard with not enough rest.

Julies personal goals were to be able do everything before osteoarthritis with a focus on extended walking and gym fitness and training. Julie had several additional sessions to help with swelling a pain from working so hard in recovery. Julie is now walking extensive distances and training regularly and back to full time work. 

Recovery takes time and InterX speeds this process up to normal recovery targets extended goals take longer and the patient commitment is extensive to achieve the goals