Is it Pain or Discomfort?

Perhaps one of the biggest struggles we can run into in working with people in pain is getting our clients feeling safe when returning to movement. The reality of the matter is that the chances of a person in pain experiencing some symptoms as he or she returns to activity is real and part of the process. How can we get our people to trust the process? To be comfortable being uncomfortable? I think Aline Thompson, a physical therapist I trust out of Denver, has the answer. In today’s post, she outlines how changing the belief frame someone approaches pain with can have profound impacts on returning to life. Without further adieu, here is what she has to say: Is there a Difference Between Pain and Discomfort? There’s a difference and it matters. More often than not the question goes more like this: “Tell me about your pain…” After which you get a pause, with a look of contemplation. When this happens I wonder; what are they thinking? Should that silence be filled with a follow up question? “…. Or is it discomfort?” When I ask folks whether there is a difference between pain and discomfort everyone says yes. When I ask how they differ these are the answers: “Pain is discouraging, Discomfort is just frustrating” – “Discomfort is annoying but you can ignore it. Pain interferes with your brain and thought processes. You can’t do a complex math problem easily when you’re in pain” – “Pain can hinder progress

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Upper Body Unstable Surface, Achilles Tendinopathy, and Manual Therapy – Movement Debrief Episode 44

Movement Debrief Episode 44 is in the books. Below is a copy of the video for your viewing pleasure, and audio if you can’t stand looking at me. Here is the set list: Is there a place for upper body unstable surface training? Can it be justified since we cannot justify lower body unstable surface training? What are some good treatments for Achilles Tendinopathy? What are my thoughts on manual therapy? What do I think about recent manual therapy trends? Is there a place for manual therapy? If you want to watch these live, add me on Facebook or Instagram.They air every Wednesday at 7pm CST. Enjoy! and the audio version…                    Here were the links I mentioned: I couldn’t find a picture of the dome, but this article talks about it. The vestibular platform Shoulder Packing Tim Gabbett Deep friction massage to treat tendinopathy: a systematic review of a classic treatment in the face of a new paradigm of understanding. Achilles and Patellar Tendinopathy Loading Programmes Joel Jamieson Ultimate MMA Conditioning Lateral heel wedges Re-evaluating Manual Therapy Manual Therapy Musings Three-Dimensional Mathematical Model for Deformation of Human Fasciae in Manual Therapy The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis.   Here’s a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball

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