The goal of chronic pain rehabilitation programs is to help individuals with chronic pain improve their quality of life and function by reducing pain levels, increasing physical activity, and improving emotional well-being. These programs aim to provide a comprehensive approach to managing chronic pain, addressing both the physical and psychological aspects of the condition.
Chronic pain rehabilitation programs help individuals manage their pain by utilizing a multidisciplinary approach. These programs typically involve a combination of physical therapy, occupational therapy, cognitive-behavioral therapy, and medication management. Physical therapy helps individuals improve their strength, flexibility, and mobility, while occupational therapy focuses on improving daily functioning and managing activities of daily living. Cognitive-behavioral therapy helps individuals develop coping strategies, manage stress, and change negative thought patterns related to pain. Medication management ensures that individuals are receiving appropriate pain medications and helps optimize their pain management plan.
Andrew is back talking about a colleague's recent case. This is a new grad, only practicing for 5 weeks or so, but kudos to his differential diagnosis skills and applying the Wells Criteria for Pulmonary Embolism. If you're not familiar with it, its something you should keep in the back of your mind, especially with post op patients, those who have been recently immobilized, or with history of Cancer or PE. Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-07-26
Collagen Supplementation for Joint Pain and Arthritis: Does it Really Work?By Dr. Sean M.Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT, CNPT, Cert-DNRecently I was presenting at the annual conference of Athletic Trainers' Association of Florida (ATAF) and I was overwhelmed by one consistent question: why didn't you talk about collagen supplementation? My talk was specifically on orthopedics for older adults and naturally I focused on osteoarthritis (OA) and how important exercise and diet are for that condition. I did touch on some supplementation, but I left off collagen because my last examination of this supplement, using one of my favorite websites Examine.com, yielded mediocre results. However the participants at the sports medicine conference piqued my interest and convinced me that perhaps I had missed something -- almost every single one of these participants had some form of joint pain or stiffness and felt significantly better after taking collagen daily. So, back to the literature, and asking some of my clients, I went!What is Collagen?Collagen is a protein found in the body that provides structure and support to various tissues, including joints, bones, tendons, and ligaments. It may play a role in maintaining joint health and may have potential benefits for individuals with joint pain. A few small-scale studies have shown positive results in reducing joint pain and improving joint function when individuals with osteoarthritis took collagen supplements. These studies often used specific collagen formulations, such as collagen peptides or hydrolyzed collagen, which are broken down into smaller peptides for better absorption by the body. However, it's important to note that the findings of these studies are not yet conclusive, and more robust research is necessary.The ResearchIt's worth mentioning that joint pain can have various causes, and collagen supplementation may not be effective for everyone. Factors like age, underlying health conditions, overall diet, and lifestyle habits can also influence joint health. For instance, a meta-analysis on collagen supplementation for OA showed improvements in the WOMAC, a functional score for knee arthritis, but it didn't yield significant results for knee pain. Meanwhile, another review article looking at collagen supplementation for joint pain, muscle protein synthesis, and body composition found that collagen did significantly reduce joint pain (it had effect on the other metrics). Here's a nice table listed in the article:The joint pain included in the review included knee pain and Achilles tendinopathy, all predominately in an athletic population. Another glaring observation is several of these studies included physical therapy and exercise prescriptions with the supplementation (Yay! Nutrition and Physical Therapy), which can also alter the results and effects of collagen as well. It's important to see the doses varied in the studies from 5, 10, to 40 grams per day; moreover, the collagen can come in varying form from peptides, hydrolyzed proteins, to denatured collagen. Having such variability in the type of collagen also likely explains the variability in responses and data.DosingSo, roughly how much and what type of collagen should a client take? Well, many studies have used dosages ranging from 8 to 12 grams of collagen peptides or hydrolyzed collagen per day for joint-related benefits. Research suggests that type II collagen supplementation may help reduce joint pain and improve joint function in individuals with arthritis, particularly osteoarthritis. It is believed to work by helping to restore and support cartilage health, potentially reducing inflammation and promoting joint mobility. It's important to note that collagen supplements are available in various forms, such as powders, capsules, and liquids, and their concentration of collagen can vary. Therefore, it's crucial to follow the manufacturer's instructions and consult with a healthcare professional to determine the appropriate dosage for your specific needs.It's also worth mentioning that collagen supplements are often combined with other ingredients, such as vitamins, minerals, or herbal extracts, which may influence their effectiveness. If you decide to try collagen supplementation for joint pain, it's a good idea to choose a reputable brand and look for products that have been tested for quality and safety. I suggest using Labdoor.com to help you or your client find a high-quality collagen supplement, if and when appropriate.SummaryIn the end, perhaps the participants at the ATAF conference were right -- there is something to say about collagen and joint pain. Not every study is exact and more research needs to be done on what dose, what age, what condition, and what exercises should be done with the collagen -- but that's why we practice physical therapy! Love to hear your thoughts and maybe some of your clients' responses to collagen. If you like what you see here then know there is more in our 3 board-approved continuing education courses on Nutrition specific for Physical Therapists. Enroll today in our new bundled course offering and save 20%, a value of $60! Earn CEUs in most states for PTs! Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online - new online discussion group included! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. NEW - Online Discussion Group Live cases webinars lecture Live Q&A over 600 videos - hundreds of techniques and more! Check out MMT Insiders Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
![[RESEARCH] Collagen Supplementation for Joint Pain and Arthritis: Does it Really Work?](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNRlO03OFOpdytY9td2mMDwpqFwMqHyUpqlQukvulwJkAaq6-RVGwr1keXUlLXifkdyTTWv66um_-YJFeEDqBBymiw14ZWWFPPem3W4DZrzncQYGpZkWWsxSuZhi6eaJN19b1AkC6SMBeCDeEBF1DYueqVTCUD80jq5SJkKqc2Tokr3FWbElnPb8LbnhP0/s16000/knee%20oa.jpg)
Posted by on 2023-07-24
In this episode, Erson goes over a tough case of constant and flared up cervical pain with radiating complaints. What do you think of his solution? Have you ever had a similar case that responded to sustained holds better than repeated loading or traditional techniques? Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-07-17
Erson tells a story of getting back to rock climbing after a 20 year break. After a finger injury that wasn't healing, he got some totally unexpected great advice from another climber. What do you think of the solution and has anything similar ever happened to you? Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-07-06
Tension-type headache (TTH) is a prevalent and burdensome condition that affects many individuals. Recent research suggests that the cervical spine, specifically the trigemino-cervical nucleus caudalis, may play a role in the development of TTH. This nucleus facilitates the exchange of pain signals between the upper cervical spine and the trigeminal nerve, which is involved in headache generation. Links between the upper cervical spine and TTHStudies have shown that individuals with TTH often exhibit musculoskeletal impairments. Common findings include forward head posture and restricted cervical range of motion. These physical dysfunctions may contribute to the headache symptoms experienced by TTH patients. Neck pain and sensitivity in the cervical spine are frequently reported alongside TTH and may worsen the clinical presentation of the headache. These symptoms could be epiphenomena resulting from the sensitization of the trigemino-cervical nucleus caudalis.While forward head posture is a common observation in TTH, its direct relevance to the headache remains a topic of debate. Similarly, the relationship between restricted cervical range of motion and TTH is not well understood. It is uncertain whether these musculoskeletal impairments are causative factors or consequences of the headache.Clinicians often use the cervical flexion-rotation test to assess upper cervical spine mobility, which has proven useful in diagnosing cervicogenic headache. However, its application and significance in TTH are not extensively studied. Further research is needed to elucidate the role of this test in TTH diagnosis and management.Another intriguing observation is the reproduction of headache pain through manual stimulation of the upper cervical spine in both cervicogenic headache and TTH. This suggests that referred pain from the cervical spine may be involved in the pathophysiology of primary headaches. Understanding this mechanism could lead to novel therapeutic approaches for TTH.Additionally, trigger points in the neck-shoulder muscles may contribute to TTH symptoms by generating muscle referred pain. These trigger points can refer pain to other areas, including the head, and may exacerbate the headache experienced by individuals with TTH. Managing TTH in practiceA multidisciplinary approach involving physical therapy interventions targeting musculoskeletal impairments, exercise, and psychological aspects is essential for the management of TTH. The effectiveness of cervical treatment approaches varies, and personalized strategies should be tailored to individual patients. Understanding the role of the cervical spine in TTH and differentiating between cervical components and sources can aid in the recognition and treatment of diverse headache presentations. Our cervical spine models help professionals manage the connections between TTH and the role of the cervical spine. Check out my exclusive blue nucleus anti-nocebo version!via Dr. Jerome Fryer - Dynamic Disc Designs Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online - new online discussion group included! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. NEW - Online Discussion Group Live cases webinars lecture Live Q&A over 600 videos - hundreds of techniques and more! Check out MMT Insiders Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-07-05
Chronic pain rehabilitation programs typically include a variety of therapies to address the complex nature of chronic pain. These may include physical therapy, which involves exercises, stretches, and manual techniques to improve physical function and reduce pain. Occupational therapy focuses on helping individuals adapt to their pain and develop strategies to manage daily activities. Cognitive-behavioral therapy helps individuals identify and change negative thoughts and behaviors related to pain, and teaches coping skills to manage pain. Other therapies that may be included are relaxation techniques, mindfulness meditation, biofeedback, and education about pain management.
Chronic pain rehabilitation programs have been shown to be effective in reducing pain levels for many individuals. Research has demonstrated that these programs can lead to significant improvements in pain intensity, physical function, and quality of life. However, it is important to note that the effectiveness of these programs may vary depending on the individual and the specific nature of their chronic pain condition.
The duration of participation in chronic pain rehabilitation programs can vary depending on the individual's needs and goals. Some programs may be as short as a few weeks, while others may last several months. The length of the program is typically determined by the severity of the individual's chronic pain, their response to treatment, and their progress towards their goals.
Individuals participating in chronic pain rehabilitation programs may face various challenges throughout the process. One common challenge is the initial adjustment to the program, as it may involve changes in daily routines and the introduction of new therapies. Additionally, individuals may experience setbacks or fluctuations in their pain levels, which can be discouraging. It can also be challenging for individuals to implement the strategies and techniques learned in the program into their daily lives, as it requires ongoing effort and commitment.
The coverage of chronic pain rehabilitation programs by insurance can vary depending on the specific insurance plan. Some insurance plans may cover a portion or all of the costs associated with these programs, while others may have limitations or require pre-authorization. It is important for individuals to check with their insurance provider to determine the coverage and any potential out-of-pocket expenses associated with participating in a chronic pain rehabilitation program.
The McKenzie Method, a widely used approach for the classification and treatment of disc herniation, employs a comprehensive system to assess and manage this condition. The method classifies disc herniation based on its location, size, and direction of protrusion, allowing for a more targeted treatment approach. Treatment typically involves a combination of specific exercises and movements that aim to centralize and alleviate symptoms. These exercises focus on promoting proper spinal alignment, reducing pressure on the affected disc, and improving overall spinal function. Additionally, the McKenzie Method emphasizes patient education and self-management techniques, empowering individuals to take an active role in their recovery and prevent future episodes of disc herniation.
Therapists incorporate mindfulness-based techniques into chronic pain management by utilizing various strategies that promote present-moment awareness and non-judgmental acceptance of pain. They may guide patients through mindfulness meditation exercises, encouraging them to focus their attention on bodily sensations and observe them without reacting or labeling them as good or bad. Therapists may also teach patients to practice mindful breathing, where they pay attention to their breath as a way to anchor themselves in the present moment and cultivate a sense of calm. Additionally, therapists may incorporate body scan exercises, where patients systematically bring their attention to different parts of their body, noticing any sensations or areas of tension. By integrating these mindfulness-based techniques into chronic pain management, therapists aim to help patients develop a new relationship with their pain, reducing suffering and improving overall well-being.
Individuals with chronic obstructive pulmonary disease (COPD) should follow specific exercise guidelines to manage their condition effectively. These guidelines recommend a combination of aerobic exercises, such as walking, cycling, or swimming, along with strength training exercises to improve muscle strength and endurance. It is important for individuals with COPD to engage in regular physical activity to enhance their lung function, reduce breathlessness, and improve overall quality of life. However, it is crucial to consult with a healthcare professional or a pulmonary rehabilitation specialist to develop an exercise program tailored to the individual's specific needs and limitations. The exercise program should be progressive, starting with low-intensity activities and gradually increasing the duration and intensity over time. Additionally, individuals with COPD should incorporate breathing exercises, such as pursed-lip breathing and diaphragmatic breathing, to improve their breathing efficiency and control. Regular exercise, when done correctly and under professional guidance, can significantly benefit individuals with COPD by improving their exercise tolerance, reducing symptoms, and enhancing their overall well-being.
The Mulligan Concept is a manual therapy approach that focuses on the treatment of musculoskeletal conditions. It is based on several key principles that guide its application. One of the main principles is the concept of mobilization with movement, which involves applying a sustained glide or sustained natural apophyseal glide to a joint while the patient performs a specific movement. This technique aims to restore normal joint mechanics and improve function. Another principle is the use of pain-free techniques, where the therapist ensures that the treatment does not cause any pain or discomfort to the patient. This helps to create a positive treatment experience and promotes patient compliance. Additionally, the Mulligan Concept emphasizes the importance of patient education and active participation in the treatment process. Patients are encouraged to take an active role in their own recovery by performing prescribed exercises and maintaining good posture and body mechanics. Overall, the key principles of the Mulligan Concept revolve around restoring joint function, minimizing pain, and empowering patients to take control of their own healing process.
Therapists employ various assessment techniques to evaluate and address pelvic floor dysfunction in postpartum women. They may conduct a thorough medical history review, including childbirth details and any existing pelvic floor issues. Physical examinations, such as internal pelvic floor muscle assessments, may be performed to assess muscle tone, strength, and coordination. Additionally, therapists may utilize biofeedback devices to provide real-time feedback on muscle activity. Treatment approaches for pelvic floor dysfunction may include pelvic floor muscle exercises, such as Kegels, to improve muscle strength and coordination. Therapists may also incorporate manual therapy techniques, such as myofascial release or trigger point therapy, to address muscle tension and pain. Education on proper posture, body mechanics, and bladder and bowel habits may also be provided. In some cases, therapists may recommend the use of vaginal weights or electrical stimulation to enhance muscle activation. Overall, therapists tailor their treatment plans to the specific needs of each postpartum woman, aiming to restore optimal pelvic floor function and improve quality of life.
There are several psychological factors that can influence adherence to home exercise programs. One important factor is motivation, which can be influenced by a person's beliefs, values, and goals related to exercise. For example, someone who values their health and has a goal of improving their fitness may be more motivated to stick to a home exercise program. Another factor is self-efficacy, which refers to a person's belief in their ability to successfully complete a task. If someone has low self-efficacy for exercise, they may be less likely to adhere to a home exercise program. Additionally, social support can play a role in adherence. Having encouragement and accountability from friends, family, or a support group can help individuals stay motivated and committed to their home exercise program. Finally, the enjoyment and satisfaction derived from the exercise itself can also impact adherence. If someone finds the exercises enjoyable and rewarding, they are more likely to continue with the program.
Individuals with anterior knee pain, also known as patellofemoral pain syndrome (PFPS), can benefit from specific exercise protocols to alleviate their symptoms. These protocols typically include a combination of strengthening exercises, stretching exercises, and functional exercises. Strengthening exercises focus on the quadriceps muscles, particularly the vastus medialis oblique (VMO), as well as the hip abductor and hip external rotator muscles. Examples of strengthening exercises may include squats, lunges, step-ups, and leg presses. Stretching exercises aim to improve flexibility in the quadriceps, hamstrings, and calf muscles. These may include quadriceps stretches, hamstring stretches, and calf stretches. Functional exercises involve activities that mimic daily movements and help improve overall knee stability and control. Examples of functional exercises may include single-leg squats, step-downs, and balance exercises. It is important for individuals with PFPS to consult with a healthcare professional or a qualified exercise specialist to develop a personalized exercise program that addresses their specific needs and limitations.