Pain Treatment and Physiotherapy

“For all the happiness, Mankind can gain.
Its not in pleasure, But in relief from pain.”
John Dryden
Pain relief is one of this major objective of .
And, it is a wonderful objective as most of this population who seeks healthcare advice, do so after owning pain of some kind or other. just isn’t an exception either.
PAIN

The term ‘pain‘ is derived from the latin poena, meaning punishment. The global relationship for the study of pain (IASP) defines pain as “an uncomfortable sensory and emotional undergo connected with actual or prospective structure damage, or described in conditions of such damage.”
This definition clearly shows that pain has an emotional aspect connected with it. The defition also focusses on the protective part of pain as it may come about even in the presence of prospective structure damage, thus, act as a signal that the component of this body or full body is in some type of distress.
Etiological Classification of pain
There are two groups broadly in which pain can occur:
Traumatological
Pathological
TRAUMATOLOGICAL
This pain is the result of some type of trauma. This may include:
Trauma due to outside pain e.g. pain due to fracture or pain after a gentle structure pain
Micro – Trauma or Repetetive Stress/ strain pain e.g. lateral epicondylitis (Tennis Elbow), osteoarthritis knee joint.
PATHOLOGICAL
The pain is due to some type of underlying health problems process.
Pathological progression can further split into:
Inflammatory (rheumatoid arthritis, hepatitis) or non- inflammatory(cancerous growth, hysterical pain)
Infectious (pain in chikungunya, pain in tuberculosis) or non- infectious (Cervical or lumbar radiculopathy due to PIVD)
Local (cystic ganglion, complex regional pain syndrome) or Systemic (gouty arthritis, ankylosing spondylitis)
congenital (chest pain due to coronary heart anomalies) or acquired
Effects of pain on good quality of existence
There are some factors which can act as markers even while giving the therapy, to ensure that clients unique views is usually considered about treatment outcomes. this definitely is particularly important in the patient centered – design of treatment.These markers are:
Physical functioning
Social functioning
Psychological distress/ well- being
Health perception (general)
Bodily pain
Energy/ low energy
Sleep pattern
cognitive functioning
Measurement of pain
The simplest as well as most reputable range for pain measurement ahead of and after treatment is graphic Analogue range (VAS). It require that the patient will pace his pain on the range with markings from 0-10.
No distress 0| | | | | | | | | | |10 Unbearable distress
Philosophy for pain treatment
The part of in pain treatment spans the settings of inpatient, outpatient and home treatment. The strategy to patient care must be interdisciplinary, and have to include other healthcare specialists and allied health care specialists and allied health care professionals. Presently, patient- centered design is adopted as well as patient’s fulfillment is the foremost thing. however the identical importance must be provided to restore function, patient’s education and prevent recurrent injuries.
Modalities for pain treatment
Physical modalities used by for treatment of pain:
Stretch
Sustained and selective stretching
Hold- relax PNF pattern
Contract- relax PNF pattern
Post- isometric relaxation
Strengthening
Isometric
Isotonic – Concentric and Eccentric
Isokinetic
Endurance workouts
Pool treatment
Aerobic workouts – biking, swimming, jogging
Superficial thermal modalities
Hot packs (Hydrocollater or moist packs)
Paraffin polish Bath
Heat Lamps
Deep thermal modalities
Ultrasonic treatment
Shortwave Diathermy
Superficial chilly
Ice massage
Ice packs
Cryo- sprays
Cryo- compression units
Electrical modalities
Transcutaneous electrical nerve stimulation (TENS)
Interferential treatment (IFT)
Bracing
Resting
Functional
Assistive gadgets
Devices that helps in mobility

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