RehabFAQs

is it ok to have pain when rehab

by Mr. Gerald Ratke V Published 2 years ago Updated 1 year ago
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Yes, it hurts. Sometimes people cry during PT sessions for various body parts. If it didn’t hurt it probably wouldn’t help. So stick it out. Don’t give up. The rotator cuff (four tendons and their accompanying muscles) is notoriously stubborn and takes a very long time to heal.

Experiencing some pain in a controlled manner, such as during physical therapy, is normal when recovering from a surgery or injury. In rehab with a physical therapist, safe and controlled movements that produce little to no pain help reset the nervous system by decreasing the sensitivity of the nerves.Aug 10, 2018

Full Answer

Is physical therapy painful?

Pain can affect the course of stroke rehabilitation adversely, and it occasionally may be a cause for transfer back to an acute care hospital. The Post-Stroke Rehabilitation Outcomes Project (PSROP) database was used to describe the incidence of pain by body location and trends in the use of different classifications of medications to treat pain. Of the 1,122 participants in the …

How effective are chronic pain rehabilitation programs?

You will have to work, and during and after each session, you will experience pain and soreness. Don’t let you get discouraged by this. You have to train your body in order to get stronger. This can include deep stretches and workouts that push the limits of …

What should I do if my symptoms get worse during physical therapy?

Apr 27, 2012 · Chronic pain rehabilitation programs are a traditional type of chronic pain management. They have long been used to help patients with chronic pain live a normal life. People who most benefit from chronic pain rehabilitation programs are those who have come to accept that their pain is truly chronic and cannot be cured.

How does pain affect the course of stroke rehabilitation?

Apr 13, 2018 · The process becomes a catch-22, as the pain sufferer requires medication to treat pain, but has also developed an addiction. Those seeking treatment for the painkiller or opioid addiction are often scared to enter rehab for fear of uncontrolled pain. Often, clients believe as soon as treatment begins, they must end all pain management medications.

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Should rehab hurt?

We have all heard the saying “No pain no gain.” This is a good analogy when describing physical therapy. A common question people tend to ask is, “does physical therapy hurt?” Well, the answer is yes, physical therapy can be uncomfortable or painful at times.Feb 9, 2018

Is it normal to have pain after physical therapy?

Discomfort and soreness are part of the healing process Discomfort and soreness are to be expected, because physical therapy, in order to work, must train your body. This is the same principle that applies when building strength through exercising or working out.Sep 14, 2021

Why does my injury hurt more after physical therapy?

During the healing process, there is also pain with the use of the muscle. This is because your muscles are being used to move your bones, and when you use your muscle to move your body, the injured muscle activates the pain fibers in the injured area, and you have pain.

Should I rest after physical therapy?

Just remember that rest is an extremely important part of the healing process. Taking part in rehab exercises is key to gaining strength and mobility back in the injured area. With that being said, there must be rest days in between; without it there will be no progress.

How long does it take physical therapy to start working?

Muscle can take up to two to four weeks. Tendon can take up to four to six weeks. Bone can take up to six to eight weeks.Mar 1, 2021

Can physical therapy do more harm than good?

But some techniques aren't backed by sound science and can even do more harm than good. And some physical therapists perform proven remedies improperly or spend too much time on things that you can do without their guidance.Jan 5, 2015

Should you do physical therapy exercises everyday?

Trying to build muscle strength. We will have you perform the exercise every other day so that your muscle has time to recover. If you work out everyday the muscle never has time to recover and you won't make as much progress as you could otherwise.Nov 10, 2014

What are the benefits of physical therapy?

If you suffer from an injury, sickness, or workplace pain, physical therapy might be possible: 1 Relieve pain 2 Improve mobility and flexibility 3 Improve balance 4 Prevent or treat sports injuries 5 Prevent patients from requiring surgery 6 Rehabilitate after a stroke 7 Recover after you give birth 8 Improve posture and workplace ergonomics 9 And more…

Is pain a part of physical therapy?

A good pain, or discomfort, is an essential part of the process of healing. Your body will begin to heal and the pain will continue to diminish as you put time and effort into your therapy. Your involvement is the secret to effective physical therapy. Put the effort in, even though it’s awkward, and you’ll see results.

What is a licensed health practitioner?

A licensed health practitioner with specific qualifications is a physical therapist. Before devising an individualized care plan tailored to your illness, physical therapists will assess you and determine your condition.

Does exercise make your knee hurt?

You start to experience discomfort when you exercise. As you move on, it gets worse, but you don’t want to embarrass yourself or make your therapist feel terrible, so you’re not saying something. You start finding that your knee is swollen over the next few days and you’re having trouble putting weight on it.

What is Harmony Place?

Harmony Place provides an affordable luxury treatment environment with personalized treatment options.

How effective is massage therapy?

Receiving massage therapy from a trained professional can be extremely effective in treating chronic pain. Constant pain often results in muscle tension and poor alignment. Massage therapy works to correct these problems and can reduce pain levels in some clients.

Can chronic pain be life threatening?

Chronic pain can be debilitating and life-altering. Those suffering from chronic pain are constantly trying to stay ahead of the discomfort, taking painkillers for pain management. The physical need for painkillers can turn into an addiction without a sufferer realizing it.

Does chiropractic help with back pain?

If you suffer from chronic back pain, chiropractic care may be well suited for your treatment plan. Research has shown chiropractic treatments create a surge in the same feel-good neurotransmitters seen in acupuncture. Treatments also work to align the spine, relieve pressure on nerves and alleviate painful back conditions.

Does Harmony Place offer mindfulness?

Harmony Place offers training in mindfulness and mindfulness meditation. This practice works to reduce stress, control emotions and relax the body. The benefits of mindfulness are typically psychological but have helped some clients suffering from fibromyalgia.

Why does my back hurt?

Stiffness in the hamstrings, back and butt muscles are often because of an irritated disc and/or Sciatic nerve. You are not going to stretch the pain away. Think of your lower back more like the foundation of your house.

What is rounded posture?

If you weren’t coached into this posture you gradually adopted a flat (rounded) lower back posture before or after your pain started. This is a compensatory posture that the body often adopts when in pain that can actually exacerbate your symptoms over time.

Who was the British cycling coach who led the British cycling team to 10 gold medals at the 2008 Beijing Olympics?

This is far from the truth. You need to understand the Aggregation of Marginal Gains. This a concept made famous by British cycling coach Dave Brailsford, who lead the British cycling team to 10 gold medals at the 2008 Beijing Olympics.

Is it easier to get out of pain?

Getting out of pain and back to an active lifestyle is easier than you think. I am always excited to share that with people at the start of our session. Regardless of your age, weight, medical IQ, what your MRI and X-Ray look like, or how busy you are… there is hope!

What is the best way to relieve pain in lower back?

The remedy for a painful lower back is usually enhancement of postural awareness, movement quality and strengthening at the back and hips, NOT stretching. Your back “cracking” (manipulation) might feel good for a second, but it is only a temporary solution that leads to more instability and chronic pain over time.

Does stretching cause back pain?

disc). Your stretching actually tends to put the body in positions that irritate these already irritated structures. 4. Self Back “Cracking”.

Does hurt equal harm?

Words of Wisdom: Understanding that “hurt does does equal harm” is just as important. A little bit of pain here and there is ok, but keep it to a minimum. If you can only tolerate walking, shopping, house work, etc. for a short period of time you need to do shorter, more frequent bouts of activity.

What to do if your symptoms are getting worse?

If it seems your symptoms are getting worse as a result of your physical therapy routine, the first thing you should do is bring your concerns to your physical therapist. They will be able to listen to your concerns, respond to them, and perhaps offer other exercises that will help reduce your symptoms.

Is physical therapy a legitimate treatment?

Physical therapy is a common and legitimate treatment option for many different conditions, injuries, as well as surgery recovery. Physical therapy is aimed at improving symptoms and pain, but sometimes patients experience worsening symptoms after engaging in physical therapy exercises.

Is physical therapy easy?

A lot of patients think that physical therapy is going to be a walk in the park, and many are surprised by how tough it is. Remember, physical therapy isn’t supposed to be easy. It’s designed to improve your body’s range-of-motion and functionality, and that can be painful – especially if you’re recovering from an injury or a surgical procedure.

What is the treatment for hip replacement?

In fact, it’s routine after hip replacement surgery to have extensive physical therapy — also called rehabilitation therapy, or “rehab.”. This usually consists of a series of outpatient appointments with a physical therapist.

How long after a syringe surgery can you walk?

Here’s what they found: One month after surgery, there were no major differences in the individuals’ ability to function as assessed by their ability to sit, walk, and use stairs, or other measures of daily activities. Six months after the surgery, there was still no difference in results.

Can you go home after hip replacement surgery?

And the convenience is an extra bonus. Of course, this may not work for everyone. Many people who have hip replacement surgery cannot return home right away, especially if they live alone and have to climb a number of stairs right away. For them, surgery is followed by a stay at a rehabilitation facility, where they receive supervised physical ...

How to recover from a bowel movement?

4. Don't Get Enough Food or Drink. If you feel queasy or haven't moved your bowels, it's only natural that you may not be in the mood to eat or drink. But it's important to "refuel.". Food gives your muscles energy and fluids keep you hydrated. When you don't get enough, your recovery can stall. 5.

What happens if you jump a gun?

It's an issue if you get active too quickly, says Jonathan Whiteson, MD, director of cardiac and pulmonary rehabilitation at Rusk Rehabilitation Center at NYU Langone Medical Center. If you jump the gun, you may fall and get hurt. Your wound may not heal properly. Like Saggio, you may end up at square one.

How to recover from surgery?

One or two sessions before you leave the hospital may be good enough after some types of surgery. But if you had a major operation, physical therapy is key. It can help you get stronger and recover safely. Take it seriously. Keep your appointments and do your at-home exercises. 6.

Can you move around after an operation?

As soon as you're cleared to move around, do it. People are often worried or scared about it, "but one of the most important things after an operation is to get mobile," Whiteson says. Lying in bed can trigger a host of problems -- blood clots, pressure ulcers, pulmonary embolisms, and weakening of your muscles.

How to recover from anesthesia surgery?

Quit Your Breathing Exercises. If you've had surgery on your belly, heart, lung, or spine, your doctor may give you exercises to help your lungs recover from anesthesia, the medicine that kept you pain-free during the operation. "Doing breathing exercises is very, very important," Whiteson says.

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Research

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From a data standpoint it would be great if we had have something that we can use to guide us here. Low and behold we do, and its open access. Smith et al looked at this question in 2017. Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis This systematic re…
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Clinical Application

  • So it’s great to have some objective data on this subject, but as we know getting that into clinical application is not always straightforward. Firstly don’t be afraid of some pain! The likelihood is that it won’t cause a worse outcome. But as we are dealing with thinking, feeling HUMANS, it is OF COURSE not as simple as this, but more on that later. One of the issues with always looking to b…
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Pain Is Not The only Issue

  • Potentially the most problematic area with painful exercise, and one that is really under discussed, may be more about the psychological aspects that are associated with the pain and how they can affect the person. One of the best prognostic factors for recovery in a number of body areas appears to be pain self efficacy, *here* is a recent paper from Chester et al and also from Foste…
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What Can We do?

  • Firstly you could screen people for these factors if you feel they are required. We have tools such the Pain Self Efficacy Questionnaire (PSEQ) and the shorter version the PSEQ-2. One caveat with using questionnaires, in my opinion : ), is it does allow us to get a score to assess confidence and resilience in managing pain but it perhaps does not tell us about things that are specific to our p…
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Education

  • One of the most powerful tools we have at our disposal is EDUCATION, I am not always a huge fan of this term as it can imply a teacher pupil relationship. But in order to provide effective education to people we first have to build rapport and then understand what they may need to know more about. We can educate on a range of things from the effectiveness of exercise for m…
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Where You Start Is Not Where You Have to Finish

  • Do we have to jump straight into painful exercise? I don’t think so. It is not REQUIRED but it is also not harmful. An important point to make is that for someone with very negative beliefs about pain, reduced pain self efficacy and poor beliefs about the outcome, challenging them right off the bat with painful exercise might not always be the best thing to do. As they build trust in you and con…
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What If It All Goes wrong???

  • This is where self efficacy may come into its own. Empowering your patients to self manage maybe valuable in the exercise process. As we hopefully have told the patient BEFORE they embark on an exercise program I can often be trial and error. Have we enabled our patients to adapt their exercise dosage if it goes a bit wrong? *Here* is a short piece on dosage in rehab So …
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Key Points

  1. Painful exercise DOES NOT produce worse outcomes from the research we have
  2. Research does not guarantee your patients response to painful exercise
  3. It is not just about the PAIN sensation! What does the pain mean and how does it affect behaviour such as exercise adherence?
  4. Pain self efficacy and predicted outcome are important psychological measures and can be …
  1. Painful exercise DOES NOT produce worse outcomes from the research we have
  2. Research does not guarantee your patients response to painful exercise
  3. It is not just about the PAIN sensation! What does the pain mean and how does it affect behaviour such as exercise adherence?
  4. Pain self efficacy and predicted outcome are important psychological measures and can be discussed and measured
  5. Think about education around the exercise and the pain response
  6. It does not need to start with painful exercise!

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