RehabFAQs

what if rehab exercises hurt

by Prof. Mikel VonRueden Published 2 years ago Updated 1 year ago
Get Help Now đź“ž +1(888) 218-08-63
image

Pain during rehabilitation exercises is okay and does not mean that you are causing harm to your body or your recent surgery. It is recommended that the pain level during exercise on a scale of 0 to 10 (10 being the worst pain ever imaginable, and 0 being no pain at all), should be no more than 2 to 3.

While it's not uncommon to feel sore after physical therapy, you should never experience severe pain. It's important not to confuse soreness with pain. Muscles that have become tight and weak over time require stretching and exercise which results in a lactic acid build-up that can cause irritation.

Full Answer

Why do my hips hurt when I workout?

Nov 02, 2020 · Pain during rehabilitation exercises is okay and does not mean that you are causing harm to your body or your recent surgery. It is recommended that the pain level during exercise on a scale of 0 to 10 (10 being the worst pain ever imaginable, and 0 being no pain at all), should be no more than 2 to 3.

Can exercises for hip pain help you live longer?

Nov 17, 2021 · Big Toe Joint Mobilization. Sample Ankle Dorsiflexion Overhaul Prehab Program Exercise Video. HOW: In a seated position, cross the involved leg and foot over the other leg’s knee with your ankle hanging unsupported. Grab your foot around the ball of your foot stabilizing the whole foot with that hand.

Can physical therapy help reduce pain and suffering?

Jan 10, 2022 · Standing shoulder row. You’ll need a rubber exercise band for this maneuver, which helps set a solid base for your rotator cuff. Attach the band to …

Can physical therapy help with shoulder pain?

Sep 29, 2021 · Hip Pain Exercises hide 1 Lateral Pendulum (Warm-Up) 2 Forward Pendulums (Warm-Up): Hip Flexor Strengthening Exercises 3 Standing Quad Stretch 4 Basic Hamstring Stretch 5 IT Band Stretch 6 Hip Flexor Stretch & Rotation 7 Standing Hip Flexor Stretch 8 Pigeon Stretch 9 Single-Leg Bridges 10 Single-Leg Hip Circles

image

Should physical therapy exercises hurt?

Should Physical Therapy Hurt? Physical therapy does not hurt if carried out by a certified physical therapist. But it can be demanding. You will have to work, and during and after each session, you will experience pain and soreness.

Does physical therapy hurt before it gets better?

When performed by a professional, PT should not hurt. However, it's an intense treatment, and it can get challenging. Physical therapy includes deep stretches and exercises that are designed to push comfort boundaries.

Can physical therapy hurt you more?

Interestingly, while it means that physical therapy can lead to a traumatic experience, the reverse is true indeed. You are much more likely to worsen injuries and prolong the discomfort and pain you are already feeling by avoiding care at a physical therapy facility.

Should rehab hurt?

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

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.

Is it normal to have pain after physiotherapy?

As strange as it may sound, it is perfectly normal to feel a bit battered and bruised after a session with your osteopath or physiotherapist. In the treatment session your therapist may address any tight muscles and/or stiff joints within your body.

Can you overdo physical therapy?

While your recovery is heavily influenced by your strength and mobility, it is still possible to overdo it if you aren't careful. Your physical therapist will talk to you about ways to balance physical therapy exercises and activities with proper amounts of rest.Feb 7, 2021

Why does it hurt after physiotherapy?

Reasons you might experience pain after a physio session This soreness is usually related to the muscles reacting to the work that has been done on them and should not be confused with an increase in your actual symptoms.Sep 17, 2019

Research

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.

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.

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.

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.

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.

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.

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.

What to do if you have pain for more than a few days?

If you experience pain for more than a few days, consider scheduling an appointment with your Physician.

How to help shoulder pain?

Using Physical Therapy For Shoulder Pain Relief. Often your first step towards gaining shoulder pain relief is to understand your body and push yourself to exercise. Your shoulder is not just a simple joint, but rather a ball and socket joint, held together by muscles, tendons and ligaments. All parts of the shoulder work together ...

How to loosen up your arm?

Arm-Across-Chest Stretch. You want to warm up the muscles and joints so using the Arm-Across-Chest stretch is a great way to loosen up. While performing the exercise be sure to lower your shoulders if you experience pain. Let your right arm hang near your waist.

Why does my shoulder hurt?

In some cases, the pain in your shoulder occurs because of some other region of the body that works with the shoulder.

How to stretch your left shoulder?

Tip your head to the right and try to touch your ear to your shoulder. You will feel the stretch that pulls along your left shoulder and neck. Hold for 10 seconds. Repeat the exercise on the back shoulder. Perform three reps for each side.

How to get rid of shoulder pain from neck?

Stand with your feet positioned hip-width apart. Allow your arms to hang loose at your sides. Look straight ahead. Tip your head to the right and try to touch your ear to your shoulder.

How to get a sprained shoulder?

Bend your arm at the elbow 90 degrees. Your forearm should be running parallel to the ground. Externally rotate your hand and forearm away from your body keeping your elbow at your side. Reverse the movement back to the starting position. Your shoulder joint benefits from this exercise.

Can you exercise with a rotator cuff tear?

Let’s start with the basics: A partial or complete tear of a rotator cuff muscle can make it difficult to just raise or move your arm. Expect to feel a general weakness in your joint. Your range of motion may be less than ideal, too.

Exercises to avoid with an injured rotator cuff

If you’re a fitness buff trying to work through your rotator cuff issues at the gym with free weights, you’ll quickly learn to avoid lifting anything straight over your head. (It’ll hurt … and probably a lot).

What to do if your hip is hurting?

If you have mild to moderate hip pain, then strengthening exercises are ideal. However, if you are in severe pain then you should seek the help of a physical therapist who will work with you on strengthening the muscles in a variety of ways. I hope that the above exercises are beneficial in relieving your hip discomfort.

How to get rid of tightness in quadriceps?

Bend the knee on the leg on top. Reach behind your body and grab your ankle so you feel an immediate tightness in your quadriceps. Pull back gently and release. Place the bottom of your foot so it is positioned on the side of your top knee.

What is the best exercise for hip flexors?

The forward pendulum warms up your hip flexors and hamstrings making this one of the best hip flexors strengthening exercises. Use the wall for support as you warm up for your hip strengthening exercises on your hamstrings & glutes. Swing your left leg forward and back. Keep your posture straight and do not bend your knees.

How to improve range of motion?

This is considered a great beginner’s exercise that improves your range of motion. Position your body on all fours with your hands directly under your shoulders and your knees under your hips with toes pointed out. Your feet will be spread shoulder width. Tighten your core muscles and lift one leg to the side.

What are the benefits of physical therapy?

Benefits of Physical Therapy Exercises. Hip strengthening exercises bring the area relief and are a great way to combat recurrent pain. Also, with strength training, you will learn to move easier. Hip pain is a complicated complaint that can be caused by a variety of things but learning how to strengthen hips correctly will go a long way ...

How to get rid of hip pain as you age?

As you age, hip pain becomes more common. You have probably tried stretching exercises while sitting to find comfort from the throbbing, but the only true way to battle the discomfort is with hip exercises that focus on strengthening your hip over time. Hip-Physical-Therapy-Exercises.

How to get blood flowing in hips?

Swing your left leg forward and back . Keep your posture straight and do not bend your knees. Swing your right leg forward and back to get the blood flowing in your hips. Repeat 10 swings for each leg. Never aggressively swing your legs. Take it slow and easy to loosen your muscles in preparation for the real workout.

Standing hamstring stretch

A person will need something low and steady to place their foot on for this stretch:

Pelvic tilts

This exercise works by strengthening the lower back, glutes, and lower abdominal muscles:

Improved muscle strength

Exercises engage and strengthen the muscles in the affected area, and stronger muscles may take some weight off the surrounding tissues. According to research in the Journal of Exercise Rehabilitation, targeted exercises help stabilize the back and promote flexibility in its movements.

Improved blood flow

Exercise improves blood flow to the muscles and nerves in the area. Improved blood flow helps move fresh blood and nutrients to the area while promoting the transportation of toxins and inflammation away from the area.

Improved soft tissue health

Regular mobilization exercises for sciatica may help heal the soft tissues in the disks and keep them healthy. Research suggests that the spinal disks may have a more healthy exchange of nutrients and liquid during exercise. As a result, prolonged disuse and reduced physical activity may be harmful to the disks.

Improved nerve health

A 2016 study found that targeted exercises for sciatica helped improve markers of nerve health by stimulating the nervous system to increase flexibility in the nerve and reduce stiffness and sensitivity.

Medical therapies

Drugs that doctors may recommend or prescribe to help ease sciatica include:

image

Benefits

  • The benefits can be both physical AND psychological. Firstly, it allows patients to get in MORE exercise. If they are not being limited by pain (or pain contingent if we are being fancy :) then they can get a greater dosing than if they stopped due to it being painful. It is important to add thoug…
See more on cor-kinetic.com

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 alwaysstraightforward. Firstly don’t be afraid of some pain! The likelihood is thatit won’t cause a worse outcome. But as we are dealing with thinking, feelingHUMANS, it is OF COURSE not as simple as this, but more on that later. One of the issues with always looking to b…
See more on cor-kinetic.com

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…
See more on cor-kinetic.com

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 : ), isit does allow us to get a score to assess confidence and resilience in managingpain but it perhaps does not tell us about things that are specific to ourpa…
See more on cor-kinetic.com

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 pupilrelationship. But in order to provide effective education to people we first haveto 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 many issues, …
See more on cor-kinetic.com

Where You Start Is Not Where You Have to Finish

  • Do we have to jump straight into painful exercise? I don’tthink so. It is not REQUIRED but it is also not harmful. An important point to make is that for someone with verynegative beliefs about pain, reduced pain self efficacy and poor beliefs aboutthe outcome, challenging them right off the bat with painful exercise might notalways be the best thing to do. As they build trust in you and conf…
See more on cor-kinetic.com

What If It All Goeswrong???

  • This is where self efficacy may comeinto its own. Empowering your patients to self manage maybe valuable in theexercise 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 …
See more on cor-kinetic.com

Key Points

  1. Painful exercise DOES NOT produce worseoutcomes from the research we have
  2. Research does not guarantee yourpatients response to painful exercise
  3. It is not just about the PAINsensation! What does the pain mean and how does it affect behaviour such asexercise adherence?
  4. Pain self efficacy and predictedoutcome are important psychological measures and can be d…
  1. Painful exercise DOES NOT produce worseoutcomes from the research we have
  2. Research does not guarantee yourpatients response to painful exercise
  3. It is not just about the PAINsensation! What does the pain mean and how does it affect behaviour such asexercise adherence?
  4. Pain self efficacy and predictedoutcome 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 painfulexercise!

Research

  • 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 review and meta analysis looked at 9 trials in which v…
See more on themtdc.com

Benefits

  • The benefits can be both physical AND psychological. Firstly, it allows patients to get in MORE exercise. If they are not being limited by pain (or pain contingent if we are being fancy :) then they can get a greater dosing than if they stopped due to it being painful. It is important to add though that we currently don’t know what optimal dosing is for exercise having an effect on pain! Secon…
See more on themtdc.com

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…
See more on themtdc.com

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…
See more on themtdc.com

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…
See more on themtdc.com

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…
See more on themtdc.com

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…
See more on themtdc.com

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 …
See more on themtdc.com

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!

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9