Thread by @painphysio

Some people don’t recover from sports injuries as expected.

Their pain persists.

🧵#thepaincoach #thread 👇

Return to training and play is stop-start, feels like a step forward and then two back. Or hasn’t happened at all.

They are stuck.

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Why?

There are a number of reasons. Most of which you will not find on a scan, from a test or reducing the pain to a body part or particular tissue. Also, you will not find pain on a brain scan.

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Where then?

Their story is the start point. To understand pain means understanding the person as it is their pain experience in their lived world.

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Pain is poorly related to tissue state or pathology. It is only subjective and there is no reasons why it would need to be tied to the state of the tissues.

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Better it is related to the state of the person and their lived world, past experiences, context, emotions, expectations, beliefs and attention.

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From understanding this dynamic, the possibilities for moving forward emerge: daily practices, exercises and tools working towards a picture of success, plus skilful ways of dealing with inevitable ups and downs.

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This is person first, driven by what matters to them, together with encouragement and guidance, based on a deep understanding of their pain.

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A focus on what they can do, and build, whilst keeping expectation and reality closely aligned. Creating and curating good experiences to be built upon.

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A route towards the picture of success by focusing on this step, now.

Process over prize.

Onwards.

#thepaincoach #sportsinjuries #chronicpain

richmondstace.com

@BJSMPlus
@footballmed

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