Tendons: why they get better
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Transcript of Tendons: why they get better
Richmond M. StaceMCSP MSc (Pain) BSc (Hons)
Specialist Pain Physiotherapist
Moving on…… Pain is NOT in the brain Pain is whole person We are more than a brain Emerges in the person
As with any pain…. …it’s the person who is in pain, not the
______ Emerges in a space
Cross hands or feet A space predicted in need of protection Part of a bigger picture; e.g./
Functional pain syndromes Previous persisting pains – ‘vulnerabilities’
To feel pain needs the brain…. ….which is different to central
sensitisation These are not the same Some will have CS Some will not but… If they are in pain, it must involve the
brain
What do we need? Perceived threat
Forms of threat Inflammation Thoughts Expectations
It’s the perception that is key….like stress
The brain’s best guess, a prediction What does all this sensory information
mean? Based on prior experience Pain
Prediction that this sensory information means ‘threat’
Reduce the perceived threat Take action How?
Pain compels action Understand pain Normalise body sense & movement Improve tissue health
Well it’s only gettin’ better, and a change is gonna come my way
The person knows I can get better – what do I tell myself? I am better I feel myself again Pain affects us in so many ways
Thinking Planning Moving Sense of self – who I think I am
The person who understands their pain Working knowledge
The person who perseveres with the training
The person who learns and moves on from the challenges
The person who uses their strengths The person who expects to get better The person gets better, not the tendon How would a tendon know it is better?
Importance of ‘the person as much as the condition’ – Oliver Sacks
Person => brain-body-context More complex than tissue focus…. ….but more opportunity for change in the
desired direction
Person has working knowledge What do I think? What do I do?
Pain = a lived experience Programme = a lived experience At any given moment, make a choice
What to think, what to do The person creates the conditions,
expecting change Learn to become their own coach
The person feels pain Pain emerges in the person in the face of
perceived threat Pain changes because we change Address the person
Body-brain-context
[email protected] www.specialistpainphysio.com @painphysio @upandsing