i seem to have suffered the same condition of a mental relapse as Donelle and didnt post last week..... ill try and make it up to you guys if i have anything interesting to report over this week. I am at the same placement as Jess (I wish she would stop following me around from clinic to clinic :P).
My post this week will consist of patients improvements in musculo out patients. in particular patients who seem to improve a lot in range, quality of movement and a decrease in pain from what Darren would call little wiggles of Cx vertebrae. When the patients say this I feel like saying to them 'are you kidding..... you feel better???', when all Ive done is 'wiggle'. We have had numerous talks with our supervisor about this and she seems to believe that the physiological aspect of mobilisation may or may not be the factor leading to the increased in range and pain decrements but the majority of the benefits come from the pain inhibition cycle (aka Max the pain guru system).
Then when I'm thinking about this I get a little voice in my head from Steve 'Physio isn't that hard...just move the bit that doesn't move.... have a barbecue and play golf with Max'. i think im still at the stage of moving the bit that doesnt move...... maybe with better time management I can fit in the barbecue and golf......(anyone wanna round???)
Ryan
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2 comments:
Hey mate!
YEP, Thats what i found, not sure if you saw my post regarding mobs and effects on the pain. Yes, i do believe there is an element of mobilisation, but I also think that the effect on the soft tissue and neural pain pathways play a huge role. Great post. looking forward to the golf!
I agree, many of my musc patients were LBP referring down the leg, a little opening up wiggle on the side and they felt better but also objective reAx also showed improvement. I think I understand but it still seems amazing that such small movements can have such an impact on pain.
2 weeks to go!
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