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physical therapists can help relieve pain physical therapists can help relieve pain -- Posted by Zee on 01-14-05 14:36
APTA Book of Body Maintenance and Repair:
http://www.apta.org/Products_services/online_catalog?&cat[1]=3D123&id[1]=3D=
2022
http://www.apta.org/news/news_releases/ptaspainrelief
PHYSICAL THERAPISTS CAN HELP RELIEVE PAIN
ALEXANDRIA, VA, Jan 13, 2005 =BE In light of recent reports
about the risk of heart attack and stroke with the use of non-steroidal
anti-inflammatory drugs (NSAIDs) for pain and inflammation, patients
may wish to consider the benefits of physical therapist intervention
for pain relief from certain conditions, according to the American
Physical Therapy Association (APTA).
"Many people are looking for alternatives to the sole use
of medication to deal with painful conditions," said APTA President
Ben F Massey, Jr, PT, MA. "Pain medication may help you get through
periods of severe pain, but it won't always help you eliminate the
underlying cause of some kinds of pain. For many individuals, it is
the underlying causes like poor posture and alignment, weak and/or
inflexible muscles, or tight joint structures that actually exacerbate
the painful condition," Massey explained. "A physical therapist
will perform a complete musculoskeletal examination and design an
individu
alized treatment program to reduce pain and improve function."
There are many types of pain and inflammation that can be
reduced by physical therapist intervention. For example, chronic pain
in the back, shoulder, or knee or pain associated with certain
degenerative diseases such as osteoarthritis, can be reduced with the
appropriate combination of medication and exercise. "The physical
therapist, in collaboration with the patient and the patient's
physician, can help the patient manage his or her health over the long
term," explained Massey.
For pain of a "mechanical" origin such as back, shoulder,
or knee pain, physical therapist intervention may include therapeutic
exercise, manual therapy, and functional training. "The goal of the
physical therapist is to reduce pain, improve your ability to perform
daily activities, and help the individual return to doing the things he
or she likes to do," said Massey. "It is also true that patients
may unknowingly contribute to their own pain, such as by exercising
improperly or with poor posture that physical therapists can identify
and help to correct." Massey added, "Through the use of home
programs designed to fit the individual's needs, the physical
therapist can efficiently progress the individual's rehabilitation
and teach the patient how to prevent a recurrence of the original
condition."
For osteoarthritis, a degenerative disease of the
cartilage and bone, physical therapist intervention may include,
exercises for strength, flexibility, range of motion, and the use of
devices designed to rest or support the joint such as orthotics or
splints.
To find a physical therapist near you, please visit
APTA's Web site at www.apta.org and click on "Find A PT."
The American Physical Therapy Association (www.apta.org) is
a national professional organization representing more than 66,000
physical therapists, physical therapist assistants, and students. Its
goal is to foster advancements in physical therapy practice, research,
and education.
Re: physical therapists can help relieve pain -- Posted by Nathan Engle on 01-18-05 10:20
Zee wrote: > PHYSICAL THERAPISTS CAN HELP RELIEVE PAIN
They can also CAUSE pain when they don't have specific
understanding of what it means to have a systemic inflammatory
condition. I still wince when I recall a gorilla of a
physical therapist a couple of years ago who literally sat
on my back punching at my hips and lower back trying to
establish "the location of the pain".
I have pain in LOTS of places. It migrates around from
day to day. There is no damaged soft tissue that this
guy could possibly single out no matter how hard he
punched, and when I told him I was taking methotrexate
to control the inflammation he had no idea what it was
or what it did. That's when I started to get really
scared.
There is a danger in placing yourself in the hands of
any specialist, and physical therapists are no different
than the rest in that regard. It's been said that to a
5 year old with a hammer, just about everything looks
like a nail, so it isn't surprising that when they're
asked for solutions a surgeon would cut, or an internist
would medicate, or a PT would seek out some exercise
or other. I just don't trust anyone who claims that
they alone have the solution to a problem they don't
appear to understand.
It may not have been a fair first impression, but physical
therapists have had their chance to make a first impression
on me, and I'm in no hurry to go back for more. Despite
its foibles I prefer Celebrex.
--
Nathan Engle Computer Support, IUB Psych Dept
nengle@indiana.edu http://mypage.iu.edu/~nengle
"Some Assembly Required"
Re: physical therapists can help relieve pain -- Posted by zwalanga@yahoo.com on 01-18-05 12:02
Nathan Engle wrote: > Zee wrote:
> > PHYSICAL THERAPISTS CAN HELP RELIEVE PAIN
>
> They can also CAUSE pain when they don't have specific
> understanding of what it means to have a systemic inflammatory
> condition. I still wince when I recall a gorilla of a
> physical therapist a couple of years ago who literally sat
> on my back punching at my hips and lower back trying to
> establish "the location of the pain".
>
> I have pain in LOTS of places. It migrates around from
> day to day. There is no damaged soft tissue that this
> guy could possibly single out no matter how hard he
> punched, and when I told him I was taking methotrexate
> to control the inflammation he had no idea what it was
> or what it did. That's when I started to get really
> scared.
>
> There is a danger in placing yourself in the hands of
> any specialist, and physical therapists are no different
> than the rest in that regard. It's been said that to a
> 5 year old with a hammer, just about everything looks
> like a nail, so it isn't surprising that when they're
> asked for solutions a surgeon would cut, or an internist
> would medicate, or a PT would seek out some exercise
> or other. I just don't trust anyone who claims that
> they alone have the solution to a problem they don't
> appear to understand.
>
> It may not have been a fair first impression, but physical
> therapists have had their chance to make a first impression
> on me, and I'm in no hurry to go back for more. Despite
> its foibles I prefer Celebrex.
>
> --
> Nathan Engle Computer Support, IUB Psych Dept
> nengle@indiana.edu http://mypage.iu.edu/~nengle
> "Some Assembly Required"
Yes you can get a bad physical therapist. You recovered from the bad
physical therapist. Congratulations. I suggest calling the faculty of
rehabilitation associated with a medical school; ask for three
recommendations for a physical therapist who:
*has a master's degree
*specializes in myofascial injury
*advertises as a practitioner of "active" therapy
Then, in an office setting, and without disrobing in any way and no
physical contact, tell the therapist your primary concerns, what
medication you are taking, what your physician has said about your
problems, what surgical interventions you have had and how that worked.
If you come up on any concerns that make you think this person is not
competent or even just for you, end the appointment and try someone
else.
If you decide to continue, ask for an explanation of how they will
assess you, and what they recommend for your therapy, and if they have
done this to others and what the results were. Go for the least, first.
And do this before any examination or physical contact begins.
Zee
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