Addressing Chronic Pain
There is a recent (past decade) change in the rehabilitation of chronic musculoskeletal disorders all patients should be educated about, preferably on his/her first visit. In fact, it’s the single most important factor of patient education. That is why we have an hour long appointment for our new patients.
The structural paradigm (short leg, disc bulge, subluxation, etc) is hopefully leaving soon as a primary accused source of chronic pain and is being replaced with an understanding to the neuroplastic changes that occur in the long term.
A key topic to address is ‘Central Sensitization’ which is a condition of the nervous system that is associated with the development and maintenance of chronic pain. If your therapist isn’t discussing ‘central sensitization’ with you, and you have a chronic pain complaint, ask them about it. If they act confused by your question, or have no response, that’s a good clue you need a new therapist.