Taking Chronic Out of Pain

Defeating The Chronicity of Pain· Allow limited range of motion/stretching exercises
The patient who suffers from such chronic painto increase elasticity of the tissues and cells
diagnosis as RSD, Fibromyalgia, Neuropathy, Sciatica,Once the treatments begin it's not an all or nothing
Chronic low back pain and degenerative disc diseaseapproach and it's rarely solely one treatment method.
to name a few is not experiencing typical cause andThe patient may experience muscle cramping and the
effect pain symptoms. These patients have had tointerferential therapy wards off the cramps however
learn to live with pain, generally becoming worse overthe post treatment may include using some topical
time. Some of the specific pain etiologies of theseanalgesic or sports rub to maintain the therapeutic
diagnoses begin as less difficult, less painful beginningeffects. In almost all situations it is necessary to
points and over time, due to the pain, these patientsbegin some form of stretching exercise to increase
develop what are called "guarding" or "shielding"the tissue elasticity, and range of motion of any
behaviors in order to cope with the condition.body part affected. The stretching which is beneficial,
One of the easiest examples is the patient who hashowever also painful, can be overcome using
been diagnosed with chronic low back pain, CLBP, andinterferential to lessen the pain so greater range can
due to the pain the patient limits their activities,be reached quicker. It's a multi function integration of
favors one side of the other due to the pain, andtreatment methods to achieve elimination of pain
becomes sedentary and so on. The behavior changeslevels.
due to the pain impulse result in physical changesThe chronic pain patient simply wants restoration of
such as loss of elasticity in muscles due to inactivity,most functional ability and if he/she can eliminate pain
poor circulation, stress on certain muscle groups bylevels on a weekly basis then progress is being made.
shifting the weight of movement to a non-painfulFor many chronic pain patients the principal difficulties
area, muscle spasms which add another level, andmay be muscle related, ie., muscle pain due to
loss of muscle tone. Each time the patient changescramping, tightness, spasms. The patient dreads the
their physical patterns it is common to now introducerecurrence of the muscle pain and will work to
another level of pain. It is common to see the CLBPeliminate that level. By using interferential as a
patient develop a secondary pain referred to asprecursor to stop the progression of the tightness
sciatica. The pain is due to shielding and guarding bythe cycle can be stopped, however besides
the patient to lessen the severity of the pain fromstretching to avoid future occurrences the patient
the CLBP.may use an anti-inflammatory such as ibuprofen, or
When a patient begins using interferential therapy thehot moist heat, or arnica skin pain patches. Levels of
main purpose is not total elimination of all pain levelspain require levels of treatment options resulting in
but to begin to reduce the multi levels of pain one byelimination of most pain, step by step, level by level.
one. As an example the Neuropathy patient mayThe chronic pain patient should always be
have painful areas in more than one part of the body.remembered and treated with full knowledge that
There generally is a primary area which was theany chronic pain diagnosis is the result of failure to
precursor to the diagnosis of the original problem, butsuccessfully treat the pain for greater than 6 months.
through shielding and guarding other areas of his/herThe methods for treating acute pain have failed and
body develop pain. The interferential therapy isnew levels of pain stimulus emerge which requires
intended to:treatment with goals of pain level elimination, one by
· Reduce the severity of the pain impulses positionone.
by position,Chronic pain requires integration of treatment
· If inflamed reduce some of the inflammationmodalities and methods to achieve beneficial results.
· Stop the progression of muscle tightness and inFor the chronic pain patient there is no "magic bullet",
some situations crampingonly the will to get better and education on methods,
· Relax the musclesoptions and clearly defined goals to achieve that
· Increase blood flow to the area for greatersuccess.
metabolic processes