Therapy is far too extensive a subject to go into in great detail. It has
proven to be the most important factor in long term improvement in quality
of life for people with chronic intractable pain disorders. There are numerous
modes of Physical Therapy and understanding the underlying diagnosis is essential
for the proper approach to be developed.
it is best to approach Chronic Pain patients with a plan of strengthening,
conditioning, stretching and learning neutral position. Passive modalities
may be useful in the initial stages of Physical Therapy or as a part of ongoing
therapy, but in general, more active PT is the best approach. This must be
paced and customized to the individual patient. The ultimate goal of Physical
Therapy should be that of moving the patient to a more self directed program
of routine exercises to help keep pain under reasonable control. Pain disorders
tend to condition patients to passivity and a regular Physical Therapy routine
can help to discourage this type of lifestyle.
Therapy can also be used to evaluate the progress of patients with painful
disorders. A particular type of Physical Therapy, known as a Functional Capacity
Evaluation can give a more accurate assessment of the patient's work capacity,
than a single evaluation in a physician's office.