At Aspire Physiotherapy Bunbury we have extensive experience in the management of common musculoskeletal injuries such as sporting injuries or work-related injuries.
In most cases these injuries heal well and once the damaged tissue has repaired and strength, mobility and function has been regained, the pain will dissipate accordingly.
In some cases, however the pain can linger on and become chronic. If the pain has been present for more than three months or lasts beyond the normal tissue healing time, we call this chronic pain. Persistent pain conditions can be complex, with many factors often contributing to this pain state. Unfortunately, chronic pain is more common than once thought, it is estimated that 1 in 4 Australians suffers from chronic pain, and musculoskeletal conditions such as low back pain and osteoarthritis are common conditions that may result in chronic pain.
At Aspire Physiotherapy Bunbury we have specific experience and knowledge in assisting clients with chronic pain, as well as early identification of those at risk of developing chronic pain. We offer comprehensive services aimed at regaining movement and function, as well as reducing pain where possible.
Assessment and Analysis
Persistent pain is complex, and each case is specific to the individual. An in-depth assessment is completed to identify all the specific factors relevant to the individual in pain. Once all the pieces of the puzzle have been identified, our physiotherapist (Tyne) describes how the pain puzzle fits together in a case formulation. This case formulation is worked out in unison with the client, as understanding how different factors influence the pain is an important first step to solving this problem.
Understanding why one is in pain has been shown to not only reduce pain, but also improve function and wellbeing, ‘Know Pain, Know Gain’. At Aspire Physiotherapy Bunbury we have various educational resources at our disposal to improve the understanding of pain. Tyne offers individual pain educational sessions aimed at providing the client with a clear understanding of their pain, as well as the neuroscience behind their pain.
Many people with persistent pain have tried a multitude of different therapies and interventions aimed at getting rid of the pain. Unfortunately, along the way they often have become less and less active, with deconditioning as a result. Others are too fearful to move as they are afraid of doing further harm to their injury and body. Fear of movement, and deconditioning, are key factors that have a devastating impact on the functional capacity of an individual, as well as on quality of life.
At Aspire Physiotherapy Bunbury we offer specific rehabilitation programs aimed at restoring normal movement, restoring strength and mobility and reducing pain. Evidence shows that exercise therapy is the single most effective treatment for persistent pain. It is important however that this is done in a safe environment, and in a graded fashion to ensure this becomes an empowering experience for the clients, opposed to another failed attempt which often results in more frustration and anger.
Graded Motor Imagery
Aspire Physiotherapy Bunbury physiotherapy offers Graded Motor Imagery (GMI) in the treatment for complex pain states, such as complex regional pain syndrome. GMI is the most up to date rehabilitation program – based on the latest science and clinical trials to treat many complex pain, and movement problems. GMI is broken down into three unique stages of treatment techniques, each exercising your brain in different ways.
We now know that our brains are adaptable and changeable throughout our entire lifetimes and by exercising our brains in measured and monitored steps, which increase as progress is made, GMI can treat difficult and ongoing pain problems.
The three different treatment techniques include left/right discrimination training, explicit motor imagery exercises and mirror therapy. These techniques are delivered sequentially but require a flexible approach from the patient and clinician to move forwards, backwards and sideways in the treatment process to suit the individual.
Psychology Informed Physiotherapy Practice
Tyne has completed additional training in psychology (in his MSc. Pain Management, additional Cognitive Behavioural Therapy course) which enables him to offer Psychology Informed Physiotherapeutic Care. Psychology informed practice brings psychosocial aspects of physiotherapy together with the biomedical model. By adopting a biopsychosocial approach to both the assessment and treatment of clients, we are better able to identify the origins of pain and disability, as well as identify barriers to rehabilitation. As a result, a biopsychosocial approach consistently delivers superior outcomes for clients in comparison with a solely biomedical approach.