Hamsa Rehab | Pain Management Rehabilitation

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Understanding Pain Management

Pain is an unpleasant subjective sensory and emotional response to stimuli that can cause actual or potential tissue damage. Different individuals perceive pain differently, and it serves as a protective mechanism that triggers a reaction whenever tissue is damaged. As a result, people often alter their posture to avoid the pain. Pain can arise from somatic, neuropathic, or psychogenic origins.

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Understanding Pain: Types

Acute Pain

A symptom of an underlying disease or trauma, characterized by localized, sharp sensations that are self-limiting and last for up to 3 months.

Chronic Pain

Persists longer than 3 to 6 months and loses its biological purpose, differentiating it from acute pain.

Pain Management: Goals and When to Seek Help

Aims of Pain Management:

Identify and treat the organic cause of pain.
Improve the patient's ability to cope with pain.
Enhance functional ability, as measured by activities of daily living (ADL).

When to Seek Medical Treatment:

Pain persists despite physical measures.
You experience neuropathic pain.
Pain is due to infection or inflammation.
Pain is associated with cancer.
You have acute pain resulting from injury or trauma.

Treatment Based on Origin

Mechanical Origin

Consider manipulative procedures such as corrective exercises and postural realignment.

Inflammatory Origin

Utilize physical modalities, including heat, cold, short-wave diathermy, and ultrasound.

Physical Agents/Modalities Used
Physiological Effects

Physical Agents/Modalities Used

Therapeutic Modalities:

Therapeutic Cold (Cryotherapy): Ice packs, ice immersion, ice stroking.
Moist Heat
Interferential Currents
TENS (Transcutaneous Electrical Nerve Stimulation)
Faradic and Galvanic Currents
EMG Biofeedback
Ultrasound Therapy
Paraffin Wax Treatments

Physiological Effects

Cold Therapy:

Reduces skin temperature.
Causes constriction of blood vessels.
Increases blood, water, and lipid viscosity.
Reduces muscle contraction.

Heat Therapy:

Enhances local hyperemia and reflex vasodilatation.
Provides analgesic effects, offering a soothing or marked sedative impact on tissue.
Facilitates stretching of scars and adhesions before mobilization.
Keeps the skin supple and moist by preventing water evaporation.

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Pain Management Rehabilitation

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