Pain Information

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Activity Management
A person centred and collaborative approach to managing symptoms. It is goal directed and promotes the skills of activity grading and analysis to enable patients to improve and or maintain their function and sense of well-being in self care, work and leisure roles.
Cognitive Behavioural Therapy (CBT)
CBT is an evidence based treatment for CFS/ME. CBT is a psychological therapy and collaborative treatment approach which aims to reduce the levels of symptoms, disability and distress associated with CFS/ME. CBT or psychological approaches to CFS/ME do not imply that symptoms are psychological, ‘made up’ or in the patient’s head. It is used in many health settings including cardiac, cancer, diabetes and chronic pain as well as with mood disorders such as anxiety and depression.
Grated Exercise Therapy (GET)
GET is an evidence-based self-management approach to CFS/ME involving appropriate physical assessment, mutually negotiated meaningful goal setting and education. It involves setting an achievable baseline of physical activity, followed by individually tailored and planned increases in duration of exercise. This is followed by an increase in intensity when able; taking into account a patient’s preferences and objectives, current activity patterns, sleep, setbacks, and emotional factors; with the objective of improving CFS/ME symptoms and functioning aiming towards recovery.

Functional Restoration is one of the key issues in the management of any complex pain problem !!!A good physiotherapist team will use many of these techniques to get a patient with neuropathic pain back into action.
- Reactivation
- Contrast Baths
- Desensitisation
- Flexibility
- Oedema control
- Peripheral stimulation (TENS)
- Isometric strengthening
- ROM gentle
- Stress loading
- Isotonic strengthening
- General aerobic conditioning
- Postural Normalisation
- Ergonomics
- Movement Therapies
- Normalisation of use
- Vocational / functional rehabilitation
Close interaction between occupational therapy, vocational rehabilitation, physiotherapy and recreational therapy is the utter key to success.