Was this what you were expecting OR were you expecting something like this?
- You get some gentle exercises.
- You get a sheet with exercises on it.
- You get rushed out the door.
The public perception of modern physiotherapy is entirely different from what people expect.
As a therapist, we want to see you get better and back to things you love doing.
How do physiotherapists make our pain go away?
“Firstly we sit down and have “The Chats”. We set the groundwork, and we listen to your story. Understand where your body has been. Now when I say “where it has been” I am referring you the abuse you have given over the last number of years.”
We look at current pain, old injuries, most significant injuries. Current stress sleep diet and lifestyle factors and establish if they are contributing/preventing progress in your rehab.
Then we move onto a movement and stability screening. This is where the NERD in the physios start to come out.
How can you move, squat, lunge, walk, run, jump, bend forward, sit down. We are not just looking at you and going hmm… ahhh, ah yes. We’re looking to see what strategies you are using to move.
Regarding lower back pain and bending forward, we see if you engage the ground with your feet as you return from touching the floor. This will tell us if you are overusing your back muscles and not using your lower limbs to come back up.
Some people might use all the muscles in their back to bend forward and stand back up. Some people might use all their lower legs. While the movement is the same, the strategy in which each person completes that action is unique.
Then we might look at your breathing pattern to see if any clues to your pain are in that system.
But why breathing pattern. Think of it this way, imagine trying to write an essay, whilst squeezing your pen as hard as possible. The writing will not be elegant. Now imagine trying to move and bend forward, holding your breathing. It is the same thing. People with low back pain tend to brace and have their breath a lot to “stabilise” their core. But this only leads to more compensation down the line.
Next we look, at your strength and endurance. Can we maintain stability in certain positions? Can we learn, reach and twist? It’s like a game of statues you played as a kid. Can you move, stop in a position and hold it? No? Well, there is another issue.