Language – This course will be taught in English with translation
Course Description
There are more options besides addressing Psychology or
Pain Physiology Education
Not all pain has a mechanical behavior. Unfortunately, many common traditional intervention strategies are largely dependent upon a “mechanical related” pain mechanism.
“Pain mechanisms” are a subgroup since they represent a “process that is driving the disorder / pain”. Pain mechanisms are generally divided into: nociplastic (building on central sensitization), neuropathic and nociceptive.
It is our opinion that nociplastic or central sensitization is inadequate in fully explaining the diverse range of clinical presentations we see. There are problems in terminology use, diagnosis, and effective rehabilitation.
On this course we discuss these issues and attempt to solve these problems:
- Nociplastic pain is considered a spectrum to help describe various presentations
- Functional causation is considered to facilitate better treatment targeting
- Body Imagery Pain is introduced as it represents a non mechanical pain state that is not addressed in the definition of nociplastic pain or central sensitization.
Why do people:
- Have complex, bizarre pain, whole limb pain or paraesthesia?
- Get all their symptoms on one side of their bodies?
- Feel swelling when there isn’t any?
- Have one sided fatigue, heaviness or other bizarre musculoskeletal-like complaints?
We’ll show you why and be able to explain strategies for appropriate body imagery pain education!
The brain needs to know what is happening in the body. It gets this information from sensory feedback and forming complex maps. When this information is deficient the brain will change its behavior to get this information. When it is absent, significantly inaccurate or cannot be processed, musculoskeletal symptoms can result. This is the essence of body imagery pain. It is now clear that our virtual brain and body imagery are involved in pain states. In some cases they can be a primary cause of the pain state!
We will cover the clinical diagnosis of nociplastic pain and body imagery pain based upon subjective history characteristics, questionnaires and simple laboratory / physical assessment strategies.
You will leave with a clear understanding of how to diagnose various types of non mechanical pain, along with the appropriate subjective history, physical examination and questionnaires to use. You will be able to develop a rehabilitation program for clients with altered body imagery and / or nociplastic pain and have appropriate progressions and problem solving strategies.
This course is suitable for musculoskeletal, neurological, pediatric, vestibular and pelvic health physiotherapists.
It can be tailored to meet the needs of specific groups.