Is pain always a sign of an injury that has not healed | Digi4MSK Explains скачать в хорошем качестве

Is pain always a sign of an injury that has not healed | Digi4MSK Explains

Is pain always a sign of an injury that has not healed? Video transcription: Is pain always a sign of an injury that has not healed? One of the most common misconceptions among people with pain is the belief that pain always means an injury has not healed. This idea can lead to unnecessary medical interventions, fear of movement, and increased disability. Let us look at some relevant clinical aspects. Studies show that most soft tissue injuries heal within weeks to months. However, pain can persist long after the healing process is complete. Persistent pain is often linked to increased sensitivity in the nervous system and dysfunction in the immune system, rather than ongoing tissue damage. Imaging frequently shows structural or morphological changes in people who have no pain at all. Examples include disc degeneration, tendon tears, or joint degeneration. These findings do not always correlate with pain or active tissue damage. Psychological, social, and lifestyle factors such as poor sleep, stress, or inactivity can also contribute to the persistence of pain. These factors can influence the neuroimmune system and increase disability. How can these messages be integrated into clinical practice? After performing a thorough physical examination and ruling out serious pathology, clinicians should use simple explanations to clarify that most injuries heal with time, even if pain remains. It is important to emphasize that findings such as disc bulges, arthritis, or tendon changes are also commonly present in people without pain. Clinicians should explain that pain can be influenced and modulated by multiple biological, psychological, and social factors, regardless of the condition of the tissues. For example, a poor night’s sleep can trigger a headache or back pain without any injury. Similarly, stress can increase muscle tension and discomfort. It is also essential to acknowledge the patient’s perspective on pain and guide them toward active solutions. If a patient strongly believes that pain always indicates harm, these messages should be introduced gradually and respectfully. Promoting meaningful movement strategies is key. Encourage activities that are personally valuable to the individual, such as walking, in order to improve function and build confidence. Avoid prescribing exercise in a generic way, such as recommending swimming to every patient with back pain regardless of their preferences. Let us put this into practice. David is a 40-year-old man with chronic shoulder pain following a rotator cuff strain. Although the injury occurred more than a year ago, he still avoids movement. He believes his shoulder has not healed and is afraid to use it. David says, “My shoulder still hurts. Doesn’t that mean the injury never healed?” The clinician responds, “David, I understand why you are concerned. May I share what we now know about pain and healing?” David agrees. The clinician explains, “We know that soft tissues like tendons usually heal within months. However, pain can persist if the nervous system remains overly sensitive to normal daily movements. The good news is that strengthening and gradual movement can help retrain your body’s response.” David asks, “So is it possible that my shoulder pain can improve?” The clinician replies, “Yes. Your shoulder may be underused and deconditioned. Let us focus on gradually restoring movement and strength so you can return to the activities you enjoy.” In summary, healthcare professionals must help patients understand that pain does not always mean an injury has not healed. Educating patients about the benefits of movement and self-management can improve outcomes and reduce anxiety-driven, fear-avoidance behaviors. Learn more at https://digi4msk.eu/