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Patient Response Approach

Evaluation of a patient’s symptoms can be a very challenging process. One of the first goals I have during the assessment process is identifying patterns with their pain response. In other words, when do the individuals symptoms feel better and when do they feel worse. It is important to remember that not all pain is...
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Persistent Pain Paradox (Pain Science, Continued)

As described in our previous post pain is an alarm system in the indicates that the body or different tissues are being over stressed.  The pain alarm system runs on a small electrical signal through the nervous system.  As stress in tissues increase the electrical signal rises until it reaches a threshold.  Once the threshold...
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Pain Does Not Equal Harm

A common misconception among individuals is that if one experiences pain, harm or damage must be occurring structurally or at a tissue level.  This is simply not the case.  Pain operates as an alarm system in our body; it is not necessarily an indication that tissue damage has occurred.   Let’s look at this alarm system...
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Centralization Phenomenon vs Peripheralization Phenomenon

Centralization versus peripheralization of symptoms, is a concept or idea that has been used in physical therapy and rehab settings for years. If you have been to a rehab specialist you may have heard these terms discussed before. But what do these terms mean? Centralization and peripheralization is a theory on pain manifestation or a...
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Uneven Spinal Loading

Did you know that the average person will flex or bend forward 3 thousand times per day?  In contrast to bending forward the average person will extend or bend backwards only 100 times a day.    That is a 30 to 1 ratio of forward bending to backward bending.  This creates a large discrepancy between the...
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Why End Range of Motion?

If you have been to therapy before you have probably gotten sick and tired of hearing your therapist say, “try to go farther, push further”, regarding low back pain and your exercises. Why do therapists obsess so much about moving further into the end range of motion during lumbar spine exercises? There are many theories...
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