Why do I need a Diagnostic Based Pain Assessment for treating Chronic Pain with Medical Massage? Diagnostic Testing, when combined with Medical Massage Therapy, as part of a Comprehensive Pain Assessment, can be a highly effective tool for Chronic Pain Management.
Can Chronic Pain be treated effectively using Medical Massage without a Diagnostic Based Pain Assessment? The Massage Therapist can only guess and make assumptions at what the appropriate Chronic Pain Treatment Plan for a patient should be without a Diagnostic Testing based Pain Assessment.
What is the difference between a Pain Assessment and a Diagnosis? A Pain Assessment is not the same thing as a Diagnosis despite the application of Diagnostic Testing. A compilation of information that is gathered and evaluated in order to derive an appropriate plan of treatment is what a Diagnostic Pain Assessment is all about. Doctors make a diagnosis when they specifically identify an illness, disease, or medical condition.
Are there different types of Pain Assessments for different parts of the body? Different types of Pain Assessments are used for different parts of the body. The diagnostics testing for Lower Back Pain is not the same as the Diagnostics Testing for Shoulder Pain or Elbow Pain, but the Diagnostics Testing for Fibromyalgia may use the same Diagnostic Tests that were used for Lower Back Pain or Shoulder Pain or Elbow Pain.
What kind of Information is used in the Pain Assessment? The assessment information that is used to develop a treatment plan includes the patient's Pain Scale, their Medical History, an objective observation of symptoms, biomechanical (analysis of posture, and body locomotion) diagnostic testing, and palpation (analyzing soft tissue by feel).
I've never heard of a Pain Scale before, can you please explain that to me? As part of the Assessment, the patient is given pictures of the human body and is asked to list the specific pain levels on the pictures that give the representation of the patients pain. The Pain Scale is defined as the amount of pain that a person is experiencing in a specific part of the persons body on a scale of 0 to 10. Zero is no pain, and 10 is un bearable pain. 1-4= functional, 5-7=extreme discomfort and difficulty with functionality, 8-9=pain so great that the person is bed-ridden.
What is the significance of Medical History? Medical History helps the health practitioner to better understand the historical factors effecting a persons pain, such as the time of day when the pain is at its worst, the medications that the person is taking, what forms of treatment has helped the patient, and what forms of treatment have not helped the patient.
How does Observation help the Assessment? Observation of patients symptoms may involve a Postural Analysis, to determine if a patient has good posture or bad posture as a possible source of their pain and will help to improve posture where improvement can be made. An externally rotated foot can indicate a leg length difference that could have a factor on Lower Back Pain. Forward Shoulder rotation can reveal posterior Shoulder Pain as well as Thoracic Back Pain. A Gait Analysis can reveal a limp or favoritism of a limb.
How is Biomechanical Testing an important part of the Assessment? Diagnostic Pain Assessment tests that help to uncover root causes of Chronic Pain are critically important Pain Assessment Tools. Body motion and movement analysis within identifiable specific planes of that motion and movement are important parts of Biomechanical Testing. Without the use of AROM-Active Range of Motion, PROM-Passive range of Motion, Resistive and other special tests, how can we uncover root causes of Chronic Pain?
What is Palpation and what does it involve? Palpation is the analysis of soft tissue by feel and is an important part of the information gathering process. Texture, temperature, and tone are important factors that let the practitioner know the health of the soft tissues that are involved with a persons chronic pain. The Joint Mobility Test is a critically important diagnostic Palpation test that is used to determine whether or not the spinal column is a chronic pain syndrome contributor.
A systematic approach to Chronic Pain Management is impossible without a Diagnostic Based Pain Assessment. The first critical and mandatory step in systematically developing a divide and conquer treatment strategy for the reduction and possible elimination of chronic pain should always be an organized Diagnostic based Pain Assessment. The ability and skill of clinical and medical massage therapists to provide patients with new hope, strategies and tactics in the battle against chronic pain is a daunting task without an organized Diagnostic based Pain Assessment.
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