Physiotherapy at Evolving Pain 

How does Physiotherapy differ at Evolving Pain?

Pain specialisation is a relatively newly acknowledged area of Physiotherapy, and it differs greatly from a traditional biomedical approach to management. Pain Physiotherapy involves longer appointment times to gain a deeper understanding of the individual's story and life circumstances leading up to their pain onset and beyond. The approach is person-centered and person-driven by way of working through their personal obstacles to regaining a meaningful and active life. 

As per traditional physiotherapy can you perform manual therapy? 

Whilst as a part of a thorough assessment it is important to consider a person's myofascial tone and sensitivity, the evidence for performing passive modalities in people whom have experienced pain for long periods is very low and no longer evidence-based practice for the treatment of persistent pain. This may be occasionally required for an acute onset of pain, however the focus on the majority of our time is about getting the individual back in the driver's seat and taking an active and empowered approach to their lives. This coaching role is individualised and sensitive to the person's requirements and is ideally aligned and communicated with their current practitioners to achieve the best possible outcome. 

Occupational Therapy at Evolving Pain 

What is Occupational Therapy?

Occupational Therapy aspires to promote the health and wellbeing of individuals, through the enhancement of engagement in activities that are meaningful, significant and expected of their clients. Occupational Therapists will implement a range of assessments and interventions, specifically targeted to address the needs of the client, with consideration to them and the environment in which they function. 

What is the role of Occupational Therapy in Pain Management?

Pain management within Occupational Therapy does not just focus on working towards pain relief, but rather considers the functional goals and challenges encountered by clients, to optimise functional capacity in daily life. 

Through the completion of both standardised and non-standardised assessments and evidence-based interventions, Occupational Therapy encapsulates a holistic overview of an individual’s functional capacity, whilst considering the biopsychosocial factors that either promote or hinder engagement. Such allows for a targeted intervention plan, that is specific to the individual and their own needs and goals. 

What can Occupational Therapy at Evolving Pain offer? 

In addition to pain management education (based off evidence-based practice and current neuroscience evidence), Evolving Pain offers the following Occupational Therapy services in relation to pan management:

  • Initial Occupational Therapy Pain Assessments and Intervention Plans, with a report
  • Sensory Modulation Assessments and Interventions, inclusive of emotional regulation 

  • Functional Capacity Assessments and Interventions 

  • Home Assessments 

  • Assistive Technology Assessments and Interventions

  • Cognitive Capacity and Learning Processes associated with Pain 

  • Goal Setting and Motivational Interviewing 

  • Energy Conservation and Pacing 

  • Activity and Routine Planning 

  • Sleep Hygiene 

  • Mindfulness

  • Community Re-Integration

  • Workplace Re-Integration and Ergonomics 

  • Biofeedback Techniques associated with enhanced functional and psychosocial capacity 

  • Safety and Coping Skills associated with Pain and Mental Health