Keterangan
"When an injury heals but the pain remains even after the healing and the pain is there from 3-6 months even without the trigger for the pain this condition is called chronic pain syndrome. This condition affects the patient not only physically but also mentally. The patient may have symptoms like joint pain,Muscle aches,fatigue,loss of stamina and burning pain.
Our speaker Dr.Anjanaa shared her experience by telling a few of her cases with chronic pain syndrome."
Ringkasan
- Chronic pain syndrome is characterized by pain persisting for over 3-6 months even after an injury heals. It affects patients physically and mentally, causing joint pain, muscle ache, fatigue, loss of stamina, and burning pain. Dr. Anja shared a case study involving a 25-year-old patient experiencing ankle pain, low back pain, and TMJ issues.
- The patient, an ectomorphic male, reported outer ankle pain after minimal walking, along with vague low back pain increasing with physical or mental exertion, and headaches attributed to TMJ. He expressed anxiety about his inability to be pain-free and a cycle of new injuries hindering his active lifestyle.
- His history included a fractured medial malleolus 10 years prior, which led to apprehension about putting weight on the inner foot, along with shin splints, foot pain, and bilateral hallux valgus during adolescence. He had been told he slouched and found it easier to arch his back than pull his shoulders back. Present history mentioned a desk job with high stress, teeth clenching, and a preference for soft footwear.
- During the examination, the kinetic chain was mapped. There was a lateral ligament strain, functional cavus foot, increased lordosis, and anterior pelvic tilt. Trigger points were identified in the lower back, hip, and shoulder regions. The thoracic alignment showed kyphosis and forward head posture.
- The ankle instability was linked to low back pain via cavus foot requiring more pronation torque, causing rotational torque on the knee, external rotation and flexion at the hip, anterior pelvic tipping, and compromised core stability. The lower back pain was linked to TMJ dysfunction through thoracic kyphosis, compromised scapular stability, shallow breathing, engagement of secondary breathing muscles, and anterior head translation.
- Recommendations for the patient included correcting hallux valgus with foot mobility drills, improving foot and ankle stability with walking patterns, correcting breathing patterns, improving glute and hip stability, enhancing core stability, and improving head and neck positioning with upper back and trunk stability work. Dr. Anja utilized photo medicine to bring down pain and correctives exercises, along with taping to help restore correct motor patterns.
- Recommendations were simplified by prioritizing pain-free range of motion, using multiplanar and multi-joint movements, emphasizing repetition for rebuilding memory maps, and introducing functional movements early. Posture pointers were given to the patient for managing and maintaining posture.
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