One in five Australians, including adolescents and children, live with chronic pain (Blyth et al. 2001). We all know it’s very difficult for people to improve once patients are experiencing central sensitisation.

It’s essential to reduce people transitioning from acute to chronic pain and we all know the transition can be very quick.  At Fairfield Osteopathic Clinic, we don’t want to be part of the problem.

What we all hope to see in clinical practice.

(Insert DIAGRAM)

Client presents with INJURY or PAIN 

We take an HISTORY and complete an ASSESSMENT

DIAGNOSIS Studies show doesn’t matter what the technique, prognosis improves if pain improves at this point (Contreras)

We provide TREATMENT/EDUCATION/ADVICE

PROGNOSIS = 95% self limiting

For this to go well many things need to be done well, including having enough time for a good explanation.  We have the privilege of spending up to an hour in an initial constul and thirty minutes for any subsequent consults.

 

During Assessment:

We use positive language

We provide Pain Education*

 

DURING Diagnosis: 

We assume it's a self limiting problem

Provide context

Provide reassurance - warm, nurturing, kindness

We complete orthopaedic tests, rule out red flags, provide prognosis

We don't suggest X-rays & MRIs as a screening tool

Integrate biomechanics/pain science

 

DURING Treatment:

Remind people there is no miracle cure

Provide excellent advice - explain, educate, reassure, get them moving

Explain timelines for recovery

Set realistic expectations

ADLs

Reduce fear

Provide pain relief

We don’t create reliance

We encourage people to pace back into activity.