Pain-centric versus kinetic chain

How do we know what treatment is the right one for each person? We don’t, because each person is different, due to genetic differences, human evolution, and biomechanical adaptation. Each person has a different body type. Each person has a different psychological makeup, and therefore it makes sense to develop each treatment uniquely for each individual.

Pain-centric approach

Challenges:

  • Pain is subjective, and it is an unreliable indicator
  • Pain relief is regarded as a temporary, once-off fix

Protocol:

  • Obtain the individual’s narrative of pain. It is important to identify the psychosocial, environmental and ergonomic factors, core values and lifestyle factors that affect the individual.
  • Assess the stage of the condition, level of disability, and coping strategies.
  • Establish quantifiable treatment parameters for Pain (P) and Stretch (S), and test hypotheses.

Goals:

  • The intervention aims to reduce the level of pain.

Kinetic chain approach

Challenges:

  • Having to educate and convince people to take a different perspective.
  • Biomechanical structure is separate from the neurophysiology of pain.
  • Working on improving the quality of biomechanical movement does not immediately resolve to less pain.

Protocol:

  • Evaluate the quality of movement.
  • Uncoordinated movement indicates structural imbalance.

Goals:

  • Establish long-term strategy towards restoring ideal function and mobility to the joint
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