When FTM first came on board with Jerry’s treatment he was experiencing high pain levels. He had a very limited range of movement (ROM) in his lower back and was quite depressed about how he was going to perform his workplace duties and look after his family in the future.
We took Jerry through specific stretching and activation exercises that were designed to increase his overall functional range of movement while minimising his pain levels. It’s important in the treatment process that the initial symptoms don’t escalate, as a person’s perceptions of how they are managing, improving and coping are generally measured on two parallel fronts, involving symptom presentation and functionality.
At any level of fitness, the ability to push yourself increases dramatically once you’ve made measurable gains, with a corresponding decrease in your symptom levels. In Jerry’s case, he was barely able to reach his knees when FTM first started to treat him. Some eight weeks later he was able to place his palms on the ground with minimal discomfort.
When there is extensive damage from an injury such as Jerry’s we like to establish an above-average range of movement. This allows a necessary buffer for the already heightened nervous system to safely operate in. At the same time, the individual is being educated in how to perform necessary movement patterns such as bending up and down or lifting objects in ways that are biomechanically correct. It’s just as important to learn about movement patterns that are biomechanically incorrect and potentially harmful.
Being in constant pain quickly creates a fear avoidance to moving. The longer this goes on the greater the tendency to shift the focus from the primary physical factors to the psychological factors. To Jerry’s credit once he was able to move in an efficient and relatively pain-free manner he was quickly able to process the necessary physical and psychological aspects of his injury. This allowed him to move forward and ten years later he still has the same range of movement. Even though he isn’t completely pain free he has been able to live his life with a much higher degree of control than he initially thought was possible.
When you are injured it’s definitely healthily body equals a healthy mind and maybe we should all consider this while the majority of us are fortunate enough to experience the freedom that comes from movement. You’re an example for everyone to follow Jerry.
I was referred to Stuart at Fit to Manage after back surgery 2006 for rehab. After undertaking an intensive program at their practice, Stuart designed a program I could maintain at home. I can't say I am 100% but I am proud to say that Stuart has helped me achieve the movement, fitness and core strength I need to maintain a quality of life.
[Stuart] made me understand the importance of body strength and range of movement
Thanks to Stuart he made me understand the importance of body strength and range of movement and I continue to do the exercise program today some 10 years later. Many thanks to Stuart and Bronwyn!
