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  • Writer's pictureJeremy Pucheta

Understanding Chronic Pain: How Exercise Physiology Can Help

Table of Contents:

  1. Introduction

  2. What is Chronic Pain?

  3. The Chronic Pain Cycle

  4. Exercise Physiology: A Game-Changer

  5. How Exercise Physiology Manages Chronic Pain

  6. The Science Behind Exercise and Pain Management

  7. Getting Started with Exercise Physiology

  8. National Pain Week: Time for Action

  9. Key Takeaways

Introduction

As we observe National Pain Week, it's crucial to shed light on a condition that affects millions of Aussies: chronic pain. Did you know that 1 in 5 Australians aged 45 and over are living with persistent, chronic pain? At Move 2 Thrive Clinic, we understand the complex nature of persistent pain and its impact on daily life. In this article, we'll explore how exercise physiology can play a pivotal role in managing chronic pain, offering hope and practical solutions to those seeking relief.



What is Chronic Pain?

Chronic pain is defined as pain that persists for more than three months, often outlasting the expected healing time of an injury or illness. Unlike acute pain, which serves as a warning signal, chronic pain can become a condition in itself, affecting not just the body, but also mental health and overall quality of life.

Common types of chronic pain include:

  • Lower back pain

  • Arthritis

  • Fibromyalgia

  • Neuropathic pain

  • Headaches and migraines


The Chronic Pain Cycle

Chronic pain often leads to a cycle that can be a bit of a bugger to break:

  1. Pain leads to reduced activity

  2. Reduced activity causes muscle weakness and stiffness

  3. Weakness and stiffness exacerbate pain

  4. Increased pain further reduces activity

This cycle can result in decreased mobility, social isolation, and mental health issues such as depression and anxiety.


Exercise Physiology: A Game-Changer

Exercise physiology is a specialised field that uses evidence-based exercise interventions to prevent and manage chronic diseases, injuries, and disabilities. When it comes to chronic pain, exercise physiologists play a crucial role in breaking the pain cycle and improving overall function.

Jeremy, our Director and Senior Exercise Physiologist, explains: "Exercise physiology offers a holistic approach to pain management. We don't just treat the symptoms; we address the underlying factors contributing to chronic pain and work to improve overall function and quality of life."


How Exercise Physiology Helps Manage Chronic Pain

Pain Education

Understanding pain is the first step in managing it. Exercise physiologists educate patients about the nature of chronic pain, helping to demystify the condition and reduce fear associated with movement.

Tailored Exercise Programs

One size doesn't fit all when it comes to managing chronic pain. Exercise physiologists design personalised programs that take into account:

  • The specific type and location of pain

  • Current fitness levels

  • Personal goals

  • Any other health conditions

These programs typically include a mix of:

  • Aerobic exercises to improve cardiovascular health and release endorphins

  • Strength training to support joints and improve function

  • Flexibility exercises to reduce stiffness and improve range of motion

  • Balance and coordination exercises to prevent falls and improve body awareness

Gradual Progression

Exercise physiologists use the principle of graded exposure, slowly increasing activity levels to build confidence and reduce pain-related fear. This approach helps patients realise they can move without causing harm, a crucial step in pain management.

Workplace and Lifestyle Modifications

Beyond structured exercise, exercise physiologists provide guidance on daily activities and ergonomics. This might include advice on:

  • Creating an ergonomic work setup

  • Proper lifting techniques

  • Sleep positioning

  • Pacing strategies for daily tasks

  • Incorporating movement variety throughout the day

Mind-Body Techniques

Recognising the connection between mental state and physical pain, many exercise physiologists incorporate mind-body techniques such as:

  • Breathing exercises

  • Progressive muscle relaxation

  • Mindfulness practices

Monitoring and Adjusting

Chronic pain can fluctuate, and what works one day might not work the next. Exercise physiologists regularly assess progress and adjust programs accordingly, ensuring optimal management over time.


The Science Behind Exercise and Pain Management

Research consistently shows the benefits of exercise for chronic pain management. Here's how exercise helps:

  • Endorphin Release: Physical activity stimulates the production of endorphins, the body's natural pain relievers.

  • Improved Blood Flow: Exercise increases circulation, delivering more oxygen and nutrients to tissues and promoting healing.

  • Neuromuscular Retraining: Regular movement helps retrain the nervous system, potentially reducing pain sensitivity over time.

  • Strength and Flexibility: Building stronger, more flexible muscles provides better support for joints and can alleviate mechanical sources of pain.

  • Weight Management: For those carrying excess weight, exercise can help reduce the load on weight-bearing joints, decreasing pain in areas like the knees and lower back.

  • Improved Sleep: Regular exercise often leads to better sleep quality, which is crucial for pain management and overall health.

  • Mood Enhancement: Physical activity can improve mood and reduce symptoms of depression and anxiety, which often accompany chronic pain.


Getting Started with Exercise Physiology

If you're living with chronic pain, taking the first step towards an exercise program can be daunting. Here's how to begin:

  1. Consult Your GP: Ensure you have clearance to start an exercise program.

  2. Book an Assessment: Schedule an initial consultation with an exercise physiologist to discuss your condition, goals, and concerns.

  3. Start Slow: Remember, any movement is better than no movement. Your exercise physiologist will ensure you start at an appropriate level.

  4. Be Consistent: Regular, gentle exercise is more beneficial than sporadic, intense sessions.

  5. Communicate: Keep your exercise physiologist informed about how you're feeling and any changes in your pain levels.


National Pain Week: A Time for Action

National Pain Week (July 22-28) is an initiative by Chronic Pain Australia to champion the needs of the many Australians living with some form of chronic pain. As we recognise this important week, it's an opportune time to take control of your chronic pain. Exercise physiology offers a proactive, evidence-based approach to pain management that empowers you to improve your quality of life.

At Move 2 Thrive Clinic, our team of experienced exercise physiologists is dedicated to helping you navigate your chronic pain journey. We understand that each individual's experience with pain is unique, and we're committed to providing personalised care that addresses your specific needs.

Don't let chronic pain dictate your life. Take the first step towards a more active, fulfilling lifestyle by booking an appointment with one of our exercise physiologists today. Together, we can work towards breaking the cycle of chronic pain and rediscovering the joy of movement.


Key Takeaways

  • Chronic pain affects 1 in 5 Australians aged 45 and over

  • Exercise physiology offers a holistic, evidence-based approach to managing chronic pain

  • Tailored exercise programs can help break the chronic pain cycle

  • A combination of physical activity, education, and lifestyle modifications can significantly improve quality of life for those with chronic pain

  • National Pain Week serves as a reminder to take proactive steps in managing chronic pain


Remember, you're not alone in your journey with chronic pain. With the right guidance and support, it's possible to manage your pain effectively and improve your overall wellbeing. Let's make this National Pain Week the beginning of your path to better health and reduced pain.


Download our free guide: "5 Simple Exercises to Manage Chronic Pain at Home"


Book your consultation today and quote "National Pain Week" for a 10% discount on your initial assessment.


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