The longer I am a clinician, the more irritated I get at all the garbage that is told to patients that gets their CNS sensitized.
Here are 5 Common Thought Viruses
1) My doctor says it's arthritis
- the changes we see on scans, etc are just the kisses of time (Butler), or wrinkles on the inside (EIM)
- is your right (insert body part here) older than your left?
- "arthritis" is just wear and tear, cars can run just fine with 50,000 miles with no issues, sometimes just a little maintenance is needed to keep you running
- clicks/cracks during movement means you're moving, would it bother you if it didn't hurt?
- when you feel fine, your x-rays still look the same
- great news!
- what your neck/back looks like when you're lying in a tube does not tell me how you feel, move, or function
- combining several studies, taking hundreds of pain free people off of the street, anywhere between 30-80% of them have some sort of wear/tear, spurs, discs issues, etc... but with NO pain or history of it
- a disc? that's great! the research shows people with neck/low back pain of any particular reason respond very well to PT, often very rapidly!
- sometimes the discs may be reduced, sometimes they cannot, but regardless, the scan does not have to change for you to feel or move better
- when we make big changes on visit 1, and they are kept by you to visit 2, a majority of these cases have very successful outcomes
- if you go to one or more surgeons, the end result is often surgery
- if a surgeon tells you need surgery, go see a PT
- if a PT tells you need surgery, may actually may need it!
- for neck/back, if you do not have radiating pain, complete loss of strength (without pain) in a limb, or loss of bowel/bladder, you most likely do not need surgery
- research shows for knees, especially cartilage issues, that in the long term, patients do better with PT alone rather than surgery
4) running is bad for you
- like my man and great source of running info Chris Johnson, says running is an ADL
- do you tell your kids to, "Hey stop all that running! It's bad for you!" - as if it were smoking?
- anything a kid can do, you should also be able to do
- things like mobility, stability, and symmetry all help running and form makes a difference as well
- injury happens to 80% of runners, but it can be treated and prevented as well
- my biggest pet peeve!
- just because some specialist or doctor told you they could not do anything for you, does not mean anything can be done
- EVERY patient has the ability to recover from pain/injury, especially pain
- pain does not equal damage after a short while