Physiotherapist Rekha R Nair

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Types of Pain 🌟

├── 1. ACUTE PAIN
│ ➡️ Sudden onset, short duration (≤3 months)
│ 🔺 Related to injury, surgery, trauma
│
│ 🔵 Examples:
│ - Ankle sprain
│ - Surgical incision
│ - Fracture
│
│ ♻️ PT Management:
│ - RICE: Rest, Ice, Compression, Elevation
│ - Pain-relieving modalities (TENS, cryotherapy, ultrasound)
│ - Early gentle ROM exercises
│ - Postural advice & activity modification
│
├── 2. CHRONIC PAIN
➡️ Persists >3–6 months
➡️ May exist beyond tissue healing
➡️ Divided into subtypes:

├── A. NOCICEPTIVE PAIN
│ ➡️ Due to tissue injury or inflammation
│
│ i. SOMATIC Pain
│ 🔵 Examples:
│ - O.A
│ - Tendinitis
│ - Mechanical low back pain
│
│ ♻️ PT Management:
│ - Manual therapy (mobilizations, soft tissue work)
│ - Strengthening and flexibility exercises
│ - Postural correction
│ - Thermal modalities (hot/cold)
│
│ ii. VISCERAL Pain
│ 🔵 Examples:
│ - Irritable Bowel Syndrome (IBS)
│ - Renal colic
│ - Endometriosis
│
│ ♻️ PT Management:
│ - Relaxation techniques
│ - Breathing & diaphragm exercises
│ - Pain education
│ - Gentle mobility if tolerated
│
├── B. NEUROPATHIC PAIN
│ ➡️ Due to nerve injury or dysfunction
│
│ i. CENTRAL Neuropathic Pain
│ 🔵 Examples:
│ - Post-stroke pain
│ - Multiple sclerosis (MS)
│ - Spinal cord injury
│
│ ♻️ PT Management:
│ - Neuro-rehab (motor control, coordination)
│ - Sensory re-education
│ - Gait & balance training
│ - Functional task retraining
│
│ ii. PERIPHERAL Neuropathic Pain
│ 🔵 Examples:
│ - Diabetic neuropathy
│ - Sciatica
│ - CTS
│
│ ♻️ PT Management:
│ - Nerve gliding/mobilization
│ - Desensitization techniques
│ - Ergonomics & posture training
│ - Aerobic and resistance training
│
└── C. MIXED PAIN
➡️ Combination of nociceptive & neuropathic components
🔵 Examples:
- Cancer pain
- Fibromyalgia
- Chronic LBP

♻️ PT Management:
- Multimodal rehab approach
- Graded activity & pacing strategies
- Aquatic therapy, yoga, tai chi
- Cognitive Behavioral Therapy (CBT)-based education
- Sleep, stress & lifestyle counseling

Dr. Sohail Ashraf Physiotherapist

Top 4 exercises if you have SWOLLEN legs! 👉FOLLOW FOR MORE REMEDY TIPS! #swollenlegs #edema #swelling #viralvideo #trendingreels

Chest compressions.

Breathing Exercises For Lungs: Chest physiotherapy for clearing airways and strengthening your lungs This makes it crucial to take the necessary step to strengthen the lungs and clear the air passage when suffering from COVID-19 and post-infection.