![]() ![]() ![]() Permitting exercise through functional improvement e.g. Dynamic Taping may be used to challenge faulty beliefs about movement and tissue damage or pain.Įxercise also has a modulating effect on pain. A reduction in the perception of threat may result in a lessening of the pain experience. Due to its constant but variable stimulation to the skin, approximation of the joints and varying stretch on the muscle (occurs as the tape is placed on the body with the muscle in a short position and with tension on the tape such that when the muscle is lengthened, the tape tightens significantly, compressing the tissues) a lot of mechanical stimulation occurs.īeliefs, expectations, past experience and many other factors have a profound effect on the pain experience. Normal afferent input may have a modulating effect on the pain experience. as demonstrated in studies on Mulligan lateral glide of the elbow or Elvey lateral glide of the cervical spine with subjects with tennis elbow). Non-opioid mediated analgesia – a sympathoexcitatory effect is often observed and may be suggestive of a non-opioid mediated analgesia similar to that seen with some manual therapy techniques (e.g. A reduction in load and therefore firing of sensitised structures (not necessarily damaged) will also affect the pain experience. Sensory signalling from the periphery is also heavily involved in the pain experience. There could be several possible mechanisms for how Dynamic Taping can influence pain. may reduce pain and some research on the hip is showing preliminary support for this. Directly modifying load by creating some of the force externally or indirectly modifying it by changing movement patterns, reducing compression etc. In many cases however the pain present is still load dependent. Do we need to have a more comprehensive preparatory phase and education? Can we use Dynamic Tape to normalise movement and to challenge faulty beliefs about pain, movement and damage? As clinicians we need to determine if there is structural damage, is there nociception or inflammatory influences, is there peripheral sensitisation and primary hyperalgesia? Perhaps there is no ongoing damage, nociception or inflammation but central sensitisation is continuing to wind up the pain perhaps from non nociceptive peripheral drivers (possibly coming from maladaptive movement patterns). That does not mean however that we should forget about the tissues or structure entirely. Beliefs, expectations, past experiences, social and environmental factors all influence the pain experience. Pain can be present as a warning sign before any damage has occurred. Pain can persist long after structural damage is thought to have repaired. doi:10.5312/wjo.v5.i3.Pain is complex and is not well correlated with tissue damage. Treatment of meniscal tears: An evidence based approach. Mordecai SC, Al-Hadithy N, Ware HE, Gupte CM. Reporting knee meniscal tears: technical aspects, typical pitfalls and how to avoid them. Outcomes after the operative treatment of bucket-handle meniscal tears in children and adolescents. Bucket handle horizontal cleavage tear of medial meniscus with congenital deformity–A case report. Patterns and influencing factors of medial meniscus tears in varus knee osteoarthritis. The knee meniscus: management of traumatic tears and degenerative lesions. The circumferential compression stitch for meniscus repair. The effect of tissue surface modification with collagenase and addition of TGF-β3 on the healing potential of meniscal tears repaired with tissue glues in vitro. doi:10.1038/s41591-5īochyńska AI, Hannink G, Verhoeven R, Grijpma DW, Buma P. Intra-substance meniscal changes and their clinical significance: a meta-analysis. Surgical techniques and outcomes of repairing meniscal radial tears: a systematic review. Moulton SG, Bhatia S, Civitarese DM, Frank RM, Dean CS, LaPrade RF. Meniscal preservation is important for the knee joint. ![]() American Academy of Orthopaedic Surgeons. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |