Therapeutic Pain Management

TPM is a non-pharmacological approach to pain management that is centered around decreasing pain by treating the neuromusculoskeletal system and restoring function. Pain is managed through hands-on treatment such as manipulative therapy, dry needling and manual therapy such as joint mobilization, instrument assisted soft tissue mobilization, and therapeutic cupping. It is progressed through a systemic program of strengthening, flexibility and aerobic exercise and conditioning. It is maintained through a progressive implementation of an independent exercise program that mirrors the routine performed during Therapy that can also be continued in the gym environment or at home. Education plays a critical role in understanding and managing pain as well as teamwork in an active role in management of pain.

The TPM program begins with a comprehensive evaluation of your history including past surgeries, injuries, past treatments for your condition as well as your current physical condition, functional limitations or impairments. We work together with you to establish realistic goals based on what level of function you wish to achieve and a treatment plan to reach those goals. We then communicate that information with your referring physician for their approval.

The first phase of treatment begins with a heavier emphasis on manual therapies and education. In the second phase we will begin to increase the amount of active exercise you will perform as the manual treatment is reduced. In the third phase we will begin implementing the independent exercise program that will be performed outside of clinical treatment in addition to the specific intervention performed in the program. Lastly, we will monitor your independent exercise program on a phased basis to ensure compliance with the program and make any adjustments as necessary.

The mission of the TPM program is to provide you with an active plan to manage your pain and the impact it has on your functional quality of life and to give you the guidance and support to reach your goals. The objective is to return a person to an active lifestyle with decreased pain, having an understanding that some level of pain may be part of their daily life, and have the tools available to self-manage the pain with natural approaches. The phases of TPM can be broken into 3 structured elements; Traditional Physical Therapy, a Symptomatic Exercise Program or SEP, and a Generalized Exercise and Conditioning Program or GEP.

Traditional Physical Therapy will involve the time-tested treatments and exercises you may be familiar with when dealing with your pain condition. In addition, our therapists will also utilize advanced treatment options that have a quicker response time in pain reduction.

The SEP with be exercises, stretches and conditioning elements that are specific to your pain complaint, for example with back pain it may involve back muscle and abdominal strengthening. When you have advanced away from the TPM program the SEP is structured to be useful when you have a flare of your symptoms, they can frequently be performed for a short time frame to assist in reducing the intensity and duration of your pain exacerbation.

The GEP is designed to address total body conditioning. We know that a body in motion tends to stay in motion and that a key element in managing pain is staying active. This is an exercise routine that should be completed 3 to 5 times per week.

The Therapeutic Pain Management is not a substitute for medical management, nor are we advocating for changes in any medication and other treatment. You are strongly encouraged to work with your physician concerning your medication management and other medical treatments that you and your physician determine are appropriate. We work with your physician as a critical element of your total pain management program.