You didn’t fail rehab, you just didn’t do the right rehab
𝗪𝗵𝘆 𝗺𝗼𝘀𝘁 𝗽𝗲𝗼𝗽𝗹𝗲 𝗳𝗮𝗶𝗹 𝗿𝗲𝗵𝗮𝗯 𝗮𝗻𝗱 𝘁𝗵𝗲 𝗹𝗶𝗸𝗲𝗹𝘆 reason 𝘆𝗼𝘂 𝗵𝗮𝘃𝗲
𝘕𝘰𝘸 𝘩𝘦𝘳𝘦’𝘴 𝘢 𝘵𝘳𝘪𝘨𝘨𝘦𝘳 𝘸𝘢𝘳𝘯𝘪𝘯𝘨. ❗️
Most people 𝗳𝗮𝗶𝗹 𝗿𝗲𝗵𝗮𝗯, it’s estimated around 𝟹𝟶% 𝘰𝘧 𝘤𝘭𝘪𝘦𝘯𝘵𝘴 𝘢𝘥𝘩𝘦𝘳𝘦 𝘵𝘰 𝘢 𝘱𝘩𝘺𝘴𝘪𝘰𝘵𝘩𝘦𝘳𝘢𝘱𝘪𝘴𝘵𝘴 𝘨𝘶𝘪𝘥𝘢𝘯𝘤𝘦 of prescribed exercises
From my experience personally and as a clinician I can break down why these numbers are so low, and how I manage to get my clients to engage to get long lasting results.
𝗙𝗶𝗿𝘀𝘁𝗹𝘆 𝘄𝗵𝘆 𝗽𝗲𝗼𝗽𝗹𝗲 𝗳𝗮𝗶𝗹 : q
- The assessments been too generic which has lead to basic exercises given
- The movements don’t hold value to the persons pain experience
- The exercises don’t fit the persons true lifestyle and options - 10 sets of exercises 3 x daily doesn’t cut it
- The therapist hasn’t found a meaningful change in the session to show the clients body it has the ability to move without pain
- There hasn’t been expectations set between therapist and client
- There is no structured plan for how the exercises are going to change in the persons real life goals
Now we 𝘀𝗲𝗲 𝘁𝗵𝗲 𝗽𝗿𝗼𝗯𝗹𝗲𝗺𝘀 𝘄𝗲 𝗰𝗮𝗻 𝗰𝗿𝗲𝗮𝘁𝗲 𝘀𝗼𝗹𝘂𝘁𝗶𝗼𝗻𝘀.
Overtime I have created 𝘀𝘆𝘀𝘁𝗲𝗺𝘀 to allow me to navigate these challenges
Using a 𝘮𝘰𝘷𝘦𝘮𝘦𝘯𝘵 𝘣𝘢𝘴𝘦𝘥 𝘴𝘺𝘴𝘵𝘦𝘮 combined with 𝘀𝗼𝘂𝗻𝗱 𝗿𝗲𝗮𝘀𝗼𝗻𝗶𝗻𝗴 it has allowed very simple strategy to give people actionable changes.
Step 1 𝗳𝗶𝗻𝗱𝗶𝗻𝗴 𝘁𝗵𝗲 𝗿𝗼𝗼𝘁 𝗰𝗮𝘂𝘀𝗲 :
Not just looking at the point of pain, but looking back in the persons movement history can show why they move the way they do.
This is then reinforced in a movement assessment to see objectively does it pair with their history
What lead to that area becoming sensitised
Now we have an idea as to the zoomed out picture we can look to treat.
Step 2 𝗽𝘂𝘁𝘁𝗶𝗻𝗴 𝗼𝘂𝘁 𝘁𝗵𝗲 𝗳𝗶𝗿𝗲 🔥 :
We then use whatever interventions best desensitise the painful area, whether it be a treatment of the local tissue, something for the nervous system or simply offloading that area
Step 3 𝗿𝗲𝗶𝗻𝘁𝗿𝗼𝗱𝘂𝗰𝗲 𝗽𝗼𝘀𝗶𝘁𝗶𝘃𝗲 𝗺𝗼𝘃𝗲𝗺𝗲𝗻𝘁 :
By this stage we should have made a simple win where movement doesn’t hurt like it did.
Now we use movement exercises or drills to reinforce to the persons body what movement options it needs or is missing.
We can then follow a structured programme of building from this to regain what the persons body is missing
And using graded exposure, strengthening and small wins it keeps the success frequent and gives obvious progress
Working with many clients who have failed traditionally therapy i commonly see step 1 and 3 completed poorly.
𝗧𝗵𝗮𝘁’𝘀 𝘄𝗵𝗲𝗿𝗲 𝘁𝗵𝗲 𝗺𝗮𝗴𝗶𝗰 𝗶𝘀
You can have the ingredients for a cake, but if you just chuck it all in a pan and hope it works it’s likely to come up short
You’re destined for failure.
There’s more to this game than just a couple generic exercises for knee pain, if it worked that easy then so many people wouldn’t fail.
𝗜𝘁’𝘀 𝗻𝗼𝘁 𝘁𝗵𝗮𝘁 𝗿𝗲𝗵𝗮𝗯 𝗱𝗶𝗱𝗻’𝘁 𝘄𝗼𝗿𝗸 𝗳𝗼𝗿 𝘆𝗼𝘂
𝗬𝗼𝘂 𝗷𝘂𝘀𝘁 𝗵𝗮𝘃𝗲𝗻’𝘁 𝗱𝗼𝗻𝗲 𝘁𝗵𝗲 𝗿𝗶𝗴𝗵𝘁 𝗿𝗲𝗵𝗮𝗯