Pain management

Chronic or persistent pain is a common problem, often with conflicting diagnoses and advice.  Evidence suggests that the best approach to management differs from how acute problems have been managed.

Research evidence shows that best management needs a multifaceted approach.

This includes education to provide a basic understanding of the biology of pain.  This knowledge is to give some understanding of why things can still hurt well after the injured area could be considered to have healed, and to then give confidence to work with the pain rather than against it.

Helping persistent pain requires sensible, graded exercise in the context of an understanding of the pain.
Graded Motor Imagery (GMI) is another tool that has been shown to be effective as one part of management for persistent pain. It is a graded series of brain exercises to help improve and reorder the view or ‘representation’ of your body in the brain.

Often, helping with persistent pain also requires an understanding GP/physician and psychologist, and communication between the parties.

Click on this link to read more at, including evidence for its effectiveness.

It is worth having a look at some of the blog entries under pain neuroscience for recent information.