The ADAPT programme – Pain clinic
I started writing this on the second day of the ADAPT programme – this was over one month ago! Unfortunately I sat down for too long on the night of the second day, and caused a pretty big flare up which left me in significant pain for about 2 days. Typical.
Anyway bag to the main topic – Pain.
I was going to write this in a day to day style blog of the programme’s contents, but that became way too difficult, particulary as I was more often than not in a flare up.
I am going to start this pain blog off with a glossary, because even though I have previously noted some definitions, I will refresh them and also make notes of others.
- Acute pain: pain that lasts the duration of an injury only. This is specifically defined as less than three (3) months.
- Chronic pain: pain that is prolonged and continues beyond three months – it may be for months, years, or decades. It may even last for the rest of your life.
- Pain level: I will usually comment on pain levels at some time. I will always use the (0-10) method of describing pain. 0 will imply no pain. 10 will imply the worst pain imaginable.
- Flare Up: an increase in pain, above usual levels. This could be anywhere up to a level 10 pain. It may be debilitating, be sharp stabbing or throbbing pain. It may result in pain down a leg or arm that isn’t commonly felt, or may occur with certain movements or actions. i.e. when you walk you may get sharp shooting pain down your leg.
- Goals: something to work towards.
- Baseline: a level of activity initially worked out before an exercise programme, or activity time limit is applied. This is initially calculated by working out a level of activity you can manage before pain increases, then averaged and reduced by 20%. (read more about this in coming posts)
- Threshold: the level of activity that has been calculated from the baseline and then increased over time. (read more about this in coming posts)
- Desensitisation: a way of reducing the emotional impact (how bothersome it is – or bothersomeness) of severe pain.
- Bothersomeness: how much the pain is bothering you. (yes this word actually exists in some dictionaries 🙂 )
This programme is essentially about learning to live with pain. Initially we are given an introduction to chronic pain and what it is.
The main aspects of the programme are (not necessarily in this order):
- thought management
- exercises: strength and flexibility
- problem solving
- flare-up management
- continuing the changes
I am going to address each of these in order to try to give some insight into one of the only ways that you can use to deal with chronic pain.
I will combine each of these into groups as follows:
- Education and pacing
- Exercises and desensitising
- Thought management and goals
- Problem solving and communication
- Flare-up management and sleep
- sleep and continuing the changes
Last updated: 23th March 2015