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Physiotherapy works: Chronic pain

For appointments/enquiries, please SMS/Call/WhatsApp 96402670

Physiotherapy maximises activity, improves quality of life and promotes self-management for people with chronic pain.

What is chronic pain?

Chronic, persistent or long-term pain is pain continuing beyond 3 months or after healing is complete.(1)

Affecting adults and children, it may arise from tissue damage or inflammation or have no identified cause. It can affect a specific body area (e.g. Complex Regional Pain Syndrome, low back pain (LBP), pelvic pain) or be widespread (e.g. fibromyalgia). Chronic pain is a complex condition with physical, social and psychological components, which can lead to disability, loss of independence and poor quality of life (QoL).(2)

Cost of chronic pain

  • Pain is the second most common reason for claiming incapacity benefit, costing £3.8 billion annually(17)
  • £584 million a year is spent on prescriptions for pain(15)
  • Annual healthcare costs for patients with chronic LBP are double those of matched controls (£1,074 vs. £516).(18)

Physiotherapy

Significant impact Chronic back pain affects

  • 1.6 million adults per year
  • 7.8 million people in the UK live with chronic pain
  • Chronic pain accounts for 4.6 million GP appointments per year

Physiotherapy in hospitals, clinics and the community aims to achieve healthy levels of activity and self- management for people with chronic pain.(3) Clinical and cost-effectiveness evidence supports using a cognitive behavioural approach addressing both physical limitations and people’s beliefs about, and understanding of, their condition.(4) People with multiple health issues or whose pain is causing significant physical, psychological or social problems may require management by a multidisciplinary pain service. Specialist physiotherapists identify reasons for lack of progress in rehabilitation, such as fear avoidance of movement or unhelpful patterns of over-and under-activity.

GP referral to services for advice and exercise improves outcomes and is cost-effective.(5) Using a risk-stratification tool and providing risk-matched treatment improves the condition, shortens time off work, reduces sickness certification and healthcare costs.(6)

Manual therapy or acupuncture may produce short term benefit(7), but evidence supports the use of active treatments such as therapeutic exercise.(5) Multidisciplinary pain management programmes (PMP)(8)including physiotherapy(9) are an effective intervention for people with chronic pain(3,8) and cost-saving compared to physiotherapy alone.(10)

25% of people with chronic pain lose their jobs(15)

Physiotherapy supports and enables people with chronic pain to remain in or return to work.(3) Mindfulness(11) and acceptance & commitment therapy (ACT) have been shown to be as effective as cognitive behavioural therapy (CBT) and are used in some centres.(12) Physiotherapists signpost people to online and community resources to support ongoing selfmanagement.(3) Increasingly physiotherapists use prescribing skills to optimise medication use.(13)

Case study

The Best multi-centre randomised controlled trial, involving 56 general practices across seven English regions, compared active management (AM) of patients with sub-acute or chronic LBP against AM plus CBT.

Outcomes measured included physical and mental QoL, fear avoidance beliefs and pain self-efficacy. Cost utility was evaluated using NHS costs. AM plus CBT had higher per-person costs (£178) and higher QoL. AM is highly cost-effective at currently accepted thresholds: Cost per quality-adjusted lifeyears (QALY) is about half that of competing LBP interventions.(14)

Conclusion

Chronic pain can impact significantly upon physical, emotional and social wellbeing. Physiotherapy utilising a broad scope of practice can safely and cost-effectively support and guide people with long term pain towards the best possible quality of life.

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Our Physio & Rehab Expertise

Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.

Areas of specialization

  • physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
  • hand therapy: forearm, wrist, hand and fingers
  • podiatrist: leg, calf, ankle, foot and toes
  • read more on our specializations here

All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.

Initially, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover. They then provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

To call for inquiries or appointments, please contact us at:

SMS/Call/Whatsapp: 96402670

Email: ask@specialistrehabgroup.com

Tell A Friend About Us

We appreciate you as a patient and want you to know that the #1 way we grow as a clinic is through word of mouth referrals from valued patients like yourself.

We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients.

When you have the opportunity, please take the time to tell your family, friends and physicians about the positive results and experience you have had in our clinic.

Thank you so much, and stay healthy!

SPECIALIST REHAB APPOINTMENTS & ENQUIRIES
Please Call/SMS/WhatsApp to
96402670, thanks!

Disclaimer
We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.

The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver.

The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at 96402670, thanks!

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EMAIL US

ask@specialistrehabgroup.com

Physio, Rehab &  Insurance

Your physio, hand therapy and rehab with us may be covered under your medical insurance or cashless - find out more here.

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Testimonials

Finally I know what I have, my pain decreased and now I'm back to work!

Derrick
Regional Sales Manager

OMG. The pain levels in my hands have dropped dramatically, about 60-70%

Deepak
Banker

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