Chronic pain; It is the pain that has been going on for many years and that the person continues to feel despite many treatment approaches. People may feel pain at certain intervals, during certain periods, or constantly. Chronic pain is very common and affects people all over the world. Many pharmacological (medication) approaches to dealing with chronic pain are increasing exponentially. Most of these approaches are ineffective and involve significant risks such as addiction to the drugs used and death. Non-pharmacological approaches are recommended as a first-line treatment option for individuals experiencing chronic pain.
Physiotherapists can effectively treat patients with chronic pain and other musculoskeletal disorders with Manual Therapy; However, these practices must be implemented correctly and by the right people. Manual therapy; It is a treatment parameter, a holistic concept application applied by physiotherapists, which includes techniques based on anatomy and biomechanics for the spine or body parts, and also considers the patient as a whole with a biopsychosocial approach. The traditional approach to manual therapy assumes that the correct choice of technique and precise application are the key to a successful outcome for the practitioner. According to this view, the results obtained are directly associated with the intervention applied.
Physiotherapists who apply manual therapy are ideal for individuals with chronic pain, accepting the complexity of the manual physical therapy experience and as a result of various international concept trainings received after undergraduate education. are considered practitioners. A substantial change may be needed in the perception of the development, maintenance and modulation of these pains. Pain is an experience that is regulated by active sensation, level of consciousness, and emotional processes and is greatly influenced by the patient's expectations, mood, desires, and past experiences. Limiting pain perception to an impairment is outdated.
A very broad approach recognizes the influence of patient and therapist factors, including not only personal and situational patient characteristics, but also the patient's and therapist's cultural biases, beliefs, and experiences. . In addition, this view is true It acknowledges the interaction between patient and manual physiotherapist, which can make important outcome contributions directly (i.e. choice of intervention) or indirectly (i.e. modified expectations or mood).
Finally, this approach includes psychosocial strategies. and the incorporation of additional targeted interventions, such as exercise, that increase the effectiveness of manual therapy to reduce the impact of pain and/or promote and maintain positive behavioral change.
Manual therapy is often one component of a comprehensive treatment and can be used more than once to influence clinical response. intervention may interact. Patient education is an important component of the manual physiotherapy interaction, and the nature and content of education can greatly influence treatment effectiveness, especially in relation to pain.
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