09/10/2025
There’s a lot of BS about pain out there 😔
🌟 Advice:
- Pain is s**t and real, and can be influenced by a lot of factors
- Pain isn’t a direct sign of damage, it’s more a signal for protection
- Imaging often shows normal, activity/age related changes e.g. degeneration and arthritis… even in people without pain
- There’s no need for ongoing passive care, but there’s a need for lifelong movement and management
- Strength training can help wellbeing and function alongside pain
🌟 Practical Tips:
- Regular movement snacks e.g. 5min walking or stretching
- Vary your posture. The “best” posture is the next one
- Avoid marketing bullsh1t that tells you there’s only one way to sleep/squat/breathe
- Sleep routine, stress management, eating well and social support helps
🌟 Motion is Lotion
- Pace, don’t push. Find what you can do comfortably and build up gradually
- Choose movements you enjoy e.g. dancing, swimming, walking
- Expect setbacks. A flare-up = your system being protective, not you doing damage. Adjust and adapt
🌟 See a health professional (e.g. EP, physio, psychologist, GP) if:
- Pain is worsening or affecting sleep/mood/movement
- Unexplained weight loss, fever, numbness, weakness or night pain that doesn’t change with position
- Pain lasts longer than a couple of weeks and you’re unsure how to manage
- You want support to safely move again
💚 Signs of a Reliable Clinician:
- Updates knowledge according to evidence
- Emphasises active management of pain
- Doesn’t leave you thinking your body is broken
- Encourages questions and shared decision-making
- Doesn’t over-medicalise your pain
- Helps you set functional goals, and is honest about aiming for “zero pain”
🚩Yellow/Red Flags in Clinicians
- Over-reliance on scans
- Thinks they have magic hands
- Treats your body like a machine that needs fixing
- Says you’re “out of alignment” or activating the “wrong” muscles
- Uses fear e.g. “Don’t lift or you’ll hurt yourself again”
- Completely ignores your context e.g. stress, work, sleep, emotions
🙋Useful Questions for Clinicians:
- “What evidence is this based on?”
- “What happens if I don’t get this treatment?”
- “What can I do for myself?”