07/08/2023
A funny thing about pain, is that it is not a reliable measure of damage.
When I completely ruptured my Achilles Tendon I had ZERO pain but the most damage. On the contrary, immediately after it was confirmed that my healing was adequate and it was safe to move from the cast to a walking boot, my pain went through the roof when I tried to weight bear for the first time.
Why? Because pain is more about the threat of damage (real or PERCEIVED) than the damage itself. My body was warning me not to get too crazy on my newly healing tendon - message received loud and clear. This pain message did not, in anyway indicate something had gone wrong with the surgery or that there was another problem to be addressed- it was simply protective.
But what happens next? If I had stopped, panicked, or avoided walking again my nervous system would have taken on that feedback and learned that yes, walking is dangerous, should be avoided and is a threat. Cue more pain. Fear of pain leads to avoidance which leads to more perceived threat which leads to more pain 🤯.
But that’s not what I did, and that’s not what we encourage our patients to do. We re-establish movements that are important to us by working WITH the pain. Yep. The pain is going to be there, right beside you, trying to stop you like some nagging, overprotective parent. We breathe, we use positive self-talk (I am SAFE, I am RESILIENT, I am STRONG, this is NECESSARY), and we start moving to teach our pain response that there is no threat, that the movement is safe, and there is no need for all the warning bells to be firing off.
If you’ve had pain for a while, and that’s led you to avoid some movements or activities, it’s not too late! Yes, you might temporarily awaken the pain beast, but that’s part of reconditioning the system and you CAN get to the other side!!!
We’ve got this.
(Check out the video in the comments for the first few steps then check my recent reels and stories for where I am now, 5 months post surgery!)