You didn’t fail rehab, you just didn’t do the right rehab

𝗪𝗵𝘆 𝗺𝗼𝘀𝘁 𝗽𝗲𝗼𝗽𝗹𝗲 𝗳𝗮𝗶𝗹 𝗿𝗲𝗵𝗮𝗯 𝗮𝗻𝗱 𝘁𝗵𝗲 𝗹𝗶𝗸𝗲𝗹𝘆 reason 𝘆𝗼𝘂 𝗵𝗮𝘃𝗲 ⁣

𝘕𝘰𝘸 𝘩𝘦𝘳𝘦’𝘴 𝘢 𝘵𝘳𝘪𝘨𝘨𝘦𝘳 𝘸𝘢𝘳𝘯𝘪𝘯𝘨. ❗️ ⁣

Most people 𝗳𝗮𝗶𝗹 𝗿𝗲𝗵𝗮𝗯, it’s estimated around 𝟹𝟶% 𝘰𝘧 𝘤𝘭𝘪𝘦𝘯𝘵𝘴 𝘢𝘥𝘩𝘦𝘳𝘦 𝘵𝘰 𝘢 𝘱𝘩𝘺𝘴𝘪𝘰𝘵𝘩𝘦𝘳𝘢𝘱𝘪𝘴𝘵𝘴 𝘨𝘶𝘪𝘥𝘢𝘯𝘤𝘦 of prescribed exercises⁣

From my experience personally and as a clinician I can break down why these numbers are so low, and how I manage to get my clients to engage to get long lasting results. ⁣

𝗙𝗶𝗿𝘀𝘁𝗹𝘆 𝘄𝗵𝘆 𝗽𝗲𝗼𝗽𝗹𝗲 𝗳𝗮𝗶𝗹:

• The assessments been too generic which has lead to basic exercises given⁣

• The movements don’t hold value to the persons pain experience ⁣

• The exercises don’t fit the persons true lifestyle and options - 10 sets of exercises 3 x daily doesn’t cut it ⁣

• The therapist hasn’t found a meaningful change in the session to show the clients body it has the ability to move without pain⁣

• There hasn’t been expectations set between therapist and client ⁣

• There is no structured plan for how the exercises are going to change in the persons real life goals ⁣

Now we 𝘀𝗲𝗲 𝘁𝗵𝗲 𝗽𝗿𝗼𝗯𝗹𝗲𝗺𝘀 𝘄𝗲 𝗰𝗮𝗻 𝗰𝗿𝗲𝗮𝘁𝗲 𝘀𝗼𝗹𝘂𝘁𝗶𝗼𝗻𝘀. ⁣

Overtime I have created 𝘀𝘆𝘀𝘁𝗲𝗺𝘀 to allow me to navigate these challenges⁣

Using a 𝘮𝘰𝘷𝘦𝘮𝘦𝘯𝘵 𝘣𝘢𝘴𝘦𝘥 𝘴𝘺𝘴𝘵𝘦𝘮 combined with 𝘀𝗼𝘂𝗻𝗱 𝗿𝗲𝗮𝘀𝗼𝗻𝗶𝗻𝗴 it has allowed very simple strategy to give people actionable changes. ⁣

Step 1 𝗳𝗶𝗻𝗱𝗶𝗻𝗴 𝘁𝗵𝗲 𝗿𝗼𝗼𝘁 𝗰𝗮𝘂𝘀𝗲 :⁣

Not just looking at the point of pain, but looking back in the persons movement history can show why they move the way they do. ⁣

This is then reinforced in a movement assessment to see objectively does it pair with their history⁣⁣

What lead to that area becoming sensitised⁣⁣

Now we have an idea as to the zoomed out picture we can look to treat. ⁣

Step 2 𝗽𝘂𝘁𝘁𝗶𝗻𝗴 𝗼𝘂𝘁 𝘁𝗵𝗲 𝗳𝗶𝗿𝗲 🔥 :⁣

We then use whatever interventions best desensitise the painful area, whether it be a treatment of the local tissue, something for the nervous system or simply offloading that area⁣

Step 3 𝗿𝗲𝗶𝗻𝘁𝗿𝗼𝗱𝘂𝗰𝗲 𝗽𝗼𝘀𝗶𝘁𝗶𝘃𝗲 𝗺𝗼𝘃𝗲𝗺𝗲𝗻𝘁 :⁣⁣

By this stage we should have made a simple win where movement doesn’t hurt like it did. ⁣

Now we use movement exercises or drills to reinforce to the persons body what movement options it needs or is missing. ⁣⁣

⁣We can then follow a structured programme of building from this to regain what the persons body is missing ⁣

And using graded exposure, strengthening and small wins it keeps the success frequent and gives obvious progress ⁣

Working with many clients who have failed traditionally therapy i commonly see step 1 and 3 completed poorly. ⁣

𝗧𝗵𝗮𝘁’𝘀 𝘄𝗵𝗲𝗿𝗲 𝘁𝗵𝗲 𝗺𝗮𝗴𝗶𝗰 𝗶𝘀 ⁣

⁣You can have the ingredients for a cake, but if you just chuck it all in a pan and hope it works it’s likely to come up short⁣

You’re destined for failure. ⁣

⁣There’s more to this game than just a couple generic exercises for knee pain, if it worked that easy then so many people wouldn’t fail. ⁣

𝗜𝘁’𝘀 𝗻𝗼𝘁 𝘁𝗵𝗮𝘁 𝗿𝗲𝗵𝗮𝗯 𝗱𝗶𝗱𝗻’𝘁 𝘄𝗼𝗿𝗸 𝗳𝗼𝗿 𝘆𝗼𝘂⁣

𝗬𝗼𝘂 𝗷𝘂𝘀𝘁 𝗵𝗮𝘃𝗲𝗻’𝘁 𝗱𝗼𝗻𝗲 𝘁𝗵𝗲 𝗿𝗶𝗴𝗵𝘁 𝗿𝗲𝗵𝗮𝗯