Management of referred pain

• Management of referred pain problem list - pain:

  • Consider possibility of referred pain (somatic or radicular)
  • Suggested techniques:
  • manual techniques such as PAVIMS / SNAGS
  • Somatic pain: consider area it refers to
  • Radicular pain: release or manual therapy tech on nerve entrapment sites
• Management of referred pain problem list - stiffness:

  • Suggested techniques: manual therapy into resistance, stretching, ROM exes
  • Consider the possibility of inflammation and/or swelling
• Management of referred pain problem list - Reduced ROM:

  • Suggested techniques: Address stiffness, active exercises, active/assisted or passive exes as appropriate, passive physiologicals
• Management of referred pain problem list - Muscle Weakness:

  • Consider if peripheral muscle weakness is secondary to radiculopathy
  • Suggested techniques:
  • Muscle strengthening
  • Consider manual therapy techniques to offload nerve / nerve root if appropriate Monitor
• Management of referred pain problem list - Low Muscle Endurance:

  • Suggested techniques: Build muscle endurance
• Management of referred pain problem list - Return to work / function / sport:

  • Suggested techniques: Gradually build capacity, strength and return to function