Posts Tagged ‘Psychology’

Earlier this week, I wrote about how Lindsey Vonn was having cheese applied to her injured shin as a part of the treatment regimen. I went on to discuss how the how a patient’s confidence in treatment can affect the end result.

As I was thinking this week, I recalled a webinar on the low back by renowned Physical Therapist, Dr. David Magee. He made a couple of interesting points on this subject during the webinar.

  1. He spoke of a case in which he was treating a woman with back pain who was from the Middle East region and still had family living there. It was during a time of war and upheaval in the particular region that I cannot recall. If the woman had recently talked with her family and had recently had a good report about the safety of her loved ones, her mood was improved and her back symptoms were improved. If she hadn’t heard from her loved ones in several days, her anxiety increased – as did her back symptoms.
  2. He also spoke of a strategy where after treatment, the physical therapist would remark – “well, that feels better doesn’t it.” This wasn’t done to pull the wool over someone’s eyes so to speak but to simply reinforce some of the good things that have taken place during the treatment session.

Psychology does collide with the treatment process and I was reminded of these examples this week.

I am treating a patient right now with a shoulder injury. He is making a lot of progress at this time and is headed in the right direction. He was treated for the same injury at a local clinic this past summer and I remember seeing him at the time and he was talking about his treatment experience. For whatever reason, he had no confidence in the treatment strategy that was being used and the results were limited. With the treatment he is currently undergoing, his confidence level has been high and the results have been very positive thus far.

I don’t say that to brag because I have been on the flip side many a time. I have been the person “at that other clinic before.” Patient’s begin to question to process and the rationale and that does affect their willingness to participate in treatment and their confidence about the process.

And as always – psychology must also be paired with sound treatment strategies in order to really have a chance to achieve the results you and the patient are hoping to achieve.

Some more things to consider regarding the intersection of treatment and psychology.

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