What Types of Chronic Pains Require Physical Therapy?

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Better Posture, Better Health.

What Types of Chronic Pains Require Physical Therapy?

What is chronic pain?

Chronic pain is usually defined as pain that persists beyond the normal time that tissues take to heal following an injury. Most soft tissue injuries heal up within weeks, although some can take several months to completely heal.

Physical therapists can help with these conditions by working with patients to develop individualized plans using a range of treatment techniques designed to restore function and mobility, reduce pain, and improve quality of life. 

Physical therapy can be effective in treating these chronic pain conditions: 

1. Chronic muscle pain, also known as myofascial pain syndrome, is a condition that affects the muscles and the sheath of the tissue that surrounds the muscles. If the muscle pain has been experienced for an extended period of time, it is likely to lead to chronic pain. 

Chronic muscle pain can be caused by a variety of factors, including

  • Poor posture, and overuse of muscles
  • Over exercising, or usage of poor techniques leading to stress on muscles
  • Performing work activities using poor techniques that can lead to repetitive stress injuries
  • Anxiety and depression which can cause muscle tension, leading to significant myofascial pain

A physical therapist can help to determine the cause of your chronic muscle pain and develop a treatment plan to alleviate it.

2. Arthritis: It is an inflammation or swelling of one or more joints and there are many conditions that affect the joints, tissues around the joint, and other connective tissues. Arthritis pain can be relieved by being active physically, managing weight and protecting the joints. If the pain turns to be chronic, you should see the physical therapist and seek guidance.  

A physical therapist can develop treatment to reduce pain and minimize joint damage including exercises to strengthen the muscles around the joint and improve flexibility and reduce the load on the joints.

3. Fibromyalgia is a condition that causes pain all over the body, sleep problems and often emotional distress as it is a chronic pain disorder that affects the muscles and soft tissues. Patients with fibromyalgia are likely to be more sensitive to pain than patients without fibromyalgia. 

The cause of fibromyalgia is unknown, but it’s thought to be related to abnormal levels of certain chemicals in the brain and changes in the way the central nervous system processes pain messages carried around the body. However it can be effectively treated and managed with the help of a physical therapist. 

Physical therapy can be an effective treatment for fibromyalgia to help relieve some of the symptoms and make the condition easier to live with. Treatments can be one or combinations of:

  • Lifestyle changes, such as exercises and relaxation techniques
  • Talking therapies, such as cognitive behavioral therapy and acceptance and commitment therapy
  • Medicine, such as antidepressants
It is important to seek the guidance of a physical therapist if you are suffering muscle pain as they can help to determine the cause of your pain and develop a treatment plan that addresses your specific needs. PrimoCare is always ready to be with you along your entire health journey to improve your overall quality of life.
To analyze and assess the cause of chronic pain and receive proper treatment, you can visit PrimoCare Medical Clinic to get a consultation. We are ready to take care of your health ultimately. You can inquire or make an appointment in advance here.

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How can I treat chronic back pain?

Better Posture, Better Health.

How Can I Treat Chronic Back Pain?

According to research, 90% of middle-aged to elderly people are suffering from back pain. Back pain can be divided into many forms, from short-term pain to chronic pain that comes from a variety of causes whether it is a sprain bone pain or pain caused by an accident. In some cases, the back pain may be caused by being overweight as well.  

Chronic Back Pain

Uncomplicated muscle soreness generally resolves in less than a week but if you have back pain continuously for more than 2 weeks onwards or have other complications such as weakness, numbness, fever, history of trauma, unintentional weight loss, history of cancer, steroid use and intravenous drug use, you should consult with a doctor to identify the cause of pain and get treatment before chronic back pain occurs. However, chronic back pain is considered as one of the key symptoms of Office Syndrome. Myofascial Pain Syndrome is caused by repetitive work on the same muscle for a long period of time resulting in muscle inflammation and pain in various sites.

How to Prevent Chronic Back Pain?

The following methods will help prevent back pain. In order not to let it happen again, start doing these methods yourself.

  • Exercise 
    Many of you may think you should not exercise while you are suffering back pain. But in fact exercise is one of the best things you can do for your back pain. Stretching exercises can help you improve mobility at some stiffness areas of your body  such as your lower back and have a lot of benefits to not only your back pain symptoms but also improve your overall health status. And the exercises should be considered by a professional.
  • Control Body Weight
    Being overweight can result in back pain as the main function of the back muscle is to support the body stability and it should be controlled to be within the standard with nutritious food and exercising regularly to help prevent back pain.
  • Take a Break
    If you sit in any position for too long it can result in back pain. Try to rest for 10 minutes every 1 hour, and change the sitting position correctly. This can help prevent back pain.
  • Keep the Body Posture Properly
    Whether it’s sitting, standing, walking, or lying down, getting the right body posture until it becomes habitual is important. Because in addition to helping you to look better, it will also help prevent pain in different parts of the body as well.


Physical Therapy 

Physical therapy is the therapy to restore and strengthen the ability to use the body with various techniques through the audit method and treating the deficiencies of the body caused by the condition of the disease or abnormal movements. However, physical therapy may help relieve pain recovering from injury and help keep the body in balance.

Techniques and Methods of Physical Therapy

Physical therapy focuses on rehabilitation of various ailments with behavior modification together with exercise or use physical therapy tools such as:

  • The science of massage to relax after exercise (Sport massage)
    It is a muscle massage for exercisers or those who have been using heavy muscles and it is different from other massages. The relaxation massage after exercise will focus on deep muscle massage. In sport massage, various techniques are used so that people who exercise can use their muscles to their fullest potential and reduce the likelihood of injury while exercising

  • Ultrasound Therapy
    Ultrasound therapy is the usage of high frequency sound waves to reduce pain, swelling or inflammation of tissues. It accelerates tissue repair and loosen tense muscles as well as increasing the flexibility of the joints in the deep layers. It can also be used to help in the treatment of office syndrome as well.

  • Shockwave Energy Therapy
    Shockwave therapy has the ability to stimulate the injured fascia so that the body can create new muscle cells and helps to break down the fascia and loosen the muscle layer. Shockwave energy has the ability to relieve chronic pain.

Physical Therapy Procedures

Physical therapy is one of the important steps in helping to restore the bones and muscles of the body through the use of techniques such as the science of massage, relaxation after exercise (Sport massage), ultrasound therapy and shockwave therapy, etc. The treatments in addition to physical therapy, also include

  • Assessment of the body structure to determine the cause of illness, pain, muscle inflammation, chronic pain and the balance of the body.
  • Building knowledge and understanding to adjust working posture as appropriate for individual.
  • Educating and promoting exercise continuously in the right way so that the muscles are strong and flexible in order to prevent muscle injuries

Who Should Get Physical Therapy?

Physical therapy can be performed both before and after having abnormal symptoms as physical therapy is about taking care of and restoring the functioning systems of different parts of the body such as muscles, bones and blood circulation in order to work more efficiently

  • Office syndrome patients : Many symptoms like painful symptoms related to the musculoskeletal system can affect daily life or cause movement impairment. These symptoms can be treated with physical therapy to restore the patient to be able to return to daily life as usual.
  • People with chronic back pain: There are many types of physical therapy to reduce chronic back pain such as ultrasound, electrical stimulation, or physical therapy with muscle relaxation including adjusting the patient’s daily posture to be correct
  • People with neck and shoulder pain : Physical therapy can treat and relieve aches and pains so that everyone can go on with their daily lives as usual. The doctor will make a diagnosis and consider the appropriate treatment for each patient by focusing on treatment at the root cause of symptoms including alleviating pain to a minimum

However, visit Primocare Medical Clinic to identify and assess the body structure to treat aches and pain and myositis chronic pain. We are ready to take care of your health completely with prevention and maintaining physical health by exercise management with the use of specialized tools. You can inquire or make an appointment in advance here.


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Better Posture, Better Health.

    /    บทความ    /    Better Posture, Better Health.

Better Posture, Better Health.

Better Posture, Better Health.

Body aches can result from sitting in the improper position for an extended period of time. Not only can it cause aches and pains, but it also has a negative impact on the circulatory system and nerves. As a result, adjusting your sitting habits can make your body healthier.

Sitting positions to avoid

In everyday life, sitting in a comfortable position, there’s a chance you’ll end up hurting your health more than you think. If you have risky behavior by sitting in the following postures. For greater health, try modifying your habits.

  • Hunchback : By tensing the muscles, this sitting posture has a direct effect on the spine. It can cause pain in the shoulders and hips, as well as the possibility of irreversible bone abnormalities. 
  • Squat : Knee bursitis can be caused by squatting because the outer knee support bone slides forward. It causes conflicting knee cartilage and knee joints, straightening the legs immediately after getting up will cause soreness in the joints and symptoms of knee osteoarthritis.
  • Sitting Chin On Hand : Sitting with your chin on your hand will not only make you look impolite, but it will also affect the wrist bones. And has a bad effect on the face, generating wrinkles as a result of pressing the hands against the face for a long period of time.
  • Cross-Legged : Sitting cross-legged in the same position for an extended period of time can harm the knee and lead to osteoarthritis. It can also cause beriberi, which is a condition caused by prolonged pressure. It can potentially lead to long-term spinal problems.

Improve your habits for better health

When you recognize the source of pain caused by sitting posture, try to make an effort to change your regular routine for greater health

  • Sit up with your back straight : Sitting with a hunchback stiffens the spine, which causes muscular and joint fatigue. It will help to keep your spine in place if you sit with your back straight. However, hunchbacks affect more than just your back. It also has a negative impact on the internal organs, the lungs and intestines will also have to work harder.
  • Keep your wrist in a neutral position : The desk should be situated to the height of your forearms and your arms should be bent at 90 degrees to relax your shoulders while also preventing hand stretching or wrist bending
  • Change your posture : Every 30 minutes, change your posture by altering your seating position or standing up. Alternatively, go for a walk and rest for a while to relieve the stress that can lead to muscle problems.
  • Stay active : Any type of exercise can help improve your posture, but certain exercises are especially beneficial. Yoga, tai chi, and other classes focusing on body awareness are among them. Exercises that strengthen your core are also recommended (muscles around your back, abdomen, and pelvis).

Risky group

Those who must spend a significant amount of time in front of a computer. Chronic muscle aches and pains can be caused by sitting in the improper position. Modifying behavior begins with sitting properly, which includes sitting up straight, not bending your neck, keeping your head straight, adjusting the chair level to fit the table, aligning the eye level with the computer monitor, having a backrest and two armrests to prevent shoulder tightness from being lifted. To avoid headaches and eye strain, you should also rest your eyes after using the computer for a long time.

Physical Therapy can help.

Sitting in the wrong position can lead to office syndrome, which is produced by the body repeating the same posture for an extended period of time. Physical therapy can aid in the recovery of your body by providing guidance on how to restore your body to its proper position.

If you’d like to schedule an appointment to get your form analyzed and evaluated to find the cause of soreness, tiredness, and joint pain, along with aches and pains stemming from muscle inflammation. You can get help at Primocare Medical Clinic which is prepared to look after your physical and mental health. You can make an appointment in advance here.