Your PT needs to consider the pain that your therapy causes so that you're able to do what you need to do to recover. My best advice is to just keep him or her informed concerning how much difficulty you have with your exercises. However, you will have to endure some discomfort for your therapy to be successful. Unfortunately many patients are resistant to doing the exercises that are essential to their recovery because they can be difficult and painful. So it is part of a PT's job to push you to do the activities necessary to your recovery. It's also his or her job to listen to your feedback about
how well you're able to tolerate your therapy and adjust accordingly. But you still should keep in mind that you will have to go through pain to successfully complete rehabilitation.
I guess what I'm trying to say is that, if you ended up with a bad headache after doing your exercises and your therapist, upon learning of this, refused to accommodate your headaches then you're right to be upset. But you won't have any success with your back problems if you don't want to or cannot do the exercises. Most PTs think in a very goal-oriented way, such that success is measured in the end result and in order to get your money's worth you have to go through some tough activities to reach your goals. Some therapists are truly inconsiderate--I don't mean to trivialize your unhappiness--but sometimes they really just want to encourage you to do what you need to do to recover. I don't really think it's fair to say that your therapist is the cause
of your pain, insomuch as you are the one who decides how much you'll go through. While sometimes the pain really is too much to bear, the therapist can't help if you don't follow his instructions.
I hope that you're able to find a way to get some exercise and to successfully complete your back therapy, with this therapist or another. Try to keep in mind that, especially for us for whom pain is such a big part of our lives, some causes are worth enduring the pain that's already part of our lives regardless.
Best of luck,
Oh, and in response to the original post: I think that mornings and late afternoons are hardest for me, probably because my energy wanes at those times. My pain is really bad at all hours but my ability to cope with it is directly related to my energy level.
DX: NDPH, Recovered CRPS
RX: Lamictal, Methylphenidate, Clonazepam, Wellbutrin XL, Namenda, Oxycontin, Oxycodone, Magnesium sup.
PRN: Ketamine nasal spray, Celebrex, Migranal, Haloperidol, Zyprexa, Lodine, Zofran, Phenergan, Thorazine, DHE IM, Droperidol IM, Toradol, Reglan, Ambien CR, Provigil, and all triptans
Post Edited (korbnep) : 6/1/2009 1:52:02 PM (GMT-6)