Tag Archives: chronic pain

Chronic Pain

The Close Relationship Between Chronic Pain and Physiotherapy

The appearance of chronic pain can often have negative consequences on the quality of life of the patient. Therefore, it is important to approach it from different disciplines to ensure that the patient can carry out their usual activities, without feeling incapacitated, explains the Best Physiotherapist in Dwarka.


Chronic pain is one that lasts for more than three months, normally it is pain that is maintained, even if the cause that originates it is eliminated. It is related to changes in the nervous system and is characterized by the fact that the nerve in the affected area sends pain messages to the brain.

In many patients, chronic pain remains, although the cause that causes it disappears, therefore, in many cases it is difficult to establish a treatment.

Chronic pain can appear in any part of the body and can be disabling for the patient and prevent him from carrying out normal activities. Being a pain that lasts over time, it can have psychological consequences in the patient, and can directly affect their quality of life.

Types of chronic pain

Regarding the types of chronic pain, it is possible to differentiate, first of all, nociceptive pain, which implies that nocioceptors detect noxious stimuli. These receptors are located in the skin, in this case we speak of somatic pain, and in internal organs, which is known as visceral pain. This type of pain is characterized by being constant and sharp. For example, pain after surgery.

On the other hand, neuropathic pain differs. In this case, the pain is related to the abnormal interpretation of nerve impulses by the brain. In many cases, it is related to a nerve injury. In this case, it is a pain that is difficult to diagnose and treat, since in many cases it is difficult for the patient himself to detect and explain the symptoms he presents.

Third, there is psychogenic pain, caused by mental processes and not by physiological causes. In these cases, the patient usually needs psychological treatment.

Diagnosis of chronic pain

For the diagnosis of chronic pain, it is essential to carry out a study of the patient’s medical history, in which the possible causes related to the appearance of pain are observed.

In addition, a physical examination of the patient will be carried out and necessary diagnostic tests will be carried out, such as, X-ray, MRI or CT.


Once the diagnosis of chronic pain has been made, the patient undergoes treatment. In the first place, an anti-inflammatory treatment is usually prescribed, which relieves pain in the patient.

In other cases, physiotherapy in Dwarka or acupuncture treatment is used, with the aim of treating the patient’s nervous system. In addition, as explained above, the patient usually requires psychological treatment, which helps him to live with the pain, so that it does not affect his quality of life to a great extent.

Physical therapy to treat chronic pain

In patients with chronic muscle or joint pain, physiotherapy treatment in Dwarka is one of the most used, since it offers good results and allows the patient to carry out their usual activities. In addition, this treatment teaches the patient to control pain through various techniques, and thus increases the patient’s self-confidence.

Physiotherapy treatment in Dwarka focuses on strengthening the muscles, which helps to avoid injuries derived from the main injury and helps the patient to achieve a balance of the musculoskeletal system.

One of the key points of Physiotherapy in Dwarka is postural re-education, which can help prevent injuries and help relieve pain.


Usually, dealing with chronic pain can be a hard experience for the patient, which directly affects their quality of life. Therefore, although chronic pain is unavoidable, there are certain guidelines that can help the patient to live with chronic pain.

In the first place, it is important that the patient follow the prescribed treatment, and that he changes certain lifestyle habits: he must have a routine, a healthy diet and, it is advisable, carry out a constant moderate exercise that, among other things, will help to manage the stress that this situation can cause.

In addition, the patient, in many cases, will have to resort to psychological treatment, which helps to control anxiety and stress generated by chronic pain. In many cases, it is advisable to resort to associations, with the aim of dealing with people who are in the same situation.

As explained, chronic pain is unavoidable. However, it is important that the patient follow certain guidelines and go to the appropriate specialist, to avoid significantly affecting their quality of life. Says the physiotherapist in Delhi.

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Sexuality And Chronic Pain: How Can Physiotherapy Help You?

Sexuality is a subject that is sometimes taboo and that it is often difficult to approach it as well with those around you as with a sexologist in Delhi. However, this act occupies an important place in couple relationships and is an integral part of the daily life of many individuals.

Although often associated with pleasure, sexual relations must also be perceived as a physical activity since they require certain physical capacities to be carried out. This is why, when a person suffers from chronic pain, it can be difficult to continue practicing normal sexual activity.

Physiotherapist in Dwarka frequently works with people with chronic pain to help them better manage their pain. In this article, he discusses the impact that chronic pain can have on sexuality and the role that physiotherapy in Dwarka can play in such circumstances.

What is chronic pain?

Pain that persists beyond the normal healing time of more than three months is generally categorized as chronic pain. Several types of chronic pain exist and certain types are more frequently observed than others (e.g. chronic lumbar pain).

Several causes, often unidentified, can be the cause of the problem. In some cases, a physiological component (eg sensitization of the central nervous system, the excitability of the nerves, etc.) plays a role in the pain felt. This is why, even when an injury is considered healed, the brain can continue to send a pain signal to the body of varying intensity, causing chronic pain.

The impact of chronic pain on sex

As we know, sexual activity, like physical activity in general, requires a minimum of effort. If you suffer from chronic pain, this effort can cause or increase the pain and create discomfort during sexual activity. There are various factors related to the pain that can have an impact on sexuality:

  • Changing physical abilities: Chronic pain can affect your physical abilities, even at the sexual level, in two different ways. The bad feeling can limit certain movements or even lead you to inactivity. This can affect your joints (which become stiffer) and your muscles (which become weaker). Your physical capacities will be reduced and your movements will be more painful. In the end, you may abstain from having sex to avoid getting hurt.
  • Fear of being in pain: The pain experienced during physical exertion, such as during sex, can cause you to be afraid of moving, which will ultimately make you less sexually active.
  • Decreased energy and fatigue: Whether it is out of fear or simply because of the pain felt, being less active or even inactivity, leads to deconditioning (reduction in physical capacity). This deconditioning can lead to fatigue and thus decrease energy during sexual activity and even extinguish your libido.

If you suffer from chronic pain, the ailment can take up all the space in your life, causing tension in your relationship and can even lead to isolation.

You may then end up in one or other of these situations and enter what is called a deconditioning loop.

Sexuality and chronic pain: how can physiotherapy help me find satisfactory sexual activity?

The physiotherapist in Janakpuri can help you find or maintain regular and pleasant sexual activity despite the pain. By addressing the problem with him, he will be able to help you identify the source of your problem (physical aspect) and then offer you personalized solutions.

Are my problems due to pain?

By helping you to better understand your pain (eg: Is it increased during physical activity? If yes, by which movements, which positions, etc.? Is it the fear of injury that prevents activity? ), the physiotherapy doctor in Dwarka will guide you towards various solutions:

  • Better plan your sexual activity: Choose the right time according to your pain onset cycle (morning, evening, etc.). This tip will help you better plan and maintain your strength for this day.
  • Control your pain: Find ways to relieve your pain by physically preparing for the activity (e.g., applying ice or heat, adjusting room temperature, massage, breathing, etc.).
  • Respect the limits of your pain: Recognize your limits and find balance, because a slight increase in pain is not necessarily a sign of injury. This awareness will help you reduce the fear of injury.
  • Favor comfort positions: Favor sexual positions that suit you. Use accessories that will help you feel good (e.g. pillows, towels, etc.). At this stage, it is also important to express your needs to your partner so that he understands your situation and can adapt to it.

Are my problems due to mobility?

After assessing whether your general mobility is reduced or whether it is a localized decrease, the best physiotherapist in Dwarka will recommend various mobility and flexibility activities. Here is an example of an exercise program for lumbar mobility and an exercise program for lumbar flexibility. These exercises will facilitate the mobility necessary for your sexual activities.

Are my problems due to lack of strength?

Depending on the assessment of your current condition, the physiotherapist in Uttam Nagar will suggest a specific training program to increase your muscle strength. Here is a lumbar strengthening and stabilization exercise program that will help you in the practice of your sexual activities. For example, in the case of lower back pain, it will work to strengthen:

  • The transverse abdomen: This deep abdominal muscle helps stabilize your lumbar region (lower back). It helps reduce your pain and helps prevent new episodes of low back pain.
  • The pelvic floor: This stabilizing muscle in the pelvis (often weakened following childbirth) contributes to better lumbar stabilization and therefore better control of your pain.

Are my problems due to my physical condition?

The physiotherapist in Delhi can also help you improve your physical condition (cardiac, pulmonary and respiratory capacity) which will have an impact on your endurance during sexual activity. He will gradually offer you different endurance activities specific to your level of conditioning (ex .: walking for some, aquafitness or cycling for others).

In closing, according to Dr. Sarwar, “the hardest part is often to take the first step and talk to your healthcare professional about it.” Once this step is successful, you will have solutions adapted to your situation that will allow you to live better with pain and manage it better.

This will allow you to resume your sexual activities and continue practicing physical activities despite the pain. Your quality of life, as well as that of your partner, will be greatly improved.