Pain Science

What is your take on this two articles?

While in general it seems okey, It talks about micro re-injuries that you can not feel and many thinks that I’ve found counter-intuitive to bbm approach on injuries. On the other hand bbm uses his articles when it comes to pain.For example,

"The risk of re-injury and collateral injury is a significant factor in many cases of chronic pain. Minor re-injury can stop healing in its tracks, or at least slow it down. Injury “prevention” is therefore not just a way of keeping yourself from getting injured in the first place, but directly relevant to recovery from obvious injuries that have already happened. Double or triple your alertness and caution when limited by an injury, and bear in the mind the risk of minor re-injury turning an injury into a chronic pain problem.

We’re not just talking about the risk of a second “oh @#$!&” moment, dramatically re-injuring your injury, although that can certainly happen: re-injury routinely occurs in small, sneakier ways. And every minor re-injury impedes recovery. Minor re-injuries can be so subtle that you aren’t even really aware that it’s happening — all you know is, you aren’t getting better fast enough. (Although it’s awfully hard to tell how fast is fast enough.18)"

Especially in the part that you aren’t even really aware that it’s happening. How can one use rpe when recovering from an injury if this is true?

Just wanted to drop a note and say that I’m not ignoring this thread, but your questions will require some reading. I’ll circle back to this soon with a response.

No worries, nice job with the new clinic

1 Like

@koma
Hey,

I had a chance to read these links. Overall, I can agree with some of the messaging but would likely disagree in other aspects. As you said, generally speaking there are positives but specific details I disagree with the messaging, much of this surrounds the overall delivery of the narrative and language utilized.

  1. Overall, I receive the take home message advocating for managing variables we can influence: dosage of activity/rest being the primary one discussed in the article. I agree finding tolerable dosage of activity for the individual and context of their situation is ideal. The topic of persistent pain weaved into the discussion is likely where I’d have most of the disagreement, as discussed in the article in the context of plantar fasciopathy. We outline our thoughts on such topics in our guide to tendinopathy. My primary concern with this discussion is further hinging the experience of pain predominately (potentially completely based on this article) to tissue issues necessitating rest.

  2. Seems like similar messaging to the first link. I’m in agreement load management and sleep are important. Jordan actually has an article coming out soon on the topic of injury. There’s a lot of nuance to this topic that we’ve discussed previously on podcasts, YouTube videos, etc.

  3. In regards to the excerpts you quoted, I don’t agree with the message.

Hope that helps.