Hi. We’ve been told that we can have pain without tissue damage and that we can have tissue damage without pain. How would a physiotherapist know if the pain is actually coming from the damaged tissue if I happen to have both?! I don’t know how professionals would take care of it other than encouraging movement and management of workload.
This would likely necessitate a more detailed conversation via consultation if you are referencing yourself in this scenario. With that said, these aren’t the right questions to be asking. Instead, as clinicians we are placed in the position via a process of elimination to decide what influential factors are correlated to this situation that we need to influence or likely desired outcomes will not occur. In other words, biology (tissue) is always a factor of the discussion given you have a body as a human being, the difference is how much does something matter. Just because we can find “something” and label that something, is that important to management, recommendations, and outcomes. Hope that helps provide clarity.
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