Pain Sources and Perpetuating Factors
What's generating the pain is important but what's causing it to persist is also key!
The key question
What factors cause back or neck pain to persist?
There are six perpetuating factors that must be considered in every patient.
Central sensitization (nociplasticity)
The nervous system becomes "wound up," amplifying pain signals even after the original tissue injury has healed.
Disruption of neuromuscular spine support
The muscles that normally support the spine lose their coordination and timing, leaving the spine vulnerable.
Normal but counterproductive psycho-emotional factors
Fear-avoidance, catastrophizing, and other natural responses that inadvertently sustain pain and disability.
Spinal instability
Excessive movement between vertebral segments that compromises normal function and prolongs symptoms.
De-conditioning
Loss of fitness and endurance from inactivity, creating a cycle where disuse worsens pain.
Poor nutrition
Inadequate or inflammatory dietary patterns that impair tissue healing and recovery.
The bottom line
Your patients need a spine specialist who can consider not just the pain generator but also the perpetuating factors.
Identify and manage each using patient-empowering tools!
Refer a patient
Your patient deserves a complete evaluation.
Dr. Murphy looks beyond the pain source to identify and address every perpetuating factor - giving your patient the best chance at lasting recovery.
I am here to make your job easier and your patients happier and healthier!
Contact Dr. Murphy
Direct lines for referring physicians
- Back Line 401-447-6230
- Email crisp4psp@gmail.com
- Fax (844) 409-0376