David Canevaro : 07904 153486

davidcanevaro@hotmail.com

Book An Appointment
Facebook
Twitter
Youtube

Chronic Pain & Stiffness

Structured, Progressive Management for Persistent Symptoms

Book An Appointment

Chronic pain and stiffness refers to symptoms that persist for months or years and may fluctuate in intensity. These presentations are often complex and influenced by movement patterns, sensitivity, conditioning, load tolerance and flare-up cycles.

At London Osteopathy & Pilates, chronic pain is managed through careful assessment, education and progressive rehabilitation, rather than ongoing passive treatment.

Why Pain Becomes Persistent

Persistent pain is often maintained by:

  • repeated flare-ups without full recovery
  • protective movement strategies
  • fear of movement
  • inconsistent loading patterns

Understanding these factors is essential for improvement.

Assessment for Chronic Pain

Assessment includes:

  • detailed symptom history
  • identification of flare triggers
  • movement and endurance testing
  • evaluation of load tolerance
  • exploration of previous treatment responses

Treatment Principles

Education and reassurance

Understanding pain mechanisms reduces fear and improves engagement.

Osteopathic care

Used selectively to:

  • improve movement comfort
  • reduce protective stiffness

Rehabilitation

Central to improvement, focusing on:

  • graded movement exposure
  • strength and endurance
  • pacing and consistency

Breaking the Boom-Bust Cycle

Many people alternate between:

  • doing too much on good days
  • resting excessively after flare-ups

We aim to establish consistent, sustainable progress.

Measuring Improvement

Progress is measured by:

  • improved function
  • reduced flare frequency
  • increased activity tolerance
  • greater movement confidence

Rehabilitation aims to make the shoulder robust, not fragile.

Measuring Progress

We track:

  • range of motion under control
  • tolerance to overhead activity
  • reduced flare frequency
  • improved endurance and confidence

When to Book

Book an assessment if shoulder pain:

  • persists or recurs
  • limits training or work
  • returns after treatment elsewhere
  • lacks a clear diagnosis