The E3 Rehab Podcast 187. Should Rehab Be Pain Free? w/ Marc Surdyka, Nathan Henderson, and Chris Hughen
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Feb 11, 2025 In this engaging discussion, Marc Surdyka, an expert in physical therapy, and Nathan Henderson, a physical therapist at Build Physio, share their insights on whether rehabilitation should be pain-free. They explore the nuances of acceptable pain levels during recovery and highlight personalized pain management strategies. The duo emphasizes the importance of education and communication in rehabilitation, particularly post-surgery. They also delve into managing shoulder and knee pain, making a strong case for balancing discomfort and functionality for better recovery outcomes.
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Extreme Self-Experimentation
- Nathan Henderson tested himself on an isokinetic dynamometer daily for 30 days.
- He experienced significant fatigue but learned valuable data about strength fluctuation.
Finding the Right Pain Level
- Consider individual pain tolerance during rehab.
- Avoid extremes: don't ignore pain entirely, but don't push through excessive pain.
Pain in Tendinopathy Rehab
- Research suggests allowing some pain during tendon rehab doesn't worsen outcomes.
- Use tolerable pain levels during, after, and the day after exercise as a guide.