Pathways to manage pain

There are many different pathways and options in treating common musculoskeletal pains. With the guidance of an experienced physiotherapist or exercise physiologist, there is no one prescribed way on your rehabilitation journey.

However, there is a rough guideline of seven pathways to undertake when in pain and rehabilitating an injury.


Without a doubt, resting is the logical first choice for treatment. When your body is in pain, it is telling you that you need to slow down or stop what you are doing. It is too common that patients will neglect the rest strategy, for several reasons, which negatively impacts rehabilitation progression.

With guidance from one of our experienced physiotherapists and exercise physiologists, a plan can be devised to help you properly manage your pain and fulfil rest periods.

To give your body a fair chance at resting, check the following boxes:

  • If it hurts to complete, don’t do it or do less of it
  • Avoid overtraining and manage your training load
  • Try to reduce stress where possible
  • Optimise your sleep patterns and recovery downtime

Strength Training

Strength training is definitely a preferred pain management technique that allows you to strengthen the area of injury to prevent further damage. For many kinds of common pain, there will be no treatment that works better, on average, than simply strengthening the muscle groups around the impacted area.

We guide you as to which strength training activities you should be completing during your rehabilitation journey, with the simple goals to increase strength without aggravating further pain.

Mobility; stretching, dynamic joint mobility drills

Working to increase your functional range of motion is integral during the rehabilitation journey. Mobility work is especially helpful for these four reasons:

  1. You have a restricted range of motion in joints near an area of injury
  2. You have an unpleasant feeling of stiffness near the area of pain
  3. The feeling of stiffness is in the muscles rather than in the joints
  4. You don’t have an exercise program that requires you to use a full range of motion

The exercise programs we devise are not too aggressive or aggravate further pain. These programs are taking into consideration your comfort level and range of motion to improve your mobility at a steady and efficient pace.

Coordination / motor control; corrective exercise, pilates

During your rehabilitation journey, it is the optimal goal to correct dysfunctional movement patterns. This means the typical functional movement performed properly and without pain becomes dysfunctional when pain is involved.

Motor control activities such as corrective exercises, pilates, resistance exercise, yoga or running drills are some of the many methods that are used to correct your dysfunctional movement. We encourage the best methods during your journey to promote a healthy and proactive recovery.

Mind-body / awareness; meditation, yoga

Pain doesn’t always associate with ‘issues in the tissue’. It stems further than that and depends how your nervous system and unconscious parts of your brain perceive what is happening.

There are many different mind and body practices that seek to improve awareness that will help manage and treat pain:

  • Meditation
  • Mindfulness
  • Yoga
  • Dance
  • Martial arts

We will guide you on which methods will be most beneficial during your rehabilitation journey.

General health: diet, general exercise, sleep, stress reduction

It is increasingly important that all sectors of your health work simultaneously and efficiently in order for you to function as best as possible. As each variable is dependent on each other for optimal function, working towards consuming a balanced diet and completing the recommended physical exercise regime will assist you in managing pain.

Easier said than done, stress plays a major role in influencing your physical health therefore any strategy that can help you reduce stress is best

Manual therapy: massage, mobilisation, manipulation

Manual therapies such as adjustments or massages can help manage musculoskeletal pain. We promote which methods are best for your rehabilitation journey and if you prefer the method of manual therapy.

At Progressive, we incorporate all of the best strategies that will assist you throughout your journey. These strategies are at levels of comfort that suit you and your pain tolerance to ensure an efficient rehabilitation journey.

Get stronger than ever and book an appointment to see one of our highly trained team of professionals.

Need help managing your pain?