FAQ

Should I keep exercising even when I am in pain?
My remission was earned through a great deal of pain. I went to a private physiotherapist (I had private health insurance at the time) and went to weekly sessions from March to December 1999. Meanwhile, I practised the exercises on my own in 4 sessions a day of up to 30 minutes. I used to keep a bucket of cold water beside the chair while I was exercising the hand. When the pain became too intense I just doused the hand to reduce the pain so I could carry on with the exercises. My physiotherapist assured me that I couldn't do any damage this way (X-rays showed that the fracture was completely healed).

As I worked through the pain I found that the more flexibility I achieved the less pain I experienced. It was excruciating at the time, but all the effort paid off. Retrospectively, I would say it would have been worth paying for physiotherapy if I hadn't already been insured. It seems that physiotherapists are better informed about this condition than the average doctor (though that comment is a generalisation). It is worth asking around to find a local physiotherapist who has experience of dealing with the condition.

My philosophy is this - a painful limb that works is better than a painful limb that doesn't work. So keep at it! However, you should always take note of the character of the pain you are feeling. After all, healthy athletes suffer injury if they over-exercise. If the pain is unchanged from its normal character then it is worth continuing with the exercise. If it begins to feel different - as if the limb is tired or strained - it is time to stop. Since RSD pain is unrelated to actual injury you have to ignore it much of the time or you would never exercise at all - then pain would increase because of lack of use. But you must be sensible and pace yourself.
Derrick Phillips - Editor of RSD Alert

www.rsdalert.co.uk
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