Common Patterns Seen in Complex or Persistent Pain Presentations

Manual therapy practitioners frequently encounter clients whose pain presentations do not follow predictable musculoskeletal patterns. Despite appropriate assessment, sound clinical reasoning, and well-applied manual therapy, progress may be slow, inconsistent, or short-lived. Over time, recognisable patterns begin to emerge in clients experiencing complex or persistent pain.

Understanding these patterns is essential for improving clinical decision-making and managing expectations for both practitioner and client.

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Understanding Complex & Persistent Pain Patterns: Disproportionate Pain, Heightened Sensitivity, and Treatment Plateaus for Manual Therapy Practitioners.