This week is National Pain Week and we want to bring more awareness around what pain is and how to manage it.

There’s “good” pain and then there’s “bad” pain.

The “good” kind of pain is often associated with the “No pain no gain” saying. It was a firm favourite when I was a gymnast. In some aspects of life I totally agree… you’ve got to push yourself to achievement, it doesn’t just happen. And Often this drive and determination we have pushes us to our limits indeed and causes us to have some pain or DOMS (delayed onset of muscle soreness) the next day. However, this pain is temporary and in some ways a great feeling knowing you’ve worked hard. I love the feeling the day after a good workout, or not being able to walk down the stairs properly after my first half marathon (I clearly pushed a little harder than I had trained for), but knowing this type of pain is temporary makes me want to continue.

The “bad” pain comes in 2 forms – acute and chronic – and this is the type of pain we don’t want to have. We want to try and prevent it at best, but if we can’t then we need to fix it a.s.a.p. The most common acute (rapid onset or short-term) pain we see is neck and back pain, or in my women’s health patients, mastitis or back pain in pregnancy. The chronic (long-term) pain can often be neck or back pain as well, including migraines, as well as chronic shoulder pain, pain from scoliosis or pelvic pain.

Patients who suffer from chronic pain often normalize their pain and so their threshold increases i.e. they’ll tell you they don’t have any pain however when you get down to the nitty gritty, they are suffering from pain daily but they are so used to it that they only notice when it becomes worse.

Whether you’re suffering from acute or chronic pain, just remember no pain is normal, no one should live in pain. Most pain is curable with the help of your physio through hands-on therapy, exercise, general posture and lifestyle adaption advice.

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Larry is a highly skilled physiotherapist who specialises in treating back and neck pain, postural issues and scoliosis. He is certified in Schroth and SEAS methods and through the Egoscue University. Larry has a background in elite gymnastics and springboard diving and also has many years experience in endurance running and triathlons. His specialist knowledge and techniques have seen him appointed as a gymnastics coach and physiotherapist at both the Olympics Games and Special Olympics.

His passion and driving philosophy is about achieving the best outcomes for his patients utilising an amalgam of the latest techniques and theories while recognising there may sometimes be a need for invasive procedures. Where deemed appropriate Larry will then refer to a specialist. To further his holistic understanding and approach, Larry is currently undertaking a Ph.D. in Spinal Deformity and regularly attends and speaks at international conferences and courses and clinics.

Fun fact: Larry is learning how to surf - so be careful next time you go to the beach! Qualifications: B.Sc (Physiotherapy); M.Sc. (Exercise Physiology); Advanced Certificates in Schroth (BSPTS) and Egoscue (PAS) and SEAS Larry is Level II certified (advanced) in the conservative treatment of Scoliosis based on the Schroth method. The training was conducted by Dr Manuel Rigo of the Barcelona School at Scoliosis Rehab Inc in Wisconsin. He has completed his SEAS scoliosis treatment training at ISICO in Milan. Larry has also spent time working with Dr Rigo in the Barcelona clinic. Larry also has advanced certificates in shoulder treatment, posture alignment therapy and acupuncture.