Pain Release Phenomenon (PRP): Difference between revisions
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<div>As stated by '''Brian Mulligan''' in his textbook <ref name="sixth">Manual Therapy NAGS,SNAGS,MWMS etc .Brian R Mulligan. Sixth Edition.2010</ref> " PRPS began for me when i statrted using compressions in treatment regimes after reading the excellent article of G D Maitland's '''"The Hypothesis of Adding Compression when examining and treating synovial joints"''' in 1981 <ref name="maitland">The Hypothesis of Adding Compression When Examining and Treating Synovial Joints.G. D. MAITLAND,I AUA, FCSP, FACP, SASP, MTAA. JOSPT Vol. 2, No. 1. 1981.</ref>. As stated in Maitland's Article , when assessing extremity joints you should try a compression test to see if this produces pain. To do this ,the joint is placed in a biomechanical resting position where all the structures surrounding it are maximally relaxed. Stabilise the proximal facet with one hand and apply a compressive force on the joint using the other. While maintaining the compression, a series of joint movements is tried to see if they produce pain. The movements can be either physiological (Flexion, abduction,etc) or accessory (glides). ............... By chance I discovered that if I applied an acceptable pain producing compression force with movement for '''20 seconds''' the pain would often disappear or would be significantly reduced."<br></div> | <div>As stated by '''Brian Mulligan''' in his textbook <ref name="sixth">Manual Therapy NAGS,SNAGS,MWMS etc .Brian R Mulligan. Sixth Edition.2010</ref> " PRPS began for me when i statrted using compressions in treatment regimes after reading the excellent article of G D Maitland's '''"The Hypothesis of Adding Compression when examining and treating synovial joints"''' in 1981 <ref name="maitland">The Hypothesis of Adding Compression When Examining and Treating Synovial Joints.G. D. MAITLAND,I AUA, FCSP, FACP, SASP, MTAA. JOSPT Vol. 2, No. 1. 1981.</ref>. As stated in Maitland's Article , when assessing extremity joints you should try a compression test to see if this produces pain. To do this ,the joint is placed in a biomechanical resting position where all the structures surrounding it are maximally relaxed. Stabilise the proximal facet with one hand and apply a compressive force on the joint using the other. While maintaining the compression, a series of joint movements is tried to see if they produce pain. The movements can be either physiological (Flexion, abduction,etc) or accessory (glides). ............... By chance I discovered that if I applied an acceptable pain producing compression force with movement for '''20 seconds''' the pain would often disappear or would be significantly reduced."<br></div> | ||
== Indications | == Indications and Contraindications == | ||
<div>Any chronic neuromusculoskeletal pain, not responding to conventional Physiotherapy. </div><div>'''Acute pain is strictly contraindicated ''' i.e., less than 6 weeks of onset of symptoms and patients with moderate to high severity , Intensity and Nature of the pain.</div> | |||
== Compression PRPS == | == Compression PRPS == | ||
Revision as of 18:22, 24 October 2014
Original Editor - Sheik Abdul Khadir
Top Contributors - Sheik Abdul Khadir, Evan Thomas and Lauren Lopez
INTRODUCTION[edit | edit source]
The Pain Release Phenomenon Techniques (PRPS) is a manual therapy technique introduced by Brian Mulligan for the Chronic pain management in the extremities. In this technique, joint compression, muscular contraction or stretch is used as an the pain provking stimuli and the stimuli is maintained for 15- 20 seconds. If indicated, the pain will reduce in this period and the patient would have gained a new P1.
Background[edit | edit source]
As stated by Brian Mulligan in his textbook [1] " PRPS began for me when i statrted using compressions in treatment regimes after reading the excellent article of G D Maitland's "The Hypothesis of Adding Compression when examining and treating synovial joints" in 1981 [2]. As stated in Maitland's Article , when assessing extremity joints you should try a compression test to see if this produces pain. To do this ,the joint is placed in a biomechanical resting position where all the structures surrounding it are maximally relaxed. Stabilise the proximal facet with one hand and apply a compressive force on the joint using the other. While maintaining the compression, a series of joint movements is tried to see if they produce pain. The movements can be either physiological (Flexion, abduction,etc) or accessory (glides). ............... By chance I discovered that if I applied an acceptable pain producing compression force with movement for 20 seconds the pain would often disappear or would be significantly reduced."
Indications and Contraindications[edit | edit source]
Any chronic neuromusculoskeletal pain, not responding to conventional Physiotherapy.
Acute pain is strictly contraindicated i.e., less than 6 weeks of onset of symptoms and patients with moderate to high severity , Intensity and Nature of the pain.
