Yes.
“Appropriate exercise is a vital part of any CIDP (an immune mediated neuropathy) intervention plan because of its potential to improve strength and endurance, thereby minimizing muscle shrinkage and improving function and mobility.” This quote is from an OUTSTANDING article in the August – September 2010 issue of I.G. Living (IGLiving.com). The article was written by Mathew David Hansen, DPT, MPT, BSPTS who practices in Washington State.
Hansen’s key words are “appropriate exercise” for those with any neuropathy. His “FITT principle” meaning that exercise must be focused on frequency, intensity, time and type of activity, in response to the neuropathy patient’s physical state is essential. These principles are the essence of what I have written about and this has been confirmed numerous times in my experience over the years. Even today some physical therapists believe that if patients adhere to a regular exercise regimen, over time, they notice that their overall pain levels decrease. They state that the difficulty for most neuropathy patients is to overcome the initial increase in pain that comes with exercise.
I contend that the problem here is not with the neuropathy patient, but with the failure to apply the principles stated in Hansen’s article. Any increase in neuropathic pain during exercise or physical therapy is the bodies signal that Hansen’s principles have not been applied. It is the signal that something in the exercise or physical therapy must change and not that the patient must be challenged to work through the neuropathic pain. The issues of exercise for the neuropathy patient, whether CIDP or other neuropathies, are more complex than working through the pain might suggest.
Exercise is very important for the neuropathy patient. If physical therapists apply Hansen’s ideas, then they will do a great service for the neuropathy patient.
“Appropriate exercise is a vital part of any CIDP (an immune mediated neuropathy) intervention plan because of its potential to improve strength and endurance, thereby minimizing muscle shrinkage and improving function and mobility.” This quote is from an OUTSTANDING article in the August – September 2010 issue of I.G. Living (IGLiving.com). The article was written by Mathew David Hansen, DPT, MPT, BSPTS who practices in Washington State.
Hansen’s key words are “appropriate exercise” for those with any neuropathy. His “FITT principle” meaning that exercise must be focused on frequency, intensity, time and type of activity, in response to the neuropathy patient’s physical state is essential. These principles are the essence of what I have written about and this has been confirmed numerous times in my experience over the years. Even today some physical therapists believe that if patients adhere to a regular exercise regimen, over time, they notice that their overall pain levels decrease. They state that the difficulty for most neuropathy patients is to overcome the initial increase in pain that comes with exercise.
I contend that the problem here is not with the neuropathy patient, but with the failure to apply the principles stated in Hansen’s article. Any increase in neuropathic pain during exercise or physical therapy is the bodies signal that Hansen’s principles have not been applied. It is the signal that something in the exercise or physical therapy must change and not that the patient must be challenged to work through the neuropathic pain. The issues of exercise for the neuropathy patient, whether CIDP or other neuropathies, are more complex than working through the pain might suggest.
Exercise is very important for the neuropathy patient. If physical therapists apply Hansen’s ideas, then they will do a great service for the neuropathy patient.
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