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Determining The Origins of Your Pain

Determining The Origins of Your Pain

Are you tired of dealing with pain day in and day out? Have you been struggling with persistent pain for months or even years, and it’s taking a bigger and bigger toll on your life? For some people with pain, the simplest tasks are now major challenges, and over-the-counter and/or prescription pain meds don’t seem to provide any relief.

Unfortunately, this is a common experience for millions of Americans. Recent research has found that over 100 million people suffer from persistent pain each year. This is where PerformaX Elite Physical Therapy steps in.

At PerformaX Elite Physical Therapy, we understand that pain comes in various forms, affecting people in unique ways. We’re committed to staying at the forefront of the latest advancements in pain management, ensuring that our patients receive the best care possible.

We know that pain can be overwhelming, but we’re here to remind you that there is hope!

Pain is a complex sensation, and it can be categorized into five main types, each with its own characteristics and underlying mechanisms. Here’s an explanation of these types:

  • Nociceptive Pain: This type of pain results from the stimulation of specialized nerve sensors called nociceptors. Nociceptive pain is often described as sharp, aching, or throbbing and is typically localized. It can be acute, like when you accidentally bump your knee, or chronic, as seen in conditions like arthritis.
  • Central Pain: Central pain arises from dysfunctions within the central nervous system (i.e., the brain and spinal cord). Central pain starts inside the central nervous system itself. Examples include fibromyalgia and pain associated with spinal cord injuries.
  • Neuropathic Pain: This pain type is caused by nerve damage or dysfunction. It may manifest as burning, tingling, or shooting sensations. It is typically associated with conditions like diabetic neuropathy or nerve injuries (i.e., sciatica).
  • Psychosocial Pain: Psychosocial pain involves mental and/or social factors influencing pain perception. Stress, anxiety, depression, and social support (or lack thereof) can significantly influence how pain is experienced. It is not directly tied to tissue damage but is due to mental and emotional states.
  • Movement System Pain: This pain is directly related to the biomechanics of movement, such as issues with joint positions or control and/or muscle imbalances. Physical therapists often work with this type of pain, prescribing targeted exercises to correct movement dysfunctions contributing to the discomfort.

 

Regardless of the type of pain you’re dealing with, our therapists will work with you to identify and target the sources of your pain. We’ll use gentle techniques and exercises to address these issues and help you find relief.

When you come to a physical therapy session at PerformaX Elite Physical Therapy, you’re taking a significant step towards finding relief from pain and improving your overall well-being. Your first session will typically begin with questions about your medical history, the specific nature of your pain, its location, and any factors that make it better or worse. 

After discussing your medical history, your therapists will evaluate your posture, muscle strength, range of motion, and any areas of tenderness. They’ll also assess your movement patterns to identify any abnormalities or dysfunctions.

Based on the information gathered during the evaluation, your physical therapist will work to identify the underlying issue causing your pain. This may involve determining the type of pain (e.g., nociceptive, neuropathic, or movement system-related) and its primary sources.

Once your therapist has a clear understanding of your condition, they will create a personalized treatment plan tailored to your needs. Our treatments may include manual therapy techniques to release tension and improve joint mobility. Exercise is another crucial component, tailored to your specific needs and designed to correct any movement dysfunctions. Education plays a vital role in empowering you with the knowledge and tools to manage your pain effectively.

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Patient Success Spotlight

Real results from real patients

★★★★★
“I had a fantastic experience with PerformaX Physical Therapy in Burbank. I spent most of my time with Dr. Jose Alaniz for about five months. I had a knee injury and a genetic knee pain issue that had worsened over time when I started. It’s hard to put into words just how much better I feel day to day now—massive improvement. The quality of care and instruction was outstanding. The support staff and scheduling team were also great. I highly recommend this place!”
— Kate

Go to the Pain, Not Through the Pain

Is pain affecting your life? Does it seem like everything you try doesn’t seem to help? 

Too often, the frustration of dealing with daily pain leads people to ignore or try to push through their pain. It doesn’t help that the terrible slogan “no pain, no gain” has become a part of our culture in America. Learning how to navigate pain is essential to finding the relief so many people seek.

Whether you’re tired of sporadic aches and pain or struggling with chronic discomfort, physical therapy at PerformaX Elite Physical Therapy plays a vital role not just in treating pain but also in teaching patients how to manage their pain effectively.

Our team will start by explaining the type of pain the patient is experiencing—be it nociceptive, central, neuropathic, psychosocial, or movement system pain. This helps you understand the root cause of your pain, allowing for targeted treatments addressing your unique situation.

Here’s an overview of common tools we use to empower our patients:

  • Pain Management Strategies: Breathing exercises and relaxation techniques can sometimes be as effective as medication in reducing pain. 
  • Activity Modification: Sometimes, small changes can make a big difference. By changing how they perform their daily activities, patients can reduce the risk of pain flare-ups.
  • Gradual Progression of Exercise: Starting slow and building up gradually can help patients realize that movement doesn’t have to be painful, reducing fear and improving function over time.

 

Our physical therapists will give you the tools and knowledge you need to take an active role in your pain management, making your treatment more effective and lasting. Remember the slogan, “go to the pain, not through the pain,” to guide your progress!

Chris Akmakian PT DPT
June 20 🎂

Happy Birthday Chris Akmakian, PT, DPT!

Chris earned his Bachelor of Science degree from California State University, Northridge, in 2016 before completing his Doctor of Physical Therapy degree at West Coast University in 2025.

Chris’s treatment approach focuses on empowering patients with the tools and knowledge needed to take an active role in their recovery and overall well-being. He is passionate about helping individuals achieve their goals through personalized, evidence-based care.

Meet Our Team

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Patrick Khoo

Musculoskeletal Health & Wellness Consultant, CAE, CHC, CEAS, CDMP

Anti-Inflammatory Quinoa Salad
🥗

Anti-Inflammatory Quinoa Salad

Nutrition plays a key role in managing inflammation. Try this delicious recipe packed with anti-inflammatory ingredients!

⏱️ Prep: 15 mins 🍳 Cook: 15 mins 🍽️ Servings: 4

Ingredients

  • 1 cup dry quinoa, rinsed
  • 2 cups water or vegetable broth
  • 1 cup cherry tomatoes, halved
  • 1 cucumber, diced
  • 1/4 cup red onion, finely chopped
  • 1/4 cup fresh parsley, chopped
  • 1/4 cup olive oil (rich in Omega-3s )
  • 2 tbsp fresh lemon juice
  • 1 tsp turmeric (powerful anti-inflammatory)
  • Salt and black pepper to taste

Instructions

  1. Bring water or broth to a boil. Add quinoa, reduce heat, cover, and simmer for 15 minutes or until water is absorbed.
  2. Remove from heat, let sit covered for 5 minutes. Fluff with a fork and let cool.
  3. In a large bowl, combine cooled quinoa, tomatoes, cucumber, red onion, and parsley.
  4. Whisk together olive oil, lemon juice, turmeric, salt, and pepper.
  5. Pour dressing over the salad, toss well, and chill for 30 minutes before serving.