Quote Originally Posted by anagha View Post
yes canuck,the boy is medically stabilised.But only response to painthr cry.So how cn i help him,just passive movements ,stretching!
or any special care in pt?
Hello again,

Considering the young boys age (7), have you made any attempt to first alleviate his obvious problem of crying?

Will just provide a case in point:
~
Pt with neurological problem would vomit when Physio touched him in any way.

Solution: Physiotherapist asked patient to view what physio was doing visually, and guided pt through therapy. Vomiting stopped subsequently.
~

Although this case may not apply to you directly, I hope you can infer some of this information in your own treatment.

If we were to analogize this strategy with your patient, is there some way that you can distract your patient to a level high enough so that the pain experience is lessened?
Examples include;
- providing a soft furry toy to hold on to while you treat (touch stimulus may interfere with pain signals via pain gate)
- providing visual stimuli to distract pt from treatment (television is usually a good one, how about something funny - as laughter is also a significant distraction from the subjective pain experience)

AS well is there any way in which you could include play into the therapy. Performing the therapy without the pt even realising it is perhaps the best option for pediatric pts, IMO.

As there is little detail to what is being done with pt, and what brings on the pain, I can only say thinking out of the box is something you may want to try.

Regards