Mental "Scar Tissue"

Two weeks ago I evaluated a patient who had recently undergone surgery to repair a ruptured quadriceps (above the knee) tendon.  It was readily apparent to me that despite his physical impairments, his biggest road block was fear.

"I'm scared as hell," he told me.

This patient came in with a strict protocol from his surgeon, which allows for a certain amount of knee flexion (bend) each week.  He is also required to wear a protective brace for a specified period of time, progressively "unlocking" it as he gains motion, bears more weight, and heals.

On the first day of treatment, my patient would hardly allow me to assess his leg.  Just this past Friday, after only three visits, he had achieved 40 degrees of knee flexion.  This was already pushing the limits of his protocol, so I shot his surgeon a quick email.  He authorized us to progress past the protocol based on my patient's current state, which we were both excited to hear.

My patient's physical progress and change in attitude in one week were profound.  I'm convinced that the the biggest reason wasn't because of the techniques I used or the exercises prescribed.  It was because I listened to his concerns, answered all of his questions, and provided a ton of assurance.

What is my point?  Your body is pretty darn good at knowing how to repair itself and adapt.  But don't underestimate the role you mind plays as a gatekeeper in the process.  While physical healing involves an amazing cascade of events, you can also simultaneously lay down mental "scar tissue" along the way.  It's simply about allaying fears through education.

When you go see your health care professional, demand to be heard as well as listened to.  In today's break neck pace of health care delivery, it's often a difficult task.  But remember, you are more than just a body part or a symptom.  You are a person with worries, fears and anxieties often overlaying your symptoms.  Just a little bit of compassion, patience and education will help pave your path towards wellness.  Everyone deserves that.