Rehabilitation in Pain



Treatment practices performed to partially or completely regain these functions to a patient who has lost some or all of his functions for any reason are called rehabilitation. It became a branch of treatment whose importance was understood especially after World War II, when many people were injured and disabled. For this purpose we;

  1. Orthopedic rehabilitation (treatments required after orthopedic surgeries or injuries)
  2. Neurological rehabilitation (returning various strokes and neurological patients to daily life such as Parkinson’s, Multiple Sclerosis, muscle wasting, Alzheimer’s, etc.)
  3. Social and vocational rehabilitation
  4. Rehabilitation of rheumatic and spine diseases

Rehabilitation procedures are multi-disciplinary, very difficult and long-lasting treatment methods. These processes can be applied in various ways. Patients are either treated as inpatients or outpatients in “Rehabilitation Centers” established for this reason. Or they are rehabilitated at home under the control of a specialist therapist. All of these procedures are successfully performed in our clinic in accordance with the needs of the patient.

The methods we use in rehabilitation start with applying the necessary medication and physical therapy methods to the patients. Then, it is necessary to do exercises, organize their daily and work lives, and, if possible, turn to social and vocational rehabilitation. During these procedures, it is necessary to give some patients auxiliary rehabilitation equipment. Deciding which of these to use is a separate study and details will be given in the relevant sections.


It is one of the treatment methods used to contract or move various joints and muscle groups. Like massage, it is a very old form of treatment but is being improved day by day. Today, it is one of the indispensable applications in the treatment of some diseases. Exercise is as effective as other treatment methods for problems such as osteoporosis, fibromyalgia, arthritis and especially ankylosing spondylitis, which bends the spine like bamboo.

Basically, there are forms in which the muscle and joint contraction without causing movement (isometric) or in which the length is shortened or lengthened by contracting during movement (isotonic). Of course, exercise types are not limited to these. A movement can be created by active contraction, or a movement can be made passively or with assistance. Additionally, the movement is completed with active assistance or by forcing it against resistance. While they can be done for the treatment or prevention of a disease, there are also exercises done just to increase fitness.

The ideal exercise hours are in the morning and should be done at least 3 times a week. It is recommended to increase the tempo and power of exercise slowly but continuously. Diseases for which exercise is recommended; atherosclerosis, hypertension, obesity, diabetes, osteoporosis, skeletal and muscle diseases (fibromyalgia, osteoarthrosis, rheumatism).

If there is one of the following situations and the person intends to start exercising for the first time in his life, he must first consult a doctor:

  • If you have heart or lung disease, diabetes, arthritis or kidney failure and are 45 or older
  • If overweight
  • If any of the parents or siblings had coronary artery disease before the age of fifty-five
  • If a person does not have full confidence in their health to exercise regularly, it is recommended that they have an exercise stress test at the very beginning.


Resting splints used by a person who has problems with the muscles or tendons in their hands, corsets used to keep the body in the desired correct positions, canes, crutches and walkers that help walking are important assistive devices. Some of these are used only to protect the joint or muscle or to perform a movement that cannot be performed, and some are used to facilitate daily life. Spoons and forks used while eating, electricity in homes

Buttons, kitchen tools and equipment, metal rings to functionalize fingers and some metal connections can be listed here.

Which one of these will be used is decided according to the patient’s condition and the type of disease. With the help of orthotists who specialize in this field, the most appropriate and useful option for the patient is decided. Again, patients should be carefully explained how much such an auxiliary device will be used and what care should be taken when inserting and leaving it.