{"id":237,"date":"2023-01-05T12:13:32","date_gmt":"2023-01-05T12:13:32","guid":{"rendered":"http:\/\/176.32.230.250\/europeanpainfederation.eu\/?page_id=237"},"modified":"2023-05-18T13:31:38","modified_gmt":"2023-05-18T12:31:38","slug":"how-to","status":"publish","type":"page","link":"http:\/\/176.32.230.250\/europeanpainfederation.eu\/how-to\/","title":{"rendered":"How to"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"237\" class=\"elementor elementor-237\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-502e4b8f elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"502e4b8f\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-36d73060\" data-id=\"36d73060\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dcd7809 elementor-widget elementor-widget-breadcrumbs\" data-id=\"dcd7809\" data-element_type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p id=\"breadcrumbs\"><span><span><a href=\"http:\/\/176.32.230.250\/europeanpainfederation.eu\/\">Home<\/a><\/span><\/span><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2e9f3ea elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"2e9f3ea\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_bottom&quot;:&quot;curve&quot;,&quot;shape_divider_bottom_negative&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" data-negative=\"true\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M500,97C126.7,96.3,0.8,19.8,0,0v100l1000,0V1C1000,19.4,873.3,97.8,500,97z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-662a12f\" data-id=\"662a12f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-20bacf2 elementor-widget elementor-widget-heading\" data-id=\"20bacf2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How to <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5b4ccb9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5b4ccb9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cf4e0a6\" data-id=\"cf4e0a6\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-100e3d2 elementor-widget elementor-widget-text-editor\" data-id=\"100e3d2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p class=\"topic__text__copy\"><em>Do- advise your patient to:<br \/><\/em><\/p><ul><li>Perform in a quiet room to encourage concentration and attention<\/li><li>Remove jewellery if possible<\/li><li>Place the affected limb behind the mirror and ensure it is not visible<\/li><li>Place the unaffected limb in front of the mirror remove out of line of vision<\/li><li>Lean forward &amp; look at the<em>\u00a0reflected<\/em>\u00a0limb (not the actual limb), without moving either limb<\/li><li>Concentrate on the reflection until they feel comfortable with it<\/li><li><strong>Slowly\u00a0<\/strong>start\u00a0<strong>congruent<\/strong>\u00a0movement of\u00a0<strong>both limbs<\/strong>\u00a0<strong>whilst looking at the reflection<\/strong><\/li><li>Start with\u00a0<strong>larger, pain free, smooth, bilateral movements<\/strong>, performed slowly with conscious attention<\/li><li>Progress as able to smaller movements, more complex movements<\/li><li>Exercise for at least 5 mins, no longer than 10, as the regime requires a lot of concentration and can be tiring if performed correctly<\/li><li>Note whether and for how long pain is relieved<\/li><li>Repeat as pain is returning or more often if able (this may be 3-10 times per day to start with)<\/li><li>Record response; changes in colour, swelling &amp; feelings and pain<\/li><\/ul><p class=\"topic__text__copy\">Don\u2019t<\/p><ul><li>Advise to perform unsynchronised or unilateral movement as this may evoke an unpleasant response<\/li><\/ul><p class=\"topic__text__copy\"><em><u>Top Tips<\/u><\/em><\/p><p class=\"topic__text__copy\">If pain, stiffness or nausea become a problem whilst exercising, then advise to stop &amp; look at the limb in the mirror without moving either limb until the pain settles, then recommence as able.<\/p><p class=\"topic__text__copy\">If the patient is unable to start with the area that is affected by CRPS then advise to start instead with general proximal limb movements, e.g. for an affected hand they may need to start with shoulder or elbow movements.<\/p><p class=\"topic__text__copy\">Patients should perform a session of MVF just before going to bed \u2013 this ensures reinforcement of the virtual image.<\/p><p class=\"topic__text__copy\">To see visual guidance of this please click\u00a0<strong><a title=\"New DocumentsMVF for app.pdf\" href=\"http:\/\/176.32.230.250\/europeanpainfederation.eu\/wp-content\/uploads\/2023\/04\/MVF-for-app.pptx\" data-udi=\"umb:\/\/media\/978076cea1c944b48c4294ebc0a6ace7\">here<\/a>.<\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>How to Do- advise your patient to: Perform in a quiet room to encourage concentration and attention Remove jewellery if possible Place the affected limb behind the mirror and ensure it is not visible Place the unaffected limb in front of the mirror remove out of line of vision Lean forward &amp; look at the\u00a0reflected\u00a0limb [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-237","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to - European Pain Federation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/176.32.230.250\/europeanpainfederation.eu\/how-to\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to - European Pain Federation\" \/>\n<meta property=\"og:description\" content=\"How to Do- advise your patient to: Perform in a quiet room to encourage concentration and attention Remove jewellery if possible Place the affected limb behind the mirror and ensure it is not visible Place the unaffected limb in front of the mirror remove out of line of vision Lean forward &amp; 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