CSA Physio Blog

Treating pain: my background and therapy philosophy

Posted on: January 26th, 2018 by Cory Choma

My academic background

Blogs enable past and potential clients to get to know each therapist.  The blog is also an opportunity to highlight each therapist’ professional focus.  My educational past includes, a basic science degree in chemistry and physiology, a degree in Physical Therapy and a clinical specialization in Pain Science.  Add to this a lifelong involvement in dry needling. My preferred needling paradigm is the neuropathy model known as GunnIMS.  What does this mean for my clients?  It means that I am very interested in the chemistry and physiology of your pain.  Living well requires that the use of this information guides recovery.  Understanding the chemistry of your injury highlights the importance of movement as compared to the oft recommended ‘rest’.  As I will explain, it is movement that creates healing.

My viewpoint

I like to look at the issue that brings you in within a wider context of successful ageing and physical ability.  I am more concerned about the habits that contributed to your pain rather than the focus on a radiating leg pain (for example).  This may lead me to encourage gentle activity while decreasing the hypersensitivity of your nervous system.  With this viewpoint, I feel prepared to contribute to your healing and self-management.  I treat the natural consequences of aging.  This may include a bulging disc, arthritic facet, chronic spasm, pain, tension as well as a host of additional complaints.  My understanding of chemistry and physiology may help unite these seemingly unrelated symptoms.  Thereby creating a framework for getting you active.  Hence, the activity and increase in your heart rate is the key to healing.

A simple example

Have you experienced relief with heat, massage, gentle movement, stretching and even simple rubbing?  It is possible that the movement of blood which unifies each of these pain relieving actions is the hidden key.  Have anti inflammatories, intense exercise, your best efforts and even an MRI come up shy in controlling/explaining your pain?  Does it seem like your problem has no solution?  If this is true, you may be suffering from a hyper active nervous system rather than an inflammatory issue.  Consequently, settling the nervous system while getting more active may be the solution.

My goal

My clients all benefit from my academic and clinical background.  I focus on activity, vitality, pain reduction and enjoyment of life.  Medicine may broadly view your pain as a single arthritic facet joint whereas I am deeply interested in considering the person surrounding that facet.  Additionally, I understand that surgery is most often not an option and that MRI’s don’t heal.  This is key when we are talking about persistent pain problems.  So, where do we go from here?  I can help you solve the riddle of persistent pain like a simple Rubik’s cube.  My best time is 58 seconds!  Let’s see what progress we can make on your puzzle.  I hope that you are interested in, and believe you can control your pain.  Because the natural result is that you become more enabled to explore how active you can be.

Thanks for reading


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South Edmonton

10947 – 23 Avenue
Edmonton , AB
T6J 7B9

Tel: 780-988-5803
Fax: 780-988-5804

Email: CSASouth@lifemark.ca

Grandin Plaza

#508, 1 Tache Street
St. Albert, AB
T8N 1B4

Tel: 780-458-0255
Fax: 780-460-9796

Email: CSAGrandin@lifemark.ca

51st Avenue

10393-51 Avenue
Edmonton, AB
T6H 0K4

Tel: 780-989-9789
Fax: 780-989-9788

Email: CSA51Avenue@lifemark.ca

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