The A’s and D’s of pain management

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Brown and Fromm in 1987 and Eimer and scene Freeman in 1998 set the factors that can changes the minds perception of pain.

Four A’s:

  • Avoidance
  • Alleviation
  • Alteration
  • Awareness

(Brown and Fromm 1987)

Six D’s:

  • Deep Relaxation
  • Decatastrophizing
  • Direction
  • Distraction
  • Distortion
  • Dissociation

(Eimer and Freeman 1998)

To find out more how we use these factors Soccer to help you manage your discomfort caused and by pain please contact us.


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