FASTER Health and Fitness

Injury & Pain

The Question That Tells You More About An Old Injury Than Their Pain Score Does

From the FASTER syllabus: this article is taught in full in Injury Recovery to Performance Specialist, taking a cleared-but-complicated client back to full training →

The Question That Tells You More About An Old Injury Than Their Pain Score Does

In short: A reported pain score only tells you what a client remembers about the pain. Injury Recovery to Performance Specialist teaches asking about a moment they weren't thinking about the injury, the course's own example is a client who forgot an aching tennis elbow while shooing a cat back indoors, because that answer shows whether to hold the programme or move it on, session by session or over a longer stretch.

The short version

A client arrives and says the shoulder that's been niggling is worse today, an eight out of ten, barely able to lift the kettle that morning. Written down, that number is the whole picture plenty of trainers work from. Injury Recovery to Performance Specialist teaches a second question, small enough to slip into ordinary conversation, that tells you far more than the score does.

Key Takeaways

  • A pain score only reports what a client remembers about the pain, not what their body did today.
  • Injury Recovery to Performance Specialist teaches asking about a moment they weren't thinking about the injury.
  • The course's own example: a client forgets their aching tennis elbow entirely while shooing a cat back indoors.

The course's own example

The course text uses a scene rather than a rule. A client opens the session with a familiar line: their tennis elbow is bad this morning, they can hardly move it. Later in the conversation it comes out that, an hour earlier, the same arm was waving around trying to steer a cat back toward the house. Ask what that felt like at the time and the answer is usually some version of: they didn't feel it then.

Why the second answer matters more than the first

The two answers aren't a trick played on the client, and they aren't a contradiction to catch anyone out on. They're two different pieces of information. A reported score describes what someone remembers when asked directly, often with a bit of bracing built in because they know they're about to be asked. An unplanned moment shows what the joint could do the second nobody, including the client, was watching it. Both are real. Only one shows current function.

This is the same eye FASTER builds everywhere else in the courses: see what's happening, predict what's working, and describe it plainly, rather than taking either report at face value on its own.

What you do with the answer

The course is direct about the point of asking: it tells you whether the programming needs to hold where it is or move forward, because the client has either improved or declined since the last check. That reassessment can happen session by session, or it can sit over a longer stretch, depending on what the injury and the recovery timeframe from their medical professional call for.

Where this comes from

This kind of question is exactly what Injury Recovery to Performance Specialist is built around, taking a client who's cleared to exercise but still carrying an injury from cautious recovery back to full training, inside your scope, with real scenarios like this one rather than a page of theory to memorise.

What to do next

Reading function alongside what a client reports is one tool in a much bigger course. Injury Recovery to Performance Specialist is for the trainer who wants to be the one other trainers refer their hard cases to, and it counts as active learning, so PT Manager access keeps running while you study.

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Frequently asked

Does this question replace a proper injury assessment?

No, it sits alongside one. A client's recovery timeline from their medical professional still comes first, this is about reading what's changed since, not replacing that.

Does it only work for old injuries?

It's most useful whenever reported pain and observed function might tell two different stories, which comes up often with clients cleared to exercise but still nursing something.

Does PT Manager help keep track of this over time?

Yes. A client's session history and the Live Analyser's live skeleton overlay both sit inside PT Manager, so what's changed gets recorded rather than relying on memory.

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