Erin Dreyer Physiotherapy

Erin Dreyer Physiotherapy We strive to deliver evidence-based physiotherapy of the highest quality.

05/05/2026

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13/03/2026

New Blog | Pacing vs. Pushing: Breaking the “Boom–Bust” Cycle

If you live with ongoing pain or fatigue, you may recognise this pattern:

A “good” day arrives — you feel slightly lighter, more capable — so you catch up on everything you’ve postponed.
The next day? Increased pain, exhaustion, brain fog… and back to square one.

This is often referred to as the boom–bust cycle — and it can quietly keep symptoms flaring for months.

In our latest blog, we explore:

• Why pushing through can unintentionally maintain pain sensitivity
• How the nervous system responds to big swings in activity
• What “post-exertional crashes” really mean
• Why pacing is not about doing less — but about doing things differently
• How to identify a realistic baseline and gradually rebuild capacity

Pacing is a structured, evidence-informed approach that aims to create consistency and stability — helping people move forward without triggering repeated setbacks. It is commonly used in the management of persistent pain and fatigue as part of a broader, individualised care plan.

If you’ve ever wondered why your good days seem to cost you later, this article may help you see the pattern more clearly.

You can read the full blog here: https://thepaincollective.com/blogs/self-management/pacing-vs-pushing

If you are unsure whether pacing is appropriate for your situation, you may wish to seek assessment from a registered healthcare professional for individual guidance.

Pain and Trauma.Good insight.
13/01/2026

Pain and Trauma.
Good insight.


🧠 New Blog: Understanding the Role of Trauma in Chronic Pain

Chronic pain is often linked to injury or structural changes — but research suggests that psychological trauma may also influence how pain is experienced in some individuals. This does not mean pain is imagined. Trauma may affect the nervous system and stress responses in ways that can increase sensitivity and contribute to ongoing symptoms.

Our latest blog explores:

• how trauma may influence the nervous system, stress hormones, and pain pathways
• why conditions such as fibromyalgia, IBS, chronic pelvic pain, headaches, and back pain may occur alongside traumatic experiences in some people
• how heightened vigilance, inflammation, and muscle tension can contribute to pain responses
• what healthcare professionals may consider when assessing possible trauma-related pain
• evidence-based approaches that may be included in care, such as psychological therapies, movement-based strategies, and supportive interventions
• when to seek professional assessment — and how supportive relationships and daily routines may assist coping and recovery

This article provides a compassionate, science-informed overview of how trauma and chronic pain may be related, and how a multidisciplinary approach can support ongoing management.

Read the full blog here: https://thepaincollective.com/blogs/understanding-pain-and-its-effects/understanding-the-role-of-trauma-in-chronic-pain

As we are gearing up for the schools to start tomorrow, some special team members have been working through the festive ...
13/01/2026

As we are gearing up for the schools to start tomorrow, some special team members have been working through the festive season to ensure continuity of care. Thank you Alandé and Thea for your selfless service the last couple of weeks🙏🏻 We appreciate you!



02/12/2024

The link between Chronic Pain, anxiety and stress…

Address

70 Plein Street, Lemoenkloof
Paarl
7646

Opening Hours

Monday 08:00 - 17:00
Tuesday 08:00 - 17:00
Wednesday 08:00 - 17:00
Thursday 08:00 - 17:00
Friday 08:00 - 17:00

Telephone

+27218722400

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