Pain
Musings from 2015
Wow the year has flown by quickly. I have to say that I feel disappointed that I haven’t posted much this year. My apologies for not doing so. I have great admiration for the physiotherapy bloggers out there who post such regular, well written posts. To wrap up the year I thought I might reflect/muse […]
Mechanical vs Non-Mechanical Pain
I wrote a while back about posting in relation to the “Inverted Pyramid”. The inverted pyramid principle is aimed at keeping what we do simple. I think as a profession we have a tendency to overcomplicate many things and “fluff” around doing and focusing on things that in some cases are of very little importance. Instead […]
The Role of Manual Therapy
Now the most obvious key role of manual therapy is that it provides pain relief in some patients (for those interested in the research relating to the mechanisms of manual therapy this topic please see this previous post and this recent systematic review by Voogt et al (2014)). Pain reduction in patients is great, but there […]
Cold Hyperalgesia Testing
I have often read in the literature the view that Cold Hyperalgesia is suggestive of more “severe” pain states and hence poorer prognosis. For example: Van Oosterwijck et al (2013) reported in their Systematic literature review on the evidence for central sensitisation in chronic whiplash that: The outcome of the processes involved in central sensitization […]
For the Patient – Why is my pain not getting better?
Since starting this blog I have been planning on posting information for patients to read and hopefully provide them some assistance. So this post is written for patients and is based on the research evidencen presented in this blog thus far. I thought I might start with a post relating to a question I get […]
Sleep and Chronic Pain – Research Update – March 2014
The association between poor sleep and chronic pain is an interesting subject. For those interested, I previously posted on Sleep and Chronic Pain back in September 2012. I had the following fantastic article forwarded to me by a colleague, and I thought it apt to provide a research update on this topic. Finan PH, Goodin BR, Smith MT. The association […]
Treatment of Chronic Pain?
Hopefully anyone seeing the title of this post will not be clicking on it thinking that I have the answers to chronic pain……please note the maze in the cover image and the question mark at the end of the title! Lets be honest, the outcomes that chronic pain patients are achieving, via all forms of […]
Surgery for Shoulder Impingement
Is surgery for shoulder impingement of help to patients? I have no doubt that it helps some patients, but what is the evidence in regards to surgery versus conservative rehabilitation? The following literature caught my eye recently: Ketola et al (2013) A five-year randomised controlled trial examining the effectiveness of arthroscopic acromioplasty in the treatment of stage […]
Pharmacotherapy for Treatment of Neuropathic Pain – Research Evidence
Just a short post this time around…… I realise this is not directly related to physiotherapy treatment but given that patients with a dominance of neuropathic pain and/or central sensitisation (e.g. those patients with a positive LANSS or DN4 score for neuropathic pain) would seem to be the more difficult ones to improve, I think it […]
Pain, The Brain and Motor Control
I find this topic quite heavy going for my Brain! But I think that it is an important area of growth in knowledge that we should be aware of. I have tried to summarise some of the key points from four of the most recent articles I have read in relation to this topic. The […]
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