Psychosocial Factors
Some More Great Questions to Ask Your Patients
As a follow up to my last post I thought I might suggest another couple of questions that are worth asking your patients. Once again, these are not questions that I have devised myself, but rather have been suggested by me to other clinicians. I find them exceptionally useful in my clinical practice. 1. Do […]
The Core Stability Problem
When I refer to “Core Stability” I mean teaching patients isolated contractions of transverses abdominus and multifidus. This is then usually progressed (depending on the practitioner) to having the patient contracting these muscle in functional movement patterns. The end aim being reduction of pain and improvement in function. From my perspective the “core stability” direction started following […]
In Pursuit of Pathology
I have recently attended a couple of seminars that have mentioned how newer and better MRI units will begin to be used in the attempt to identify pathology in patients with musculoskeletal pain. Now this sounds a fantastic and a worthwhile cause, especially if it enables us to identify symptomatic pathology in a patient population […]
Fear and Fear Avoidance – Research Update -May 2014
I though it about time to provide an update regarding some recent articles/publications relating to the topic of Fear and Fear Avoidance. As seen in an earlier post, Fear is an important psychosocial factor that we need to be aware of when assessing and treating patients. The new research continues to provide support for this. Wertli […]
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 […]
Education and Mindfulness – Research Evidence
Another short post, but one I intend to add to as I gather more research. As the title of this post eludes to…..this is about Research Evidence in relation to treatments such as Education and Mindfulness. Pain Physiology Education Louw et al (2011) Systematic Review to evaluate the evidence for the effectiveness of neuroscience education […]
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 […]
The Role of Psychosocial Aspects and Beliefs in Chronic Pain
The following presents some of the key points from my readings into the role of psychosocial aspects and beliefs in chronic pain. It is interesting to see that psychosocial aspects appear to be far more important in predicting recovery (or non-recovery) from back pain than other “biomedical” measures. I have previously posted regarding co-morbidities and […]
Co-morbidities in Chronic Pain
Recently I have been reviewing the literature in relation to co-morbidities in chronic pain. The following list is taken from review of Ramond et al (2011), Von Korff et al (2005) and Coronado et al (2011). These are factors potentially related to poor prognosis and/or persistent pain states (I am sure there are more but […]
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