Research Evidence

Move on please….it is nearly 2017!

Move on please….it is nearly 2017!

Last post for the year. My apologies for the low number of posts this year. 2016 has been a busy year for a number of reasons, most of them positive! To finish off I am going to deal with my “favourite” topic that continues to relate to this view that “core stability” training is an absolutely […]

By December 31, 2016 4 Comments Read More →
Some Question Marks Over Orthopaedic Surgery

Some Question Marks Over Orthopaedic Surgery

  Let me start this blog post by stating that I am not a surgeon. You can tell by the type of car I drive…… The purpose of this blog post is not to run down orthopaedic surgery or our surgical colleagues as many of them do wonderful work. I also know some fantastic evidence […]

Blaming Pathology or Lack of Pathology

Blaming Pathology or Lack of Pathology

I have blogged a number of times about how there is generally a very poor correlation between the “pathology” we see on scans and pain. The lower back being the most commonly cited example but there are many other examples (see here, here and here)  and over time the list appears to be getting longer. […]

Changing Pain vs Smoke and Mirrors?

Changing Pain vs Smoke and Mirrors?

One of the common things I see in clinical practice is therapists making patients adjust postures or movement patterns to see if it changes pain. Now i think that this is a very worthwhile way to approach patients. I do it all of the time. There is however a common error that I think we […]

By February 13, 2016 9 Comments Read More →
Musings from 2015

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 […]

By December 26, 2015 3 Comments Read More →
Recommended Reading – Pain Classification – July 2015

Recommended Reading – Pain Classification – July 2015

Sorry for the lack of posts, I am busy with some updates of university lectures. As you can imagine I am a bit OCD about presenting up to date information in my lectures. Given the time constraints at the moment I thought I might post the occasional article I come across in my lecturing preparations […]

The Inverted Pyramid

The Inverted Pyramid

This concept is one that was introduced to me back in my postgraduate study days at the University of Western Australia. It recently came to mind again and is something that I find very useful. I plan to introduce it to this blog for the next few posts. Depending on how well it is received […]

Core Stability – Research Update – May 2015

Core Stability – Research Update – May 2015

I have posted previously regarding the “Core Stability Problem“. One of the first articles I reviewed this year in relation to this topic was: An update of stabilisation exercises for low back pain: a systematic review with meta-analysis by Smith et al (2014). I think this systematic review quite clearly demonstrates where we are now at with the “Core Stability” and the “Stabilisation” approach. Key conclusions by the authors […]

“Over-Imaging” the Lower Back

“Over-Imaging” the Lower Back

Not a very imaginative title I know! But hopefully my final post on Imaging for a little while. Apologies if it has become a of focus on this blog recently, but I think it is a critical issue in musculoskeletal medicine. I have outlined in previous posts that my interpretation of the research (systematic reviews) on […]

By February 20, 2015 7 Comments Read More →
Imaging Findings In Asymptomatic Lumbar Spines – Research Update – January 2015

Imaging Findings In Asymptomatic Lumbar Spines – Research Update – January 2015

The plan this year is to shorten my posts, and post more regularly. Here we go……wish me luck! Imaging findings in asymptomatic lumbar spines and other areas of the body, are recurring theme on this site. Mainly because of the experiences I have routinely had where patients are managed purely based on their imaging findings. Here […]

By January 30, 2015 8 Comments Read More →
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