For the Patient – Why is my pain not getting better?

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 […]

Posted in: Pain
Sleep and Chronic Pain – Research Update – March 2014

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 Tendinopathy  – Research Update – February 2014
By February 25, 2014 3 Comments Read More →

Treatment of Tendinopathy – Research Update – February 2014

I thought it might be time to begin revisiting some of the key topics I have covered thus far. The first topic to update being Treatment of Tendinopathy. For those interested, my last post in this topic can be found here. One of the great recent articles I reviewed was by Rio et al (2014). […]

Neurological Examination for Radiculopathy
By February 12, 2014 2 Comments Read More →

Neurological Examination for Radiculopathy

I found this recent article regarding neurological examination for radiculopathy interesting. Al Nezari et al (2013) conducted a systematic review and meta-analysis of the literature investigating the diagnostic accuracy of the neurological examination to detect lumbar disc herniation with suspected radiculopathy. The authors found 14 studies that investigated three standard neurological examination components (sensory, motor, and reflexes) […]

Treatment of Chronic Pain?
By January 30, 2014 2 Comments Read More →

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 […]

MRI Findings in Low Back Pain
By December 11, 2013 21 Comments Read More →

MRI Findings in Low Back Pain

Hopefully we are all familiar with the current view that most lower back pain is “non-specific” in nature. What this means is that there is no obvious finding on imaging (MRI etc) that can explain a cause of the patients pain. But what is some of evidence base in relation to MRI findings in low […]

Clinical Diagnosis of Meniscal Tears in the Knee – Research Evidence
By November 23, 2013 3 Comments Read More →

Clinical Diagnosis of Meniscal Tears in the Knee – Research Evidence

Hi all. This post continues on with the theme relating to the “usefulness” of clinical tests. The time the topic of this post is “Clinical Diagnosis of Meniscal Tears in the Knee – Research Evidence”. Once again this post throws values around for sensitivity, specificity, LR’s etc. So here is some information from a previous […]

Surgery for Shoulder Impingement
By November 11, 2013 4 Comments Read More →

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 […]

Is it Peer Reviewed?
By October 21, 2013 0 Comments Read More →

Is it Peer Reviewed?

Please see the following link to an article written in a newspaper titled “The Australian”, by a gentleman named Brendan O’Neill. What do we want? Peer review. When do we want it? Never. Whilst this article mainly refers to climate change as an example of a scientific subject, I think this article is very relevant […]

Posted in: Research Evidence
VMO and Patellofemoral Pain
By October 15, 2013 0 Comments Read More →

VMO and Patellofemoral Pain

I have previously discussed Patellofemoral pain and the evidence base behind the diagnosis, pre-disposing factors and treatment of this disorder (link here). As discussed in the above-mentioned post a significant volume of literature would suggest that the clinical utility of “clinical tests” for diagnosing Patellofemoral pain is poor, that being they lack specificity, sensitivity, and […]

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