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 […]
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 […]
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 […]
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). […]
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) […]
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 […]
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 […]
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 […]
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 […]
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 […]
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