Archive for January, 2013
Classification of Central Sensitisation, Nociceptive Pain and Peripheral Neuropathic Pain
Keith Smart and colleagues have published a number of articles, over the past year or two, in relation to classification of Central Sensitisation, Nociceptive Pain and Peripheral Neuropathic Pain. I think their findings are very useful in the clinical setting to guide us in our decision making. Recent articles ,published in Manual Therapy in 2012, identified […]
Masqueraders of Spinal Pain
In addition to the Henschke et al article that I referred to in the last post, I also thought it important to review potential Masqueraders of Spinal Pain. I reviewed an article by Klineberg et al (2007) that provides examples of medical causes (Masqueraders) of back pain. Something I think as primary contact practitioners we should be […]
Red Flags
I reviewed a recent article by Henschke et al (2009) in relation to Red Flags titled: Prevalence of and Screening for Serious Spinal Pathology in Patients Presenting to Primary Care Settings With Acute Low Back Pain The purpose of this study being to determine prevalence of serious pathology in patients presenting with acute lower back pain […]
Cervicogenic Headache
Cervicogenic Headache (CGH) is a common clinical occurrence. The first challenge being to identify if the patient is suffering from CGH as either the primary problem or as a component of a mixture of headache types. This is not always easy as purely basing it on subjective findings can be difficult. Assessment of Headaches From […]
Assessment of Dizziness
In my clinical experience it would appear that patients presenting with dizziness is not uncommon. Is there a protocol for assessment of dizziness? I am certainly not an expert on dizziness, but I think the following information is a key minimum to know when assessing a dizzy patient. From a physiotherapy perspective I think the […]
Mechanisms of Manual Therapy
What does Manual Therapy (MT) do? By MT I mean what do our passive joint mobilisation techniques do? The following summarises some interesting research regarding the Mechanisms of Manual Therapy. Schmid et al (2008) Conducted a systematic review of the literature in relation to the effects of MT. They concluded that: MT may help with […]
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