Psychosocial Factors

Cardiovascular Exercise for Chronic Pain

Cardiovascular Exercise for Chronic Pain

I am sure most of us send home patients with exercises to do. Potential aims being: Improved muscle strength/endurance Improve flexibility of muscles/joints Rehabilitating tendinopathies Improved motor control Pain relief Neural tissue “mobilisation” Etc, etc, etc. But what about cardiovascular exercise? Are there benefits of cardiovascular exercise for chronic pain? Why should we be encouraging […]

By September 21, 2012 2 Comments Read More →
Hypothalamo-Pituitary-Adrenal Axis

Hypothalamo-Pituitary-Adrenal Axis

I touched on the Hypothalamo-pituitary-adrenal axis in the last post. So what is the Hypothalamo-pituitary-adrenal (HPA) Axis and what do I think we need to know about it? The HPA Axis is: a central control and regulatory system of the organism that connects the central nervous system (CNS) with the hormonal system. This stress-responsive system […]

By September 12, 2012 1 Comments Read More →
Sleep and Chronic Pain

Sleep and Chronic Pain

I think most of us ask our patients about their quality of sleep. My previous experience in relation to asking this was purely to assist in identifying: Inflammatory pain patterns (as mentioned in a previous post). Potential “Red Flag” signs. The more I read about sleep it becomes apparent to me the need to take […]

By September 4, 2012 2 Comments Read More →
The Biopsychosocial Model

The Biopsychosocial Model

Sorry for the delay in posts. Winter has not been kind for illness! For those not familiar with the Biopsychosocial model I would recommend that you read the following article in relation to the to biopsychosocial model. Gatchel RJ, Peng YB, Peters ML, Fuchs PN, Turk DC. The biopsychosocial approach to chronic pain: scientific advances and […]

By September 3, 2012 0 Comments Read More →
Fear

Fear

Fear is a topic that I am exploring more in both the clinical setting and the literature. I read an extremely interesting article by Gatchel et al (2007) entitled the “The biopsychosocial approach to chronic pain: scientific advances and future directions”. They summarised some interesting research into fear: Approximately two thirds of chronic nonspecific low […]