Tag: Classification
Mechanical vs Non-Mechanical Pain
I wrote a while back about posting in relation to the “Inverted Pyramid”. The inverted pyramid principle is aimed at keeping what we do simple. I think as a profession we have a tendency to overcomplicate many things and “fluff” around doing and focusing on things that in some cases are of very little importance. Instead […]
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 […]
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) […]
Classification of Back and Neck Pain – Research Evidence
There appears to be numerous methods in the attempt at Classification of Back and Neck Pain. The purpose of this post is to summarise some of the more common classification systems. In addition to this I have also included some references that debate the merits of classifying pain states. Spine Pain Classification Shah (2012) Moral […]
Non-Specific Low Back Pain
I thought that this Review article, by Balague et al (2012), was a wonderful outline of where we are at with regards to Non-Specific Low Back Pain. I would recommend those interested read the article in detail as obviously the vast majority of information below is cited by the authors. General Summary: The lifetime prevalence […]
Objective Exam – Framework
This is the framework I use for my objective assessment. This is a work in progress…..so I don’t think that this is perfect and I certainly cannot ideally implement it exactly yet. I am not going to talk about diagnostic/orthopaedic tests. They have their place in an exam, and certainly providing a specific structural diagnosis, […]
Subjective Exam – Classifying Nociceptive/Mechanical Pain
The framework I classify patients with Mechanical/Nociceptive pain under is based on the following flow chart taught to me in my postgraduate degree. The first thing to note is that this classification process begins in the subjective exam. It does not end after it. The left side of the chart refers to chemical pain i.e. […]
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