Tag: Non-Specific Chronic Low Back Pain
Move on please….it is nearly 2017!
Last post for the year. My apologies for the low number of posts this year. 2016 has been a busy year for a number of reasons, most of them positive! To finish off I am going to deal with my “favourite” topic that continues to relate to this view that “core stability” training is an absolutely […]
Blaming Pathology or Lack of Pathology
I have blogged a number of times about how there is generally a very poor correlation between the “pathology” we see on scans and pain. The lower back being the most commonly cited example but there are many other examples (see here, here and here) and over time the list appears to be getting longer. […]
Core Stability – Research Update – May 2015
I have posted previously regarding the “Core Stability Problem“. One of the first articles I reviewed this year in relation to this topic was: An update of stabilisation exercises for low back pain: a systematic review with meta-analysis by Smith et al (2014). I think this systematic review quite clearly demonstrates where we are now at with the “Core Stability” and the “Stabilisation” approach. Key conclusions by the authors […]
“Over-Imaging” the Lower Back
Not a very imaginative title I know! But hopefully my final post on Imaging for a little while. Apologies if it has become a of focus on this blog recently, but I think it is a critical issue in musculoskeletal medicine. I have outlined in previous posts that my interpretation of the research (systematic reviews) on […]
Imaging Findings In Asymptomatic Lumbar Spines – Research Update – January 2015
The plan this year is to shorten my posts, and post more regularly. Here we go……wish me luck! Imaging findings in asymptomatic lumbar spines and other areas of the body, are recurring theme on this site. Mainly because of the experiences I have routinely had where patients are managed purely based on their imaging findings. Here […]
Is Lifting Technique Important?
A common theme I continue to encounter in clinical practice is the belief from patients, and health care providers, that correct lifting technique i.e. maintaining a lumbar lordosis, is critical in the prevention and rehabilitation of back injuries. I can recall this belief being around for as long as I have been practicing and studying […]
The Core Stability Problem
When I refer to “Core Stability” I mean teaching patients isolated contractions of transverses abdominus and multifidus. This is then usually progressed (depending on the practitioner) to having the patient contracting these muscle in functional movement patterns. The end aim being reduction of pain and improvement in function. From my perspective the “core stability” direction started following […]
Red Flags for Low Back Pain- Research Update – July 2014
Sorry for the delay in posts. I was pleased to recently be asked by the Western Australian branch of Musculoskeletal Physiotherapy Australia (MPA) to present a day of lecturing on their annual “Spinal 1” course, and an evening seminar on “Red Flags for Low Back Pain”. Hence my last couple of months have been taken […]
Cold Hyperalgesia Testing
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 […]
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 […]
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