Tag: Non-specific Low Back Pain

Move on please….it is nearly 2017!

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 […]

By December 31, 2016 6 Comments Read More →
Blaming Pathology or Lack of Pathology

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

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

“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 […]

By February 20, 2015 7 Comments Read More →
Imaging Findings In Asymptomatic Lumbar Spines – Research Update – January 2015

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 […]

By January 30, 2015 8 Comments Read More →
Is Lifting Technique Important?

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 […]

By January 22, 2015 2 Comments Read More →
Red Flags for Low Back Pain- Research Update – July 2014

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 […]

For the Patient – Why is my pain not getting better?

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 […]

Treatment of Chronic Pain?

Treatment of Chronic Pain?

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 […]

By January 30, 2014 3 Comments Read More →
MRI Findings in Low Back Pain

MRI Findings in Low Back Pain

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 […]

By December 11, 2013 21 Comments Read More →