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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...

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The Role of Psychosocial Aspects and Beliefs in Persistent Pain

I have previously posted regarding co-morbidities and the importance of screening for them as part of our examination and how they can play a part in prognosis and treatment. The following presents...

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Classification of Back and Neck Pain – Research Evidence

There appears to be numerous methods to Classify 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...

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Education and Mindfulness – Research Evidence

Another short post, but one I intend to add to as I gather more research. As the title of this post eludes to…..this is about Research Evidence in relation to some of the other topics/treatment we...

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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...

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Sleep and Chronic Pain – Research Update – March 2014

The association between poor sleep and chronic pain is an interesting subject. For those interested, I previously posted on Sleep and Chronic Pain back in September 2012. I had the following fantastic...

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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...

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Fear and Fear Avoidance – Research Update -May 2014

I though it about time to provide an update regarding some recent articles/publications relating to the topic of Fear and Fear Avoidance. As seen in an earlier post, Fear is an important psychosocial...

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In Pursuit of Pathology

I have recently attended a couple of seminars that have mentioned how newer and better MRI units will begin to be used in the attempt to identify pathology in patients with musculoskeletal pain. Now...

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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...

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Some More Great Questions to Ask Your Patients

As a follow up to my last post I thought I might suggest another couple of questions that are worth asking your patients. Once again, these are not questions that I have devised myself, but rather have...

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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...

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Musings from 2015

Wow the year has flown by quickly. I have to say that I feel disappointed that I haven’t posted much this year. My apologies for not doing so. I have great admiration for the physiotherapy bloggers out...

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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...

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Some Question Marks Over Orthopaedic Surgery

  Let me start this blog post by stating that I am not a surgeon. You can tell by the type of car I drive…… The purpose of this blog post is not to run down orthopaedic surgery or our surgical...

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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...

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