My Back Pain Journey

As part of my studies I had to develop a patient resource. So I decided to do one on back pain entitled: ‘My back pain journey’.  The presentation (is supposed to) works like a website. It’s interactive and informative, and supported by evidence.

All you have to do is click on the screen to interact with my back pain journey. A short video then starts to inform you how to navigate round the presentation. Then click on the screen again for the next slide.

It may be best to view it as a presentation in power point online as I can’t get it any bigger on here and it’s a bit difficult to read.  You can make it bigger by clicking on the symbol in the bottom right hand corner on the mini presentation.

I’m looking for people’s feedback on the power point and if anyone know’s how to make it into an interactive webpage please contact me!

N.B. This is an academic piece of work so I had to show referencing and that I had done research. So as a true patient resource I would aim to condense down the text and change some of the language.

All that’s left to say is thanks for taking a look and enjoy!


Feedback so far

To difficult to navigate round

Too much text on the slides

Some of the language is not appropriate

The whole presentation doesn’t tell a story it’s just an info dump

Did you critique the referencing before adding it to the slide?


Adams, M. A., Stefanakis, M., & Dolan, P. (2010). Healing of a painful intervertebral disc should not be confused with reversing disc degeneration: Implications for physical therapies for discogenic back pain. Clinical Biomechanics, 25(10), 961–971.

Airaksinen, O., Brox, J. I., Cedraschi, C., Hildebrandt, J., Klaber-Moffett, J., Kovacs, F., … Zanoli, G. (2006). Chapter 4: European guidelines for the management of chronic nonspecific low back pain. European Spine Journal, 15(SUPPL. 2), 192–300.

Armon, C., Argoff, C. E., Samuels, J., & Backonja, M. M. (2007). Assessment: Use of epidural steroid injections to treat radicular lumbosacral pain: Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology, 68(10), 723–729.

Belavý, D. L., Albracht, K., Bruggemann, G. P., Vergroesen, P. P. A., & van Dieën, J. H. (2015). Can Exercise Positively Influence the Intervertebral Disc? Sports Medicine, 1–13.

Benson, R. T., Tavares, S., Robertson, S., Sharp, R., & Marshall, R. (2010). Conservatively treated massive prolapsed discs: A 7-year follow-up. Annals of the Royal College of Surgeons of England, 92(2), 147–153.

Brinjikji, W., Luetmer, P. H., Comstock, B., Bresnahan, B. W., Chen, L. E., Deyo, R. A., … Jarvik, J. G. (2015). Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. AJNR. American Journal Of Neuroradiology, 36(4).

Chaparro, L. E., Wiffen, P. J., Moore, R. A., & Gilron, I. (2012). Combination pharmacotherapy for the treatment of neuropathic pain in adults, (7), 2–4.

Chiu, C.-C., Chuang, T.-Y., Chang, K.-H., Wu, C.-H., Lin, P.-W., & Hsu, W.-Y. (2015). The probability of spontaneous regression of lumbar herniated disc: a systematic review. Clinical Rehabilitation, 29(2), 184–195.

Cusens, B, Duggan, G, Thorne, K, Burch, V. (2010). Evaluation of the breath works mindfulness-based pain management programme: Effects on well-being and multiple measures of mindfulness. Clinical Psychology & Psychotherapy. 17. 63-78.

Darlow, B., Dean, S., Perry, M., Mathieson, F., Baxter, G. D., & Dowell, A. (2015). Easy to Harm, Hard to Heal. Spine, 1.

Darlow, B., Dowell, A., Baxter, G. D., Perry, M., Mathieson, F., Perry, M., & Dean, S. (2013). The Enduring Impact of What Clinicians Say to People With Low Back Pain. Annals of Family Medicine, 11(6), 527–534.

Deyo, R. a, Mirza, S. K., Turner, J. a, & Martin, B. I. (2009). Overtreating chronic back pain: time to back off? Journal of the American Board of Family Medicine : JABFM, 22(1), 62–68.

Downie, A., Williams, C. M., Henschke, N., Hancock, M. J., Ostelo, R. W. J. G., de Vet, H. C. W., … Maher, C. G. (2013). Red flags to screen for malignancy and fracture in patients with low back pain: systematic review. BMJ (Clinical Research Ed.), 347(January), f7095.

Eccleston, C., & Crombez, G. (2007). Worry and chronic pain : A misdirected problem solving model. Pain, 132(3), 233–236.

Furlan, A. D., Imamura, M., Dryden, T., & Irvin, E. (2015). Massage for low-back pain ( Review ) Massage for low-back pain, (6), 3–6.

Furlan, A. D., Tulder, M. W. Van, Cherkin, D., Tsukayama, H., Lao, L., Koes, B. W., & Berman, B. M. (2005). Acupuncture and dry-needling for low back pain ( Review ) Acupuncture and dry-needling for low back pain, (1), 1–3.

Graves, J. M., Fulton-Kehoe, D., Jarvik, J. G., & Franklin, G. M. (2012). Early imaging for acute low back pain: one-year health and disability outcomes among Washington State workers. Spine, 37(18), 1617–27.

Greenhalgh, S. and Selfe, J. (2006) Red Flags: A guide to identifying serious pathology of the spine. Churchill Livingstone: Elsevier.

Hughes, L. S., Clark, J., Colclough, J. A., Dale, E., Mcmillan, D., & Hughes, L. (2016). Acceptance and Commitment Therapy (ACT) for chronic pain: A systematic review and meta-analyses. The Clinical Journal of Pain, Publish Ah.

Jarvik, J. G., Hollingworth, W., Heagerty, P. J., Haynor, D. R., Boyko, E. J., Deyo, R. A. (2005). Three-year incidence of low back pain in an initially asymptomatic cohort: clinical and imaging risk factors. Jul; 30(13) 1541-8

Jevne, J. (2015) Stabbed in the back: Moving the knife out of back pain. Retrieved from

Lederman, E. (2010). The fall of the postural–structural–biomechanical model in manual and physical therapies: Exemplified by lower back pain. CPDO Online Journal, 1–14.

Leboeuf-Yde, C, Pedersen, E, Bryner, P, Cosmani, D, Hayek, R, Meeker, W, Shaik, J, Terrazas, D, Tucker, J, Walsh, M. (2005) Self-reported non-musculoskeletal responses to chiropractic intervention: a multination survey. Journal of Manipulative Physical Therapy. 28 (5) 294-302.

Louw, A., Diener, I., Butler, D. S., & Puentedura, E. J. (2011). The Effect of Neuroscience Education on Pain, Disability, Anxiety, and Stress in Chronic Musculoskeletal Pain. Archives of Physical Medicine and Rehabilitation, 92(12), 2041–2056.

Louw, A, Puentedura, E. (2013). Therapeutic Neuroscience Education. Teaching patients about pain. New York. OPTP Publishing. ISBN 978-0-9857186-4-0.

Maher, C., O’Keeffe, M., O’Sullivan, K. (2016) 14 Myths about back pain. Retrieved from

Mirza, S. K., & Deyo, R. a. (2007). Systematic review of randomized trials comparing lumbar fusion surgery to nonoperative care for treatment of chronic back pain. Spine, 32(7), 816–823.

Rubinstein, S., Terwee, C., Assendelft, W., de Boer, M., & van Tulder, M. (2012). Spinal manipulative therapy for acute low-back pain. Cochrane Database of Systematic Reviews, (9), 10–13.

Rubinstein, S., Van Middelkoop, M., Assendelft, W., DeBoer, M., & Van Tulder, M. (2011). Spinal manipulative therapy for chronic low-back pain. The Cochrane Collaberation, (9), 2011–2013.

Sluka, K. A., O’Donnell, J. M., Danielson, J., & Rasmussen, L. a. (2013). Regular physical activity prevents development of chronic pain and activation of central neurons. Journal of Applied Physiology (Bethesda, Md. : 1985), 114(6), 725–33.

Staal, J. B., de Bie, R. A., de Vet, H. C. W., Hildebrandt, J., & Nelemans, P. (2009). Injection therapy for subacute and chronic low back pain: an updated Cochrane review. Spine, 34(1), 49–59.

Thompson, B. L. (2015). GRADED EXPOSURE FOR PAIN – RELATED AVOIDANCE. Healthskills NZ Ltd.

Webster, B. S., Bauer, A. Z., Choi, Y., Cifuentes, M., & Pransky, G. S. (2013). Iatrogenic consequences of early magnetic resonance imaging in acute, work-related, disabling low back pain. Spine, 38(22).

Williams, A. C. D. C., Morley, S., & Eccleston, C. (2009). Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Syst Rev, (11).


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