It hurts, but how long for?


People in pain often describe how much their pain hurts, often displaying its level of intensity through facial expression and tone of voice. The word 'intensity' is defined as 'the quality of being intense' Another definition refers to intensity as: 'extreme depth of feeling' Quality refers to the words to describe the characteristics and feeling [...]

Brainstorm Conference 2019


I’ve just spent the last two days in Auckland CBD at the bi-annual Brainstorm conference. A conference specifically focused on all things concussion. So, I thought I would give a quick rundown of my highlights. I think the biggest thing that confirmed my thinking was the huge parallels between pain management and persistent post concussion syndrome [...]

Usual Care Physiotherapy – Say what?


Usual care physiotherapy for chronic musculoskeletal pain, does anyone still do that? I recently read a single – blinded randomized controlled trial article (Domingues et al., 2019) discussing the effectiveness of combined Manual Therapy with Exercise compared to “usual care” physiotherapy for the treatment of chronic non-specific neck pain (CNSNP). The first cynical thought that [...]

31 days project: Gollum and the empty chair


The lord of the rings has to be one of my all time favourite movies. One of the most interesting characters in the movie is Gollum. People familiar with the movie will know the story of how Gollum came to be. Before the ring of Sauron poisoned his mind he was known as the hobbit [...]

Why OTs and PTs are perfectly placed to use ACT.


We can use ACT? A psychological therapy?? But that’s stepping outside my professional boundary, I couldn’t possibly…   Ok, back up! I can’t speak for Occupational Therapists (OTs) but Physiotherapists (PTs), really?? Are you honestly saying you’re crossing a line? Let’s take a wee trip down my memory lane shall we. On my journey with [...]

Why is it that we do physiotherapy in this way?


  'Oh, I've been shaking I love it when you go crazy You take all my inhibitions Creativity, there's nothing holding me back You take me places that tear up my reputation Manipulate my decisions Creativity, there's nothing holding me back There's nothing holding me back There's nothing holding me back'  Adapted from Shawn Mendes, [...]

Physiotherapy and The Marvel Effect


 “Heroes are made by the path they choose, not the powers they are graced with.” –Brodi Ashton / Iron Man(Attribution) Superheroes have fueled the imagination and inspired us. We are currently in the cinematic age and renaissance of superheroes. Since 2008, when the first Iron Man movie was released, Marvel have released no less than [...]

Heart rate formulas, how reliable are they?


I have been a bit of a runner for most of my life. Where I grew up in the Highlands of Scotland there was plenty of cross country running tracks to be explored. Of course that was mixed in with mountain biking, fly fishing, kayaking, sailing, football, hiking, rock-climbing… you get the picture. I have [...]

Exercise and Pain: Can we case formulate exercise?


I’ve pondered for quite some time if we can efficiently tailor exercise programs for people living with pain. Recent evidence (Hodges, 2019)and a consensus amongst peers, suggest that a hybrid approach to pain management programs is necessary. As proposed by Hodges, (2019) this would include stratification, identification of pain mechanism and subgrouping based on movement and/or psychology.  The multidimensional [...]