I frequently joke with many of my colleagues that I’m an OT in a physio’s body. Most of my work in pain management involves supporting people, increasing self-efficacy, addressing concerns or worries about misconceptions of fragility of the body and of course getting people moving. So, yeah I’m a physio and I often question what [...]
Sometimes I wonder why I just don’t ask a simple question such as, "what are safety behaviours?" Oh no, not me I like to ask deeper questions! So, this blog is kind of an opinion piece but more ramblings about reading and interpretation. Apologies in advance if I go off track. Writing is thinking and [...]
It's been a while since I released a 31 days project video. I've been reading a lot of papers back from the 80s and seeing that actually not a lot has changed in terms of pain management. One pioneering individual (he is for me) is Bill Fordyce. He identified how learning and experiences influenced the occurrence [...]
Whole of community pain health education. for back pain. Why does first-line care get almost no attention and what exactly are we waiting for? I read with intrigue and interest Lorimer’s editorial in the British Journal of Sports Medicine (G. L. Moseley, 2018). I have huge respect for the man who has effectively flipped the traditionalist healthcare [...]
Complex Regional Pain Syndrome (CRPS) is commonly associated with an injury of the extremities. In CRPS type I, the most common is a fracture of the hand or foot complex. In the upper limb (which has a higher prevalence of CRPS) an uncomplicated radial fracture would normally take around 6-8 weeks to heal (if no [...]
Exercise is routinely advocated by healthcare professionals as a treatment to address pain and tissue injury. The consensus that strengthening the local tissue will attenuate pain by improving its resilience whilst transitioning through a natural cycle of tissue healing. Whilst exercise does have morphological effects on local muscle it is understood that increases in muscle [...]
I am very privileged to have another guest post from a Physiotherapist that has just as much of an obsessive interest in Complex Regional Pain Syndrome as I do. Janet Holly (@innerchild) is a Senior Physiotherapist at Ottawa Hospital in Canada. Janet recently had a paper (ref) published with Tara Packham (@TaraLPackham) in the Journal [...]
There’s been a lot of talk around the term fake news in the media. Mr Trump (I can’t believe he got a mention in my blog!) is a master of calling out fake news and it was so popular it was named word of the year in 2017 (reference). Fake News is the term [...]
We've all seen that familiar face pulled by people living with persistent who are being asked to exercise for the first time. Dosage is something we are all familiar with when it comes to taking medication. Yet with exercise will still tend to focus on the typical 3 sets of 10 or 12 or 15 [...]
It’s interesting what gives you inspiration to write. Topical issues, pseudo-science, the latest research, jotting down your thoughts. I had intended my first blog of 2018 to be about my further reflections on causation. Yet after what occurred on last Friday afternoon (02/02/18), I felt compelled to change tack and blog about the nonsense that the [...]
