Popping your disc – when ‘elegant simplifications’ are ‘catastrophic...
We could do well to think carefully about the accuracy of not only what we say, but what we imply, when we tell patients what is happening inside their body. This point was made particularly clear to...
View ArticleMaintenance spinal manipulation: The cherry-pickers quandary
A closer look at a new study that purportedly demonstrates a real benefit to spinal manipulation in chronic back pain and seems to validate that controversial practice of regularly seeing patients...
View ArticleOf shiny pictures and poorer outcomes: Spinal MRI and back pain
Diagnosing low back pain is a nightmare. It established that apart from the 15% of back pain cases which can be attributed to a specific spinal pathology, the majority of cases fall under the...
View ArticleThere is no such thing as a new idea
An article that I read some years ago probably had the biggest impact on my thinking on low back pain and disability. 15 years later it still informs the way that I think about pain and disability. The...
View ArticleThere is no such thing as a new idea continued
Socio-cognitive models have been used by health psychologist to increase our understanding of a variety of health behaviours. What about disability associated with low back pain? The post There is no...
View ArticleLumpers, Splitters and STarTers
In recent years there have been many debates about the disappointing results from clinical trials of treatments for non-specific low back pain. A recent study published in the Lancet looks at this...
View ArticleExercise for chronic back pain: The beige trouser effect?
Most commonly used exercise therapies for back pain are aimed at having an effect on some mechanical or tissue based aspect of spinal function. A new review has taken the issues of exercise therapy for...
View ArticleThe New Back Pain Choices Tool
The National Prescribing Service and the George Institute for Global Health have jointly launched a new decision support tool, Back Pain Choices, to assist primary care clinicians diagnose and manage...
View ArticleSelf-management for low back pain
National guidelines for low back pain consistently advocate self-management but what is the evidence? The post Self-management for low back pain appeared first on Body in Mind.
View ArticleClassification based cognitive functional therapy for back pain
This story of a 28 year old man with disabling low back pain illustrates the CB-CFT intervention trialled in the RCT in Bergen, Norway. The post Classification based cognitive functional therapy for...
View ArticleGiving patients the whole truth
Body in Mind I am guilty of being the eternal optimist in my practice. I can’t recall ever telling a patient that the outlook isn’t great for them, even though on many occasions, I had that sinking...
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