Leadership and Listening in Collaborative Health Care

Why is listening to people so hard? A 4-Part Clinical Collaboration Reflection Part 4 Our daily work with people in pain is a leadership position. It would be nice to wait for a system overhaul, and new models of care to be created, but human suffering doesn’t fit into that timeline. We have people in front of us everyday, and we know that even … [Read more...]

Bring on The Pain Revolution

Why is listening to people so hard? A 4-Part Clinical Collaboration Reflection Part 3  What does it take to change a cultural narrative around a healthcare issue like pain? It takes a Revolution. When Lorimer pitched the idea of a Pain Revolution bike ride, where we would take the science out of the lab and into people’s real lives, I was … [Read more...]

Scaling Collaborative Care

Why is listening to people so hard? A 4-Part Clinical Collaboration Reflection Part 2 Collaborative care, in it’s current form, is not very scaleable. In chronic pain care, we have a situation where the people who need help most, have the least access to services (1). They have the highest barriers to change, the most complex social situations … [Read more...]

Calls to Collaborative Care

Why is listening to people so hard? A 4-Part Clinical Collaboration Reflection Part 1 Whatever happened to “health” and “care” in healthcare?  We’ve woken up in 2017 to an internet bursting with calls to fix the broken system(1) and re-humanise health, and they fill me with equal parts hope and dread. I don’t want to read another call to arms … [Read more...]

A misty, multidimensional crystal ball

Wouldn’t it be great if we could give our patients a prognosis that is evidence based and tailored to their presentation? Chronic low back pain (CLBP) is, however, a complex multidimensional problem, and over 200 factors (from multiple dimensions such as demographics, psychological, social, health and lifestyle etc.) may be prognostic for people … [Read more...]

In memory of Professor Roberto Perez: a personal reflection.

Professor Roberto Perez, who died on September 7th this year, was a Physiotherapist by profession, and Professor of Pain and Pain Therapy Research at VU University Medical Centre, Amsterdam.  He was the current Chair of the IASP Special Interest Group for Complex Regional Pain Syndrome (CRPS) and Secretary for the International Research Consortium … [Read more...]

Placebo Analgesia from a Rubber Hand

A sense of embodiment, that is, ownership, over one’s own body is a pervasive sensation that is rarely interrupted or lost. Despite being ubiquitous, the influence of embodiment on treatment outcomes is still unknown. If, for instance, the feeling of ownership was lost over a limb, as can be the case following neurological damage, how might this … [Read more...]

Can we train pain-related attention?

Spoiler alert: This blogpost contains null findings.  Paying too much attention to pain is bad. At least, that’s the idea for people who have chronic benign pain, where the pain no longer provides much useful information about the state of the body. People with chronic pain often report being frequently interrupted by pain, meaning that they’re … [Read more...]

Do you have pain on the bottom of your heel? Orthotics may help . . .

I’m completing a PhD investigating interventions for heel pain, and my wife recently started experiencing pain in her plantar heel when getting out of the bed in the morning. I’m sure she felt lucky she was married to someone who could provide her the best advice on how to reduce her pain. However, it’s been three months now, and she still has pain … [Read more...]

Are people who practice yoga better at motor imagery?

Yoga has been practiced around the world for thousands of years and usually involves a series of integrated mind-body exercises – concentrating on stretching, breathing, balance, co-ordination and control. It also involves significant aspects of meditation and relaxation. These days in Western cultures, yoga is often practised within the context of … [Read more...]