Do physiotherapists effectively deliver psychological interventions?

Many of you will be asking why this topic? I had an accident in 2012 where I was diagnosed with whiplash/fibromyalgia. I tried physiotherapy and conventional medicine, all the while my health deteriorated. After two years, I added meditation to my physical therapy routine, and by 2015, I had fully recovered physically and mentally. This experience … [Read more...]

Poor functional outcomes in pediatric chronic pain – what’s catastrophizing got to do with it?

Catastrophizing has long been implicated in many poor outcomes in chronic pain-related conditions in both adults and children [3,4,11,12,14,15,18,20,22,24,29]. Scholars have called for interventions to reduce catastrophizing in children with chronic pain with the hope of improving outcomes [1,16,36]. However, important unanswered questions remain … [Read more...]

Extending scope of practice – physiotherapists’ perceptions of managing non-specific low back pain

There is considerable evidence demonstrating the multi-dimensional nature of non-specific low back pain (NSCLBP)[1], and recent guidelines and mission statements recommend a broad bio-psychosocial (BPS) approach to NSCLBP [2,3]. However, despite growing awareness of the value of embedding psychosocial factors into clinical practice recent studies … [Read more...]

Using the Internet to deliver Acceptance and Commitment Therapy for chronic pain

Cognitive-behavioural therapy (CBT) can improve quality of life and functioning in people with chronic pain. However, many people cannot access CBT in a timely manner, or at all. Simply put, there are too few psychologists with adequate training in pain management. There are also practical barriers to engaging in CBT, such as distance, work, and … [Read more...]

Does pain lead to mental illness or is it the other way around?

It’s common knowledge that pain problems and mental illness will affect many of us over the course of our lives [1-4]. Comorbidity between pain and mental illness is often seen in clinical practice and is well established in the literature [5]. But what actually comes first, is it the pain or is it the mental illness? And could it even be that one … [Read more...]

Do kids once in chronic pain break free?

After the long and winding road towards diagnosis, many children with chronic pain conditions improve with standard outpatient therapy approaches such as a combination of physical and cognitive behavioral therapies with or without medications. However a subset of children and teens with intractable and disabling pain require a more intensive … [Read more...]

Vision and pain – evidence of safety or evidence of danger?

Pain emerges when we conclude the body is under threat and in need of protection.[1] This conclusion depends on the integration of the predicted state of the body with information from multiple sources, and has led to an interest in the role that multisensory integration might have in pain modulation. The most commonly investigated phenomenon is … [Read more...]

Can video games help older people with back pain?

Low back pain is the leading cause of disability worldwide [1] and up to 90% of people will experience low back pain at some point in their life [2]. The small percentage of people who develop chronic and disabling symptoms account for most of the burden of low back pain, and these are mostly older people [3]. Low back pain becomes more severe … [Read more...]

How much evidence is enough to retract a paper?

A paper published in May this year by Coulter et al. (2018) was followed by two letters to the editor (Gibson et al. 2018, O'Keeffe, et al. 2018). The original paper was a systematic review with meta-analyses regarding the effectiveness of manipulation and mobilization for pain and disability in people with chronic non-specific low back pain.  The … [Read more...]

Editors picks: A simple question with a complex answer: Why do people seek healthcare?

Over this holiday season we are publishing our Editor’s picks of 2018 for you to read and enjoy again. The third and last one is by Derek Clewley. -- The obvious answer to the question, why do people seek healthcare for musculoskeletal conditions might be because of pain, loss of function, or disability. To some degree, all of these reasons are … [Read more...]