Low back pain – time we sang from the same song sheet

Is it possible that a lack of centralisation reflects a predominance of centralisation?  Well, the undisputed wrestling champion of physical therapy is wrestling with this very topic, having been motivated by an intruiging paper.  Fortunately for BiM, John kindly agreed to write a post on it. Here it is: Here is a riddle for you. What word by … [Read more...]

Back Pain Myths Closing Sale Everything must go

Everyone knows all about low back pain. This is probably by virtue of the fact that most of us have or will experience it at some stage. Everyone is an expert, clinicians and patients alike and there are a whole host of accepted truths about back pain that we all cling on to. Ideas that replicate themselves successfully across populations have been … [Read more...]

The disc in sitting – much ado about nothing

When I went through physio school, I remember feeling more and more aware of how I sat, as the course went on. We were clearly learning our stuff - we knew, that back pain was caused in no small part by discs bulging - HANG ON! Let me start at the beginning (for as Mary Poppins says, it is a very good place to start). We actually knew that the disc … [Read more...]

Middlekoop et al chapter three – what do the numbers mean?

Here is a final installment in our coverage of the Middlekoop paper.  First up, we had Neil O'Connell talking about elephants and then we had Peter O’Sullivan raising some provocative thoughts on the value of our current direction in trying to evaluate exercise as a treatment for back pain. Now, from that odd group of people called … [Read more...]

Time to put away the magic bullet theory of back pain – Peter O’Sullivan talks…

Marienke van Middelkoop, and coworkers published a systematic review investigating the benefits of Exercise therapy for chronic nonspecific low-back pain (NSCLBP)[1]. They concluded that no exercise approach is superior to any other (from motor control to conditioning to back school) and that effect sizes for exercise are small in the management of … [Read more...]