Pain neuroscience education: Effects on pain and disability in chronic low back pain

Pain neuroscience education (PNE) has changed our practice as clinicians, our knowledge and the way we interact with patients. But does it change short-term or long-term pain and disability in patients with persistent low back pain? Until recently, three systematic reviews had been undertaken to evaluate the effect of PNE in persistent non-specific … [Read more...]

Embedding psychology into physiotherapy for low back pain – why is it so difficult to change our minds?

“The way I look back at physio now, was that it was just the hell I had to go through in order to eventually get to pain services”. Those were the words a patient with chronic low back pain (LBP) used to describe their experience of musculoskeletal physiotherapy in a patient involvement group I’d been invited to speak at. I was stunned. As a … [Read more...]

Can we use mobile devices for left/right judgement tasks?

The left/right judgment task (LRJT)[1] is enjoying popularity in clinical practices to assess and manage people with persistent pain. The LRJT has compelling theoretical underpinnings that have been tested in many painful [e.g. 2-5] and some non-painful conditions [e.g. 6-8]. LRJT software was initially created to be used on desktop computers, … [Read more...]

What does high value care for musculoskeletal pain look like?

A middle aged patient with slow onset shoulder pain was concerned about the results of a left shoulder ultrasound that showed a partial tear in her rotator cuff. Since the result she had taken to wearing a sling to protect the shoulder from “further tearing”. A patient with a three year history of work related, disabling low back pain, and a … [Read more...]

Breaking it, Faking it and Making it to the World Championships

Dan Van Der Laan has been a trusted Ride Guide and supporter of Pain Revolution for the past two Rural Outreach Tours.  Here is his story: Ever since I was a kid two things have been true. I have loved sport and competition and I have had an uncanny ability to get injured. These things remain. I need a competitive outlet and I have visited … [Read more...]

Do you want to give a little love back our way?

If you are new to BodyInMind.org, you might not be aware of a major community outreach initiative being driven by our Chief Editor Professor Lorimer Moseley, called Pain Revolution. Pain Revolution emerged a couple of years ago on the back of two observations that will probably not be all that novel to you, but, both taken together, seemed pretty … [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...]

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...]

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...]

Search for the Holy Grail for Preventative Analgesia

The opioid epidemic is the largest public health issue facing the United States, and we are at a critical crossroads as pain physicians to find effective alternative medications and approaches for chronic pain. This sharp swing away from opioid prescription has left many patients in the US feeling desperate and helpless. The need for alternative … [Read more...]