Editor’s picks: Clinical prediction rules: Use the babies and throw the bathwater?

Over this holiday season we are publishing our Editor’s picks of 2017 for you to read and enjoy again.  — There are easily a thousand clinical prediction rules (CPRs) related to managing musculoskeletal pain. Okay, maybe a thousand is an exaggeration. My point is there are many. All designed with the aim of helping clinicians to make more certain … [Read more...]

Designing next-generation psychotherapy in pain

People are often surprised at how badly our treatments for chronic pain perform. Pharmacological, surgical, rehabilitative, and psychological treatments all underperform against our expectations, wishes and ideals (Eccleston and Crombez, 2017). The good news, however, is that there is fervent research activity in the pharmacological and surgical … [Read more...]

Attention bias in complex regional pain syndrome: it’s not just about the body

Some of the difficulties that people with Complex Regional Pain Syndrome (CRPS) report in feeling and moving their affected limb appear to be similar to a condition called hemispatial neglect [1,2]. Patients with ‘neglect’ have difficulty attending to one side of the environment following brain injury, and the similarities between the two … [Read more...]

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...]

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...]

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...]

Pain Revolution Rides Again!

In April 2017, Lorimer and an equally passionate bunch of clinicians, academics and supporters rode their bikes from Melbourne to Adelaide with the aim of reaching out to rural communities struggling with the problem of persisting pain. They challenged themselves with the long days on the bike, and they planted seeds of change in how we approach … [Read more...]