BodyInMind

BodyInMind looks at the relationship between the body, the brain and the mind and how they interact particularly in chronic and complex pain disorders.

Differences in central pain modulation between patients with chronic pain are important determinants of clinical pain status

Despite a better understanding of chronic pain during the last decade, treatment remains difficult and is often unsuccessful. Recent studies suggest that mechanisms of central pain modulation, (that is, mechanisms inside our central nervous system which can facilitate or inhibit our pain experience), play an important role in the development of … [Read more...]

Making Cancer Less Painful for Kids

New advances in cancer therapies have drastically improved the prognosis for children diagnosed with cancer. Forty years ago, children were only given a 58% chance of living 5 years after a cancer diagnosis. Today, that number as soared to over 80% of children surviving 5 years.[1] Children with cancer are living longer, and as a result, … [Read more...]

Get involved! Translating evidence into practice: Cognitive behavioural techniques for back pain

Translating research into clinical practice is a challenge for researchers in all fields. I work in the UK and funding bodies here appear to be keenly aware of this, and are increasingly providing opportunities to engage with this challenge through dissemination activities and improved research-clinician engagement, for example. Our group at the … [Read more...]

Painful Diabetic Neuropathy from a Bio-Psycho-Social Perspective

Painful Diabetic Neuropathy (PDN) is a complex and multi-dimensional condition that affects up to 20% of people with diabetes. PDN is associated with considerable morbidity, mortality and diminished quality of life (QOL). Unfortunately, pain treatment with medication in PDN is frequently unsuccessful or only partially successful [1]. Patients with … [Read more...]

Giving patients the whole truth

I am guilty of being the eternal optimist in my practice. I can’t recall ever telling a patient that the outlook isn’t great for them, even though on many occasions, I had that sinking feeling in my gut. Many patients in pain are distressed enough – they don’t need me to give them more to worry about, do they? Maybe I’m not the only clinician who … [Read more...]

Spinal manipulative therapy, Graston technique® and placebo for long standing non-specific mid back pain

Few controlled trials have assessed the efficacy of spinal manipulative therapy (SMT) for mid back pain. In addition no high quality trials have been performed to test the efficacy and effectiveness of Graston Technique® (GT), an instrument-assisted soft tissue massage therapy. The objective of this study was to determine the efficacy of SMT and GT … [Read more...]

Group Cognitive Behavioural Therapy – can we do better?

Cognitive behavioural therapy (CBT), a  management strategy for chronic pain and its consequences [1], is frequently conducted in groups to minimise cost [2] and maximise efficiency. Although clinicians often report knowing when a group will go well or badly based on who is in the group, evidence that group composition can influence outcomes is … [Read more...]

How we walk affects what we remember…?

Let’s say you tell two friends to bring a list of things from the market. The list contains things they like and things they dislike. When you see them walking back, one is walking with a tall posture, slightly bouncy and a good arm swing, while the other is walking slumped, swaying sideways with minimal arm swing. Which one is more likely to have … [Read more...]

Why physical therapy treatments for low back pain may not be living up to their potential

Low back pain (LBP) is a leading contributor to people living with disability throughout the world,1 and the problem appears to be getting worse rather than better.2 Scientists and clinicians, therefore, need to improve treatment for LBP to shift this trend and reduce disability. People with LBP change how they control their posture for … [Read more...]

Diagnostic uncertainty and pain-related guilt: new treatment targets for low back pain?

Low back pain (LBP) is a highly prevalent condition, with a devastating impact on society and it is now recognized as the leading cause of disability worldwide (Lim et al., 2012). Research suggests that several psychological factors play an important role in LBP, and among the most robust factors are depression, catastrophic cognitions, fear of … [Read more...]