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.

Mechanisms and Management of Pain for the Physical Therapist – Book Review

I arrived at the University of Iowa to begin the DPT program with the expectation and excitement of learning how to be a human body mechanic. I had an undergraduate education in engineering, architecture, and education, with a minors in physics and math, so I was perfectly suited for the Newtonian approach to physical therapy. I was ready to jump … [Read more...]

Persistent low back pain: Can screening predict risk?

Almost everyone will experience low back pain (LBP).  Most of us also know someone who has persistent LBP – pain that comes and goes, or never goes; that limits work, or life or enjoyment.  When our own back hurts we worry (a little or a lot) that we might end up like them. The majority of adults who suffer a new episode of LBP recover within a … [Read more...]

We need YOUR friends and family….

We are interested in how the information we receive about our back affects our decision to be active or not. We are doing an experiment on it. We need 400 people to take part but we need them to NOT be readers of Body in Mind!! So, could you please ask your friends, family, neighbours, relations, colleagues to help us out?  We would be very … [Read more...]

Can Quantitative Sensory Testing responses predict the course of low back pain?

We know low back pain (LBP) is a condition with a variable prognosis. A good proportion of people recover quite quickly from an episode of LBP, but some will have fluctuating symptoms or develop chronic LBP [2]. Currently, there is no consensus as to which factors are more important to predict this trajectory [3]. Psychosocial (e.g. distress) and … [Read more...]

Spreading Pain Education in Brazil

Development of the first internet-delivery pain education intervention in Brazil It is well established that pain, especially chronic pain, is a public health problem worldwide. Chronification of pain may be due to mismanagement of acute pain that can result in modifications in the peripheral and central nervous systems. Likewise, insufficient … [Read more...]

Making a definition of pain work for us

With our new proposal, we are not, emphatically NOT, suggesting that we have arrived at the ideal definition of pain. A definition needs to work for clinical and experimental pain, for humans and for other animals, for excruciating and for trivial pain. It needs to distinguish pain from all other sources of distress, from specific anxieties to … [Read more...]

Is alcohol effective as a painkiller?

How many people have sustained an injury (accidental or other) after a few too many drinks, to find that the pain only really kicks in after they have sobered up? Pain experienced the morning after our drunken exploits may lend weight to the established belief that alcohol provides an effective form of pain relief. Historically, alcohol was a … [Read more...]

Alcohol and pain in the population

There is a problem in observational epidemiology. If a disease has an association with a behaviour within the population, we cannot tell which of these is true: the behaviour causes the disease; the disease causes the behaviour; or a third factor causes both. The first instinct for the reader of an epidemiological study is often to infer that … [Read more...]

Macrophages are key players in pain and analgesia

Macrophages are found in all tissues and are critical to injury and repair. Like neurons, macrophages are plastic and acquire different phenotypes based on the external environment. There are two types of macrophages, M1 which secrete inflammatory cytokines, and M2 which secrete anti-inflammatory cytokines. Inflammatory cytokines activate … [Read more...]

Oldies but Goodies – Classification based cognitive functional therapy for back pain

The fifth and last of our 'Oldies but Goodies' series is by Peter O'Sullivan: This story of a 28 year old man with disabling low back pain illustrates the CB-CFT intervention trialled in the RCT in Bergen, Norway. ‘Eight years ago I had a lifting injury at work. It was terrible pain, I was worried so I went to the doctor who ordered a scan. The … [Read more...]