Can low back pain be influenced by pain in the front of the body?

John Panagopoulos

As a physio who works in a busy clinic and treats lots of different people, one of the phenomena that I’ve observed over the years is how many patients, who present with back or neck pain, and also mention they have lots of gut / reproductive problems. These gut problems are generally mild symptoms like feeling bloated and constipated. Even when … [Read more...]

Low-back pain, a consequence of cumulative mechanical loading?

Jaap van Dieen

In a recent reaction posted on this website, it was stated that systematic reviews typically find little or no relationship between physical loading and low-back pain. The author cited three reviews, seemingly providing solid evidence in support of this statement. However, these reviews are part of a series produced by the same group, according to … [Read more...]

Risk Factors for Low Back Pain

Jeffrey B. Taylor

As with most orthopaedic injuries, the greatest risk factor for developing low back pain (LBP) is a history of low back injury. Because of this, an initial injury to the lumbar spine may develop into a long history of dealing with recurrent bouts of pain and reduced function that emanate from a spine injury. Therefore, investing in intervention … [Read more...]

PhD researchers of the world, unite and take over!

Pain science in motion

PhD researchers often have a struggle to get their work (in progress) onto the stage of an international congress. Indeed, places on stage of the large international pain congresses are limited, and they are traditionally allocated to the leaders in the field.  The first colloquium in the world to focus on PhD researchers in the field of pain … [Read more...]

New light on bone formation in CRPS?

Roberto_Perez

The variability of signs and symptoms of Complex Regional Pain Syndrome (CRPS), may represent between-patient variability in the pathological mechanisms at work. One often forgotten CRPS feature is impaired bone formation yet this has been found in up to fifty percent of patients regardless of disease duration [1]. German Surgeon Paul Sudeck … [Read more...]

The pain-adaptive individual: do you have a superior pain response?

Everyone responds differently to pain. We know that. But can we meaningfully group people by how they respond? A recent study by Zheng et al. (2014) has found that by exposing a sample of healthy, pain free participants to a common, stable threat, and then measuring their pain response, we can differentiate an individual’s pain response into one of … [Read more...]

Sense of ownership is necessary to anticipate pain

The awareness of being the owner of one’s body is probably the most common basic experience in life and is rarely considered as a cognitive function – just like speech or memory. This sense of ownership can be disrupted by brain injury, leading to a striking neuropsychological condition called somatoparaphrenia, defined as the acquired delusion … [Read more...]

Which treatments for which patients?

Adam Hirsh

How do clinicians decide which treatments to provide to which patients? One might assume a simple process: if patient X has condition Y, treatment Z is provided. For many conditions, it is this straightforward – treatment guidelines are clear enough to remove any guesswork. Unfortunately, clear guidelines do not exist for chronic pain. Even the … [Read more...]

Mindful Teens Cope Better With Pain

Mark Petter

Mindfulness refers to purposefully paying attention to moment-to-moment experiences in a nonjudgmental and accepting manner [1]. Although mindfulness has its roots in Buddhist traditions, there is nothing inherently religious or esoteric about the concept. In fact, all people are more or less mindful in their day-to-day lives.For example, right … [Read more...]

What is the relationship between physical activity and low back pain?

The Australian Twin low BACK pain (AUTBACK) study Almost all guidelines for the prevention and management of low back pain (LBP) emphasise the importance of regular physical activity and exercise [1, 2]. Surprisingly, the question of whether physical inactivity in general, or specific forms of physical activity, are risk or protective factors for … [Read more...]