David Sackett Talks About Evidence Based Medicine

Another in our Golden Oldies series:  Here is a superstar, well I guess he is sort of a pioneer/superstar, of evidenced based medicine, in an interview with a slightly cheesy fellow, just after Sackett won the Gairdner Award for Leadership in Medicine. These awards are extremely posh and Prof Sackett deserves it. The thing I like about him is him … [Read more...]

Acupuncture and a cracking review paper

Going over the archives, Neil wrote this after finding a  review paper written by Professor Donald Marcus "Is Acupuncture for Pain a Placebo Treatment? An examination of the evidence".  First published in The Rheumatologist, it is open access - which means you can read the full paper for free. Acupuncture, some dodgy maths and a cracking review … [Read more...]

Making sense of research and helping it guide our practice

Another in our golden oldie series celebrating BiM's 5th birthday since it published it's first blog post on 17th August 2009.  This one by Neil O'Connell. A sparkling, glittery threat to evidence based practice Here at Brunel I run an MSc module on evidence based practice. In the first session of the module I run an honesty test. Here it is … [Read more...]

Oldies but goodies

It's summer time in the northern hemisphere and we thought it would be a good idea to look back over the years and post some crackers.  This one is particularly apt for you folks currently in a heat wave. Don't drink in the dark Mosquitoes, or mozzies as we would call them here in Australia, come out at night. I know this in part because I have … [Read more...]

But they walked, hopped and jumped on it!

From the days of my infancy as a physiotherapist, I was raised on the teaching that pain should be measured by subjective means only. You have to ask the patient. You cannot presume to judge the magnitude of their experience: you ask them, and they tell you. If they say it’s a 2 out of 10, that’s what it is. If they say it’s an 11 out of 10 (I see … [Read more...]

tDCS – negotiating the “rising tide” of hype.

By now most of you will have heard of transcranial direct current stimulation (tDCS). It’s been all over the media in recent years and original research has been flooding through the neuroscience and clinical journals. In a nutshell it involves the non-invasive delivery of low intensity direct current applied to the brain via electrodes that are … [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...]

Exercise for chronic whiplash – the road to Nullville.

It seems like only yesterday I was blogging about an important trial of targeted care for acute whiplash, which like other such trials returned a convincingly negative result. It seems that our best efforts at improving outcomes in the early stages after whiplash injury do not achieve their goals. But what about when we intervene with a group of … [Read more...]

PainAdelaide 2014 – Wrapping-up and looking forward

Wrap-up Thanks so much for being a part of possibly (probably!) the best little pain meeting in the world - PainAdelaide 2014.  We thought it was a roaring success and a large part of that is because of the feel in the room, to which you clearly contributed!  Our overseas visitors were very impressed with the meeting. They commented on the … [Read more...]

Emerging research trends on the relationship between sleep and pain

The relationship between pain and sleep quality is well reported in the literature. Sleep complaints are present in up to 88% of chronic pain disorders [1] and at least 50% of patients presenting with insomnia also suffer chronic pain [2]. This short blog post focusses on a recent review by Finan, Goodin and Smith (2013) who aimed to identify … [Read more...]