Did you expect anything different?

Asking your patient what they expect is the thing to do these days, the idea being that what they expect is likely to influence how they will end up. The past years have seen an explosion of research into patient expectations, most of this research either looks at the link between patients’ expectations and their outcome, or has been performed in … [Read more...]

Weather Does Not Affect Back Pain

Everyone has a story about their back pain and one story you often hear is that the weather makes the person’s back pain worse. Topical now in Sydney as it is quite cold. We had an open mind on the issue because we had heard the story so many times but we also know that as a research question it was wide open as no-one had rigorously evaluated this … [Read more...]

Stopping ectopic activity at the DRG: Revolution in phantom limb pain or another red herring?

We were very fortunate to have Prof Srinivasa Raja and A/Prof Matthias Ringkamp write a post for us on the high profile papers that just came out in PAIN, both relevant to the ongoing debate of peripheral vs central mechanisms of neuropathic pain. In case you are not in the know, these guys are big wigs in the neuropathic pain scene and it is great … [Read more...]

A Sore Spot: Central or peripheral generation of chronic neuropathic pain?

Raja lab

A key question, of significant therapeutic consequence, regarding the neural mechanisms of chronic neuropathic pain is whether it is maintained by input from the periphery or by independent, central (spinal or supraspinal) generators.  In a recent issue of PAIN, two research groups reported their observations that suggest that input from primary … [Read more...]

Dry needling for myofascial pain. Does the evidence make the grade?

Last year, JOSPT published a systematic review and meta-analysis of dry needling for upper quarter myofascial pain. We thought it was a really well conducted systematic review, but we were somewhat surprised by the abstract, the interpretation of results and the accompanying advice to patients. So we wrote a letter to the journal. They did not … [Read more...]

Professor Michael Nicholas on adherence

The third and last in our series of  keynote speaker interviews by Australian Pain Society at their annual conference.  This one is by Professor Michael Nicholas on adherence. Michael Nicholas is Professor at the Sydney Medical School, Director of the ADAPT program at the Royal North Shore Hospital and also Director of the Graduate Pain … [Read more...]

Dr Andrew Moore on Evidence and Pain

The second of three keynote speaker interviews by Australian Pain Society at their annual conference: Dr Andrew Moore on evidence and pain and the effectiveness of certain types of drugs. Dr Andrew Moore is Director of Pain Research, Nuffield Department of Anaesthetics, University of Oxford, and Chairman of the International Association for the … [Read more...]

Jeff Mogil on the nature and nurture of pain

The Australian Pain Society recently held their annual conference (and what a conference it was) and interviewed their keynote speakers.  This is the first of three - Prof Jeff Mogil on the nature and nurture of pain. Professor Jeffrey Mogil is currently the E.P. Taylor Professor of Pain Studies and the Canada Research Chair in the Genetics of … [Read more...]

Kinesio Taping looks so cool, but is it effective?

Leo Costa

I imagine that you have seen regular people and athletes with colourful tape stuck to their skin. It is called Kinesio Tape. This therapeutic tape was developed by a Japanese chiropractor named Kenso Kaze. As I am a curious researcher and clinician, the colourful tape attracted my attention, and I found out that Kinesio Tape is supposed to achieve … [Read more...]

The Gruffalo’s Trial and some blatant advertising

The following blog is an adapted editorial that I published earlier this year in the journal – Pain and Rehabilitation: The Journal of the Physiotherapy Pain Association (PPA). The journal has been on the go for over 20 years and was started by the late Louis Gifford who was a founder member of the PPA. I am currently the Editor-in-chief of this … [Read more...]