Which is the best treatment for an individual with back pain

Martine Barons

Low back pain is a very common problem and there is no known cause for the majority of cases. In clinical trials, many treatments seem to offer small, short-lived effects but no treatment comes out on top. In our paper [1], we are interested in which treatment is most likely to be effective for a particular individual. For this we used data from … [Read more...]

First, do no harm

All the medics out there will be familiar with the third stanza of the Hippocratic oath: 'I will prescribe regimens for the good of my patients according to my ability and my judgment and never do harm to anyone'. The rest of us don’t have such an oath but I think we might need one. In the last three weeks, I have seen eight people with chronic, … [Read more...]

The World Congress on Pain. What would YOU go to if you were going?

Next week sees many of the Body in Mind team and collaborators join five thousand or so other pain-nuts in Buenos Aires for the 15th World Congress on Pain. We at BiM are well aware that many of you are not able to go and we are going to take on the significant challenge of bringing (bits of) the conference back to you. However, you have to help … [Read more...]

Is pain the same in boys and girls

Katelynn Boerner

The differences in the ways that boys and girls are expected to react to pain has long been the subject of folk wisdom and cultural idioms: Boys are expected to “tough it out” and “take it like a man”, while expressions of pain in girls are accepted and sometimes even encouraged. But are societal expectations of how boys and girls should react to … [Read more...]

No man is an island

Sam McLean

Living in a disadvantaged neighborhood influences chronic pain development after motor vehicle collision, and this effect is moderated by a common genetic variation that influences HPA axis function. We all like to believe that we are impervious to our surroundings. It’s reassuring to feel that we are “captain of our own ship”, charting our own … [Read more...]

What central pain processing mechanisms could be responsible for the development of poor pain scores

John Barbis

When patients do not improve after surgery, the search for an answer can be complex and often disappointing. Valencia et al, in a well-performed, rather complex study, try to tease out the components of that answer [1]. Their study tries to determine what central pain processing mechanisms could be most responsible for the development of poor pain … [Read more...]

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...]

Learn something novel every decade

Sculpture Univeristy of Stuttgart

Newly edited we first published this blog post in 2010 just after the new year, now the text is freely available (see reference at the end of the post).  This is another in our golden oldies series. Further evidence to suggest we should learn something novel every decade I remember sitting my folks down and sternly counselling them to make … [Read more...]