Medical exercise therapy breaks the chronic pain cycle, even in the longer term, in patients with persistent anterior knee pain

Fig 2

In general there is a lack of long-term success in treating people with persistent musculoskeletal pain and long-term anterior knee pain or patellofemoral pain syndrome (PFPS), is no exception [1].  It is reported that approximately 25% of patients with PFPS continue to have pain and dysfunction one year or more after physiotherapy, the most … [Read more...]

Breast pain an issue for 1 in 3 female marathon runners

Nikki Brown

The breast itself has limited support of its own and as a result moves during activity. This can result in exercise related breast pain, experienced by up to 70% of exercising women [1].  We surveyed 1,285 female marathon runners [2] taking part in the 2012 London Marathon whose bra cup sizes ranged from an AA cup to an H cup, and underband … [Read more...]

Can the internet help? Promising results from an online Pain Course

Blake Dear

Every day, around the world, clinicians and scientists are working hard to better understand and treat chronic pain. Important advances are being made every day. However, many people are left to live with chronic pain and to manage its impact on their day-to-day lives. For many people this can also lead to feelings of frustration, stress, anxiety, … [Read more...]

42.9 billion dollars, the real cost of incontinence

It’s something that almost five million Australians live with every day. One person in every four. That’s someone you know, or maybe it’s you. But despite this statistic, there remains a general reluctance by many to discuss the nature and gravity of these problems. While the life-altering issues experienced with continence concerns can be … [Read more...]

Acupuncture once more. A debate in Anesthesia and Analgesia.

We’ve covered acupuncture  a lot on BiM and regular readers will be in little doubt about my interpretation of the evidence. The weight of acupuncture evidence is consistent with an inactive intervention. To my mind further research is pointless (heh). It represents, as we argued in The Conversation recently, an increasingly desperate exercise in … [Read more...]

Constraint-Induced Movement therapy for long-term walking impairment in multiple sclerosis

Victor Mark

Our research laboratory at the University of Alabama at Birmingham (UAB) in the United States has tested a distinguished form of physical therapy for persons with chronic walking difficulty from multiple sclerosis. The therapy is called Constraint-Induced Movement therapy, or CI therapy for short.  The treatment was developed from years of basic … [Read more...]

Teaching people about pain – why do we keep beating around the bush pt 2

Continued from previous post ... All is not lost, however. There is an emerging body of literature that suggests that we can change the way people understand their pain. We can reconceptualize pain in a way that makes clear the distinction between tissue damage, nociception and pain. The bulk of the work in this area is guided by a model that … [Read more...]

Teaching people about pain – why do we keep beating around the bush

A frank approach to interpersonal communication brings with it some challenges, but having to dig oneself out of a hole, created by strategically avoiding the truth, is not one of them. This frank approach is well suited to science – the scientific process requires us to pursue and report the truth, the whole truth and nothing but the truth. We do … [Read more...]

Classification based cognitive functional therapy for back pain

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 doctor said I had a back of a 70 year old. He said I couldn’t surf again and or … [Read more...]

Clean teeth, bad back? Antibiotics for chronic low back pain.

It is unsurprising that there are few-to-no impressively effective treatments for chronic non-specific low back pain. The clue is in the “diagnostic” label. Non-specific low back pain represents the vast majority of cases for whom our traditional diagnoses don’t explain a great deal. If we can’t put our finger on what is causing it, we are likely … [Read more...]