Exercise considerations for chronic musculoskeletal pain

Chronic musculoskeletal pain (CMP) encompasses a diverse range of conditions such as osteoarthritis, discogenic spinal pain, fibromyalgia and chronic widespread pain. There is consistent evidence for the benefit of exercise to improve pain and function in CMP, although there is considerable uncertainty concerning the best exercise modality and … [Read more...]

Assessment of movement control impairments of the neck

In a study on patients with and without neck pain we set out to evaluate a battery of ten movement control tests for the neck using a Rasch analysis (Sattelmayer, Hilfiker, Luomajoki, & Elsig, 2017). The aim was to establish whether all movement control tests measure the construct “movement control impairments of the neck”, to establish the … [Read more...]

Embodied Pain: negotiating action

We determine our world through the actions we take. Whether from the inside or out, our bodies provide us with the means to actively investigate our environment. This investigation is vital to survival. Active investigation enables us to reduce the uncertainty of the world, accommodate the unexpected, and better predict the consequences of our … [Read more...]

Pain after cancer: A new model for pain psychology?

What if every headache, every slight twinge in your back, was potentially life threatening? What if you couldn’t tell a brain tumour from coffee-withdrawal? These can be constant, niggling worries for many people who have survived cancer, and we think their experiences can tell us something important about pain. If you have read a Body in Mind … [Read more...]

Intense pain influences the cortical processing of visual stimuli projected onto the sensitized skin

Imagine that you are cooking, your food in the oven is ready and you want to take it out. Hunger makes you impatient and you put your bare hand into the oven, but you accidentally touch the hot surface. You get a painful burn. The area of the burn becomes and remains more sensitive for a while. If you were to touch or apply a sharp object on that … [Read more...]

Beyond Balance: outpatient opioid taper without pain increase is possible

Opioid policy debates are often framed in terms of balancing opioid risks with chronic pain relief. This assumes, not only that opioids provide long-term pain relief, but that opioids are necessary for pain relief. Based on our many years’ experience with successful opioid dose reduction in our structured multidisciplinary pain rehabilitation … [Read more...]

Can fear of movement lead to physical inactivity in low back pain?

It’s well known for most health professionals who regularly treat patients with back pain that often patients are afraid of moving because they believe that movement will cause further pain and injury. This fear of movement, and belief that physical activities will cause (re)injury, is the central concept of the well-known Fear-Avoidance Model. … [Read more...]

A new method of assessing women with pelvic pain

Are you female? Do you know any females? Chances are, the majority of you are thinking ‘yes’. And chances are, the majority of those females you know have experienced pelvic pain. Almost every woman will experience pain during menstruation (dysmenorrhoea) at some point during her life[1] – and usually it seems like some kind of uterus-driven … [Read more...]

“I need to do another course” – Physiotherapists’ views on assessing psychosocial factors in chronic low back pain

Psychosocial factors (PS) are described as the combination of an individual’s cognitive, emotional and social status that can influence their health status (Singla et al., 2015) and they include: patients’ beliefs that pain and activity are harmful, fear avoidance beliefs, negative behaviours, lack of support, overprotective families, physical … [Read more...]

Restoring movement representation with virtual reality alleviates phantom limb pain

Working hypothesis about phantom limb pain and movement representation Patients with phantom limb pain (PLP) may report altered movement representations of their phantom limb, for example, ‘my phantom limb is frozen in one or more peculiar positions’. Dr. Sumitani previously reported that visual feedback using a mirror restored the voluntary … [Read more...]