Rethinking pain’s under-treatment in the ED – Part 2

Drew Carter

In the previous blog post, I described how I came to lead the writing of an article about pain being under-treated in the emergency department (ED) [3].  The article presents an argument for the plausibility of two new hypotheses for why pain is still under-treated in the ED, despite efforts to improve things.  We invite the reader to consider … [Read more...]

Rethinking pain’s under-treatment in the ED – Part 1

Drew Carter

When I came off my bicycle and my arm moved in ways it shouldn’t have, I was admitted to an emergency department (ED).  My arm hurt – a lot – and I wondered why efforts to reduce the pain weren’t entirely effective.  ‘We can land a man on the moon, but not stop a broken arm hurting?!’  It didn’t compute.  One of my thoughts was this: ‘Perhaps … [Read more...]

A big belly isn’t necessarily a pain in the back

Amabile Borges Dario

Over 80% of Australians experience back pain at some point in their lives, which is one of the most common reasons people miss work and seek health care. Despite the efforts of the scientific community to identify risks factors for back pain, the cause of this condition is still poorly understood. Knowing what causes low back pain might help us … [Read more...]

If only surgery wasn’t such a pain in the…. knee!!

Kristian_Petersen

Liz, a 65 year old retired nurse, was diagnosed with knee osteoarthritis (OA) several years ago. Her GP subsequently prescribed a range of non-surgical and pharmaceutical interventions to treat her knee pain with limited success. Recently, she was referred to an orthopedic surgeon to evaluate the need for a total knee replacement (TKR). While TKR … [Read more...]

The effectiveness of drugs for neuropathic pain – what do we know?

Neil O'Connell 2

Neuropathic pain (NP) - that is pain arising from identifiable damage or disease affecting the somatosensory nervous system is common and frequently severe and life-changing. It is also notoriously difficult to treat effectively. Indeed we know that for many people with NP treatment is inadequate. The International Association for the Study of Pain … [Read more...]

Treating more than just the back in chronic low back pain

Aoife Synnott

'Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: a systematic review' (Synnott et al, 2015) There is considerable evidence that when people have chronic low back pain (LBP), several factors can be involved in delaying their recovery and/or their ability to … [Read more...]

EP 15 years in: historical and theoretical underpinnings

Lorimer Moseley

This is my second post based on a perspectives piece David Butler and I wrote for the Journal of Pain. You can get the gist of it by just reading the bolded sentences. It is some time now since John Loeser adapted Engel’s biopsychosocial model to fit it to the lived experience of chronic pain. From my perspective as someone who had experience on … [Read more...]

Isometrics reduce tendon pain

Ebonie Kendra Rio

Anyone with tendon pain will tell you, it’s a pain in the butt (hamstring tendon pain that is). If it’s your Achilles tendon, the mornings are a struggle and you may have stopped walking, running or playing with your kids. For the athlete, pain relating to the Achilles, Patellar, Hamstring or Adductor tendons can strip away power and spring needed … [Read more...]

15 years of Explaining Pain – where have we been and where are we going?

Lorimer Moseley

Neuroscience was clearly my favourite course at uni – I loved it so much I was learning for fun, not for exams. I don’t recall ever studying for a neuroscience exam – it all seemed to magically stick in there – as if there were tailored docking stations in my brain just waiting for their particular neuroscience nugget to lock in. I found it … [Read more...]

How does sensory and sympathetic nerve sprouting contribute to a chronic pain state in a nonhealed fracture?

Stephane Chartier

Our lab continues to be intrigued by the mechanisms that generate and drive skeletal pain. Painful skeletal conditions are highly prevalent and their impact is pervasive in both developing and developed countries (Lubeck, 2003;Woolf & Pfleger, 2003; Brooks, 2006; Kidd, 2006). The skeletal system is essential for structural support, movement, … [Read more...]