50 shades of touch: the relationship between pleasure and pain

Dr Alberto Gallace

Pain is usually such a negative experience that we rarely think about it in terms of just another sensory modality let alone consider the potential of positive aspects to it. Because of that, this post will be a bit unconventional, especially for a BiM blog. My post, somehow inspired by the controversial novel and movie, “50 shades of Grey”, is … [Read more...]

Sleep, pain and exercise

Helena Hachul

Sleep is an essential biological phenomenon, and sleep deprivation causes various physiologic and behavioral changes in the body. It has been shown that total sleep deprivation (Shuch-Hofer et al., 2013) or sleep deprivation of a specific stage of sleep (Roehrs et a., 2006; Azevedo et al., 2011) cause hyperalgesia (exaggerated sensitivity to pain). … [Read more...]

The role of sleep impairments on pain severity in adults with sickle cell disease

Gyasi Moscou-Jackson,

Sleep is a complex process and impairments can occur at different stages of the process. Sleep impairments may include decreased total sleep time (sleep duration), an increase in the amount of time it takes to fall asleep (sleep onset latency), or an increase in the amount of wakefulness after sleep onset (sleep fragmentation) experienced by an … [Read more...]

Review of clinical utility of pain classification part 2

Niamh Moloney

Part 2: Evaluating mechanism-based classification algorithms for neuropathic pain in people with non-specific arm pain: How’d they do? Translating knowledge of pain mechanisms into clinical practice is challenging. In our study [6] we examined three recently published classifications for assessing pain [1, 2, 7] (see previous post on BiM for … [Read more...]

Review of clinical utility of pain classification part 1

Niamh Moloney

Part I Mechanisms-based classification of pain: the algorithms Understanding pain mechanisms is high on research agendas, but we’re still struggling translating this into practice. A number of frameworks have been published recently, which outline criteria for assessing dominant pain type in individual patients. These include: Guidelines on … [Read more...]

Is education reassuring?

Adrian Traeger Body In Mind

Acute low back pain is inherently worrying; often there is no clear cause, no effective treatment, and a widely variable time frame in which you can expect to recover. Happily for many, the prognosis is good - they can expect to be a lot better within a matter of weeks. Sadly, for the others, we know all too well where that road can lead. One of … [Read more...]

Physiotherapists assessment of patients psychosocial status: is it a case of moving from yellow flags to white flags?

Saravana Kumar

In Australia, approximately 70% of physiotherapists work as primary contact practitioners in the community in settings such as private practice, sports clinics, community health services (HWA 2014). In these settings, they contend with a range of patient problems, including musculoskeletal conditions. There is an increasing body of evidence which … [Read more...]

Relationship between tactile acuity, clinical symptoms and perceived body image in patients with chronic low back pain

Tomohiko Nishigami

Some chronic low back pain (CLBP) patients report an expanded perceived image of the low back using words like: “My back feels like it’s swollen”. Altered perceived body image is associated with chronic pain conditions such as complex regional pain syndrome (CRPS) (Moseley, 2005; Lewis and Schweinhardt, 2012) and phantom limb pain (Flor et al., … [Read more...]

When I feel your pain

Sophie Vandenbroucke

Imagine you are preparing food with your partner. Suddenly, you observe your better half accidently cutting his or her hand with a kitchen knife. You may feel uncomfortable and distressed. In fact, you might even respond as though your hand has been cut – by experiencing the pain that would be associated with that event. This phenomenon, referred … [Read more...]

The role of significant others in the management of persistent musculoskeletal pain

Serena McCluskey

It has long been acknowledged that persistent musculoskeletal pain can be influenced by environmental factors, with an important source being the interaction between the pain sufferer and their ‘significant other’ (spouse/partner/relative). It is proposed that significant others can reinforce an individual’s unhelpful pain cognitions, such as fear … [Read more...]