EFFECTIVE EVIDENCE-BASED TREATMENT FOR BACK PAIN AND SCIATICA

Leave a comment below (and/or respond in my story) 👇🏻😊 . (Thanks Nils Oudhuis of @trustmephysiotherapist for the inspiration ✊🏻) . #osteopathy #osteopathicmedicine #osteopatiavisceral #osteopatia #osteopathyworks #osteo #osteopata #osteopathie #osteopathic #cranialosteopathy #osteopathicmanipulation #omt #osteopati #osteopat #osteopatía #osteopatiapediatrica #pediatricosteopathy #osteopaths #visceralosteopathy ...

🚨 WARNING, OVERLY LONG POST 🚨 🤷🏽 . Really pleased to have our systematic review protocol published (and soon to be registered in prospero)- it’s great to get this project off the ground. . The systematic review is the first stage of our larger study investigating the ‘biopsychosocialness’ of osteopaths across New Zealand. . The project adopts a mixed-methods approach using quantitative and qualitative data collection methods to address related but slightly different research questions on NZ osteopaths’ practice. . After the SR, we will conduct interviews with osteopaths to explore their experiences, beliefs, perceptions and challenges and orientating their clinical work towards a BPS approach. . Combined with the results from the SR, this qualitative data will help construct a questionnaire to collect data on osteopaths’ perceptions of the BPS model as it applies to their practice. ✊🏻 . Whilst the challenges and enablers of adopting a BPS approach have been identified in other professions (eg physiotherapy), and there’s some small-scale qualitative research- there’s limited research in osteopathy, and virtually none in NZ. 🇳🇿 . Given the traditional beliefs, philosophical/theoretical underpinning of osteopathy, combined with a strong emphasis an manual therapy and anatomical/biomechanical knowledge, and the professions’ societal location (largely in the private health sector), our project may identify specific challenges and enablers local to osteopaths (and more specifically those in NZ). . This knowledge will then allow specific educational/CPD interventions to be developed to meet these challenges. . Once we’ve collected the cross-sectional data, and the tool has been validated with some factor analysis/statistical wizardry 🧙‍♂️ it can be used to collect data on osteopaths’ BPS perceptions worldwide, giving a broad perspective. 🇬🇧 🇦🇺 🇨🇦 🇫🇷 🇮🇹 🇪🇸 . I’m delighted to be part of a multidisciplinary team of researchers and chuffed to have Ben Darlow involved who is a real leader in the LBP/BPS field. . Stay posted for regular updates on the project. . #osteopathicmedicine #osteopathy #biopsychosocial #biopsychosocialmodel #mixedmethods #physiotherapy #osteopath ...

💥 WORDS MATTER MELBOURNE IS ALMOST HERE 💥 . Can’t wait to team up with my good buddy and mover and shaker (for back pain at least 🕺🏼) Ben McChesney from @balanceosteopathy. . When in pain, our words we use to convey messages, frame people’s pain, experience and disabilities is crucial to aiding their recovery; it was the germ of an idea drove me to develop the Words Matter sessions. . But using movement (whether active exercise or more passive manual therapy) in combination with purposeful language can create even more profound experiences, meaning, emotional & psychological responses in patients with back pain. . Can’t wait for Sunday. Still time to sign up in Eventbrite. Stayed tuned for regular updates during the day 📱 . #wordsmatter #cpd #osteopathy #chiropractic #physiotherapy #physio #physioaustralia #chiroaustralia @osteopathyau #myotherapy ...

Counting down the days until Words Matter hits Melbourne 🇦🇺📅 . Super excited to team up with good buddy and osteo/movement wiz Ben from @balanceosteopathy to incorporate therapeutic movement and exercise into the successful Words Matters sessions at @victoriauniversity. . Together Ben and I will help develop musculoskeletal therapists’ skills and knowledge in language and communication as they relate to all areas of the clinical interaction with people with low back pain. . The full day workshop will help orientate your clinical reasoning frameworks to utilise contemporary biopsychosocial approaches to back pain. . Drawing upon the latest research evidence, we’ll discuss strategies for effective and therapeutic communication with patients experiencing back pain, in conjunction with matched movement and rehabilitation strategies. . For tickets and full details of the program search Eventbrite (Australia). . #osteopathy #physiotherapy #chiropractic #movementismedicine #movementislife #movementtherapy #myotherapy #physiotherapyaustralia #osteopathyaustralia #chiropracticaustralia @osteopathyau @myotherapyassociationau #biopsychosocial #evidencebasedpractice #lowbackpain ...

There’s something about self-efficacy. . Developing a patient’s self efficacy puts them on the right track. . High self efficacy includes self-confidence, accurate self- evaluation, willingness to take risks, and sense of accomplishment. . Self efficacy is related to self-management (physical exercise) and treatment adherence. . Higher levels of self-efficacy are associated with lower levels of pain and disability in patients with chronic pain. . In contrast, low SE includes fear of risks and uncertainty, low aspirations, feelings of fear of failure, and impression management (aware of peoples’ perceptions). . Low SE associated with worse outcomes from LBP. . Clinicians’ language and communication strategies can influence a patient’s self efficacy. So move from saying “Be careful exercising”, or “I think that’s took much for you” or “your back is just not made to do those types of exercises” ❌ . To . “This exercise is hard, but you’ve done hard things before- I believe in you” or “It’s ok, you’re safe, you’re strong” or “your back is strong and stable, just a little sore/sensitive” ✅💪🏼 . #selfefficacy #backpain #biopsychosocial #lowbackpain #confidence #osteopath #physiotherapist #chiropractor ...

What’s in a name? . ‘Osteoarthritis’ is unlikely to strike fear in the heart of most MSK health professionals- it’s a common ‘humdrum’ term that is etched in the cortex of students during their professional training. . However, a term that appears to be benign, boring and everyday, can have quite a different interpretation by people experiencing pain and whose life and experience of that life, is intertwined with the distress, helplessness and fear that is part of persistent back pain. . Our words matter. . Genuine quote from a study participant with LBP from the paper below 👇🏻 . Thomson, O.P. and Collyer, K., 2017. ‘Talking a different language’: a qualitative study of chronic low back pain patients' interpretation of the language used by student osteopaths. International Journal of Osteopathic Medicine, 24, pp.3-11. . Check out my Words Matter workshops on Eventbrite- providing evidence based and practical strategies to utilise language to optimise the recovery of patients with back pain. . #physiotherapy #phsyiotherapist #osteopathy #osteopath #spondylosis #scoliosis #arthritis #chiropractor #wordsmatter #lowbackpain #backpain #cpd #chronicpain ...

The numbing familiarity of common clinical terms means we’re often totally blind as to the emotional, psychological and behavioural impacts that our day-to-day language can have on people with back pain. . Clinicians, therapists and physicians cannot afford for one second to be clumsy, lazy and uncaring with our language when interacting with people in pain and might be distressed, anxious or scared. . “Words are like toothpaste; once out of the tube, they are impossible to put back in” (Stewart & Loftus, 2018). . Genuine quote from a study participant with LBP from the paper below 👇🏻 . Thomson, O.P. and Collyer, K., 2017. ‘Talking a different language’: a qualitative study of chronic low back pain patients' interpretation of the language used by student osteopaths. International Journal of Osteopathic Medicine, 24, pp.3-11. . Check out my Words Matter workshops on Eventbrite- providing evidence based and practical strategies to utilise language to optimise the recovery of patients with back pain. . #physiotherapy #phsyiotherapist #osteopathy #osteopath #spondylosis #scoliosis #arthritis #chiropractor #wordsmatter #lowbackpain #backpain #cpd ...

Telling people with back that they’re weak, vulnerable or fragile can have a dramatic impact on their lives, as exemplified by this interview quote from Darlow et al (2013) study exploring the enduring impact of what clinicians say to people with low back pain. . Musculoskeletal clinicians and therapists often use words and phrases with the best intentions, however we’re frequently unaware of the unintended consequences of these terms (which are often part of common professional language). . The wrong word, at the wrong time, said in the wrong way, to the wrong patient can have a profoundly negative impact on recovery from low back pain. For example, “you’re spine is weak”, “your body can’t handle that”, “be careful with your back” 🤕 . The right words, said at the right time, in the right way, to the right patient can have a liberating, reassuring and positive impact on them. For example, “you can do this”, “you’re strong, you’re safe”, “it’s difficult, but you’ve done hard things before”. 💪🏼 . Words Matter workshops running in London, Portugal, Dubai and Melbourne. See bio for link. . #wordsmatter #physicaltherapy #physiotherapy #osteopath #chiropractor #biopsychosocial #backpain #evidencebasedmedicine #qualitativeresearch #cpd #coreworkout #corestrength ...