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BOOK APPOINTMENT : 020 7419 7900
enquiries@droliverthomson.com

Oliver

NEWS FLASH! (Great) expectations of recovery from back pain are associated with recovery from back pain

By Oliver | September 4, 2019

Recent research confirms our previous intuitions, that expectations of recovery predict recovery from low back pain. See the full paper by Eklund et al here My suggestions for managing patient expectations. Explore patients’ expectations at the first visit (before setting them!) & explore underpinning beliefs. Ask the patient flat out, for example “What are you…

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Osteopathy and evidence-based practice- getting there, but challenges still ahead

By Oliver | September 4, 2019

Whilst NOT perfect (and continually under evolution and refinement- e.g. Greenhalgh et al 2014), evidence-based practice (EBP) is the OPTIMAL and ETHICAL approach to clinical healthcare practice. The now familiar definition of EBP is the integration of best research evidence WITH clinical expertise AND patient values & preferences.. EBP was developed in the early 1980s,…

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WE TALKED evidence, WE SHARED ideas and experiences, WE QUESTIONED practice knowledge, WE PRESSURE-TESTED our own beliefs, HECK we even ATE Mrs Crimble’s macaroons…

By Oliver | May 1, 2019

WE TALKED evidence, WE SHARED ideas and experiences, WE QUESTIONED practice knowledge, WE PRESSURE-TESTED our own beliefs, WE SCRUTINISED our back pain language and HECK we even ATE some of Mrs Crimble’s finest macaroons…   I really enjoyed the language & communication workshop on Sunday, lots of critical discussion, learning together, and coming up with…

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CPD Course on Effective language and communication when managing low back pain- how to help and not harm

By Oliver | April 24, 2019

CPD for musculoskeletal therapists Patients with back pain who consult a musculoskeletal healthcare professional expect and desire a diagnosis and information for their problem. However, the words we use to shape our responses and convey messages to patients in pain, have the potential to heal (facilitate recovery) or have the capacity to harm (delay or…

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Your back IS strong…even if you (or someone else) doesn’t think that it is

By Oliver | January 4, 2019

When we’re experiencing back pain is easy to feel that our spines are fragile and vulnerable to damage. It can really feel like any ‘wrong’ movement or position will be harmful to our backs. As a consequence, we often modify our behaviour and change how we move. For example, maybe you decide to skip a…

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Evidence-based practice in osteopathy- results from a UK national survey (and clearing things up!)

By Oliver | December 10, 2018

Evidence-based practice (EBP) is now considered to be the optimal (albeit imperfect- see here) approach to healthcare practice and decision-making- and all healthcare professionals from art therapists to doctors should be adopting an evidence-based approach. Unfortunately, over the years, EBP has been misinterpreted as ‘EXCLUSIVELY applying research’ or ‘all patients receive the SAME algorithmic treatment…

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Protect your sleep to protect your back

By Oliver | July 10, 2018

Backs LOVE sleep. Poor sleep (both quality and quantity) is highly predictive of developing and worsening low back pain (see here and here). Sleep patterns influence our psychological an emotional well-being (mood) which can further sensitise back pain and reduce the ability to cope and tolerate pain. Furthermore, worry and anxiety related to back pain (e.g.…

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Re-grounding biopsychosocial back pain research- Introducing Grounded Theory Method

By Oliver | June 26, 2018

Patients’ and practitioners’ values, preferences and experiences are very much part of modern iterations of evidence-based practice (EBP), and developing a research-based knowledge of these constructs are crucial to the sensible and effective adoption of EBP by healthcare professionals [see seminal paper by Greenhalgh and colleagues here]. Its now widely accepted that evidence derived from…

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“I should be glowing not aching!”- The facts about low back pain during pregnancy

By Oliver | March 28, 2018

I was recently invited to write a guest blog for social group Hampstead Mums, on the causes, risk factors and treatment options for pregnancy-related low back pain. A real dampener during pregnancy I see lots of mums-to-be in clinic experiencing back pain, and it can be a real dampener on their pregnancy experience. Low back…

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Low back pain: To scan, or not to scan? That is the question

By Oliver | February 25, 2018

  Many of my osteopathy patients with low back pain (LBP) often ask me whether or not a scan is required, but the decision to scan is not always straight forward, so let’s clear a few things up. Firstly, there are several different types of scanning procedures used to investigate back pain, we’ll focus on…

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