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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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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Sticks and stones….Words can be hurtful with back pain

By Oliver | November 24, 2017

Preface Having attended my first TherapyExpo earlier this week, I presented this topic to a far from packed-out audience. As I wandered around the endless stalls, I was struck by the emphasis on selling ideas, gadgets and gizmos to help therapists find and fix the perceived/imagined broken bits of peoples’ bodies, which ironically, but conveniently, exemplified…

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