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BOOK APPOINTMENT : 020 7419 7900
enquiries@droliverthomson.com

Evidence based practice

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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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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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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