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

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

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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Protect your sleep to protect your back

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

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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Top tips for back pain

I’ve been treating and managing patients with back pain for over 11 years. Below I outline my top 10 tips to help dispel common myths and ensure a swift recovery. Keep calm… -Although back pain can be very unpleasant and distressing, fortunately most episodes are short-term and rarely due to any serious damage or disease. Carry on – Changing how you move during…

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