People with low back pain want clear, consistent and personalised information on prognosis, treatment options and self-management strategies: a systematic review

ConclusionAvailable data suggest that the information needs of people with low back pain are centred around their desire for a diagnosis, potentially contributing to expectations for and overuse of imaging. People with low back pain expressed a strong desire for clear, consistent and personalised information on prognosis, treatment options and self-management strategies, related to healthcare and occupational issues. To correct unhelpful beliefs and optimise delivery of evidence-based therapy, patient and healthcare professional education (potentially by an integrated public health approach) may be warranted.
Source: Journal of Physiotherapy - Category: Physiotherapy Source Type: research

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This is a long…… readooops, sorry, not. Low back pain is, we know, the greatest contributor to days lived with disability (Rice, Smith &Blyth, 2016). And no-one anywhere in the world has found a good mix of services to reduce the number of days lived with disability as a result of this problem. And yet billions of dollars are used to fund research into the many contributors to a shift from acute low back pain to ongoing disability associated with low back pain. At the same time, treatments that directly target disability, rather than pain (a target considered the most important outcome by Sullivan a...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Chronic pain Low back pain Pain conditions Research Science in practice health funding health systems models of care Source Type: blogs
Conclusion. More pain sites, higher psychological distress, or lower work ability showed higher disability, more pain, and lower quality of life in patients with LBP. Only improvement in work ability was consistently related to successful outcomes. Level of Evidence: 2
Source: Spine - Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research
Purpose: Central and peripheral sensitisation is a major contributor to ongoing disability in chronic low back pain (LBP). Exercise as a management option is recommended in all clinical guidelines. In addition to its general effects, exercise induced hypoalgesia (EIH), referring to a temporary change in pain sensitivity, is a documented effect. Few studies to date have investigated EIH in patients with LBP, with some evidence for impaired EIH potentially driven by peripheral and central sensitisation.
Source: Physiotherapy - Category: Physiotherapy Authors: Tags: P175 Source Type: research
Today’s post is occasioned by reading several discussions on various forums where the term “pain science” and various adjectives to describe this kind of practice. For those who don’t want to read the rest of my ramblings: no, it’s not a thing, science is an approach to understanding phenomena, and I would have thought all health professionals would use a science-based approach to treatment. I went on to Google, as you do, to find out when this term began its rise in popularity. Google wasn’t particularly helpful but did show that it’s been around since 2004 at least, and seems to...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Assessment Chronic pain Clinical reasoning Education Low back pain Pain conditions Professional topics Research Science in practice biopsychosocial interprofessional multidimensional pain management pain science Source Type: blogs
Prompted by reading a paper by Linton, Nicholas and Shaw (in press), today’s post is about various service delivery models for low back pain and not the content of back pain treatment. Service delivery in New Zealand is assumed to be based on getting most bang for the buck: we have a mainly socialised healthcare system, along with a unique “no fault, 24 hour” insurance model for accidents whether at work or elsewhere, which means market forces existing in other countries are less dominant. There are, however, many other influences on what gets delivered and to whom. Back to most bang for buck. With a l...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Back pain Interdisciplinary teams Low back pain Professional topics Research Science in practice health systems treatment Source Type: blogs
If you are one of the more than 100 million Americans suffering with chronic pain, you know how desperate you can get searching for relief. For constant or chronic pain, sometimes knowing that you can only get temporary relief from medications sits at the back of your brain and sets up pain anticipation. Shouldn’t there be a better way, an approach or approaches that don’t rely on pharmaceutical drugs to combat pain? According to new research, there are some new pain relief methods that look very promising to do just that. Treatment from Strangers Mat Provide Unexpected Pain Relief It may seem counter-intuitiv...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Chronic Pain Health-related Mental Health and Wellness Mindfulness Psychology Research Treatment Source Type: blogs
Introduction: Despite its high prevalence, the etiology and the nature of chronic low back pain (CLBP) have not yet been fully understood. It has been suggested that soft tissues such as thoracolumbar fascia (Langevin et al 2011; Schleip&Klingler 2008) and other lumbar muscles might be related to LBP (Borg-Stein&Wilkins 2006; DeFranca&Levine 1991). Myofascial Release (MFR) is a form of manual treatment widely used by physiotherapists in the management of different musculoskeletal pathologies (Barnes 1990).
Source: Journal of Bodywork and Movement Therapies - Category: Physiotherapy Authors: Source Type: research
I’m not certain Theodore Roosevelt actually said that – but who cares?! It’s a great statement. For the person living with persistent pain, though, it can be the last thing you want to hear. After all, it’s tough enough getting up and just doing the normal things let alone challenge yourself! So… how can a health professional help? Let’s briefly recap. Self efficacy is the confidence I can do something successfully if I wanted to. It’s a robust predictor of many health behaviours including exercise, stopping smoking, eating healthily and coping well with persistent pain (Jackson, ...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Back pain Chronic pain Clinical reasoning Coping Skills Coping strategies Professional topics Research Resilience Science in practice biopsychosocial function healthcare pain management physiotherapy rehabilitation self effic Source Type: blogs
Publication date: April 2018Source: Journal of Physiotherapy, Volume 64, Issue 2Author(s): Michelle Kendell, Darren Beales, Peter O’Sullivan, Martin Rabey, Jonathan Hill, Anne SmithAbstractQuestionsIn people with chronic non-specific low back pain (LBP), what is the predictive and discriminative validity of the STarT Back Tool (SBT) for pain intensity, self-reported LBP-related disability, and global self-perceived change at 1-year follow-up? What is the profile of the SBT risk subgroups with respect to demographic variables, pain intensity, self-reported LBP-related disability, and psychological measures?DesignProsp...
Source: Journal of Physiotherapy - Category: Physiotherapy Source Type: research
DISCUSSION: Patients following spine surgery are often excluded in studies of spine stabilization and PBE interventions. This case report describes the use of PBE in the treatment of a patient following spine fusion. Research to elucidate the impact of PBE on patients with CLBP is needed. PMID: 29944036 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
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