Minding your body: Interoceptive awareness, mindfulness and living well
This study aimed to establish the relationship between various items on two questionnaires used to measure IA and DM: the MAIA (Multidimensional Assessment of Interoceptive Awareness), and the FFMQ (Five Facet Mindfulness Questionnaire). The paper itself discusses the first measure as empirically derived and confirmed by focus groups, and having associations with less trait anxiety, emotional susceptibility and depression – in other words, high scores on this measure (awareness of body sensations and judging those sensations) are associated with important factors influencing our wellbeing. The second measure is descr...
Source: HealthSkills Weblog - November 26, 2017 Category: Anesthesiology Authors: adiemusfree Tags: ACT - Acceptance & Commitment Therapy Chronic pain Clinical reasoning Coping strategies Pain conditions Professional topics Resilience Science in practice biopsychosocial Health mindfulness self management Therapeutic approaches Source Type: blogs
Prescribe exercise like you prescribe medicine
We have all seen and heard the story: a patient who is overweight and has heart problems (or arthritis, diabetes, low back pain or any number of other chronic conditions) is told by their doctor that they need to exercise.
The patient agrees, “Yes, I really will try to start an exercise program.”
Six months later, the patient is back in the doctor’s office, and the conversation goes something like this:
“Well, I started going to the gym, but it really didn’t help.”
OR
“I started walking around my neighborhood, but the kids, work or any number of other life factors impeded the program.”
OR
“I did try to ex...
Source: Kevin, M.D. - Medical Weblog - November 17, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/nicole-l-stout" rel="tag" > Nicole L. Stout, DPT < /a > Tags: Conditions Cardiology Primary Care Source Type: blogs
Manage pain – or aim to cure? Why I ’ m committed to pain management
Prominent researchers, clinicians and commentators seem to suggest that aiming to help people live with their pain is aiming too low. That pain cure or at least reduction is The Thing To Do. It’s certainly got a bit of a ring to it – “I can help get rid of your pain” has a sex appeal that “I can help you live with your pain” doesn’t have. And I can recognise the appeal. Persistent pain can be a scourge for those who live with it; it can eat away at every part of life. Imagine waking up one day to find NO PAIN! Excited much?
So why do I keep hammering on about this not very glamorou...
Source: HealthSkills Weblog - November 12, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Chronic pain Clinical reasoning Coping Skills Coping strategies Professional topics Research Resilience/Health Science in practice acceptance function healthcare self management Therapeutic approaches Source Type: blogs
The gap in managing pain
If you’ve read my blog for any period of time you’ll know that I like practical research, and research that helps clinicians do what they do with humanity, compassion and evidence. One really enormous gap in the field is rarely mentioned: how do clinicians pull their assessment findings together and use them for clinical reasoning? Especially if you’re part of an interprofessional team (or work in a biopsychosocial framework). The silence in the pain literature is deafening!
There are any number of articles on what can be included in an initial assessment, most of them based on the idea that if factor X i...
Source: HealthSkills Weblog - October 29, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Assessment Chronic pain Clinical reasoning Interdisciplinary teams Pain conditions Professional topics Research Science in practice biopsychosocial pain management rehabilitation Therapeutic approaches Source Type: blogs
Professionalism And Choosing Wisely
The US health care system is plagued by the use of services that provide little clinical benefit. Estimates of expenditures on overuse of medical services range from 10–30 percent of total health care spending. These estimates are typically based on analyses of the geographic variation in patterns of care. For example, researchers at the Dartmouth Institute focused on differences in care use between high-spending and low-spending regions with no corresponding reductions in quality or outcomes. An analysis by the Network for Excellence in Health Innovation (formerly known as the New England Healthcare Institute) ident...
Source: Health Affairs Blog - October 24, 2017 Category: Health Management Authors: Michael Chernew and Daniel Wolfson Tags: Costs and Spending Quality Choosing Wisely inefficiency overuse of medical services Source Type: blogs
Getting persistent pain and disability confused
As I read blogs and tweets and posts on social media, and even peer reviewed papers in journals, I often read that what we’re trying to do in sub-acute pain management is to prevent chronic pain from developing (note, when I talk about pain that goes on beyond healing, more than three months, or has no useful function, I may use the term “chronic” or I may use the more recent term “persistent” – they mean the same thing, except persistent has perhaps less baggage…).
I want to take aim at that focus – to prevent pain from persisting – and think carefully about it. Let...
Source: HealthSkills Weblog - October 15, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Chronic pain Clinical reasoning Pain conditions Professional topics acceptance biopsychosocial disability healthcare pain management rehabilitation science treatment Source Type: blogs
Health Affairs October Issue: Emergency Departments, Behavioral Health & More
The October issue of Health Affairs includes several studies relating to the ultimate health care safety net: the emergency department (ED). Additional content in this variety issue focuses on behavioral health, spending, clinician satisfaction, and more. A DataGraphic spotlights aging and health.
US emergency department visits for firearm-related injuries, 2006–14
According to the Centers for Disease Control and Prevention (CDC), firearm-related deaths accounted for more than 36,000 deaths in the United States in 2015. However, due to the politicized environment surrounding gun violence, Congress has yet to appropriate...
Source: Health Affairs Blog - October 2, 2017 Category: Health Management Authors: Health Affairs Tags: Elsewhere@ Health Affairs journal Source Type: blogs
Back to basics about psychosocial factors and pain – v
I’ve been writing about psychosocial factors and pain but I realise that I haven’t actually defined what I mean by psychosocial factors. The strange thing about this term is that it’s often conflated with “psychological” or “psychopathological” when it’s actually not. So… where to begin?
The Collins English Dictionary defines psychosocial as: “of or relating to processes or factors that are both social and psychological in origin”, while the Oxford English Dictionary defines it as “Of or relating to the interrelation of social factors and individual th...
Source: HealthSkills Weblog - October 1, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Chronic pain Clinical reasoning Pain conditions Professional topics Research biopsychosocial Health pain management science Source Type: blogs
To treat back pain, look to the brain not the spine | Aeon Essays
For patient after patient seeking to cure chronic back pain, the experience is years of frustration. Whether they strive to treat their aching muscles, bones and ligaments through physical therapy, massage or rounds of surgery, relief is often elusive – if the pain has not been made even worse. Now a new working hypothesis explains why: persistent back pain with no obvious mechanical source does not always result from tissue damage. Instead, that pain is generated by the central nervous system (CNS) and lives within the brain itself.I caught my first whiff of this news about eight years ago, when I was starting the resea...
Source: Psychology of Pain - September 24, 2017 Category: Anesthesiology Source Type: blogs
Funtabulously Frivolous Friday Five 206
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 206.
Question 1
What condition is Ewart on the left, Conner on the right and when those two disappear Bamberger is present?
+ Reveal the Funtabulous Answer
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Pericardi...
Source: Life in the Fast Lane - September 22, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Education akathisia Bamberger's sign Bertolotti's syndrome chlorine urine Conner's sign Ewart's sign gaetan dugas Hawkinsinuria low back pain patient zero Source Type: blogs
Injuries from wearing heavy backpacks are not common in school-aged children
Conclusion:Wearing heavy backpacks is NOT a significant cause of injury in children. The incidence of these injuries is actually so small that the CPSC is unable to provide statistical estimates about these injuries.A child may receive an injury from a backpack - but the most likely cause of that injury is tripping over backpacks, swinging backpacks around unsafely, or being hit by a child who has thrown a backpack.For the rare incident of a heavy backpack causing an orthopedic injury to a child, nearly all reported cases are for middle and high school aged children. If OTs are going to dedicate resources to inju...
Source: ABC Therapeutics Occupational Therapy Weblog - September 13, 2017 Category: Occupational Health Tags: evidence-based practice injury prevention school-based practice Source Type: blogs
Knee pain – and central sensitisation
Conclusion
People living with OA in their knees often spend many years having difficulty managing their pain before they are able to have surgery. From recent research in New Zealand, I don’t think many people are offered a pain “education” approach, and indeed, I’d bet there are a lot of people who don’t get referred for movement-based therapy either. Misunderstanding is rife in OA, with some people uncertain of the difference between osteoarthritis and rheumatoid arthritis, and others very worried that they’re going to “wear the joint out” if they exercise. While OA isnR...
Source: HealthSkills Weblog - August 20, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Assessment Pain Pain conditions Research biopsychosocial Clinical reasoning disability function healthcare rehabilitation science treatment Source Type: blogs
Knee pain – not just a simple case of osteoarthritis
Knee osteoarthritis is, like so many chronic pain problems, a bit of a weird one. While most of us learned that osteoarthritis is a fairly benign disease, one that we can’t do a whole lot about but one that plagues many of us, the disability associated with a painful knee is pretty high – and we still don’t have much of a clue about how the pain we experience is actually generated. Cartilage doesn’t have nociceptive fibres, yet deterioration of cartilage is the hallmark of osteoarthritis, though there are other structures capable of producing nociceptive input around the knee joint. Perhaps, as so...
Source: HealthSkills Weblog - August 13, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Assessment Pain Pain conditions Research Science in practice biopsychosocial Chronic pain disability pain management rehabilitation treatment Source Type: blogs
A comprehensive guide to the new science of treating lower back pain - Vox
Cathryn Jakobson Ramin's back pain started when she was 16, on the day she flew off her horse and landed on her right hip.For the next four decades, Ramin says her back pain was like a small rodent nibbling at the base of her spine. The aching left her bedridden on some days and made it difficult to work, run a household, and raise her two boys.By 2008, after Ramin had exhausted what seemed like all her options, she elected to have a"minimally invasive" nerve decompression procedure. But the $8,000 operation didn't fix her back, either. The same pain remained, along with new neck aches.More ...https://www...
Source: Psychology of Pain - August 13, 2017 Category: Anesthesiology Source Type: blogs
6 Yoga Poses to Help Alleviate Back Pain
Conclusion
Research and analysis have found that those suffering with long-term lower back pain and who practise the ancient Asian discipline of yoga are far more likely to reduce their back pain levels and improve their mobility. It’s a wonderful healing method, adopted by people of all ages to calm the restless mind so that the health of the body doesn’t suffer.
Copyright: John Muller at http://ergonomictrends.com
FB: https://facebook.com/ergonomictrendsYou've read 6 Yoga Poses to Help Alleviate Back Pain, originally posted on Pick the Brain | Motivation and Self Improvement. If you've enjoyed this, please visit our ...
Source: PickTheBrain | Motivation and Self Improvement - August 3, 2017 Category: Consumer Health News Authors: ergojon Tags: featured health and fitness self improvement back pain health benefits of yoga pickthebrain stop back pain yoga and back pain Source Type: blogs
