Top 5 back pain myths

Acute pain and injury treatment

Welcome to my top 5 back pain myths. What are these you may ask? Around pain and in particular back pain, there are many phrases and explanations used to try to educate the patient. These have been handed down through the generations and can appear to be logical. Fortunately, the science has moved on and […]

Relieving low back pain — keeping it simple but effective

Acute pain and injury treatment

Back pain is very common and most people will experience it. Many reasons are given for back pain, usually blaming the discs (they are not discs but rather amazing structures that work with the vertebrae to allow movement and force transduction — they are also very robust), joints, muscles and posture. The simple fact is […]

Endometriosis & Melatonin | Women and Pain Series

Endometriosis & melatonin | Women and pain series

Chronic pelvic pain is a troubling condition for many women. The reason for pelvic pain varies but certainly includes endometriosis where the lesions impact upon nerve health and function (see here) with consequential sensitisation. The purported mechanisms of pain include inflammatory pain and neuropathic pain with subsequent central sensitisation that underpins the persistance and variance […]

The Chelsea Flower Show, gardening and back pain

With the Chelsea Flower Show in full bloom the world of gardening is full of excitement and wonder as the designers exhibit their creations. Gardeners can relate to this sense of cultivation and creativity as they work hard to illustrate their vision through their plants, flowers, grasses and other garden features. Gardening is often physically […]

Women and pain | Part 1

Endometriosis & melatonin | Women and pain series

‘As many as 50 million American women live with one or more neglected and poorly understood chronic pain conditions’  Generally I see more female patients than male. This observation supports the view that chronic pain is more prevalent in women than in men for some conditions – see the International Association for the Study of Pain fact sheet here. […]

Back pain in football and sport

Back pain clinics, London

Back pain is a common experience across society. Millions are spent each year on treatment yet we do not seem to be making any significant progress in tackling this vast problem. Undoubtedly footballers are also subject to spinal aches and pains, either from a direct injury or insidiously. Most people whom I see fall into […]

Manual therapy, pain and the immune system

Pain relief

As a physiotherapist I frequently use my hands to treat the joints and tissues. It comes with the territory, everyone expects hands-on therapy and it does helps to reduce tension and pain. Most likely, the pain relief from joint mobilisation is due to descending mechanisms that include those that are powered by serotonin and noradrenaline […]

Is immediate imaging important in managing low back pain?

Imaging

Careful thinking is required when judging whether to image or not. J Athl Train. 2011 Jan-Feb;46(1):99-102. Is immediate imaging important in managing low back pain? Andersen JC. Source The University of Tampa, 401 West Kennedy Boulevard, Box 104F, Tampa, FL 33606, USA. [email protected] Abstract REFERENCE: Chou R, Fu R, Carrino JA, Deyo RA. Imaging strategies […]

Healthy tissues in 1-2-3

Healthy movement

The simple fact is that our tissues need movement to be healthy. By tissues I am referring to muscles, tendons, ligaments, bones, fascia and skin. This does not need to be extreme movement but it must be regular and purposeful. Even without pathology, pain or an injury it is vital that the tissues are moved […]

Using neuroscience to understand and treat pain

Neuroscience to treat pain and injury

I love neuroscience. It makes my job much easier despite being a hugely complex subject. Neuroscience research has cast light over some of the vast workings of our brains and helped to explain how we experience ourselves and the richness of life. An enormous topic, in this blog I am briefly going to outline the way in […]