The brain changes

The brain changes in pain

The nervous system is plastic meaning that it changes and moulds according to the stimuli presented. Norman Doidge wrote about the ‘brain that changes itself’ and we have seen over the past 10 years or so an increasing number of studies that show this in a range of conditions, some painful and others not. Our […]

Pain: perception, expectation, meaning – it’s all important

Chronic pain

I regularly scour the literature for the latest studies that look at pain mechanisms. Firstly I am fascinated by the science and philosophy of pain, both personally as it is so intrical to life and living, and because I need to understand the current thinking in pain to be effective as a clinician–one day I will […]

Teaching old dogs new tricks

Teach an old dog new tricks | chronic pain | specialist treatment of chronic pain London

Not that I am calling anyone an ‘old dog’, ’you can’t teach an old dog new tricks’  is a universally understood phrase implying that once we are set in our ways, change is impossible. This is simply not the case. I am referring to our ability to change our views, beliefs, behaviours and experience of life. Our […]

Tackling chronic pain – it’s like learning a new language..and unlearning an old

Beethoven

Tackling chronic pain is a challenge. Undoubtedly our understanding of pain, the role of the nervous system and other body systems, has advanced to permit a reconceptualisation of the experience and how we can approach it. The knowledge that there is a form of conditioning and learning that goes on, means that we can switch […]

It’s tight…it’s being protected

Tight as steel rope

Tightness in the muscle is a common complaint. Often part of a profile of symptoms following an injury and frequently a stand alone sense that persists, tightness and stiffness need addressing to normalise movement and control of movement. Normalising movement is a key part of desensitisation in that it is one less reason for the […]

Training for the marathon – developing pain & injury

London Marathon - Tower Bridge

At this time of year, as the London Marathon nears, runners reaching new levels of training can start to develop aches and pains. Usually the pains are in the legs or feet and often begin as an annoyance but develop into a problem that means training has to stop. The tissues are constantly breaking down […]

Pain Mechanisms – what underpins our pain?

Tackling pain

Understanding pain mechanisms is the key to effective treatment. The mechanisms that have been studied, written about in science journals and discussed with patients include nociceptive pain, inflammatory pain, neuropathic pain and central sensitisation. Elucidating which are playing a role in the patient’s experience allows the doctor to prescribe the right medication and the modern […]

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 […]

Chronic pain in sport – Specialist Clinic in London

Chronic knee pain

Chronic pain is a real problem in the sporting world. The effects of not being able to participate are far reaching, especially when sport is your profession. There are a huge numbers of clinics offering treatments to deal with pain and injury and in many cases the problem improves. However, there are those who do […]

Can’t get over that skiing injury?

Skiing injuries

To the skier, the thought of watching friends and family clumping off in their boots towards the lift whilst sitting with a leg up, packed with ice and the daily paper, is intensely frustrating. Injuries happen. In many cases with the right early treatment, perhaps surgery and definitely a thorough rehabilitation programme, the symptoms resolve […]