Beyond the biomedical model of pain – an interview with Richmond Stace

physiospot

Recently I was interviewed by Rachael from Physiopedia and Physiospot. We discussed some of the areas I feel are important in tackling the problem of pain, in particular chronic pain. Click here for the interview Primarily the topic focus was the psychosocial aspects of pain, an area that has provoked increasing interest. The word is […]

Creating the right conditions to move forward

3 key points 1. Nothing happens in isolation. 2. We are designed to change, grow and develop. 3. Nothing is permanent. Bearing these fundamental points in mind, we seek to create and then cultivate the right conditions so that we may move forward in life. In terms of rehabilitation, we also look to create the […]

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. […]

Cervical Dystonia | What can we do?

I see a number of cases of cervical dystonia (spasmodic torticollis) that features awkward posturing and movement of the head and neck. This can be painful and have consequences for normal activities. We rely upon being able to orientate ourselves to our environment by controlling our head and gaze direction and then responding appropriately. Primary dystonia has no […]

Specialist Pain Physio Clinics | Temple, London

The Specialist Pain Physio clinic based at Positive Heath Strategies in Temple is located just on the edge of the City and Fleet Street. Sitting just back from the River Thames, the office is a short stroll away from a magnificent view of London. Modern treatment of painful conditions requires a comprehensive approach that addresses […]

Reconceptualising pain for better treatment – a revolution? A revelation?

Traditionally pain is understood to be an unpleasant experience in the body where a problem exists, and is something to be got rid of as quickly as possible. The so-called ‘biomedical model’ considers which structures require treatment or surgery, stopping at the tissues as the cause of pain. This paradigm has been challenged over 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 […]

Football Injury Blog @Footymatters

Hamstring injuries | Football injuries | Sports injuries

I am really excited to be writing a regular blog on the Footy Matters website looking at injuries in football. Injury Time with Richmond Stace About Footy Matters Footy Matters is an online football magazine like no other. We’ll be bringing you sharp commentary on the latest football news, providing unique insight, views and opinions away from […]

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 […]

Central sensitisation is more common than you may think

Clifford Woolf recently said this about central sensitisation: Nociceptor inputs can trigger a prolonged but reversible increase in the excitability and synaptic efficacy of neurons in central nociceptive pathways, the phenomenon of central sensitization. Central sensitization manifests as pain hypersensitivity, particularly dynamic tactile allodynia, secondary punctate or pressure hyperalgesia, aftersensations, and enhanced temporal summation. It […]