Month: October 2012

What Is Your Why?

My interest in finding my “why” and that of others was sparked by Simon Sinek’s famous TED talk. http://www.ted.com/talks/simon_sinek_how_great_leaders_inspire_action.html Sinek talks about three circles. Most people know what they do. E.g. I am a physiotherapist. Some people can describe how they do that. E.g. By studying extensively with experts in their fields Staying abreast of current research Doing in depth analysis of all patient’s cases until confident of the drivers and strategy forward Treating patients implementing that strategy Sharing knowledge with other therapists But the why...

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What Structure Is Causing The Pain?

There are four main sources of pain and each produces a specific pattern of pain. Central Somatic Structures E.g. Dura mater, posterior longitudinal ligament, annulus fibrosus of the intervertebral disc Mulisegmental pain This can be central, central unilateral, bilateral, proximal or distal Referred tenderness 2. Central Neurological Structures E.g. Spinal cord No pain Multisegmental reference of parasthesia (bilateral hands and/or feet) Upper motor neuron lesion: spastic muscle weakness, increased reflexes, spastic gait, extensor plantar response (Babinski reflex) 3. Unilateral Somatic Structures E.g....

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Credebo and Personal Equipoise

Two studies published online this week by Cook et al (Cook et al 2012) and Mannion et al (Mannion et al 2012) appear to highlight the importance of non-mechanical factors in patients’ response to treatment, namely credebo and personal equipoise. Credebo is a term I came across on a Chartered Society of Physiotherapist forum discussion. One physiotherapist wrote that in order to have a placebo effect on a patient the therapist needed to be credible. This physiotherapist contended that clinically we had to earn the placebo effect and as such he termed it credebo. Personal equipoise is an individual’s...

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