Upcoming Webinar

Our new webinar series will cover how nutrition and lifestyle factors influence the anatomy and physiology of pain. Chartered Physiotherapist and Registered Nutritional Therapist, Kieran Macphail, will outline his research on the specific area of low back pain, diet and lifestyle. Kieran will also cover the emerging area of chronic overlapping pain conditions, which are typically the most challenging. Join us at 12:30pm on Friday 13th, 20th & 27th November 2020 Cost: £50   |   CPD: 4 hours (applied for)   All registered Cytoplan practitioners will receive a  £25 discount voucher* at...

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Nociplastic Pain, Small Fiber Neuropathy & Chronic Low Back Pain

Nociplastic pain is “pain that arises from altered nociception despite no clear evidence of actual or threatened tissue damage causing the activation of peripheral nociceptors or evidence for disease or lesion of the somatosensory system causing the pain” (Kosek et al 2016). Central sensitization is a central process to this experience. Central sensitization encompasses impaired functioning of inhibitory, descending anti-nociceptive mechanisms (Meeus et al., 2008), and over activation of descending and ascending pain facilitatory pathways (Staud et al., 2007, Meeus...

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The Iliolumbar Ligament and Chronic Low Back Pain: Anatomy, Causation, Assessment & Treatment

Iliolumbar ligament Anatomy Figure 1. The Sacroiliac Ligaments from Grays Anatomy The location of the iliolumbar ligaments is between the iliac crest to transverse process of L4 and L5. The nerves from the L4 and L5 ventral rami pass around the Iliolumbar ligaments as shown in figure 2. Kim (2017) examined 14 fixed cadavers and found huge variation in the routes of the L4 and L5 lumbosacral trunks relative to the inferior and superior bands of the iliolumbar ligaments. With both passing anteriorly or posteriorly variously in multiple combinations amongst different cadavers. IB=...

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The Therapeutic Alliance and Low Back Pain

The therapeutic relationship has been defined as; “A helping relationship that’s based on mutual trust and respect, the nurturing of faith and hope, being sensitive to self and others, and assisting with the gratification of your patient’s physical, emotional, and spiritual needs through your knowledge and skill” (Pullen and Mathias 2010). All practitioners of the “healing arts” have experienced the importance of this relationship in helping to get the patient to comply with assessment, explain what they feel and want and helping them turn up for follow ups! In recent years more...

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The Low Back Pain Diet

Nutrition   Sleep Track with sleep cycle, try to average 8hrs Less sleep increases sensitivity to painful stimuli and is associated with the onset of chronic pain problems. Most people start to move towards a more “pro-inflammatory” state at less than 7hrs sleep Aim for a 1g of protein a day for each kg of healthy body weight. 100g of meat, fish or nuts will give you approx 20g of protein as a rough guide. Look to get this from animal sources where possible. Nuts are an acceptable substitute for 1 portion a day. 3 eggs will provide approx 21grams Ideally you would split this...

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