Gratitude and Low Back Pain

Gratitude is frequently stated to be useful to improving health within alternative health circles. However is there any evidence that improving our focus on gratitude can be useful to improving low back pain? There have not been any studies examining the benefits of gratitude interventions on pain. However, gratitude interventions have improved positive affect, inflammatory markers and specifically depression and anxiety. Emmons and McCullough (2003) were the first to examine the effects of focusing on gratitude or hassles on psychological markers. They assigned patients to focus on either gratitude,...

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Psychosocial Symptoms, Chronic Low Back Pain and Inflammation

Highlights   Psychosocial symptoms are important predictors of those that do worse with chronic low back pain. Currently the prevailing view is that psychosocial symptoms drive systemic inflammation. Psychosocial problems increase inflammation, and inflammation increases psychosocial symptoms. Psychosocial treatments decrease inflammation and reducing inflammation improves psychosocial symptoms. The relationship is bidirectional and we should remember this when dealing with patients with psychosocial symptoms. Explaining this relationship to patients may reduce the stigma associated with...

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Mindfulness and Chronic Low Back Pain; Why and How To.

Mindfulness is basically the western term for meditation. The practice has moved from weird hippies only, to being used by CEOs and professional sport, and is now being studied fairly extensively. This blog will focus on the relevance of mindfulness to chronic low back pain. Outlining the benefits and how to start a mindfulness practice. Psychological stress can directly influence the musculoskeletal, endocrine, immune and nervous systems through the limbic system modifying chronic pain (Macphail 2014). Psychosocial risk factors for low back pain (LBP) chronicity are well known to lead to worse...

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Physiotherapy Management of Chronic Low Back Pain Patients With Yellow Flags: A Systematic Review (Abstract, Discussion & Conclusion)

Abstract   CLBP is the leading cause of disability worldwide and patients with yellow flags have the worst outcomes and contribute significantly to the societal cost. Clinicians are aware of the importance of yellow flags but feel undertrained to deal with them. Furthermore there is a lack of clarity for clinicians looking at how to specifically manage these patients from guidelines and an incredibly varied set of approaches available to clinicians. The objective of this review was to establish the effectiveness of physiotherapy interventions for chronic low back pain patients with yellow...

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Anti-Inflammatory Diet and Lifestyle Measures For Chronic Pain

Start  Current Aim1 Physical Activity     Aerobic activity     20 minutes (Meng and Yue 2014) Sleep     8 hours in bed resting- ideally sleeping (Alsaadi et al. 2012) Nutrition & Biochemistry     Protein   1gram of protein for every kg of body weight (Wood et al. 2006) Carbohydrate Grams Fibre   <15% of calories (Wood et al. 2006) Omega 3’s   1g (Lopez-Garcia et al. 2004, Maroon and Bost 2006) Fruits   2-3 portions of different fruit (Watzl et al. 2005, Bhupathiraju and Tucker 2011) Vegetables   5-6...

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