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...
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...
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...
20 minutes (Meng and Yue 2014)
8 hours in bed resting- ideally sleeping (Alsaadi et al. 2012)
Nutrition & Biochemistry
1gram of protein for every kg of body weight (Wood et al. 2006)
<15% of calories (Wood et al. 2006)
1g (Lopez-Garcia et al. 2004, Maroon and Bost 2006)
2-3 portions of different fruit (Watzl et al. 2005, Bhupathiraju and Tucker 2011)
The literature review overviews the various different methods currently used in practice to give an overview of the background to which these decisions are being made.
Why these physiotherapists practice
The literature review showed the breadth of approaches available to clinicians and informed the interview process. This research sheds some light on how and why clinicians choose which of these interventions to use. The central theoretical code identified was the physiotherapists looked to do what was best for the patient from a variety of motivations. This is similar to previous...