Tag: kieran macphail

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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Review: Chronic Low Back Pain And Yellow Flags, What Treatments Are Effective?

1. Introduction   Low back pain (LBP) is usually defined as pain localised below the costal margin (ribs) and above the inferior gluteal folds (buttock crease). It is the leading cause of disability worldwide and is becoming increasingly prevalent (Harkness et al. 2005, Hoy et al. 2012, Vos et al. 2012). Chronic low back pain (CLBP) is variously defined as lasting longer than 7-12 weeks, to 3 months (Anderrson 1999, Frymoyer 1988). LBP is typically classified as “specific” or “non-specific”. Specific LBP refers to symptoms caused by specific pathophysiologic causes, such as hernia nucleus,...

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Case Study: The Sacrotuberous and Sacrospinous Ligaments As Sources Of Sciatic Pain

“It is well recognized that radiculopathy, usually due to pressure on the dural sleeve of one of the lumbar nerve roots, can be responsible for this pain (Sciatica). On the other hand, ‘sciatica’ is more often due to referred pain from the sacrotuberous ligament” Dorman (1999)   Sacro-illiac ligament referral patterns (Hackett 1958) I re-read this statement after flicking through my notes on “Movement stability and low back pain” by Vleeming et al (Dorman 1999) trying to find solutions to a client’s long standing radicular pain that was not resolving. His primary symptom was radicular pain...

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Super quick journal review of Physical Therapy in Sport February 2010

Physical Therapy in Sport February 2010 Bracing does not improve dynamic stability in chronic ankle instability subjects Gribble et al 1. The authors suggest that time to stabilise (TTI) is not sensitive enough to pick up improvements 2. Alternatively, bracing prevents gross movement but doesn’t help with the mid range proprioception required for stability. Shoulder functional ratio in elite junior tennis players Saccol et al. 1. Concentrically external rotators should be at least 2/3rds of the strength of the internal rotators (Ellenbecker & Davies 2000) 2. Eccentric strength of external...

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Quick Pain Relief For Back Pain

This article will look to demonstrate a couple of stretches and exercises somebody can do to eliminate acute (less than 6 weeks old) back pain. Firstly, let me start by saying that this is pretty unproffesional on my part! You should always see somebody and get properly diagnosed before undergoing any treatment programme. From my experience this programme will work well with approximately 70% of people with acute low back pain and also with many people with more chronic pain. However, for some it will make things much worse! This programme is suitable if you have no Night pain, pins and needles,...

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