How Pain can be like school

Neil - Doctor of PhysiotherapyBlog, Pain, Uncategorized0 Comments

In 1993-96 I was at University for the first time. My best mate Simon was in a room down the corridor in our halls of residence, then we shared two different homes together in our second and third years. I don’t recall how it came up in conversation, but during … Read More

Gluteal Tendinopathy

Neil - Doctor of PhysiotherapyBlog, Evidence, Pain, Uncategorized0 Comments

Some current thoughts based on recent posts from Physios Dr Peter Malliaras (PhD) and Dr Allison Grimaldi (PhD). A ‘clinical diagnosis’ is based upon what the client tells us about the onset of symptoms, cause, function and symptoms, combined with what we can test, measure or observe – or something … Read More

The Science of Pain

Neil - Doctor of PhysiotherapyBlog, Health, Pain0 Comments

According to Aristotle, we have five senses – sight, smell, touch, hearing and taste. Pain is not one of them. Check out the link in the comments to see where Aristotle missed a few. Pain is a feeling – an *experience* – but not a sensation. It sounds like semantics … Read More

My Personal Pain Diary

Neil - Doctor of PhysiotherapyBlog, Pain, Physiotherapy0 Comments

While driving to work yesterday I had a plan to compile a ‘personal pain diary’ for the week. It lasted 24 hours. Monday Oct 24: 1. Woke with the usual low back ache and stiffness – quickly resolved once moving. 2. Sharp pain in the left side of my neck … Read More

Are you a runner with a running-related injury?

Neil - Doctor of PhysiotherapyBlog, Evidence, Pain, Physiotherapy0 Comments

Diagnosis: over-passionate. Are you a runner with a running-related injury? If you are, you should probably listen to this podcast: http://www.allanbesselink.com/…/690-cgh-002-the-injured-run… Our body is *designed* to adapt; the principle in Exercise Science is referred to as ‘S.A.I.D.’ – Specific Adaptation to an Imposed Demand. Imagine how many kilometers an ultra-marathon … Read More

Scoliosis & Pain

Neil - Doctor of PhysiotherapyBlog, Evidence, Pain, Physiotherapy0 Comments

A photo was recently shared in a Facebook forum taken in Chicago, Illinois, 1955 of ‘Miss Correct Posture’ Ruth Williams standing next to her X-ray and trophy. A ‘scoliosis’ is a curve; front to back or side to side it doesn’t matter – they’re all a form of scoliosis and … Read More

Number Needed To Treat

Neil - Doctor of PhysiotherapyBlog, Evidence, Pain0 Comments

When we take a medication we tend to think that its active ingredient is going to have a specific effect…but that’s frequently not the case, even though the medication may appear to work as expected. Consumers aren’t told about the ‘Number Needed to Treat’ (NNT) which is the number of … Read More

Biopsychosocial framework

Neil - Doctor of PhysiotherapyBlog, Evidence, Pain, Physiotherapy0 Comments

Asked earlier today to explain the biopsychosocial framework, this was my response; I hope I’ve done it justice: — The foundation of the biopsychosocial model (BSP) is understanding the physiology and mechanisms of pain. Contrary to common misconception it is not a dichotomous ‘all biomechanical’ vs ‘all ‘psychological’ debate. It … Read More

No Pain No Gain

Neil - Doctor of PhysiotherapyPain0 Comments

Any Idiot Can Make Someone Sore- but is more always better? A rant from Jarod Hall DPT about inflicting pain on people with exercise and manual therapy. Shout out to James who at times hasn’t been able to use his arms or legs on different days, which was completely unintentional … Read More