How useful are physical treatments in chronic pain? What are the different types of physical treatments in chronic pain? In this short video I discuss the use of physical treatments in chronic pain management. The overall consensus is that the evidence could be improved, but overall,...
This brief video summarises CBT and its use in Chronic Pain. I would highly recommend the use of CBT as part of a multifaceted treatment approach to Chronic Pain. Research continues and is not robust at the moment. However, the consensus is that CBT in...
Self-management has to be one of the fundamental building blocks of effective pain management. In this short video I explain the basics of self-management and how if can help patients reduce chronic pain. Next time - Behavioural Therapies...
This short video summarises the value and usefulness of Acceptance and Acceptance Commitment Theory in Chronic Pain. After reading around the subject I have concluded that this specific variant of CBT is probably the most useful and practical in a chronic pain setting. Links to articles; https://www.apa.org/pubs/journals/releases/amp-a0035623.pdf...
...in the US for low back pain. NICE did not recommend opioids at all for low back pain. Lets keep it simple in UK. I advise paracetamol, stretching, core stability and activity. Simple NSAIDs (ibuprofen) if tolerated, are also useful. Click here for article....
In the latest video, I discuss how I effectively communicate reassurance and explanation in Chronic Pain patients. I referred to a study about reassurance in low back pain by Traeger et al. (2015). See here for study link....
This recently published study concluded the following; Acupuncture has a clinically relevant effect on chronic pain that persists over time. The effect of acupuncture cannot be explained only by placebo effects. Factors in addition to the specific effects of needling are important contributors. Referral for...
My chronic pain patients are definitely self-managing with the use of CBD oil. I think this will definitely be the next 'big thing' for pain management in the near future. There has been a seismic shift in the attitude to cannabis over the last 1-2...
In today's short video I discuss how to convey a diagnosis of Chronic Pain to patients. I also briefly review the diagnosis of Fibromyalgia, specifically reviewing the diagnostic criteria i n Fibromyalgia. I have based this on revised American College of Rheumatology guidelines (2010). Fibromyalgia...
So, holding hands can help reduce pain according to this article; One of the findings was; "Couples holding hands during the noxious stimulus (pain plus partner touch) displayed higher empathic accuracy (P =.003) and lower pain levels (P =.021) compared with couples not holding hands (pain/no...