An interesting perspective by Professor O’Sullivan
Here is an interesting argument linking Vitamin D deficiency with chronic pain.
Are you faking pain?
This interesting report is worth a read
Read more here.
According to the abstract
Some back pain is really serious: check your RED FLAGS by clicking here
Who didn’t love that great film, Snakes on a Plane: great plot, well acted, well paced and utterly believable.
In that great tradition, can I present, “Necks on a plan”
Air travel presents a great opportunity for you to abuse your body and create long lasting pain. Probably not quite as effective as buying the services of a Mayfair dominatrix, but still, pretty good.
To really make your neck hurt, let it drift forward and down as you stoop to read: if you can switch your abs off too and “hang” for 1, 2, 3 , 4 hours, you will really over stress those upper back and neck muscles and develop some really great pain. For free ( excluding the cost of the flight, of course).
If, however you don’t want the rest of your week blighted by agonising neck pain, why not , gently, engage your abdominal muscles ( “tone” rather than tension) and rest the back of your head on the head rest. The clue is in the name. HEAD REST: something on which to rest your head!
DOAH!!!! I hate to say, it. Your mother was right!. Don’t slouch, and sit up
So, necks have a lot to do with the upper body and shoulder mobility ( and lack of it). Why not come to one of our amazing “shoulder mobility” masterclasses
Just a quick note about the “Gonstead” technique.
More info here.
I confess I’m wary of Chiropractors, so ill have deeper look at this in future posts. This post is a statement of fact not a recommendation, or for that matter a condemnation!
Thanks to Gregg et al for
The relationship between the tampa scale of kinesiophobia and low back pain rehabilitation outcomes.
For those of you who are terribly ignorant about such things, “The Tampa Scale for Kinesiophobia (TSK) is commonly used in clinical practice to quantify levels of pain related fear of activity or re-injury in patients presenting with back pain. Patients with high levels of kinesiophobia are often considered at greater risk of developing long term activity limitation and chronicity. There is, however, little evidence to support this assumption”
Gregg et al used a questionnaire on 313 patients of a back clinic.
The study concluded that “The Tampa Scale for Kinesiophobia (TSK) provides no benefit as a screening tool to predict pain, functional and work outcomes following rehabilitation. Measured changes in TSK scores following rehabilitation do not correlate strongly with similar, concordant changes in pain scores, functional levels or return to work outcomes”.
Well, who knew
Thanks to Norton et al for “Classification of patients with incident nonspecific low back pain: implications for research” that appears in “spine”
Four distinct groups of patients were identified and validated. One group (53.4%) of patients recovered immediately. One third of patients (31.7%) may appear to recover over six months, but maintain a 37-48% likelihood of receiving care for low back pain in every subsequent quarter, implying frequent relapse. Two remaining groups of patients each maintain very high probabilities of receiving care in every quarter (65-78% and 84-90%), predominantly utilizing therapeutic services and pain medication, respectively. Probabilistic grouping relative to alternatives was very high (89.6-99.3%). Grouping was not related to demographic or clinical characteristics.
The four distinct sets of patient experiences have clear implications for research. Inclusion criteria should specify incident or recurrent cases. A six-month clean period may not be sufficiently long to assess incidence. Reporting should specify the proportion recovering immediately to prevent mean recovery rates from masking between-group differences. Continuous measurement of pain or disability may be more reliable than measuring outcomes at distinct endpoints.
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If a therapist, like me, jumps on your back to give it a crack, it may be that they are acting out a “meniscoid entrapment theory” moment. This means, they are speculating that vertebral joints have small menisci (synovial folds) that gets trapped within the joint. This entrapment causes guarding and preventing movements ( that group of facet joints lock).
The idea of using a manipulative techniques is, so some think, is to change the pressure within the joint , pushing the synovial folds back out.
Originally proposed by Kos and Wolf. elaborated by Bogdvk And Jull.
Frankly, I think my theory that your back is invaded by evil demons, makes far more sense!