This video is by Professor Rodney Grahame, who is a specialist on joint hypermobility. It’s well worth a listen if you have an interest in the subject.
Intensive whiplash treatment is no better than standard care, a study suggests.
The study, in the Lancet looked at the treatment of more than 2,700 people with mild to moderate whiplash.
No additional benefits were seen in those who had more intensive care – which included suggesting a rapid return to normal activities.
A Canadian expert said the study showed the lack of benefit from “unnecessary treatments”.
Whiplash injuries cost the UK economy about £3.1bn a year, mainly due to the expense of treating those with chronic symptoms (between 30-50%) and their subsequent need to take time off work.
Long-term problems can include pain from even the smallest movement, difficulty sleeping and even being unable to work. Continue reading Whiplash study says no benefits from intensive treatment
Giving a keynote lecture, Dr Thacker advised delegates to move away from purely mechanical-based therapies for back pain patients, and become more aware of the role of neuro-immnunology in relation to pain.
“Traditional physiotherapy has based its management of back pain on anatomical, tissue-based principles and biomechanics”, said Dr Thacker. Continue reading Let go of outdated paradigms and stop dwelling on Biomechanical tissue-based models when treating Back Pain.
Up to a million people in the UK have completely preventable severe Headaches caused by taking too many painkillers, doctors have said.
They said some were trapped in a “vicious cycle” of taking pain relief, which then caused even more headaches.
The warning came as part of the National Institute for Health and Clinical Excellence’s (NICE) first guidelines for treating headaches.
NICE is also recommending Acupuncture in some circumstances.
This can end up getting into a vicious cycle where your headache gets worse, so you take more painkillers, so your headache gets worse and this just becomes worse and worse and worse”
“Medication overuse headaches” feel the same as other common headaches or migraines.
There is no definitive UK data on the incidence of the condition, but studies in other countries suggest 1-2% of people are affected, while the World Health Organisation says figures closer to 5% have been reported.
While painkillers would be many people’s instant response, they could be making sufferers feel even worse. Continue reading Medication overuse Headaches
Persistent muscle pain following whiplash is commonly considered the result of poor psychosocial status, illness behaviour, or failing coping skills. However, there is much evidence that this persistent pain may be due to neurophysiologic mechanisms involving peripheral and central nerve sensitisation. Myofascial trigger points may play a crucial role in maintaing this sensitisation. Recent research suggests that the chemical environment of myofascial trigger points is an important factor. Several consequences are reviewed when central pain mechanisms and myofascial trigger points are included in the differential diagnosis and in the management of patients with persistent pain following whiplash. Continue reading Whiplash Injuries & Trigger Points
Seemingly simple, it is actually a difficult problem for the clinician interested in determining the aetiology of the pain, as well as in managing the pain.
The two common muscle pain conditions are Fibromyalgia and Myofascial Pain Syndrome.
Fibromyalgia is a chronic, widespread muscle tenderness syndrome, associated with central sensitisation. It is often accompanied by chronic sleep disturbance and fatigue, visceral pain syndromes like irritable bowel syndrome and interstitial cystitis.
Myofascial pain syndrome is an overuse or muscle stress syndrome characterised by the presence of trigger points in muscle.
The problem these syndromes pose lies not in making the diagnosis of muscle pain. Rather, it is the need to identify the underlying causes of persistent or chronic muscle pain in order to develop a specific treatment plan.
Chronic myalgia may not improve until the underlying precipitating or perpetuating factors are themselves managed.
Precipitating or perpetuating causes of chronic myalgia include structural or mechanical causes like scoliosis, localised joint hypo-mobility, or generalised or local joint laxity; and metabolic factors like depleted tissue iron stores, hypothyroidism or Vitamin D deficiency.
Sometimes, correction of an underlying cause of myalgia is all that is needed to resolve the condition. Continue reading Treating Chronic Muscle Pain by Robert Gerwin
THE first comprehensive model of the human spine is challenging our assumptions about the causes of back pain. Contrary to the idea that spinal injuries are caused by a combination of compression, bending, tension and shear forces, the 3D animated model suggests many injuries are the result of quick twists of the vertebrae, making the joints between them rotate.
Nick Beagley and Vladimir Ivancevic of the Defence Science and Technology Organisation in Edinburgh, South Australia, have spent the past 18 months developing their mathematical model, called the Full Spine Simulator (FSS). Existing models of the spine evaluate forces placed on a single joint, or a simple series of joints, and allow each just a few degrees of freedom. But the FSS represents all 25 movable joints of the spine, and gives each its full six degrees of freedom. Continue reading Can Twisting cause the Agony of Back Pain?
Irritable bowel syndrome (IBS) is the most common gut condition and affects about one in ten people at some time. It is most common among people aged between 25 and 45 but can cause problems at any age. Women are more often affected than men.
Symptoms of IBS
The symptoms of IBS include:
- Abdominal pain, bloating and wind
- Diarrhoea or constipation, or episodes of both
- Passing mucus when you open your bowels
- A feeling of incomplete emptying of the rectum
- Nausea and vomiting
- Depression, anxiety and stress
Other possible symptoms that aren’t related to the gut include backache, tiredness, headaches, and urinary or gynaecological symptoms. Continue reading IBS
Trigger Points are a frequent cause of Muscular Pain.
People often talk of a “Trapped Nerve” when describing the pain they experience from a Trigger Point. The Pain can be excruciating, and left untreated, they can cause months of unrelenting Pain.
Treating a Trigger Point requires precision. Firstly to detect it, and then to accurately Needle it with an Acupuncture Needle. The relief is normally immediate, although an ache may linger for 24 hours after treatment.
I have used Acupuncture to treat Trigger Points very successfully. When a person does not like Needles, Deep Massage can be used. This helps greatly, but is not as effective as Acupuncture.