All posts; Tags Include "chronic pain"
- August 31, 2010
- 03:35 PM
- 45 views
Measuring changes during graded exposure & acceptance treatment
by Adiemusfree in Healthskills: Skills for Healthy Living
I have been pondering about the best way to monitor ‘Matt’s progress during graded exposure therapy for his avoidance of activities involving back movement. I introduced you to Matt yesterday. He’s a ‘man’s man’, a real bloke who, for the past four years since he had surgery for a prolapsed disc, has avoided things like … Read more... Read more »
Wicksell, R., Lekander, M., Sorjonen, K., & Olsson, G. (2010) The Psychological Inflexibility in Pain Scale (PIPS) – Statistical properties and model fit of an instrument to assess change processes in pain related disability. European Journal of Pain, 14(7), 7710-2147483647. DOI: 10.1016/j.ejpain.2009.11.015
- August 29, 2010
- 03:33 PM
- 46 views
Exposure in vivo for kinesiophobia
by Adiemusfree in Healthskills: Skills for Healthy Living
Sometimes, even with the best practice, treatment doesn’t go the way you expect it to. Graded exposure, using a phobia treatment model, can be one of those amazingly quick methods – or it can be a long-haul challenge. This paper by Flink, Boersma and Linton, just published in European Journal of Pain identifies one of … Read more... Read more »
Flink, I., Boersma, K., & Linton, S. (2010) Catastrophizing moderates the effect of exposure in vivo for back pain patients with pain-related fear. European Journal of Pain, 14(8), 887-892. DOI: 10.1016/j.ejpain.2010.02.003
- August 23, 2010
- 05:14 AM
- 43 views
Who drops out of CBT for chronic pain?
by Adiemusfree in Healthskills: Skills for Healthy Living
Wouldn’t it be wonderful if everyone we saw was ready for self management and committed to putting everything in place? Wouldn’t it be even better if we could tell who was and who wasn’t going to drop out? Then we could focus treatment on people who were ready for treatment, and help those who are … Read more... Read more »
Glombiewski, J A, Hartwich-Tersek, J, & Rief,W. (2010) Attrition in Cognitive-behavioral Treatment of Chronic Back Pain. Clinical Journal of Pain, 26(7), 593-601. info:/
- August 15, 2010
- 08:03 PM
- 59 views
How well do we really communicate?
by Adiemusfree in Healthskills: Skills for Healthy Living
I’m pretty sure most clinicians want to believe that they treat people with equal respect, that they listen carefully and respond with empathy when a person has concerns about their health. At the same time I’ve listened to many people with chronic pain describe how they’ve had trouble feeling heard, how they can feel like … Read more... Read more »
Gulbrandsen, P., Madsen, H., Benth, J., & Lærum, E. (2010) Health care providers communicate less well with patients with chronic low back pain – A study of encounters at a back pain clinic in Denmark. Pain, 150(3), 458-461. DOI: 10.1016/j.pain.2010.05.024
- August 11, 2010
- 03:31 PM
- 66 views
What do people with chronic pain & health anxiety worry about?
by Adiemusfree in Healthskills: Skills for Healthy Living
While there is a whole heap of research going on in the area of chronic pain, something that seems to be missing at times is the experience of the person who has the pain. When I take a look through a journal I can see loads of articles with fabulous treatments and awesome brain scan … Read more... Read more »
Tang, N., Salkovskis, P., Hodges, A., Soong, E., Hanna, M., & Hester, J. (2009) Chronic pain syndrome associated with health anxiety: A qualitative thematic comparison between pain patients with high and low health anxiety. British Journal of Clinical Psychology, 48(1), 1-20. DOI: 10.1348/014466508X336167
- July 25, 2010
- 03:32 PM
- 60 views
Mindfulness and exercise?
by Adiemusfree in Healthskills: Skills for Healthy Living
Now I know this might seem a strange heading when we think of mindfulness practice normally, but this isn’t ‘treatment as usual’. The definition of mindfulness in this study is ‘The body scan practice involves systematically moving awareness through each part of the body and noticing the presence of sensation in a detailed and precise … Read more... Read more »
Cusens, B., Duggan, G., Thorne, K., & Burch, V. (2009) Evaluation of the breathworks mindfulness-based pain management programme: effects on well-being and multiple measures of mindfulness. Clinical Psychology . DOI: 10.1002/cpp.653
- July 21, 2010
- 07:17 AM
- 115 views
Accepting what life throws at ya
by Adiemusfree in Healthskills: Skills for Healthy Living
I was looking to write about a new treatment, or something that is innovative, and you know, there isn’t a whole lot new out there in pain management land. If it wasn’t for Lorimer Moseley’s work on motor imagery and Lance McCracken’s work on acceptance, I think we’d be doing pretty much what I was … Read more... Read more »
McCracken, L., & Zhao-O’Brien, J. (2010) General psychological acceptance and chronic pain: There is more to accept than the pain itself. European Journal of Pain, 14(2), 170-175. DOI: 10.1016/j.ejpain.2009.03.004
- July 20, 2010
- 01:53 AM
- 73 views
What do people really do about their back pain? An on-line survey reveals…
by Adiemusfree in Healthskills: Skills for Healthy Living
There are many studies describing the way treatment providers fail to follow clinical guidelines for managing acute low back pain – and because there are inconsistencies between various guidelines for chronic low back pain, it’s not surprising that people with back pain (whether acute or chronic) get a little confused about what to do. Of … Read more... Read more »
Wilk V, Palmer HD, Stosic RG, & McLachlan AJ. (2010) Evidence and practice in the self-management of low back pain: findings from an Australian internet-based survey. The Clinical journal of pain, 26(6), 533-40. PMID: 20551729
- July 20, 2010
- 01:53 AM
- 64 views
What do people really do about their back pain? An on-line survey reveals…
by Adiemusfree in Healthskills: Skills for Healthy Living
There are many studies describing the way treatment providers fail to follow clinical guidelines for managing acute low back pain – and because there are inconsistencies between various guidelines for chronic low back pain, it’s not surprising that people with back pain (whether acute or chronic) get a little confused about what to do. Of … Read more... Read more »
Wilk V, Palmer HD, Stosic RG, & McLachlan AJ. (2010) Evidence and practice in the self-management of low back pain: findings from an Australian internet-based survey. The Clinical journal of pain, 26(6), 533-40. PMID: 20551729
- July 20, 2010
- 01:53 AM
- 63 views
What do people really do about their back pain? An on-line survey reveals…
by Adiemusfree in Healthskills: Skills for Healthy Living
There are many studies describing the way treatment providers fail to follow clinical guidelines for managing acute low back pain – and because there are inconsistencies between various guidelines for chronic low back pain, it’s not surprising that people with back pain (whether acute or chronic) get a little confused about what to do. Of … Read more... Read more »
Wilk V, Palmer HD, Stosic RG, & McLachlan AJ. (2010) Evidence and practice in the self-management of low back pain: findings from an Australian internet-based survey. The Clinical journal of pain, 26(6), 533-40. PMID: 20551729
- July 14, 2010
- 03:43 PM
- 83 views
Online self management: works for some
by Adiemusfree in Healthskills: Skills for Healthy Living
Given that you’re reading this, I suspect that the thought of an on-line approach to managing pain wouldn’t take a terrible stretch of the imagination. The idea is certainly appealing – after all, there are many, many people with chronic low back pain in the community, and not nearly so many clinicians specialised (or even … Read more... Read more »
Chiauzzi E, Pujol LA, Wood M, Bond K, Black R, Yiu E, & Zacharoff K. (2010) painACTION-Back Pain: A Self-Management Website for People with Chronic Back Pain. Pain medicine (Malden, Mass.). PMID: 20545873
- July 11, 2010
- 03:36 PM
- 96 views
Self report or functional assessment – or both?
by Adiemusfree in Healthskills: Skills for Healthy Living
One of the more vexing problems in pain management is how to measure functional performance. I’ve written before about the problems with functional capacity evaluations (lack of predictive validity, poor reliability and so on), and these problems also apply to assessments of the ability to carry out activities of daily living. Amongst some of the … Read more... Read more »
Wæhrens, E., Amris, K., & Fisher, A. (2010) Performance-based assessment of ADL ability among women with chronic widespread pain. Pain. DOI: 10.1016/j.pain.2010.06.008
- June 27, 2010
- 03:37 PM
- 120 views
Hi ho! Hi Ho! It’s off to work we go!
by Adiemusfree in Healthskills: Skills for Healthy Living
I know, it’s Monday and such cheer about work should be reserved for people with no life – but helping people return to work has been and still is one of my favourite parts of pain management. A pity that work rehabilitation has become somewhat far removed from pain management as it is practiced in … Read more... Read more »
Ammendolia, C., Cassidy, D., Steensta, I., Soklaridis, S., Boyle, E., Eng, S., Howard, H., Bhupinder, B., & Côté, P. (2009) Designing a workplace return-to-work program for occupational low back pain: an intervention mapping approach. BMC Musculoskeletal Disorders, 10(1), 65. DOI: 10.1186/1471-2474-10-65
- June 21, 2010
- 03:38 PM
- 118 views
What obstacles get in the way of self managing chronic pain?
by Adiemusfree in Healthskills: Skills for Healthy Living
Learning to manage pain using self management strategies ain’t easy – as we know, changing habits and doing things differently is not something any of us do without a bit of effort. It’s especially difficult when life in general is full of challenges, but so much more so when pain is the problem,you have a … Read more... Read more »
Bair, M., Matthias, M., Nyland, K., Huffman, M., Stubbs, D., Kroenke, K., & Damush, T. (2009) Barriers and Facilitators to Chronic Pain Self-Management: A Qualitative Study of Primary Care Patients with Comorbid Musculoskeletal Pain and Depression. Pain Medicine, 10(7), 1280-1290. DOI: 10.1111/j.1526-4637.2009.00707.x
- June 13, 2010
- 03:42 PM
- 242 views
How “social” is your biopsychosocial model?
by Adiemusfree in Healthskills: Skills for Healthy Living
It’s called the biopsychosocial model, but how much attention do we really pay to the social part of this model? While we know the medical model has its limitations (especially when we’re looking at how people respond to having health problems), in pain management I wonder whether we now have a ‘psychological’ model of pain … Read more... Read more »
Engel, G. (1979) The biopsychosocial model and the education of health professionals. General Hospital Psychiatry, 1(2), 156-165. DOI: 10.1016/0163-8343(79)90062-8
Harding G, Campbell J, Parsons S, Rahman A, & Underwood M. (2010) British pain clinic practitioners' recognition and use of the bio-psychosocial pain management model for patients when physical interventions are ineffective or inappropriate: results of a qualitative study. BMC musculoskeletal disorders, 51. PMID: 20298540
- June 8, 2010
- 08:03 PM
- 176 views
Group-based CBT for pain in primary care
by Adiemusfree in Healthskills: Skills for Healthy Living
I briefly discussed yesterday the content of this six-session group-based cognitive behavioural approach for chronic pain, delivered in the community. Today I want to look a little more closely at the way the programme was delivered and how the findings might differ from what happens in New Zealand. To refresh your memory, this is a … Read more... Read more »
Lamb, S., Hansen, Z., Lall, R., Castelnuovo, E., Withers, E., Nichols, V., Potter, R., & Underwood, M. (2010) Group cognitive behavioural treatment for low-back pain in primary care: a randomised controlled trial and cost-effectiveness analysis. The Lancet, 375(9718), 916-923. DOI: 10.1016/S0140-6736(09)62164-4
- June 7, 2010
- 03:35 PM
- 322 views
Group-based CBT for troublesome low back pain
by Adiemusfree in Healthskills: Skills for Healthy Living
These two papers have created a bit of a storm in the health news recently – a six-session CBT group programme for chronic low back pain that not only provides good outcomes, but is also cost-effective? Unbelievable! And it’s not delivered exclusively by any specific health professionals. AND it’s delivered in primary care! My take … Read more... Read more »
Hansen, Z., Daykin, A., & Lamb, S. (2010) A cognitive-behavioural programme for the management of low back pain in primary care: a description and justification of the intervention used in the Back Skills Training Trial (BeST; ISRCTN 54717854). Physiotherapy, 96(2), 87-94. DOI: 10.1016/j.physio.2009.09.008
Lamb, S., Hansen, Z., Lall, R., Castelnuovo, E., Withers, E., Nichols, V., Potter, R., & Underwood, M. (2010) Group cognitive behavioural treatment for low-back pain in primary care: a randomised controlled trial and cost-effectiveness analysis. The Lancet, 375(9718), 916-923. DOI: 10.1016/S0140-6736(09)62164-4
- May 31, 2010
- 03:35 PM
- 163 views
Oh… to sleep – CBT for insomnia in chronic pain
by Adiemusfree in Healthskills: Skills for Healthy Living
There are very few people who have chronic pain who have sweet dreams all night and wake feeling refreshed – having disturbed sleep and waking feeling grouchy seems to come with the territory for so many of the people I’ve seen with chronic pain! If it’s not difficulty staying asleep, it’s difficulty getting off to … Read more... Read more »
Jungquist CR, O'Brien C, Matteson-Rusby S, Smith MT, Pigeon WR, Xia Y, Lu N, & Perlis ML. (2010) The efficacy of cognitive-behavioral therapy for insomnia in patients with chronic pain. Sleep medicine, 11(3), 302-9. PMID: 20133188
- May 30, 2010
- 03:43 PM
- 172 views
Talking pain – seeking validation: Social interaction in pain
by Adiemusfree in Healthskills: Skills for Healthy Living
While we might laugh about the so-called typical ‘I will fix it’ response of some men when their partners talk about problems (when what the woman really wants is a hug), it seems that much of our research into pain behaviour, particularly verbal expressions of pain, has missed something. I’m not a major reader of … Read more... Read more »
Cano, A., & Williams, A. (2010) Social interaction in pain: Reinforcing pain behaviors or building intimacy?. Pain, 149(1), 9-11. DOI: 10.1016/j.pain.2009.10.010
- May 17, 2010
- 04:00 PM
- 201 views
Middlekoop et al chapter three – what do the numbers mean?
by Lorimer Moseley in BodyInMind
Here is a final installment in our coverage of the Middlekoop paper. First up, we had Neil O’Connell talking about elephants and then we had Peter O’Sullivan raising some provocative thoughts on the value of our current direction in trying to evaluate exercise as a treatment for back pain. Now, from that odd group of [...]... Read more »
[1] van Middelkoop M, Rubinstein SM, Verhagen AP, Ostelo RW, Koes BW, & van Tulder MW. (2010) Exercise therapy for chronic nonspecific low-back pain. Best practice , 24(2), 193-204. PMID: 20227641
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