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A lack of variability in people with pain? I’m intrigued…

A recent paper by Falla and colleagues [1] evaluated back muscle activity (via electromyography) during a repetitive lifting task and compared two groups: a chronic/recurrent low back pain group and a […]

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Working where it really matters: Botulinum toxin A targets pain hypersensitivity in the CNS

Botulinum toxin type A (BoNT/A), an enzyme produced by Clostridium botulinum, owes its potency to its exquisite ability to invade neurons and to block the vesicular release of neurotransmitters. By […]

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Is one question enough to screen for depression and anxiety

Psychological factors, such as depression and anxiety, are significant contributors in the transition from acute to chronic pain. A person suffering from acute low back pain with additional symptoms of […]

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Can low back pain be influenced by pain in the front of the body?

As a physio who works in a busy clinic and treats lots of different people, one of the phenomena that I’ve observed over the years is how many patients, who […]

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Low-back pain, a consequence of cumulative mechanical loading?

In a recent reaction posted on this website, it was stated that systematic reviews typically find little or no relationship between physical loading and low-back pain. The author cited three […]

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Risk Factors for Low Back Pain

As with most orthopaedic injuries, the greatest risk factor for developing low back pain (LBP) is a history of low back injury. Because of this, an initial injury to the […]

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New light on bone formation in CRPS?

The variability of signs and symptoms of Complex Regional Pain Syndrome (CRPS), may represent between-patient variability in the pathological mechanisms at work. One often forgotten CRPS feature is impaired bone […]

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The pain-adaptive individual: do you have a superior pain response?

Everyone responds differently to pain. We know that. But can we meaningfully group people by how they respond? A recent study by Zheng et al. (2014) has found that by […]

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Sense of ownership is necessary to anticipate pain

The awareness of being the owner of one’s body is probably the most common basic experience in life and is rarely considered as a cognitive function – just like speech […]

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Which treatments for which patients?

How do clinicians decide which treatments to provide to which patients? One might assume a simple process: if patient X has condition Y, treatment Z is provided. For many conditions, […]

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