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Spinal manipulative therapy: a slow death by data?

I am a recovering manual therapist. In my physio career I have moved from freshly qualified apprentice, eager to learn the secrets of what was sold as a powerful tool, […]

It is not just the brain that changes itself – time to embrace bioplasticity?

My mate Dr Mick Thacker, has long been teasing me for being neurocentric. In fact – for being A neurocentric. That is, he attaches this neurocentricity to me not just […]

Motor dysfunction in Complex Regional Pain Syndrome is related to proprioceptive deficits

Imagine that you want to grab a cup of coffee. Successful planning and execution of this and many other everyday life tasks crucially depends on a good sense of the […]

Preoperative Neuroscience Education for Lumbar Radiculopathy

Another in our ‘getting your thesis out there‘ series.  This one from Adriaan Louw, PT, PhD. Congrats Adriaan on finishing your thesis! Background: On average one in three patients following lumbar […]

Should we train deep trunk muscles to improve the clinical outcomes of low back pain?

Transversus abdominis (TrA) and lumbar multifidus (LM) are two deep trunk muscles implicated in maintaining spinal stability at rest and during physiological movements. A number of research studies have found […]

The fascia and back pain – What does a chemical stimulation tell us about it?

Back pain is a worldwide problem causing time lost from work, disability and economic cost. Over 75% of humans suffer from back pain at least once in their lifetime and […]

Acupuncture and awareness

We have just published the results of a small experiment looking at acupuncture in people with chronic low back pain (see here). Now that is not a sentence I thought […]

Low back pain: does shoe type make a difference?

Low back pain effects up to 80% of the population at some point in their life time. Although national and international guidelines recommend exercise therapy as a best practice in […]

Stability of conditioned pain modulation in patients with chronic pain: Implications for pain assessment & treatment

Over the past few decades, considerable evidence has accumulated indicating that pain may be modulated by a variety of endogenous pain-inhibitory processes. These operate at various levels of the central […]

Chronic Pain: Lost Inhibition?

While working with chronic neuropathic pain sufferers over the last few years, quite often I was asked if there is a “pain center” within our body, particularly in the brain, […]

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