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Professional/Clinical Blog

Basic Low Back Pain Treatment Principles

Did you know that only a small percentage of individuals with low back pain require surgery, opioids and/or injections?  The majority of individuals can manage treat and fix their back pain.  These statements make treating low back pain sound easy.  Unfortunately, it is not easy – treating low back pain can be very challenging and...
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Symptom Variability Part IV

Let us continue to look at variable pain.  In parts 1-3 we examined activities that brought on our symptoms.  These are necessary steps to decrease the irritation of the area and decrease pain.  The final step is examining the painful moment and what activities lead a patient to feeling better or reducing their symptoms. This...
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Symptom Variability Part III

Symptom recovery involves looking deeper into the pain pattern, recognizing the specifics of a pattern, and turning pattern recognition into activity modification.  We will use low back pain as an example.  Symptom patterns may be inconsistent, for instance “sometimes my pain comes on in a seated position and sometimes it doesn’t.”  Or, “sometimes I can...
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Symptom Variability Part II

In part one we provided strategies to help identify high and low points of pain variations throughout the day.  Equally important is examining the activities that we were performing in between high and low periods of pain.  Pain doesn’t always follow a cause and effect relationship that is easy to see from a patient perspective. ...
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Symptom Variability Part I

I have said for years that pain modulation/regulation/management in therapy is not difficult and it’s not rocket science.  My goal as a therapist is not to make symptom management harder than it has to be.  In its simplest form, pain management is about identifying patterns – what brings on your symptoms and what takes away...
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Pavlov’s Dog | Pain Dissociation

Today, we are going to look deeper at pain association and the opposite, pain disassociation with movements. First, let us take a look at the most famous conditioned response case, Pavlov’s Dog. Ivan Pavlov was a Russian physiologist that studied the salivation response of dogs during feeding. In seeing food, dogs begin to salivate in...
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