Exercise induce a reduction in pain sensitivity. https://t.co/v9afJxnMkQ
— Massimo Monticelli (@BFOsteoLondon) 15 November 2018
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Neural mobilization can be performed actively as exercise (see the video below)or passively performed by osteopaths, physiotherapists and manual therapists. It is very effective in the management of nerve-related low back pain, nerve-related neck and arm pain, and plantar heel pain and tarsal tunnel syndrome.
https://www.jospt.org/doi/full/10.2519/jospt.2017.7117
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A different approach to patients suffering of non-traumatic musculoskeletal pain can improve pain conditions and limit the disability level. Practitioners need to explain the condition and the strategy to manage the problem. Improving education, exercise and lifestyle are key points to engage the patient taking control. https://bjsm.bmj.com/content/early/2018/07/17/bjsports-2018-099198  British Journal of Sports Medicine Pain education for musculoskeletal disorders is very effective reducing disability, improving movement and reducing medication use. https://www.researchgate.net/publication/304573118_The_efficacy_of_pain_neuroscience_education_on_musculoskeletal_pain_A_systematic_review_of_the_literature  Movement is a key factor for getting better, together with explaining to patient what to do to improve their confidence in their physical ability. "Your pelvis is out of place" is a misleading description of the cause of your pain and is increasing patient fear of movement. https://trustme-ed.com/blog/no-your-pelvis-is-not-out-of-place  This review findings support that therapeutic exercise can improve posture and helping patients to decrease neck pain. www.sciencedirect.com/science/article/pii/S0161475417301926#f0005  The most recent low back pain management guidelines recommend to remain active, patient pain education, exercise therapy and cognitive behavioural therapy. https://www.sciencedirect.com/science/article/pii/S174606891830049X  Glutes exercise work is very important in order to decrease the risk of knee injury. https://www.ncbi.nlm.nih.gov/pubmed/29804139  WHERE the MRI is performed, WHO interprets the examination may have an impact on radiological diagnosis, sub sequentially on treatment strategy and clinical outcome. Thanks again Lee Higginbotham for the info-graphic. https://www.ncbi.nlm.nih.gov/pubmed/27867079  Info graph describing the outcome of the Spine Journal study (Spine J. 2017 Apr;17(4):554-561) Disk bulging, disk degeneration, cartilage defect, meniscal tear, CAM deformity, labral injury, pincer deformity. These are only some of the abnormalities found analysing asymptomatic patients with MRI scan, US scan and arthroscopy diagnostic modalities. Thanks to Lee Higginbotham. https://www.ncbi.nlm.nih.gov/pubmed/25584950 https://www.ncbi.nlm.nih.gov/pubmed/21940544 https://www.ncbi.nlm.nih.gov/pubmed/25636988 https://www.ncbi.nlm.nih.gov/pubmed/25430861 http://bjsm.bmj.com/content/early/2018/06/09/bjsports-2018-099257 https://www.ncbi.nlm.nih.gov/pubmed/22835390 http://journals.sagepub.com/doi/abs/10.1177/2473011417S000311  Abnormal is normal? |
AuthorMassimo Monticelli M.Ost Archives
November 2018
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