People experience pain differently. How the body respond to pain?
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.
Pain education for musculoskeletal disorders is very effective reducing disability, improving movement and reducing medication use.
Knee clicking has not relationship to pain and function in patient with anterior knee pain or patellofemoral pain
Knee crepitus has not relationship with pain and function in patients with patellafemoral pain.
Interesting study attempting to figure out the origin of patellofemoral pain (aka anterior knee pain, knee cap pain). Patella found significantly tilted laterally (knee extended and no weight bearing) in the patient group suffering from patellofemoral pain. This underline the potential involvement of active and passive structures stabilizers of patella. https://www.ncbi.nlm.nih.gov/pubmed/29488245
Sciatica or referred leg pain or low back-related leg pain (LBLP) can present with different pain intensity, clinical signs, disability. Also recovery time was different but the most improvement for pain and disability was seen within the first 4 months.
Importance of psycho-social, lifestyle and training factors managing low back pain episodes in sport.
Evidence that pain-related words activate part of the brain that provides pain perception.
Explain Pain Supercharged (textbook) by Lorimer Moseley and David Butler is a wonderful and gripping journey through the physiology of pain mechanisms.
The placebo effect is an intrigued and unexplained mechanism where medications, treatments and therapies that aren't supposed to produce benefits for unknown reasons make feel patients better. Thanks to Emma Bryce for her TED Ed animation.
Massimo Monticelli M.Ost