Low back pain and sciatica. National Institute for Health and Care Excellence NICE on 22 September 2020 updated guideline 59 Low back pain and sciatica in over 16s: assessment and management. Recommendation in non-invasive treatments highlight the importance of manual therapy (spinal manipulation, mobilisation and massage) with physical exercise and psychological support.
Hip, buttock and pelvis from mastering movement to reducing pain and restore health - Alison Grimaldi 3 days course
Thanks @alisongrimaldi 3 days course where I really enjoyed improving knowledge on hip, buttock and pelvis with up to date research and best management practices. Thanks also to @VitalPhysioEd for organising.
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.
Massimo Monticelli M.Ost
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