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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. www.nice.org.uk/guidance/NG59/chapter/Recommendations#non-invasive-treatments-for-low-back-pain-and-sciatica  Osteopathy and physical exercise are effective against low back pain
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Physical activity decrease pain and improve physical function in knee and hip osteoarthritis.18/5/2019 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.
https://twitter.com/BFOsteoLondon/status/1122777647044530176
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. 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  Knee crepitus has not relationship with pain and function in patients with patellafemoral pain. https://www.sciencedirect.com/science/article/pii/S1466853X18301056  Knee clicking is not related to anterior knee pain. Understanding the causal factors for patellofemoral pain (aka anterior knee pain and knee cap pain)2/3/2018 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  Journal of Orthopaedic Research: Study on the possible origin of patellofemoral pain. 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.  Pain journal: January 9, 2018. Article in press. Importance of psycho-social, lifestyle and training factors managing low back pain episodes in sport.  Managing non traumatic back pain in sport. Thanks YLMSportScience and B.Darlow P.O'Sullivan |
AuthorMassimo Monticelli M.Ost Archives
November 2020
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