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People experience pain differently. How the body respond to pain?
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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  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 Evidence that pain-related words activate part of the brain that provides pain perception. pdfs.semanticscholar.org/26fa/88319631e00b5fe6699a0506cfcc3fe5fea0.pdf  Pain Journal: Do words hurt? Explain Pain Supercharged (textbook) by Lorimer Moseley and David Butler is a wonderful and gripping journey through the physiology of pain mechanisms. http://www.physiospot.com/review/book-review-explain-pain-supercharged/  Explain Pain Supercharged: Textbook Cover
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.
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AuthorMassimo Monticelli M.Ost Archives
June 2023
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