Podcasts about clbp

Welcome to the first episode of the all new podcast from Women of Color Unite (WOCU)! Join us as we get a colorful introduction to WOCU's founder, Cheryl L Bedford and WOCU's VP Manon De Reeper. Learn about who they are and how WOCU came to be. You definitely don't want to miss hearing about their first meeting! Stick around to hear some insightful perspective on the current WGA strike and how this impacts women of color. ==== WGA Strike Resources: ⁠WGA STRIKE RESOURCES⁠ Research article about intersectionality in non-profits: ⁠“Diversity Within”: The Problems with “Intersectional” White Feminism in Practice | Social Politics: International Studies in Gender, State & Society | Oxford Academic (oup.com)⁠ Subscribe to Women of Color Unite Podcast to never miss a new episode. Become a premium subscriber today and get access: Subscribe here The Women of Color Unite Podcast is produced by Nalonni Madden and Sameena Mustafa, edited by Lauren Bonett and Nwabata Nnani, and hosted by Cheryl L. Bedford and Manon de Reeper. If you want to submit questions or responses to any of our episodes - either written or a voice note - you can send them to ⁠podcast@wocunite.com⁠.  Find out more about Women of Color Unite: https://wocunite.org Donate to Women of Color Unite: https://wocunite.org/donate Music by Oh Yeah featuring Nyuta  Follow us on social media: @wocupodcast, @thejtclist @manondereeper and @CLBP_cheryl. Recorded with Riverside --- Send in a voice message: https://podcasters.spotify.com/pod/show/wocu-podcast/message

We all have it sometimes, and it goes away with a couple of simple meds or stretching, but back pain is more complex than you think! In this episode, Dr. Frank Schwab, an internationally renowned spine surgeon, discusses treating patients suffering from chronic low back pain. When it comes to back pain, many structures are involved, so accurately diagnosing its root cause and how to treat it is very challenging. He talks about the multifidus muscle's functions and why its failure can cause ongoing pain, limited activity, and trunk stabilization loss. He also explains how the new ReActiv8 therapy is making groundbreaking advances in back pain treatment in terms of results and cost-efficiency for patients who have struggled for years with daily chronic back pain; by targeting the multifidus muscle with pulse signals to stabilize it and allowing the other muscles around the trunk to function normally. Tune in to this episode to learn about chronic back pain treatment from a specialist in complex spinal pathology!

Chronic low back pain (CLBP) is a common, yet challenging condition for both patients and clinicians. Several studies have demonstrated a strong association between CLBP and psychological factors such as anxiety, fear-avoidance, self-efficacy, catastrophizing and depression. How to Ease Sciatica Pain at Home Fast Discover a proven method for managing sciatica pain… YES, I NEED THIS! https://www.easesciaticapainhomefast.com/go

The USA continues to wrestle with the legacy of an epidemic of opioid abuse, believed to have cost the lives of over half a million people through overdose.Until the pandemic struck, it looked as though the tide had turned, thanks to remedial actions on the part of drugmakers - prompted no doubt by a raft of lawsuits - as well as changes to prescribing practices.Now, opioid abuse is on the rise again, leading a broad swathe of society, from patients and drugmakers to lawmakers and regulators, to consider the best course of action.For several years, the US Food and Drug Administration has committed to a number of measures designed to encourage the development of non-addictive analgesic alternatives.These changes have created a positive regulatory framework for stem cell specialist Mesoblast (ASX: MSB), a Melbourne-based biotech developing an off-the-shelf cell therapy targeting chronic low back pain (CLBP) - an indication which absorbs half of US opioid prescriptions at present.In Episode 2 of The Pharma Letter Podcast, we discuss this option, as well as the broader therapeutic landscape, with the company's chief executive, Silviu Itescu.

Learn more about/Buy Erik's new course – Foundations of Practice Support us on the Patreons! In this episode we talk about the mechanisms proposed in the literature regarding the effects of exercise on chronic low back pain. Why is exercise prescribed for people with chronic low back pain? A review of the mechanisms of benefit proposed by clinical trialists. Annika Wun, Paul Kollias, Harry Jeong, Rodrigo Rizzo, Aidan Cashin, Matthew Bagg, James McAuley, Matthew Jones. Musculoskelet Sci Pract. February 2021. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission

For patients with chronic low back pain (cLBP), treatment guidelines recommend a non-surgical approach as the FIRST-LINE treatment. Ideally, the goal would be to avoid an initial surgery unless it's absolutely indicated. That means, unless there is loss of bowel or bladder control or retention (which represents a medical emergency) or if there is progressive neurological motor and sensory loss, one can safely avoid surgery and conservatively manage the condition. Interestingly enough, a systematic review of the results from three randomized controlled studies carried out in Norway and the United Kingdom found the outcomes or results between the surgical fusion vs. non-surgical treatment of patients with cLBP showed NO DIFFERENCE at an 11-year follow-up! Studies have shown chiropractic to be highly beneficial for acute and chronic low back pain cases. In one study, researchers reviewed data on 72,326 cLBP patients in the Medicare system who received one of four possible treatment combinations between 2006 and 2012: 1) chiropractic only; 2) chiropractic followed by conventional medical care (CMC); 3) CMC followed by chiropractic; 4) CMC alone. The research team found that chiropractic care alone (group 1) resulted in the lowest costs, and these patients had lower rates of back surgery and shorter episodes of care. The group receiving CMC alone (group 4) had the highest costs, with the second and third groups being similar—both costing less and being more effective than CMC alone. The conclusion of the study reads, “These findings support initial CMT [chiropractic manipulative therapy] use in the treatment of, and possibly broader chiropractic management of, older multiply-comorbid cLBP patients.” www.PainReliefChiroOnline.com

On this episode I spoke with Dr Noor Abdal, a physiotherapist who has a special interest in persistent pain.Noor and I both completed our PhD's around the same time at the University of Brighton, and were part of the same 'methodological group' employing constructivist grounded theory (GT) to try and figure things out. We resisted the temptation to launch into a discussion about GT and qualitative research (but a podcast is coming focusing on this topic...), but if you'd like to read more about GT see my paper here on what GT is all about.In this podcast we spoke about Noor's clinical work as a Biopsychosocially orientated physiotherapist in Kuwait and how she's integrating psychologically-informed practice in her management of patients with chronic back pain (CLBP).We also talked about her PhD research which explored illness identities amongst Kuwaiti women experiencing chronic low back pain (CLBP). She developed a grounded theory to describe and explain the impact of cultural, social and emotional experiences on women's manifestations of CLBP and their behaviours towards it. We also chatted about how MSK clinicians can relate this theory to their clinical practice.This was almost a catch-up with an old friend in addition to the podcast. Find Dr Noor Abdal on Twitter on Instagram Subscribe to www.wordsmatter-education.com , and check out the online course in effective language and communication when managing back pain. Liked the podcast? Then help it grow- Listen, Like, Rate and Share.Instagram @Wordsmatter_educationTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication ★ Support this podcast on Patreon ★

In the United States: 1) seniors represent over 13% of the population but consume 40% of prescription drugs and 35% of over-the-counter drugs; 2) on average, people 65-69 years old take nearly 14 prescription drugs per year, and those 80-84 take an average of 18; 3) 15-25% of drug use in seniors is considered unnecessary or inappropriate; 4) adverse drug reactions & non-compliance are responsible for 28% of hospitalizations of the elderly; 5) 36% of all reported adverse drug reactions involve an elderly person; 6) annually, 32,000 seniors have hip fractures related to medication-related problems. Regarding pain control, let's look at opioid use and the impact it has on our overall health. One recent study investigated problems associated with chronic low back pain (cLBP) and its effect on daily function. The authors specifically focused on the sleep patterns in patients with cLBP and then looked to see if there were differences between those taking opioid vs. non-opioid medication. The study compared ten healthy “controls” and 21 cLBP patients where six were taking non-opioid meds and fifteen were taking an opioid medication. Using questionnaires and sophisticated sleep study equipment, the researchers found that patients in both cLBP groups—regardless of medication type—had significant sleep and wake disturbances, decreased sleep quality, increased symptoms of insomnia, increased fatigue, spent more time in bed, took longer to fall asleep, and had higher variability in other measurements compared to the control group. However, those taking opioids (>100 mg morphine-equivalent/day) had distinct abnormal brain activity during sleep unlike the others. It's well known that sleep disturbance can gravely affect our overall health and longevity, and the use of opioids only makes sleep problems worse! When compared with a placebo, opioid side effects include: constipation, nausea, somnolence, dizziness, itching, and vomiting. Medications to treat the primary opioid side effect of constipation (such as Movantik) have their own side-effects when compared to a placebo including abdominal pain, diarrhea, nausea, flatulence, vomiting, headache, and sweating. These side-effects may prompt yet another medication to try to counteract the above, thus creating a dangerous vicious cycle! As a disclaimer, we realize that many people HAVE TO take certain meds to stay alive or to achieve an acceptable quality of life. The “take-home” message here is to minimize the amount of medication taken as much as possible making sure the benefits truly outweigh the risks! For conditions like musculoskeletal pain, consider non-drug, non-surgical options like chiropractic care. Many studies show chiropractic care is not only highly safe but it can get patients out of pain fairly quickly. Additionally, the benefits may persist long after treatment ends, something that doesn't typically happen if you cease taking a medication for such conditions. www.PainReliefChiroOnline.com

Kinesiophobia, the fear of movement, is a common occurrence for patients with chronic low back pain (cLBP). Unfortunately, self-restricting one's daily physical activity can result in muscle weakness and atrophy. This can lead to further inactivity and more muscle weakness, and subsequently, poor tolerance of normal activities of daily living, work absenteeism, and depression. When the muscles around the low back or lumbar spine become atrophied and weak, the risk for acute flair-ups of low back pain (LBP) increases, leading to more dysfunction and distress. Studies have reported that when comparing the muscles in the front of the lumbar spine (the “flexors”) to those behind the spine (the “extensors”) in individuals with cLBP, greater amounts of atrophy and weakness occur to the extensors. The lumbar multifidus (MF) muscles are crucial for maintaining stability of the lumbar spine, while the erector spinae (ES) superficial extensor muscles are known as “global stabilizers”, which are designed to produce gross movements and to counterbalance when lifting external loads. When treating patients with cLBP, doctors of chiropractic commonly prescribe rehabilitation/exercise programs to improve motor control, muscle strengthening, stretching, and aerobic capacity. One such exercise that may be recommended is walking backward. Compared with walking forward, studies have shown that walking backward can lead to better results with respect to cardiovascular fitness and MF muscle activation (which as noted previously, are often weaker in cLBP patients). Additionally, walking backward works the lower limb muscles to a greater degree while reducing stress on the patellofemoral joint (the kneecap). This is important, as knee pain can commonly co-occur with low back pain, especially in patients who are overweight/obese. Walking backward also stretches the hamstrings, which are often short/tight in cLBP patients. So not only can walking backward benefit patients who already have back pain, but adding this activity to your exercise regimen may also reduce the risk for low back pain in the first place! www.PainReliefChiroOnline.com

Dr. Amy shares her journey after a recent bout with acute back pain and how she used the Opt2Liv coaching protocols to move through it and facilitate her healing. Dr. highlights some of the statistics of back pain and starts with 84% of adults will have low back pain some time in their lives. She breaks down back pain into acute, subacute (4-12 wk) or chronic (>12 weeks). 85% of cases are nonspecific, or of unknown cause, and it is the 5th leading cause of office visits to the doctor. Dr Amy shares the role of movement in treating back pain. She discusses what happens in the back tissues and muscles after injury that cause pain. And how exercise improves both pain and function, muscle and ligament and tissue repair and increases healing. Eric and Dr Amy explain functional movement and how unique it is for each of us and how important it is to establish a personalized plan. They discuss their chronic low back pain program which Linda, Eric and Dr Amy developed and studied in those with CLBP incorporating Yoga Therapy, Massage as well as the Opt2Liv pillars and how they saw 43% improvement in quality of life measures such as pain, emotional states and physical states. Eric describes the importance of addressing stretching, strengthening and toning that are crucial in treatment and prevention of back pain. Eric and Dr Amy highlight how Opt2Liv coaches can help you whether you are dealing with current back pain yourself, have had a history of back pain and want to prevent it or deal with chronic daily pain. Opt2Liv Virtual Wellness is a family owned business that spans three generations with over 100 years combined experience in health and wellness.  We design personal and customized plans to help you along your journey toward optimal living based off of the FOUR principles of Opt2Liv: Breath, Eat, Move, and Sleep Whether you are old or young, extremely active or ready for a change, we have solutions to help you live life to the fullest. ShamrockWellness.com

Brought to you by CSMi Cognitive Functional Therapy for the win! Or is it? Are these differences in effect sizes from a simple group program big enough to get excited about? What else could be at play here? Chronic low back pain is hard... Cognitive functional therapy compared with a group-based exercise and education intervention for chronic low back pain: a multicentre randomised controlled trial (RCT). O'Keeffe M, O'Sullivan P, Purtill H, Bargary N, O'Sullivan K. Br J Sports Med. 2019 Oct 19. pii: bjsports-2019-100780. doi: 10.1136/bjsports-2019-100780. [Epub ahead of print] Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Oh My Aching Back Chronic low back pain (cLBP) is a pervasive problem, consistently among the top 5 most common reasons for primary care visits and among the most prominent painful conditions. Although some patients with cLBP have clear pathoanatomic causes of pain, for many there is no clear association between pain and identifiable pathology of the spine or associated tissues. This medically unexplained pain is often termed “nonspecific” and happens to be the most common form of cLBP. Observers tend to react with uncertainty and confusion when confronted with a patient whose pain is not clearly medically understood. Previous research has shown that laypersons and providers alike are less inclined to help, feel less sympathy, dislike patients more, suspect deception, and attribute lower pain severity to patients whose pain does not have an objective basis in tissue pathology. Because of these stigmatizing responses from others, patients with cLBP may feel that their pain is being devalued and discredited. In this presentation, research addressing experiences of stigma among patients with cLBP (and other chronic pain conditions) will be reviewed. Although thorough research to-date is lacking, preliminary evidence addressing the consequences of perceived stigma on the physical and psychological well-being of patients with cLBP will be discussed. Finally, therapeutic strategies that healthcare providers can utilize to help minimize potentially stigmatizing responses to their patients’ cLBP will also be addressed. (Recorded at PAINWeek 2018)

Recommendations based on current available evidence helps you combine your personal experience and expectations with research to form an individual treatment plan and find treatments with the most promising results.   What treatment should I consider for my back pain?  There are many guidelines regarding LBP and some even especially for chronic LBP. In this episode you will find information about the treatment options often recommended in these guidelines.   Setting evidence into your personal situation After having examined all the best available evidence from systematic research it is important to know how to apply this information to your individual situation. Evidenced based treatment is more than simply the best available evidence from systematic research alone. It should also take into account the expertise of your clinician(s) as well as your personal expectations, beliefs and preferences!1,2,3   Treatment Recommendations with strong supporting evidence Information, education and self-care "All the guidelines explicitly underline the importance of educating and providing patients with information on LBP with regard to their expected course and the possibility of effective prevention and selfcare options."4 Physical activity and therapeutic exercise "There is strong evidence that physical activity and therapeutic exercise are effective for the management of CLBP, even if it is not clear what kind of exercise is best. An individual, graded and active exercise program supervised by an expert (physical therapist) is almost always recommended."4 Multidisciplinary treatment programs "Combined physical and psychological interventions with cognitive-behavioral therapy and exercise are particularly recommended for people who have received at least one course of less intensive treatment and have high disability and/or significant psychological distress."4   All other forms of treatment are currently categorized using the following descriptions: Might do - recommendations with moderate supporting evidence Don’t know - recommendations with limited or inconclusive evidence Don’t do - recommendations with strong evidence against intervention   For more information of other treatment options please refer to the original article which can be found via the Internet: "An updated overview of clinical guidelines for chronic low back pain management in primary care."4   Find out more: www.mybackrecovery.com   Literature:   Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn’t. 1996. Clin Orthop Relat Res. 2007;455:3–5. Available at: http://www.ncbi.nlm.nih.gov/pubmed/17340682. Accessed December 16, 2012. Manske RC, Lehecka BJ. Evidence - based medicine/practice in sports physical therapy. Int J Sports Phys Ther. 2012;7(5):461–73. Available at: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3474298&tool=pmcentrez&rendertype=abstract. Accessed December 16, 2012. Jette DU, Bacon K, Batty C, et al. Evidence-based practice: beliefs, attitudes, knowledge, and behaviors of physical therapists. Phys Ther. 2003;83(9):786–805. Available at: http://www.ncbi.nlm.nih.gov/pubmed/12940766. Accessed October 5, 2012. Pillastrini P, Gardenghi I, Bonetti F, et al. An updated overview of clinical guidelines for chronic low back pain management in primary care. Jt Bone Spine. 2012;79(2):176–185. doi:10.1016/j.jbspin.2011.03.019.    

In this last episode before the hiatus, we explore exercise interventions for chronic low back pain (CLBP). Are they truly effective for the treatment of CLBP? If they are, does the type of exercise matter? What about stabilization exercises? Is JW a carpetbagger?

Dr Kieran O’Sullivan is back on the Physio Edge podcast after talking about hamstring injuries, this time discussing his other big area of interest and expertise - chronic low back pain (CLBP). In this episode, Kieran and David Pope discuss Recent research on CLBP Central vs peripheral contributions to CLBP Sitting postures and behaviours, and the relationship of this to pain Is there an ideal sitting posture, and does changing sitting behaviour change CLBP? Manual therapy in CLBP Lumbar kyhposis/lordosis Physical and psychological interventions for CLBP The effect of exercise on CLBP Movement patterns and retraining in chronic pain states The challenges of talking to patients about chronic pain states   Enjoy this episode, brought to you by the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”.   Links of Interest Show your love of feeling great, and also the podcast by writing a review on iTunes Kieran O’Sullivan Pain Education website with Peter O’Sullivan, Kieran O’Sullivan, Wim Dankaerts, Kjartan Vibe Fersum University of Limerick The role of muscle strength in hamstring injury. Kieran O Sullivan and Cian McGinley. 2010. Nova Publications Clinical Edge   Tags: physiotherapy, low back pain, chronic, chronic low back pain, sitting, posture, movement, research, podcast, injuries, rehabilitation, physio edge, Kieran O’Sullivan, clinical edge  

Background: Chronic pain is a common reason for consultation in general practice. Current research distinguishes between chronic localized pain (CLP) and chronic widespread pain (CWP). The aim of this study was to identify differences between CWP and chronic low back pain (CLBP), a common type of CLP, in primary care settings. Methods: Fifty-eight German general practitioners (GPs) consecutively recruited all eligible patients who consulted for chronic low back pain during a 5 month period. All patients received a questionnaire on sociodemographic data, pain characteristics, comorbidities, psychosomatic symptoms, and previous therapies. Results: GPs recruited 647 eligible patients where of a quarter (n = 163, 25.2%) met the CWP criteria according to the American College of Rheumatology. CWP patients had significantly more comorbidities and psychosomatic symptoms, showed longer pain duration, and suffered predominantly from permanent pain instead of distinguishable pain attacks. CWP patients were more often females, are less working and reported a current pension application or a state-approved grade of disability more frequently. We found no other differences in demographic parameters such as age, nationality, marital status, number of persons in household, education, health insurance status, or in health care utilization data. Conclusions: This project is the largest study performed to date which analyzes differences between CLBP and CWP in primary care settings. Our results showed that CWP is a frequent and particularly severe pain syndrome.

Background: Due to the heterogeneous nature of chronic low back pain (CLBP), it is necessary to identify patient groups and evaluate treatments within these groups. We aimed to identify groups of patients with CLBP in the primary care setting. Methods: We performed a k-means cluster analysis on a large data set (n = 634) of primary care patients with CLBP. Variables of sociodemographic data, pain characteristics, psychological status (i.e., depression, anxiety, somatization), and the patient resources of resilience and coping strategies were included. Results: We found three clusters that can be characterized as ``pensioners with age-associated pain caused by degenerative diseases{''

What is contributing to your patients low back pain? How do you know when to use manual therapy, education, exercise, motor control programs, CBT or any other approach for chronic LBP? In episode 14 of the Physio Edge podcast, Peter O’Sullivan and David Pope discuss chronic low back pain and Peter’s approach to getting past it. Some of the topics we dug into include: Causes, classification and treatment of chronic low back pain (CLBP) Common treatment errors Identifying mechanical contributors When manual therapy is helpful Myths around “core stability” What is the current evidence base for CLBP classification and treatment Tips for treatment of CLBP A lot of other great treatment advice for CLBP…. Listen to it now, and subscribe free to the podcast in iTunes Links of interest Look your best this weekend by subscribing to the podcast in iTunes Give the Physio Edge podcast a review in iTunes Clinical Edge Free membership to Clinical Edge! Peter O’Sullivan Peter O’Sullivan at Curtin University The essential role of the thorax in whole body function and the “Thoracic ring approach” with LJ Lee - Online education for Physiotherapists for Clinical Edge members 20% off your first months Clinical Edge membership with the code “physioedge” Contact David David on Twitter Tags: physio, physio edge, physiotherapist, podcast, courses, evidence based practice, online education, peter o’sullivan, curtin university, bodylogic physiotherapy, low back pain, chronic low back pain, treatment, assessment, classification, clinical edge

Background: Chronic localized pain syndromes, especially chronic low back pain (CLBP), are common reasons for consultation in general practice. In some cases chronic localized pain syndromes can appear in combination with chronic widespread pain (CWP). Numerous studies have shown a strong association between CWP and several physical and psychological factors. These studies are population-based cross-sectional and do not allow for assessing chronology. There are very few prospective studies that explore the predictors for the onset of CWP, where the main focus is identifying risk factors for the CWP incidence. Until now there have been no studies focusing on preventive factors keeping patients from developing CWP. Our aim is to perform a cross sectional study on the epidemiology of CLBP and CWP in general practice and to look for distinctive features regarding resources like resilience, self-efficacy and coping strategies. A subsequent cohort study is designed to identify the risk and protective factors of pain generalization (development of CWP) in primary care for CLBP patients. Methods/Design: Fifty-nine general practitioners recruit consecutively, during a 5 month period, all patients who are consulting their family doctor because of chronic low back pain (where the pain is lasted for 3 months). Patients are asked to fill out a questionnaire on pain anamnesis, pain-perception, co-morbidities, therapy course, medication, socio demographic data and psychosomatic symptoms. We assess resilience, coping resources, stress management and self-efficacy as potential protective factors for pain generalization. Furthermore, we raise risk factors for pain generalization like anxiety, depression, trauma and critical life events. During a twelve months follow up period a cohort of CLBP patients without CWP will be screened on a regular basis (3 monthly) for pain generalization (outcome: incident CWP). Discussion: This cohort study will be the largest study which prospectively analyzes predictors for transition from CLBP to CWP in primary care setting. In contrast to the typically researched risk factors, which increase the probability of pain generalization, this study also focus intensively on protective factors, which decrease the probability of pain generalization.