Pain

Members of RNSH emergency department
INMOTION 31 Dec, 2021

Managing back pain in an ED



Over the past two years, Royal North Shore Hospital (RNSH) emergency department has introduced an advanced practice physiotherapy service, utilising an evidence-based pathway to improve the clinical management of acute back pain.

Acupuncture and dry needling for musculoskeletal pain
INMOTION 20 Dec, 2021

Acupuncture and dry needling for musculoskeletal pain


Dr Panos Barlas, Jonathan Wray, Jenny Lucy, Micky Yim and Samir Somaiya present five discussion points about acupuncture and dry needling in reducing pain in musculoskeletal conditions.



1. Acupuncture has evolved over time


Decades of research on acupuncture and related techniques have shown that the sensory stimuli evoked by needling are responsible for specific physiological responses involving both analgesic and autonomic reflexes.

Advice and non-specific spinal pain
INMOTION 01 Nov, 2021

Advice and non-specific spinal pain


This systematic review looks at the effect of advice and education on pain and disability in people with non-specific spinal pain. Q&A with Caitlin Jones.



International guidelines for the management of spinal pain already endorse advice as part of first-line treatment, so what were the uncertainties that led you to do this literature review?


Despite advice being recommended internationally as a treatment for spinal pain, the evidence behind that was uncertain and out of date.

Exercise treatments for chronic low back pain
INMOTION 27 Oct, 2021

Exercise treatments for chronic low back pain


A new Cochrane review with a companion network meta-analysis looks at the role of exercise in treatment for chronic low back pain. Q&A with Jill Hayden.



Exercise is a common treatment approach for chronic low back pain. This Cochrane review is quite large. How much evidence was able to be included?


There are a large number of trials investigating the effectiveness of exercise treatments for chronic low back pain.

Understanding neck and head pain
INMOTION 01 Oct, 2021

Understanding neck and head pain


Shaun O’Leary explains how his course ‘Integrated solutions for neck and head pain’ will advance knowledge and clinical reasoning skills in this complex area.



Tell us a bit about the relationship between complex neck pain disorders and head pain, including headaches.


Neck disorders may be considered complex for many reasons.

Rethinking physiotherapy and mental health
INMOTION 01 Oct, 2021

Rethinking physiotherapy and mental health


October is Mental Health Month and I wanted to devote this Final Word to the valuable role physiotherapy should (and in many cases does) play in mental health.



On 26 July, APA President Scott Willis gave evidence to the House Select Committee on Mental Health and Suicide Prevention inquiry.

Patient education for knee osteoarthritis
INMOTION 01 Sep, 2021

Patient education for knee osteoarthritis


This systematic review explores whether patient education is effective for knee osteoarthritis, either by itself or in combination with other interventions. Q&A with Anthony Goff.



There are existing reviews that include trials of education for knee osteoarthritis. How does your review differ?

Reassurance for acute low back pain
INMOTION 01 Sep, 2021

Reassurance for acute low back pain


A mediation analysis asks whether reassurance in a consultation reduces disability and healthcare use in patients with low back pain. Q&A with Aidan Cashin.



Physiotherapists often spend time reassuring patients with low back pain to reduce their fears about their condition. Is this something that clinical practice guidelines encourage them to do and what do they hope to achieve by doing that?

New approaches bite into pain management
INMOTION 01 Jul, 2021

New approaches bite into pain management


The annual Australian Pain Society (APS) scientific meeting was moved to an online format this year in the light of COVID-19 challenges across the country and around the world. Here, InMotion speaks with some of the presenters to address this year’s event in its first digital iteration.

Implementing psychosocially informed practice for treating chronic pain
INMOTION 01 Jul, 2021

Implementing psychosocially informed practice for treating chronic pain


There is a push for for the development of psychosocially informed practice skills in physiotherapists for optimal outcomes for people with chronic pain.



Chronic pain is the leading cause of disability and disease burden globally (Mills et al 2109).


In Australia, 20 per cent of people over 45 years have chronic pain, leading to increased activity limitation, care seeking, opioid use and hospitalisation (AIHW 2020).