Pain

Multicoloured graphic with shapes swirling out of a person's brain.
INMOTION 01 Aug, 2023

The misnomer of pain sensitivity

LETTER

‘Pain sensitivity’ is an inaccurate term based on a conflation of stimulus and response that obscures our understanding of the pain experience, write John Quintner and Milton Cohen.

‘How we come by our knowledge of another person’s pain is a nice study in communication. It has much in common with the sort of communication attempted by the painter, the poet and the musician—the conveying of moods and feelings.’ (Parkhouse & Holmes 1963)

A series of colourful post-it notes with questions marks on them.
INMOTION 01 Aug, 2023

Pain sensitivity FAQ

In the seventh and final instalment of our series on pain sensitivity, Darren Beales FACP and Tim Mitchell FACP address some frequently asked questions.

Thank you for joining us on our journey through the consideration of pain sensitivity in clinical practice. To finish the series, we will endeavour to answer a few questions from readers.

How do we determine whether the sensitivity is a result of true pathology or not?

Young patient Chloe cuddles Checkers, a gait training dog. Checkers is black and gorgeous.
INMOTION 03 Jul, 2023

Gait training gives paws for thought

As a sole private practitioner running a small clinic in the Northern Beaches region of Sydney, Cathy Molloy hadn’t much considered undertaking a research project until a little girl with hereditary spastic paraparesis walked into her clinic. With some lateral thinking, a motivated parent and a dog named Checkers, Cathy embarked on a case study. 

A middle aged man rubs his lower back as if in pain while holding a coffee cup in his other hand.
INMOTION 03 Jul, 2023

Cognitive functional approach to back pain pays off

The results from a large clinical study on the use of cognitive functional therapy to treat people with chronic low back pain have shown that the approach significantly improves outcomes both clinically and from an economic perspective. Peter Kent and Peter O’Sullivan talk about the trial.

Chronic low back pain (LBP), defined as lasting for three months or more, is the leading cause of years lived with disability globally, due to both persistent pain and high disability.

A doctor treats the knee of an older patient in the hospital setting.
INMOTION 03 Jul, 2023

Tailored approaches to pain sensitivity

In the sixth instalment of our series on pain sensitivity, Darren Beales FACP and Tim Mitchell FACP provide further considerations for its management.

There is no recipe for the management of people whose pain sensitivity makes a significant contribution to their presentation.

But that’s okay because this is what makes our job interesting and rewarding.

A graphic image of a person running against a colourful background.
INMOTION 03 Jul, 2023

A biopsychosocial approach to exercise and movement

The benefits of taking affordances into account when prescribing exercise for people living with chronic pain are outlined by Erin MacIntyre.

Exercise prescription is a mainstay of physiotherapy treatment.

Along with other forms of movement, exercise is a large component of guideline-based care for many musculoskeletal conditions because of its positive effects on key patient-reported outcomes (eg, pain and disability) as well as other comorbidities with which people experiencing pain often present.

Child upset and in pain parent comforting child
INMOTION 03 Jul, 2023

Screening for neuropathic pain in children

PHYSIOTHERAPY RESEARCH FOUNDATION Melissa Trudinger talks to Seeding Grant recipient Dr Emre Ilhan about his study looking at whether common screening tools for neuropathic pain can be validated for use in children.

""headshot of dr Emre Ilhan

$11,718 PRF Seeding Grant

A troubled woman lay on the couch with a blanket over her while reading something intently on her mobile phone.
INMOTION 03 Jul, 2023

Social media and pain

Social media has the potential to contribute to physiotherapy research and practice by disseminating messages about low back pain.

At the Australian Pain Society’s 43rd Annual Scientific Meeting in April, I was honoured to present at the ‘Pain in the Media’ plenary about the value and potential of social media in research and clinical practice.

illustration of person in pain or distress with a hand reaching out to offer help
INMOTION 03 Jul, 2023

Our advancing understanding of pain

We all experience pain.

It is a companion, sometimes a constant one.

As Marcia Meldrum put it, pain is our ‘oldest medical problem’.

Physiotherapy as a disciple is devoted to understanding patients’ pain and how to alleviate, manage and prevent it.

Across all the areas in which physiotherapists work, pain is the common factor.

The impact of chronic pain is felt not only by the person experiencing it, but by those around them.

An image drawn by a cartoonist of a child exhibiting signs of experiencing pain.
INMOTION 03 Jul, 2023

Children and pain

The Australian Pain Society’s 43rd Annual Scientific Meeting was held in Canberra in April. This year’s theme was ‘In the IASP Global Year for Integrative Pain Care’ and several sessions considered pain in children. Here three of the presenters share their work on gaining a better understanding of how children perceive pain and on new ways to approach pain education for this population.

What if kids learnt about the amazing science of pain at school?

Let’s start with four mind-blowing facts.