Psychologically Informed Physical Therapy: The Bridge Between Biomedical and Cognitive-Behavioral Approaches
As the 100 million people in the U.S. who live with ongoing pain can likely attest, the condition exists at the top of a slippery slope that, over time, can pull chronic pain sufferers into a struggle that only serves to accentuate the pain. Yet, despite being touted as an effective and affordable solution to […]
Take Chronic Pain Treatment to the Next Level with Nutrition
In the spring of 2016, when the Centers for Disease Control and Prevention (CDC) released new guidelines questioning the safety and effectiveness of prescription opioids for the treatment of chronic pain, the organization specifically mentioned exercise and physical therapy as treatment options that “may actually work better” than off-abused painkillers. Since then, a steady stream […]
Exploring physiotherapists’ beliefs about psychologically informed care
Our failure to address chronic pain naturally and safely has led to unacceptably high human, social, and economic costs. Nowhere is this more prevalent than with low back pain (LBP). Low back pain is a leading cause of disability worldwide, and a growing health concern. Globally the number of years lived with disability (YLD) due […]
How to treat pain with nutrition in physical therapy practice
Not a single week goes by without media outlets advertising the newest drug or medical procedure to treat pain. Pharmaceuticals and invasive interventions are effective first-line choices to treat acute pain. However, most don’t provide long term relief. The biomedical model focuses on treating symptoms without addressing the root cause, such as poor nutrition, sedentary […]
ACT for Pain: Defusing The Threats of Language
In a recent blog, I discussed how Acceptance and Commitment Therapy (ACT) can help a patient create a willingness approach (acceptance) to unpleasant thoughts, feelings and physical sensations (1, 2). Note: acceptance is rarely a word to use with directly with patients or loosely in the clinic. An important core process in the ACT model […]
Surgery for chronic pain: Are the benefits worth the cost and risk?
Musculoskeletal disorders such as low back pain (LBP) and osteoarthritis (OA) are among the leading causes of chronic pain and disability around the world. In 2017, LBP topped the list in terms of years lived with disability [1]. As people live longer, these conditions are becoming more prevalent, are undertreated, and the demand for surgical […]