28 Mar 2018

Spring 2018 - Low back pain

Low back pain is one of the main presentations encountered to physiotherapists, and one that has a myriad of causes and treatment options. This edition of In Touch offers practical, up-to-date advice on current research into the causes and treatment of LBP as well as a full-on discussion on whether hands-on or hands-off is the most appropriate approach by the physiotherapist.

Managing low back pain in rowers; can it teach us something about managing the general population?

Over recent years, employers have increasingly facilitated, through equipment and education, the reduced need for their workforce to undertake lifting activities. This, however, does not seem to have correlated with the reduction of incidence of back pain in the working population. Indeed, it could be argued that this change in the workplace has, instead contributed to obesity and inactivity levels

Fiona Wilson

 Fiona Wilson.pdf

 

When should we see back pain patients?

The CSP recently published advice regarding the timescale in which a person with back pain should seek help. This article explores the associated issues with regard to what we know about the natural cause of back pain, the evidence from recent investigations that treatment can make a difference to that course, and the state of evidence on early intervention.

Howard M Turner

Integrating a change in the landscape within musculoskeletal private physiotherapy practice: a viewpoint

We are practising musculoskeletal physiotherapy at a time of great change within the evidence base. Integrating this change within a private physiotherapy practice comes with many challenges and opportunities that require the business model to adapt to the new landscape

Helen Preston

Hands off manual therapists?

The debate is developing within learned journals and the blogsphere about how we, as a physiotherapists, treat our musculoskeletal patients, based on the best evidence available. The results of the unstacked date for the Physio First Data for Impact project shows that multiple modalities are used in practices to achieve favourable patient outcomes

Paul Johnson

Low back pain - one of many chronic conditions in modern society: a whole person approach

Chronic pain is the number one global health burden, with back pain contributing significantly to suffering and social costs. The predominant way of thinking remains with teh biomedical model, which has a role but only together with a comprehensive approach that considers all aspects of the person and their life; the whole person approach which is truly grounded in the biopsychosocial model

Richmond M Stace