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Articles Of The Week November 29, 2020

One of the most valuable things that we can give to pain clients is validation. Yet, this is something that patients will often spend years trying to attain from a practitioner.

I believe you! – Adam Meakins

COVID-19 has been hitting us all through 2020, but the opioid crisis that was here before that never went away. This analysis of addictions treatment highlights the tragic lack of pain-management during substance recovery, even though pain accounted for nearly half of the respondents’ relapses.

Assessment of Chronic Pain Management in the Treatment of Opioid Use Disorder: Gaps in Care and Implications for Treatment Outcomes – Ellis et al.

By now, we are aware that recommending rest and removal from activity is not a sound step towards overall recovery. The Barbell Physio talks about some strategies to help individuals, especially active ones, continue to move and train around their injuries.

How To Continue Training When Injured – The Barbell Physio

In a pandemic, it’s often taboo to even consider physical contact with others. It’s important to remember, however, the mental AND physical health benefits of physical touch between individuals. As manual therapists, this may also help make a case of traditional manual techniques over electrical modalities and soft-tissue release instruments.

Touch forms bonds and boosts immune systems – Richard Lebert

Whether it’s a massage or a foam roller, our understanding of pressure as a therapy tool has evolved. While we’re getting better at redefining and explaining our techniques, now is also the opportunity to restrategize how we use them in the first place.

The 4 Ds of Pressure Therapy – Dr. Chris Leib

Articles Of The Week November 22, 2020

As we continually push for evidence-based practice in our profession there is often discussion around the techniques we use when treating people and whether they are evidence-based techniques.  However, it’s important to remember that what we do, is important and we have value.

“Your Work, Your Massage Therapy Techniques, YOU Still Matter” – Chrystal Ladoucer

While this article is directed towards the chiropractic profession, it could be applied to any one of the manual therapy professions.  Should we do away with all our different titles and become one big group of manual therapists?

“What’s The Problem Within The Chiropractic Profession?” – Richard McIlmoyle

When I started as a therapist, all I wanted to do was work with athletes and team sports. I’ve been pretty fortunate along the way but when I took “sport massage” classes in school, it didn’t really seem all that different from any other technique. So what is the difference?

“Sports Massage. It’s Not Hot Sauce” – Taylor Laviolette

Richard does a great job of putting together educational lists we can refer to. Here are some great instagram accounts you can follow to help educate yourself a little.

“Educational Instagram Accounts For Massage Therapists” – Richard Lebert

Over the years I’ve treated a few people who have scoliosis,  some were athletes, some were office workers. This is a great review of not only what scoliosis is but also what kind of treatment helps.

“What Is Scoliosis? Review Of Evidence And Treatments” – Frances Tregurtha

Articles of the Week November 15, 2020

Here we have an article using one of our favourite terms, “resilience”. This study looks at the implications of coaches pressuring athletes to be “perfect”, which we may be able to translate right over to the effect that clinicians have on clients when doing the same.

On Perfect Technique – Derek Miles

 

We hear this one a lot in the exercise rehab world: “Don’t use the knee extension machine!” Like many old beliefs, however, it may be time to crunch the facts on this one.

Is the Knee Extension Machine Safe to Use? – Tommy Mandala

 

If you’re newly certified and fresh in the field of your practice, you may have experienced imposter syndrome at one time or another. This is a fantastic article to help you get past your barriers and be the best practitioner that you can be!

5 ways to beat imposter syndrome:  These health and fitness pros tell you how they did it. – Camille DePutter

 

It’s never okay to fat-shame a client. But, as the holiday season approaches us, many of our clients may have concerns about their weight – especially if it may exacerbate some of their pain – and look to you for advice on how to keep it under control.

Top 3 Tips for Weight Loss During Physical Therapy – Dr. Sean M. Wells

 

Hamstring strains are one of the most common sports injuries that we see, especially in active populations. It’s also common for these injuries to become a recurring problem. Mike Reinold talks on his podcast about the importance of treating these chronic strains individually to best help our clients.

Chronic Versus Acute Hamstring Strains – Mike Reinold

Articles Of The Week October 11, 2020

A lot of us work with an active clientele who are looking towards prevention, not only recovery. This article discusses painful “niggles” that may be felt during activity which may be a warning signal for future injury.

The significance of painful “niggles” during exercise – Paul Ingraham

 

More great information showing the discrepancy of structural degeneration in relation to pain. This study, in particular, shows very minimal progression of pain in the knee during increases in cartilage-loss.

Does cartilage loss cause pain in osteoarthritis and if so, how much? – K.Bacon et al.

 

There’s a common belief among workers in physical jobs believe that their workday provides them sufficient physical fitness. However, there seems to be a discrepancy in the research that suggests otherwise.

While most of us aren’t likely to go into the depth of programming that this article speaks to while in clinical practice, it acts as great information on how loading varies between individuals on different days. It also has some tips for if you’ve ever encountered the problem of exercise volume being over- or under-prescribed.

What is internal load and load mangement? – Dillon Caswell

A very interesting take on internal versus external movement cueing. Again, this comes from a performance perspective but is immediately transferable to the clinical setting. A mixture of both types of cues, perhaps with a greater emphasis on the external ones, may help to create better resilience once conscious focus on movement is gone.

A Coach’s View on Internal and External Cueing – Matt Kuzdub

Articles Of The Week October 4, 2020

Unhealthy perfectionism can exist in ourselves as practitioners as well as clients who we are trying to guide through behavioural change. Often, these unrealistic expectations can derail progress. This article looks at models of perfectionism and provides some tools to help us modify our goals for success.

The ‘Fine Line’ in Perfectionism – Christina Pozerskis

 

What is blood flow restriction? Is it snake oil or does it have real benefits? Do we understand the contraindications? Now we can.

Blood flow restriction training in a nutshell – Arash Rex Maghsoodi

 

In our clinical community, it’s common for us to fall down the rabbit hole of believing that we need to create very complex explanations and solutions to clients’ pain. Why do we gravitate to these biases instead of the simple approaches?

Why do you hate simplicity? – Adam Meakins

 

At this point, we know that central sensitization has a seemingly endless list of factors that can contribute to it. This article looks at nutritional habits that may play a much larger role than previously thought in our chronic pain.

Do nutritional factors play a role in central sensitization and chronic pain? – Integrative Pain Science Institute

 

Our patients often complain of back pain that spikes in the morning. Here’s a rundown with some differential diagnoses as well as morning pain myths that can help you assess clients in your practice.

6 Main Causes of Morning Back Pain – Paul Ingraham

Articles Of The Week September 20, 2020

Much of the United States, Canada, and even areas overseas are currently blanketed in forest fire smoke. Could this affect people’s pain? Here’s a study that looks at the effects of tobacco smoke on pain and rest.

Effects of smoking on patients with chronic pain: a propensity-weighted analysis on the Collaborative Health Outcomes Information Registry – James Khan et al.

 

Another mention to the constant fatigue that many of us are likely experiencing in these days and times. This article continues to go into depth about the varying causes of lower energy and provides more tips on how to combat it.

Why You Suffer from Constant Fatigue and How to Deal with It – Mark Pettit

 

We all know that pain benefits from exercise in the long term, but only some of us might be aware of the short-term analgesic effect from movement as well. An easy assumption is that this is all an endorphin effect, but are there other mechanisms at play?

Exercise Induced Analgesia –Todd Hargrove

 

If you’re looking through these articles, great! You’re a research-conscious practitioner. As such, it’s good to point out the occasional limitations of the research that you’re reading in order to fine-tune your perspective. This article, for instance, looks at the need to adjust our experimental groups for low back pain-clients in order to create better date.

A need of subgroups with the large group of people with (chronic) low back pain – Hester de Bandt

 

Research into the causes of autism are a hot topic that many of us may not want to touch, but it’s ok to look at the scientific research objectively. In particular, we stumbled upon this new relationship while researching into hypomobility syndromes.

Researchers have identified a relationship between Ehlers-Danlos Syndrome and autism – Emily L. Casanova