I’m not a fan of cortical steroid injections. Repeated research has shown that while the initial pain relief can be significant, prolonged and repeated use starts to break down the tendons within the joint, like a fraying rope. Which inevitably leads to more pain and more problems. Tennis Elbow is a complicated condition, often misdiagnosed and therefore mistreated, it isn’t uncommon to hear of patients having had treatment for many…
I do quite a few radio interviews myself here on the coast, so I was fascinated to hear a fellow physiotherapist give a radio interview. David Peirce from Pondera Physiotherapy talked on Brisbane radio about neck pain and makes some interesting points. You can listen to his interview and I’ve highlighted some of the key points he makes below. [soundcloud url=”https://api.soundcloud.com/tracks/220466998″ params=”color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false” width=”100%” height=”166″ iframe=”true” /] The first point he…
As August draws to a close many people are preparing to drive home again and long distance driving often results in back pain. Lowered, tipped back seats make the legs too straight, placing strain on the hamstrings, pelvis and lower back. The neck then tilts forward to look “straight ahead”. A recent survey found that male drivers tend to sit with legs fully extended straining the back muscles and women…
I don’t think it will surprise anyone who’s met me or read my blog that in my opinion surgery is to be considered the last resort, the thing you do when you’ve tried everything else or things have got so bad there just isn’t another option. But if you are at that point then I think it’s important to get the BEST results possible. These points apply for all kind…
I don’t watch a lot of TV but I did happen to spot this advert for Nurofen. Now I’m pretty sure that a couple of nurofen isn’t going to make a huge difference if you have a migraine but what this advert does show is how the physical structures in the head and neck affect headaches. Tension headaches and migraines are both related to physical issues – tension in the…
I’ve written a few times now about nerve pain and how it confuses treatment. The problems with nerve pain are: Identifying it Finding the root cause And this is why you can be having the best tennis/golfers elbow treatment, the best carpal tunnel treatment, the best knee and leg pain treatment with no effect. Because it’s actually a problem with the nerve supplying that area not that area itself. The…
“I have a vision . . . . a vision of your future . . . . . it’s a pain free future . . . . . ” Yes, yes, I know, it’s an old joke that I can predict your future with gait analysis. The studies show that it can predict your outcome after hip replacement surgery and now it turns out that it can predict your injury…
In my first post about chronic pain I explained the difference between chronic pain and acute pain and how pain functions in the body. In my second post I talked about central sensitization and how this complicates treatment for patients with chronic pain – making them, quite literally, feel more pain, more easily with less stimulation. So now I want to put this in a real life context. Knee Surgery…
Most of us are familiar with sciatica, when the discs in the lower spine (specifically L3) get compressed and start to press onto the sciatic nerve. This causes pain and tingling in the leg and buttock as well as leg weakness and pain into the foot. In fact sciatica is often used as a “catch all” term to describe all kinds of nerve issues coming from the lower back and…
In my first article about chronic pain I started to explain a little about why chronic pain is different and needs to be treated differently. I talked about the science behind it and how pain works. Now let’s start to put that into context of how chronic pain affects you and how it makes you feel. One of the terms we often use when talking about chronic pain is “central…