My Physiosite

Changes to the Blood Pressure Guidelines: Is It a Change for Physical Therapists? March 27, 2018: The release of the 2017 Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines (ACC/AHA) has sparked discussion in the h...

Pain neuroscience education finds itself at odds with other physiotherapeutic interventions, traditionally governed mainly by the biomedical model, such as manual therapy. This has ended up with the stigmatization of PNE as a hands-off approach. This article brings the "two worlds" of PNE and manual therapy together, blending beautifully in one, enhancing treatment dimensions.

A clinical perspective on a pain neuroscience education approach to manual therapy. - PubMed - NCBI J Man Manip Ther. 2017 Jul;25(3):160-168. doi: 10.1080/10669817.2017.1323699. Epub 2017 May 22.

Clinical pearl of the month!

See this exercise progression framework by Jill Cook et al.
Useful for more than just tendons!

Pain Experience is Somatotopically Organized and Overlaps with Pain Anticipation in the Human Cerebellum. - PubMed - NCBI Cerebellum. 2018 Feb 26. doi: 10.1007/s12311-018-0930-9. [Epub ahead of print]

Great slide by Niamh Moloney and Martin Rabey!
Sometimes the BIO is more important in patients...sometimes the PSYCHO...sometimes the SOCIAL.

It is a challenge to figure out together with your patient which factors are the main drivers of pain.

Challenging, difficult, fun and complex! 😊
But better than treating every patient in the same way for the next 20-40 years, right?

Keep learning every day!
Fail often.
Improve your (soft) skills.
Love the process of becoming a better clinician! 🤓👍