Clinical guidelines for the diagnosis, assessment and physiotherapy management of contracted (frozen) shoulder

FROZEN SHOULDER

Have you ever had a painful shoulder? Did it get better on its own? I have a friend, not another Elf, who had bilateral frozen shoulders. It was a most functionally limiting and painful problem. Fortunately intra-articular steroid injections saved the day and made a huge difference to both pain and function. If you have [read the full story…]

Telephone coaching can increase activity levels for people with non-chronic low back pain: a randomised controlled trial

Hanging telephones

In my last blog I emphasised the importance of addressing recovery expectations during treatment sessions with individuals with low back pain (LBP) and highlighted a simple screening instrument. However, the question remains, if a person has ‘low scoring’ recovery expectations how can we go about helping them? With that question in mind, I was delighted [read the full story…]

Recovery expectations predict absence from work due to chronic low back pain: a systematic review

Job satisfaction

In the low back pain (LBP) research there has been quite an interest in recent years as to which psychosocial factors are the most predictive of a poor outcome, both in terms of activity limitations and work absence. A systematic review by Iles et al (2009) showed that recovery expectations measured within three weeks of the onset [read the full story…]

Models of care for the secondary prevention of osteoporotic fractures

osteoporosis words

Saturday 20 October is World Osteoporosis day raising awareness about osteoporosis and fragile bones. In a previous blog The Musculoskeletal Elf discussed Best risk assessment advice for people with fragility fractures. However, despite the availability of effective treatments it appears that the majority of people presenting with a minimal trauma fracture (also known as ‘osteoporotic’, [read the full story…]

Return to sport concerns following injury rehabilitation

winner

The World Sports Trauma Congress 17th -20th October 2012, London is being held this week with international speakers discussing topics such as “footballer’s ankle” and “sport after joint replacement”. The congress is connected to the Summer Olympics Games and occurs every four years. This year in London delegates, like us Elves, will undoubtedly be celebrating [read the full story…]

Are non-pharmacological interventions effective in the management of work disability in rheumatic conditions?

man with checklist

In recent years workforce participation among individuals with rheumatic diseases has received considerable research attention, particularly with an ageing population who will be expected to stay at work longer. Therefore, a review by Gignac et al (2012) in Best Practice and Research Clinical Rheumatology on the effectiveness of a range of non-pharmacological interventions in managing work [read the full story…]

The effectiveness of graded activity in patients with non-specific low-back pain: a systematic review

Man running up gradients

Today sees the opening of the Physiotherapy UK Conference, which is the Chartered Society of Physiotherapy’s new flagship annual event. Unsurprisingly, the programme in the musculoskeletal theme contains several presentations related to back pain. Seeing as this is still back pain week, I thought that I would continue from my previous blog about Yellow Flags and focus [read the full story…]

Targeted interventions for Yellow Flags in persistent low back pain: a systematic review

Target man

Seeing as it is World Mental Health Day today, with its theme “Depression: a Global Crisis”, I thought that it would be appropriate to blog on psychosocial rather than physical interventions; particularly as persistent non-specific low back pain (NSLBP) can result in heightened anxiety, stress and depression. Furthermore, there is an increasing body of evidence that psychosocial risk [read the full story…]

Systematic review of the global prevalence of low back pain

Global people

Many of my Musculoskeletal Elf colleagues make their livelihood from building and constructing; therefore, I was quite excited to see that the focus of this year’s National Back Pain week in the UK is on “Builders’ Backs”. According to the statistics in the campaign pack by BackCare (the UK’s National Pack Pain Association) 30,000 UK construction workers [read the full story…]