Contralateral Knee Extension - a New Advance in Slump Test

This week we discuss new information about the normal response of painfree subjects during the slump test. Shacklock and his team (2016) have been studying the impact on contralateral knee extension and the resulting movement of the lumbar neural tissues during the slump test. Insightful and enlightening results!

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Spinal degenerative changes are a natural part of ageing

Spending time deciphering and interpreting the meaning of MRI and CT scans for our patients is a difficult task. How do we know what is normal and what is related to pathology? This blog explores a recent systematic review that provides evidence about the prevalence of normal age-related changes on spinal imaging of the lumbar spine and MRI changes in the cervical spine .

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Flexion relaxation response & low back pain

The flexion relaxation response is a phenomenon where the lumbar erector spinae muscles become silent at the end of lumbar flexion, and is an important part of being able to achieve full range. This blog explores the FRR and offers simple and easy treatment strategies for patients with low back pain. 

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Seronegative spondyloarthropathies & inflammatory low back pain - Part 2

Part 2 reviews the definition and diagnosis of seronegative spondyloarthropathies and inflammatory low back pain. It then continues to explore aspects of assessment, treatment and medical imaging more deeply. What drug therapies are involved? What is the gold standard for medical imaging? How should we adjust our treatments for this spectrum of low back pain disorders? All are valid questions to consider. 

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Seronegative spondyloarthropathies & inflammatory low back pain - Part 1

Spondyloarthropathies are a group of related, but phenotypically distinct inflammatory disorders, including ankylosing spondylitis, psoriatic arthritis, reactive arthritis, enteropathic arthritis (also known as irritable bowel disease), and undifferentiated arthritis. One of the main clinical features of each of these conditions is inflammatory low back pain. This 2-part blog discusses the difference between the seronegative spondyloarthropathies and what features are indicative of inflammatory low back pain. 

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Deciphering the driving mechanisms in chronic low back pain

When it comes to discussing the diagnosis of low back pain (LBP) there are times when it is really hard to put a label on pain because it is hard to say is it one specific thing. Such a blurry diagnosis. In fact 85-90% of people with LBP are in this category making the blurry diagnosis the majority. The O'Sullivan system is a framework that aims to identify the main drivers and mechanisms of pain and dysfunction. Where movement is associated with pain, the classification considers if the movement is protective or maladaptive? This blog is all about this framework, breaking it down step by step, to help others see how using this classification system makes a complex pain disorder less complicated.

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