Sleep More, Hurt Less

This week we are excited to welcome guest writer and soon-to-be Physical Therapist Sara Suddes to Rayner & Smale. I met Sara while teaching at UCSF and was excited to hear about the topic for her final-year evidence based practice presentation. Before transferring in PT school, Sara worked as a newspaper reporter. Sara has spent many months researching the bidirectional relationship between sleep and pain and has put her brilliant writing skills to use to share with us her thoughts about sleep and pain.

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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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Introducing the Imprecision Hypothesis in Chronic Pain

I'm so excited to share with you something I've recently come to learn about - the Imprecision Hypothesis in Chronic pain. A paper published in 2015 by Moseley & Vlaeyen explores associative learning and imprecise encoding of danger messages and provides insight into how these changes contribute to the development of chronic pain. It offers a different yet complementing hypothesis to that of central sensitisation in pain. 

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DiMs, SiMs, the Protectometer & my personal journey through pain.

This blog is personal and emotional and it is real. It is about me...

After attending the CPTA conference and listening to Lorimer Moseley discuss current scientific knowledge and experience with treating pain, I realised how much my personal journey has been guided by this work. The is one specific reason I wish to share this story with you….. the journey and how much my thinking and knowledge has changed. Not often do we have the opportunity to share the entire journey of recovery with a patient and to see how each element comes in and out of play. So this is mine and hopefully it provides you with an example of how the Explain Pain education material and model is integrated into real life.

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