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The Pain PT Blog

Running is Actually Good for Your Osteoarthritic Knees

People have this belief that running is bad for their knees. And especially for knees with osteoarthritis. Well this systematic review of more than 1200 people over the age of 50 puts this belief to bed.…
The Pain PT Blog

13 Year Follow-up Study: MRI Findings with Chronic Back Pain

2020 study that looked at the association of MRI findings and long-term disability in chronic low back pain patients over a 13 year period. The goal was to assess whether long-term disability is associated…
The Pain PT Blog

Relax Into Instead of Resisting or Reacting To Chronic Pain

One of the biggest issues with chronic pain and other chronic health ailments is that the sympathethic fight or flight nervous system is commonly in overdrive. We need to learn to activate the parasympathetic…
The Pain PT Blog

No Particular Treatment is Better For Acute Low Back Pain

This was a systematic review for Acute low back pain. Basically nothing was shown to be better than the other. What it tells me is the body heals by itself, not by a certain treatment. We just need to…
The Pain PT Blog

Stress: The Biggest Cause of Health Complaints No One Addresses

Stress affects us in so many ways physically. Mental and emotional stress can be invisible to us as stress itself but it's clearly visible in the body as physical health symptoms. This is the most common…
The Pain PT Blog

Spinal Manipulation/Mobilization No Better Than Placebo

New study out- randomized clinical trial for chronic low back. The placebo in this study was a cold laser machine that wasn't even turned on!!! More evidence to show chronic pain is more likely influenced…
The Pain PT Blog

Autonomic Nervous System Implications with Pain

One of the biggest things with chronic pain that is not looked at enough is autonomic nervous system dysregulation. This means the fight or flight stressed out sympathetic nervous system is usually in…
The Pain PT Blog

Fear is the Fuel that Keeps the Chronic Pain Alive

New paper just out looking at fear and its relationship to pain. Fear is the fuel for continued pain. Many times when we can cut out the fuel source we can cut out the pain. One of the keys is to learn…
The Pain PT Blog

The Role of the Brain in Osteoarthritis is Bigger than You Think

Wanted to share two review studies that really show why I target the brain directly when treating chronic conditions- in this case Osteoarthritis. Both articles here are systematic review studies, which…
The Pain PT Blog

Turning off the Amygdala Turns Off Pain

This new study really supports the approach I have here at The Pain PT- which is targeting the brain and nervous system for chronic pain relief. One of the biggest things I talk about is getting the limbic…
The Pain PT Blog

Forgiveness Can Shift Your Brain and Your Pain

One of the things I teach with people in chronic pain is forgiveness- of others, of past hurts, and most importantly yourself and your symptoms. We have research showing how forgiveness leads to positive…
The Pain PT Blog

Improve Your Chronic Pain By Doing the Very Things That Cause Your Pain

One of the principles I use with treating chronic pain is exposure therapy. This involves doing the very things that cause pain. If we can learn to do these things from a different mental perspective (move…
The Pain PT Blog

How Does Self-Efficacy Affect Chronic Musculoskeletal Pain?

Self-efficacy is your belief in your own abilities to deal with various situations. Wanted to share a Journal of Pain 2018 review study that compiled data from 27 previous studies on self-efficacy and…
The Pain PT Blog

The Nocebo and its Effects on Your Health

I see the Nocebo effect in so many of my chronic pain and chronic health patients. It's not talked about as much as it should, even though we have solid research it plays a big part in health symptoms.…
The Pain PT Blog

More On The Power of Beliefs

I have never forgotten a quote I read years ago that said: 'What you believe is what your life will be.' I wanted to share this study from Stanford which shows how beliefs directly impact physiology.…
The Pain PT Blog

Beliefs Are Numero Uno for Changing Your Brain

Nice summary in link below by Dr. Siegel from Harvard about the power of the placebo. What is the placebo: Your beliefs. With chronic pain that doesn't go away, we know the brain has been shown to be a…
The Pain PT Blog

What do IBS, chronic widespread pain, & chronic fatigue have in common?

Irritable bowel, chronic widespread pain, chronic fatigue and related syndromes are prevalent and highly overlapping in the general population. This is the title of a new 2020 study, which just reaffirms…
The Pain PT Blog

Is flexing your spine to lift a risk factor for low back pain?

Research evidence in 9 of 11 studies show that lifting with a flexed (bent over) spine is NOT a risk factor for low back pain. We need more studies but what the current research says falls in line with…
The Pain PT Blog

3 Game Changing Concepts of Pain

Great to see more and more awareness coming forth in our PT profession about the understanding of pain, how we think about it, and how we treat it. Recent Feb 2020 article titled: What have Pain Sciences…
The Pain PT Blog

Shoulder MRI’s in Asymptomatic elite volleyball athletes shows extensive ‘pathology’

Here's a recent 2019 study showing that Olympic level volleyball players who are playing with no symptoms have extensive "pathology" in the shoulder. The reason I share these studies is to educate people…