Here’s an excerpt from the November newsletter from a person with chronic pain whose blog is devoted to physical movement and therpy. Jo includes some of her own and others’ posts emphasizing the same point of view.
Another post that’s been in the works for some time (and was incredibly hard to hit ‘publish’ on) is one about the shame I’ve experienced alongside my pain. It’s been something I’ve wanted to write about for a long time. I want to break down this barrier, not just for myself but for all of us who’ve been ashamed of our pain.
Does pain change the way we move? Does the way we move contribute to our pain? Here’s great write-up on movement and pain from the Conversation, who’ve done a bang-up job of pain and health reporting, imo.
Back to movement, though, here’s a blog post by osteopath Nick Efthimiou on the role of movement in the treatment of pain.
Communication, talk, reassurance
I write about the importance of language and the power of words quite a bit, it’s something I’m passionate about and think is too often overlooked. Where would we be without communication? And how much further can we go when our communication is more effective?
“The gap between ‘pain’ and ‘pathology’ is filled with a person and their narrative, something which modern medicine often misses or pays little heed to.” ~ Ian Stevens
It’s important to note that talking is not wasted time in the therapeutic alliance, it’s invaluable. Check this article out about adding value by talking more from the New England Journal of Medicine.
And for an excellent communicator in the world of pain and back pain in particular, here’s a video of Dr. Kieran O’Sullivan titled ‘when is spinal pain is less about the spine?’
On healthcare models and frameworks
From the VA, check out this very cool, interactive infographic on person-centered healthcare – I find it an excellent tool to change the way I frame, talk about, and communicate with others about health and pain.
Speaking of person- or patient-centered healthcare, check out this opinion piece in JAMA about how shared-decision making fits in with Evidence Based Medicine (it’s not full-text but I was able to download through Sci-Hub).
“Medicine cannot, and should not, be practiced without up-to date evidence. Nor can medicine be practiced without knowing and respecting the informed preferences of patients.”
Here’s a great write up from JDL Physical Therapy on frameworks and models of health and illness and why they’ll always be imperfect, including the ‘biopsychosocial framework of models.
And one more on the BioPsychoSocial model (or framework of models) in particular, written by Monica Noy on why knowing about pain matters in the world of manual therapy.