Physical rehab (physiotherapy), behavioural rehab and combinations of these have been mainstays of back pain treatment.  Dr Kieran O’Sullivan shares his expertise on what to do and what not to do – lessons from 15 years of providing specialised clinical care and engaging in top level research. 

Specifically, what is the role of patient advice, targeted exercises, and novel therapies including injections? 

You can link to Dr O’Sullivan’s home page at the University of Limerick here: http://www.ul.ie/clinicaltherapies/node/443

Interested in back pain? Related resources: 

Editorial: Common misconceptions about back pain in sport: Tiger Woods’ case brings five fundamental questions into sharp focus
http://bjsm.bmj.com/content/early/2015/02/08/bjsports-2014-094542.extract

Podcast:  Professor Peter O’Sullivan on Tiger Woods’ back and ‘core strength’
https://soundcloud.com/bmjpodcasts/professor-peter-osullivan-peteosullivanpt-on-tiger-woods-back-and-core-strength?in=bmjpodcasts/sets/bjsm-1

Effective treatments for back pain: Kieran O'Sullivan’s practical tips within a guiding framework

This narration was recorded in accompaniment of the 360-degree photo tour of Saint Peter's Basilica found on National Geographic's website:

http://news.nationalgeographic.com/2015/07/150720-Vatican-360-Degree-Tour-Saint-Peters-Basilica/

Audio Tour of Saint Peter's Basilica

In this conversation with Elizabeth Gilbert, our generation's "Mark Twain," we unpack the inherent magic of language, embracing the sacred "No," what it takes to have the things you say you want, and to sex or not to sex on book tour. Ha. Liz has an extraordinary way with words (but you knew that) and a rich perspective on what it means to share your magic with the world. Her eighth bestseller, BIG MAGIC is nothing short of brilliant and we're elated to have her with us. For more inspiring interviews with best-selling authors, subscribe to the Beautiful Writers Podcast on iTunes. To get access to our thriving community of writers visit TheBeautifulWritersGroup.com.

Download on iTunes

Elizabeth Gilbert : The Big Magic of Creative Living

Dr Kieran O’Sullivan, PT, PhD, was one of the first podcast guests to crack 9,000 listens! From the University of Limerick, Ireland, he has vast clinical experience and he completed a PhD on the role of sitting in back pain. In this 18-minute podcast he reviews his 2015 podcast in the first 3 minutes and then rattles off at least 7 practical tips. 

Kieran was a guest of PhysioFirst (UK) when BJSM interviewed him in April 2015. The 2017 PhysioFirst conference is on April 1-2 (2017!) in Nottingham (UK) and guest speakers include Professor Paul Hodges, Dr Tania Pizzari and Dr Igor Tak. 

Timeline: 
1.00 m Back pain is neither explained by what patients and clinicians see on scans nor just by load

2.00 m When treating, you need to assess the various factors that could be playing a role, such as load, posture, stress, and address the right one. 

4.00 m Should we try to prevent all back pain? Listen to Dr O’Sullivan challenge the belief that it’s important to never have back pain. He likens back pain to conditions like sadness, constipation – not great but not a major problem as long as it doesn’t persist. Athletes need to load their bodies and adapt rather than avoid load and become vulnerable (See Gabbett papers and podcast, below). Don’t pass on fear (of back pain coming on or persisting) to athletes. 

5.00 m Screen for red flags of course, if the clinical picture warrants it – but most long-term back pain is NOT due to something listed as a red flag. 

6.00 m Reassurance – being empathetic without inducing fear. 

7.00 m Think through. What precipitated the pain? Too much load, too much stress, bad posture, movement patterns? If unknown, have patient create a pain diary. Look for trends. Examine all the dimensions of the biopsychosocial model. 

9:00 m Don’t just make the diagnosis but be practical. Patient sad? Don’t just say ‘You are sad, your back pain will go away’. Provide specific treatment for the specific threat. 

10:00 m Empower the patient to choose the exercises he or she wants and what he or she will do! Exercise has benefits across systems. 

11:00 m Don’t give up. Here Kieran walks us through a challenging real life case. A simple tissue diagnosis would not have helped this person at the centre of the case 

12:00 m Explain! Explain the pain! (HT to Professor Lorimer Moseley and Dr David Butler).  

13:00 m The period at 4-6 weeks of pain can be difficult – patient has not adapted to the contemporary model and may still be on waiting list for imaging. 

14:00 m What is the evidence for this approach? How does the evidence compare, with, for example Hamstring injuries? 

Links to previous podcast: 
2015 – Dr O’Sullivan on “Effective treatments for back pain: Kieran O'Sullivan’s practical tips within a guiding framework” http://ow.ly/4nepGu

BJSM paper: 
O'Sullivan K, O'Sullivan P. The ineffectiveness of paracetamol for spinal pain provides opportunities to better manage low back pain. Br J Sports Med. 2016 Feb;50(4):197-8. http://ow.ly/4neqbS (Members Only/subscribers)

Manual Therapy paper: 
Hurley J, …., O'Sullivan K. Effect of education on non-specific neck and low back pain: A meta-analysis of randomized controlled trials. Man Ther. 2016 Mar 10. pii: S1356-689X(16)00017-5. doi: 10.1016/j.math.2016.02.009. [Epub ahead of print] http://www.ncbi.nlm.nih.gov/pubmed/27026111


Dr Kieran O’Sullivan on managing back pain: 7 habits of highly effective clinicians. Part 2, 2016

འཁྲིད་མཁན། སེར་བྱེས་དགེ་བཤེས་འཇམ་དཔལ་བློ་ཤེས།
ཁྲིད་མཚམས། གཞི་སྟོད། ཁྲིད་གཞུང་གི་མཚན་ཆ་ཚང་། འདུལ་བ་མདོ་རྩ་བའི་རྣམ་བཤད་ཉི་མའི་འོད་ཟེར་ལེགས་བཤད་ལུང་གི་རྒྱ་མཚོ་ཞེས་བྱ་བ་བཞུགས་སོ།།
མཛད་པ་པོ། ཀུན་མཁྱེན་མཚོ་སྣ་པའམ་མཚོ་སྣ་བ་ཤེས་རབ་བཟང་པོ། དུས་རབས་བཅུ་གསུམ་པའི་དུས་འགོ་ཙམ་ལ་འཁྲུངས། མདོ་རྩའི་མཆན་འགྲེལ་སོགས་མཛད། ལམ་རིམ་བླ་བརྒྱུད་ཀྱི་བླ་རབས་ཉི་ཤུ་པ་ཡིན།

Dulwa Zhitoe

འདུལ་བ་མཚོ་ཊཱིཀ་ཉི་མའི་འོད་ཟེར། གཞི་སྟོད། ༼༠༣༦༽

elvyn Bragg and guests discuss the political philosophy of Hannah Arendt. She developed many of her ideas in response to the rise of totalitarianism in the C20th, partly informed by her own experience as a Jew in Nazi Germany before her escape to France and then America. She wanted to understand how politics had taken such a disastrous turn and, drawing on ideas of Greek philosophers as well as her peers, what might be done to create a better political life. Often unsettling, she wrote of 'the banality of evil' when covering the trial of Eichmann, one of the organisers of the Holocaust.

With

Lyndsey Stonebridge
Professor of Modern Literature and History at the University of East Anglia

Frisbee Sheffield
Lecturer in Philosophy at Girton College, University of Cambridge

and

Robert Eaglestone
Professor of Contemporary Literature and Thought at Royal Holloway, University London

Producer: Simon Tillotson. Feb 02, 2017

Hannah Arendt

Fresh off ‘BJSM Podcast World Cup’ victory, superstar physiotherapist Dr. Alison Grimaldi returns for what is sure to be another chart-topping podcast.  On this week’s episode, Dr. Alison Grimaldi (@alisongrimaldi) joins BJSM’s Daniel Friedman (@ddfriedman) to discuss the results from her latest clinical trial – the LEAP trial - that was recently published in the BMJ.
https://www.bmj.com/content/361/bmj.k1662    
With 25 years of clinical experience and particular expertise in the management of hip, groin and lumbo-pelvic pain and dysfunction, Alison is Principal Physiotherapist at Physiotec in Brisbane, Australia, and an Adjunct Research Fellow at the University of Queensland. Alison also has a special interest in the assessment and optimisation of lumbo-pelvic and lower limb biomechanics for
running, change of direction and all weight bearing sports. She is currently involved with research studies through the University of Queensland and University of Melbourne.
https://dralisongrimaldi.com/
Alison explains the clinical significance of the findings from the LEAP trial and shares some practical
physiotherapy tips for clinicians helping patients manage gluteal tendinopathy pain. She discusses:
       Treatment options for managing gluteal tendinopathy pain
       Load management for gluteal tendinopathy
       Specific exercises for gluteal tendinopathy
Alison continues to publish, present and provide practical workshops for other health professionals, and will be coming to Vancouver in September 2018 for her hip and groin pain masterclass!
https://www.eply.com/DrGrimaldi-2018

You can listen to Dr. Grimaldi’s previous BJSM podcast on treating lateral hip pain here:
https://soundcloud.com/bmjpodcasts/dr-alison-grimaldi-with-practical-physiotherapy-tips-on-treating-lateralhippain?in=bmjpodcasts/sets/bjsm-1

Dr Alison Grimaldi on managing gluteal tendinopathy. Episode #343

Tracklist:

01 - Zelleqe Hailu - Zeraf, Shellela (Song for encouragement in war)
02 - Alemayehu Borebor - Yeshebelewa (The Walias)
03 - Ayelew Mesfin - Yewofe Birr Abeba (Black Lion Band)
04 - Alem Kebede - Tegna Feresu
05 - Muhammed Awel - Ebolale
06 - Omar Suleeymaan - Bilisumma
07 - Abebe Tesemma - Gebre Burach Gute (The Shebelles)
08 - Tilaye Chewaka - Tsegure Zenfalawa (L.Demissew, Army Band)
09 - Tamrat Molla - Eswa Gen Yellechem (T.S. Tamrat & Group)
10 - Menelik Wossenatchu - Aderetch Arada (N.Nebaldian, G.Degefu, HIM T.Band)
11 - Mahmoud Ahmed - Ebo Lala (Seyoum Baruda, Hailu W.M, IBG)
12 - Hirut Beqqele - Hedech Alu (Girma Haile & Hirut Beqqele, Police Orchestra)
13 - Lemma Gebre Hiwot, Selamawit G Selassie, Zenebech Tesfaye - Hay Loga (G. Degefu)
14 - People of Adi Ugri (border of Eritrea) - Embilta song

Put together for Oslo World Music Festival and their upcoming event Ethio-Action with 22 sublime musicians all playing around with music of Ethiopia.
http://www.osloworld.no/en/artists/ethio-action/

All songs are either cut or faded out and in low quality in respect for artists and rightful owners of the material.

Open download for a week, starting 28.10.2012.



Mixtape for Ethio-Action, Oslo, 02-11-12. DJ MITMITTA

This week, Prof Lorimer Moseley joins us to explore how we can better apply contemporary understanding of pain in clinical practice. Lorimer is Professor of Clinical Neurosciences and Foundation Chair in Physiotherapy at the University of South Australia. Prof Moseley’s research group - Body in Mind - investigates the role of the brain and mind in chronic pain. He has over 25 years of clinical experience and has authored hundreds of articles, as well as five books.

When it comes to pain everything matters with Prof Lorimer Moseley. Episode #409

On this week's episode, we are joined by the WHO's Prof Fiona Bull and Dr Juana Willumsen to launch the new WHO 2020 Guidelines on Physical Activity and Sedentary Behaviour. In this 20-minute podcast, Prof Bull and Dr Willumsen discuss the new global recommendations in depth, explain what has changed since the 2010 guidelines, and outline the next steps forward to creating more active people for a healthier world. 
 
Want to learn more? Check out the BJSM WHO Guidelines special issue (open access!) as well as the WHO website for all the resources.

The 2020 WHO Guidelines on Physical Activity with Prof Fiona Bull and Dr Juana Willumsen. Ep #456

Sur le texte de Charles Baudelaire "Le serpent qui danse".(Les fleurs du mal) domaine public. (c) Stongi pour la musique.
Jean St-Onge: voix, guitare, basse.
Gilles De Repentigny: Batterie

When it comes to pain everything matters with Prof Lorimer Moseley. Episode #409

BMJ talk medicine