Blog Posts - Pain Management



Chronic Illness – Pacing For Pain Management

Today's post is about chronic illness and pacing for pain management and why it's important to people who are chronically ill, like me. Continue Reading →...
by My Several Worlds on Sep 28, 2015

Pain Management Secrets 3rd Edition

  Pain Management Secrets 3rd Edition   CONTENTS:   I. OVERVIEW 1. Definitions 2. Classification of Pain 3. Basic Mechanisms 4. Topiceuticals II. CLINICAL APPROACH 5. History Taking in the Patient with Pain 6. Physical Examination of t...
by booksmedicos on Apr 1, 2015

Things don’t always go smoothly

You know, making changes in life is never one of those beautiful uprising graphs like this: It’s far more likely to be like this: There are days when life looks fantastic, then you hit a flat spot and it all goes pear-shaped. While overall you&...
by Healthskills on Mar 22, 2015

Developing a shared plan

Last week I introduced you to one way I use to develop a shared understanding of the many factors influencing how and why a person seeks help for their pain.  The person and I work together to understand his or her perspective. I use a range of open...
by Healthskills on Mar 15, 2015

After your assessment – then what?

Pain management is replete with assessment measures. There is even a handbook dedicated to pain assessment. I’m sure that every clinician has their favourite assessment tools and process. But there seems to be a gap in terms of how to use the f...
by Healthskills on Mar 8, 2015

On pain…and suffering

Two words that often go together: Pain, Suffering.  Pain we can define according to the IASP definition – An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage (R...
by Healthskills on Mar 1, 2015

What does biopsychosocial practice really mean?

It’s still a bit of a buzzword, biopsychosocial. I’ve argued before that in pain, it’s more of a biopsychological model in practice (and here).* I’ve had my wrist firmly slapped when I’ve suggested that a group of medica...
by Healthskills on Feb 22, 2015

Patterns of pain after total knee joint replacement

My orthopaedic colleagues are concerned about how they choose patients who will benefit from surgery, rather than ending up with poor outcomes. It’s interesting to know that knee replacement surgery is revised mostly because of pain rather than...
by Healthskills on Feb 15, 2015

Who are you? The effect of pain on self

My client, let’s call him Al, is a plumber. Or was a plumber. He sees himself as a hard-working, reliable guy who takes pride in doing a job once, doing it well, and not stopping until the job is finished. He’s worked for most of his adul...
by Healthskills on Feb 8, 2015

How to spend money you don’t need to

I’m a shopper. I love to shop with a pocket full of money and buy lovely new things! I don’t even need to spend the money – just knowing I have it there to spend is enough to send me into raptures. Now one thing I have never heard i...
by Healthskills on Feb 1, 2015

Mike “KnowPain” Stewart is coming to New Zealand!

I’m very proud to announce that Mike Stewart, Clinical Specialist Physiotherapist in pain management for East Kent Hospitals University Foundation NHS Trust is coming to New Zealand to take three of his award winning Know Pain Workshops for allied...
by Healthskills on Jan 21, 2015

One gap to fill in pain management

There have been some great gains in pain neuroscience over the past few years – we know more about mirror neurones, cortical smudging, “placebo” and how cognitive behavioural therapy changes the brain. It’s sexy. There are als...
by Healthskills on Jan 11, 2015

Goals? I loathe them: What to do instead

I dislike that acronym “SMART” goals. I can never decide whether it’s meant to mean “Specific, measurable, achievable, realistic and time-bound” or “specific, manageable, active, realistic and timed” And if i...
by Healthskills on Dec 21, 2014

overcoming pain: a healed testimony (12-9-14)

Over the years I have crossed the threshold from studying pain management in the physical and mental realms to overcoming pain in the spiritual realm. I started by doing a post graduate degree course in community health administration and wellness pr...
by God's Way on Dec 8, 2014

Stepping out of the glue: How to generate goals

Chronic pain has been called one of the “most powerful and insidious disruptors” of routine, habit and wellbeing (Karoly, Okun, Enders & Tennen, 2014).  When a person experiences pain, a whole range of mechanisms come into play and w...
by Healthskills on Dec 7, 2014

“I don’t know what I want to do” – Silent copers?

One of my friends on Facebook said it’s difficult working with someone who doesn’t come up with a goal, or a new direction in pain management, even when they accept that their pain isn’t a threat (it’s hurt, not harm). It sure...
by Healthskills on Nov 30, 2014

Over or under activity in people with chronic pain

There is plenty of research showing that the relationship between pain intensity and limitations in daily life is unclear. There is also ample evidence showing that the relationship between tissue damage and pain is unclear. Add all three components...
by Healthskills on Nov 23, 2014

Over or under activity in people with chronic pain

There is plenty of research showing that the relationship between pain intensity and limitations in daily life is unclear. There is also ample evidence showing that the relationship between tissue damage and pain is unclear. Add all three components...
by Healthskills on Nov 23, 2014

e-Therapy: online CBT programmes for people with chronic pain

There are many problems with helping people access timely and appropriate chronic pain management programmes. In the US, comprehensive multi or inter-disciplinary programmes have been decreasingly funded compared with single discipline approaches. In...
by Healthskills on Nov 16, 2014

e-Therapy: online CBT programmes for people with chronic pain

There are many problems with helping people access timely and appropriate chronic pain management programmes. In the US, comprehensive multi or inter-disciplinary programmes have been decreasingly funded compared with single discipline approaches. In...
by Healthskills on Nov 16, 2014


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