Exams, courses, training, lecturer problems and a holiday took more of a priority. As part of my assessment I use the electronic persistent pain outcomes collaboration ePPOC as a means to identify aspects of how the patient views their pain, the level of perceived disability, perceived distress, self-efficacy and how pain effects mood. As most of the outcome measures tend to determine the affective aspects of pain and how people view the reason for their pain, I also add in a questionnaire that aims to identify how pain affects activity levels. My approach is largely focussed on functional restoration through means of graded exposure based on the work of Vlaeyen et al,
Low Back Pain and Osteopathic Manipulative Medicine: A Trend in Pain Management
Low Back Pain Case Study: Part 2
Objectives: To study the effects of massage on chronic low-back pain in a patient with four different diagnoses: osteoarthritis, scoliosis, spinal stenosis, and degenerative disc disease. The patient's goal was to cut down on the amount of pain medication he takes. Methods: A year-old man with chronic back pain received four massages across a twenty-day period. Progress was recorded using the Oswestry Low Back Pain Scale, as he self-reported on levels of pain and interference with his activities of daily living. Results: Improvement was noted in 9 out of 10 measurements of self-reported pain and activities of daily living, with the only exception being his ability to lift heavy objects, which remained unchanged. The most dramatic differences were improvements in his ability to walk, and in the changing degrees of pain.
Patient Case Study: Low Back Pain
He was doubled over, only able to support his upper body with use of his arms. He also reported occasional numbness in his legs, but the low back pain and weakness was his greatest concern. Martin is a top executive for a major corporation and was traveling for business. He had been this way for four days and had been to the hospital a few days prior.
Background: Multiple dimensions across the biopsychosocial spectrum are relevant in the management of nonspecific chronic low back pain NSCLBP. Cognitive functional therapy is a behaviorally targeted intervention that combines normalization of movement and abolition of pain behaviors with cognitive reconceptualization of the NSCLBP problem while targeting psychosocial and lifestyle barriers to recovery. Objective: The purpose of this study was to examine the effectiveness of cognitive functional therapy for people with disabling NSCLBP who were awaiting an appointment with a specialist medical consultant. Methods: Measurement phase A1 was a baseline phase during which measurements of pain and functional disability were collected on 3 occasions over 3 months for all participants.