i would agree with the sentiments expressed - Steve you are prob addressing
the "yellow flags" but i am sure this needs to be followed up with
approriate exercise of whatever ilk or they are likely to get recurrences
Cheers,
Anna.
Anna Lee
Principal,
Work Ready Industrial Athlete Centre
Write to me at: [log in to unmask]
Visit me at: www.workready.com.au
Snail mail:
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Newtown NSW Australia 2042
Australia
Phone: (612) 95197436
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----- Original Message -----
From: "John Dufton" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, January 19, 2003 7:11 AM
Subject: Re: Low Back Pain and Rehab
> Hi Steve,
>
> >For example, on a regular basis I get a small number of patients
> >(probably my lowest percentage), especially with chronic or >reoccurring
> >problems that do not respond to any type of exercise or >manual therapy
> >(they do respond, but badly). This could obviously be >due to
inadequacies
> >on my part, although I would hope not, and
> >the fact that amazes me is what they do respond to... e.g. a combination
of
> >interferential (that really shouldnt work) gentle >massage and a lot of
> >encouragement of progressive movements in (generally) all directions.
And
> >shock horror, this small group of >patients respond unbelievably well.
>
> chronic lbp patients would be expected to respond well to encouragement
and
> manual therapy that addresses their fear of movement and pain focussed
> behaviour. no? the attention and caring that you give them and the number
> of therapies you offer would also likely add to the non specific effects
of
> the treatment encounter(notwithstanding any specific effects they may also
> have).
>
> cheers
>
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