Hello Linda,

Nice reply.

Cheers,

Anna.


Anna Lee
Principal,
Work Ready -  Industrial Athlete Centre
Physiotherapist and Occupational Health Consultant

Write to me at [log in to unmask]
Visit me at www.workready.com.au

Snail mail:
Suite 3, 82 Enmore Road,
Newtown  NSW 2042
Australia

Tel: (02) 9519 7436
Mob: 0412 33 43 98
Fax: (02) 9519 7439
----- Original Message -----
From: "Linda K" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, 23 May 2000 5:37
Subject: McKenzie and pyschosocial


> Dear Frank
> I was also disappointed to read your response.  I have completed McKenzie
> A-D, have passed the credentialling exams and have completed a 3 week
> clinical placement.  I have read the evidence-based McK papers, and am
> well-impressed by the ability of the centralising phenomenon to identify
and
> treat symptoms of discal origin.  However, I also work in chronic pain
> management (4 years experience) and work closely with a brilliant clinical
> psychologist.  The whole issue of facilitating recovery from low back pain
> is complex.  We all have anecdotal stories of "cured patients".
>
> The placebo effect is powerful.  A confident therapist speaking in glowing
> and positive terms is going to be more likely to help their patient - I
> would guess that you fit into this category.
>
> There is NO DOUBT that two of the main reasons that patients seek help is
:
>                    a) anxiety regarding the nature of the problem
>                    b) fear that pain equals harm
>
> As you know, in the hands of a competent McK therapist - both of these
> issues are dealt with well ........ and you are addressing psychological
and
> cognitive issues. Wether we like it or not, every single therapist is
> dealing with psychosocial issues - but the skill with which we do it is
> highly variable.
>
> Can I suggest that you read Gordon Waddell's brilliant book - "The Back
Pain
> Revolution" or either of the Physiotherapy Pain Association's two
yearbooks
> (especially as the first one is dedicated to whiplash and fear-avoidance!)
>
> Linda K
>
> ----- Original Message -----
> From: <[log in to unmask]>
> To: <[log in to unmask]>; <[log in to unmask]>;
> <[log in to unmask]>
> Sent: 22 May 2000 02:47
> Subject: Fwd: [McKenzieStudy] Fwd: strange centralization/ Lotus or
> padamasana pos
>
>
> > In a message dated 5/21/2000 12:12:32 AM Eastern Daylight Time,
> > [log in to unmask] writes:
> >
> > > McKenzieStudy - http://www.McKenzieStudy.org
> > >
> > >  Dear Ian,
> > >
> > >  Ssorry to have to say this, but it's sad to see that so many PTs, and
> > >  especially the MTs, seek refuge under psychological-philosophical
> shelters,
> > >  not to be confronted with their inability to diagnose and treat pts.
> > >  physically. I should know: I've been a PT/MT for years (and still
am),
> > >  working with all kinds of models and theories, because we lacked the
> > >  practical knowledge and skill. And boy, was (yes: was) that
frustrating
> at
> > >  times!!
> > >
> > >  I had already once looked into McKenzie's book, but thought: "What
the
> heck
> > >  is this?", and put it aside, thinking it was nothing new, nor any
more
> > >  effective. Some months later, after I had almost given up on PT/MT as
> an
> > >  effective way of treating pts., and in fact had decided that I didn't
> wanna
> > >  be a PT/MT any longer, I came across it again, and started
> reading.....and
> > >  reading.....and reading..... I just couldn't stop!! Again I thought:
> "What
> > >  the heck is this?" But now in a different way. This made sense! Was
> that
> > >  possible then, after all other methods of spine therapy had been
> nothing
> > but
> > >  disappointing? This author didn't just come up with all kinds of
vague
> > >  theories, but offered practical diagnostic AND treatment "tools",
based
> on
> > >  an approach that was based on or backed up by dozens of researches
and
> > >  studies!
> > >
> > >  While reading, it felt as if I for years had studied the human body
> like as
> > >  if I had studied all kinds of computer software applications, but
never
> had
> > >  gotten to the operating system... And this Kiwi made the operating
> system
> > >  clear!
> > >
> > >  I remember saying to myself: if this doesn't work, I'm gonna quit
> > >  definitely! The results with the first three pts. were nothing less
> than a
> > >  GREAT relief: there IS a way to treat pts. with PT effectively! You
CAN
> > have
> > >  many pts. that after three to five visits tell you that they are as
> good as
> > >  painfree, even after having had backpain for years!!! And you CAN
have
> many
> > >  pts. that you can discharge, and that stay away, after the prescribed
> > series
> > >  of visits (McK. is often "hands off"), because they (agree they) can
> now
> > >  really(!) control their own backs (and not because they were in fact
> > >  disappointed in the efficacy of the given "treatment").
> > >
> > >  It's amazing to see that the committee's here in the Netherlands that
> are
> > >  talking about the same subject you are referring to, all consist of
> MTs.
> > And
> > >  none of them has done the McK. course! I won't say that psychological
> > >  factors do not play an important role. But how on earth am I supposed
> to
> > >  treat them psychologically? Don't we have the psychologists and
> > >  psychiatrists for that? Cause it can go quite deep: I sometimes
advise
> my
> > >  pts. to see one of those, if I feel that they are depressed, or in
any
> > other
> > >  way under constant psychological stress, especially if they are ready
> to
> > >  admit that their back is not really their problem, but their state of
> being
> > >  in general is. But am I to treat that? What are the (semi)shrinks
> supposed
> > >  to do then? Recent research has shown that "Talking without drugs" as
> by
> > far
> > >  not as effective to treat depression as "Talking with drugs" is. Is a
> PT
> > >  then supposed to take up the role of (semi)shrink? No way.
> > >
> > >  If PT in any or every form is not effective in treating backpain, it
> should
> > >  be abolished. End of story.
> > >
> > >  There is light at the end however: take a look if you like at
> > >  www.McKenziestudy.org , and click on "Can an Educational Booklet
Change
> > >  Behavior and Pain in Chronic Low Back Pain Patients?" (don't forget
to
> > first
> > >  read the first sentence of "Discussion"). Realise that this group of
> pts.
> > >  were not treated, supervised or guided by a (McK.) PT, but had to do
it
> all
> > >  just by themselves, with -only- McK.'s book "How to treat your own
> back".
> > >
> > >  (By the way: I am interested in David Butler's website, but the URL
you
> > gave
> > >  doesn't lead to it. Any other website address?)
> > >
> > >  Regards,
> > >  Frank Conijn
> > >  Member of the review panel of the Dutch committee for the development
> of
> > >  clinical guidelines for whiplash related injuries
> > >  Amsterdam
> > >  The Netherlands
> > >
> > >
> > >
> > >
> > >  ----- Oorspronkelijk bericht -----
> > >  Van: <[log in to unmask]>
> > >  Aan: <[log in to unmask]>; <[log in to unmask]>
> > >  Verzonden: zondag 21 mei 2000 0:41
> > >  Onderwerp: [McKenzieStudy] Fwd: strange centralization/ Lotus or
> padamasana
> > >  pos
> > >
> > >
> > >  In a message dated 5/20/2000 9:06:39 AM Eastern Daylight Time,
> > >  [log in to unmask] writes:
> > >
> > >  > here is a personal reply to Dr sood if anyone is interested in
> commenting
> > >  !
> > >  >  Prepared for the feedback positive or negative ! .......No replies
> from
> > >  Dr
> > >  >  Sood to any communication as yet but here goes!
> > >  >  Insert contains no love bugs or love handles !
> >
> >
>
>



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