chronic low back pain

In this Physiotutors podcast episode, Canadian researcher Yannick Tousignant-Laflamme introduces the Pain and Disability Drivers Management Model, a groundbreaking approach to understanding and managing chronic musculoskeletal pain, particularly low back pain. This model identifies five key domains across three dimensions, going beyond biomechanics to reveal the root causes of pain and disability. It underscores the significance of interdisciplinary collaboration and effective communication among healthcare professionals.

By integrating classification systems and prognostic tools, this model optimizes its effectiveness. Classification systems pinpoint patient subgroups, while prognostic tools screen for psychological factors affecting pain outcomes. Clinicians are encouraged to utilize these tools for screening, delving deeper for medium or high-risk patients. The incorporation of questionnaires and patient-reported outcome measures informs evidence-based decision-making. The ultimate aim? Personalized, evidence-based care for musculoskeletal conditions, addressing both physical and psychosocial factors.

Curious to learn more about this innovative approach? Tune in to the full episode for a comprehensive exploration.

Guest

Canadian researcher Yannick Tousignant-Laflamme is a professor at the School of Rehabilitation at the University of Sherbrooke. His research activities target the management of chronic pain associated with musculoskeletal disorders, particularly low back pain.

Content

00:00 Intro
00:40 What is the PDDM?
03:19 The 5 Drivers of Pain & Disability
07:56 The struggle with interdisciplinary care
11:15 Lifestyle within the PDDM
13:28 Why is PDDM more than a classification system?
17:23 Patient History within the PDDM
30:57 Why so many PROMs?
32:45 NSLBP - is it a helpful diagnosis?
39:37 Can Physiotherapists cover all 5 domains?
43:18 Is it all talking?
45:42 What has changed since 2017
49:28 How can we apply the PDDM? 3 Tips
51:26 Yannicks closing thoughts
53:15 Outro

Bonus Material

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CF 304: Interesting Thoughts On Low Back & Degenerative Cervical Myelopathy

Today we’re going to talk about Interesting Thoughts On Low Back & Degenerative Cervical Myelopathy

But first, here’s that sweet sweet bumper music

Chronic back pain despite going to physical therapy, massage, or chiropractor?  All the stretching, core stability work, yoga, and foam rolling not helping?  Wondering if you'll ever have a day without pain?  Dr. Becky Rucker is a board certified Orthopedic Physical Therapist, Certified Strength & Conditioning Specialist and certified STOTT Pilates Fitness & Rehabilitation Instructor. She's known for her keen eye in movement analysis and uses this skill for injury rehabilitation, sports performance, and strength and conditioning work.  She's Dr. Jannine Krause's physical therapist and one of her go to resources for her patients when it comes to pain.  In this episode of The Health Fix Podcast, Dr. Jannine Krause interviews Dr. Becky Rucker on what to assess beyond the core when it comes to low back pain and how to relieve pain while creating strength.

What You'll Learn In This Episode:

• The alarming role of the hips in low back pain
• How your upper back influences your low back
• Why you don't want to ignore your low back stabilizer muscles
• The importance of rotational movements in optimizing back health

Resources From The Show:

• Dr. Becky Rucker's Website - Physio Movement & Performance
• Dr. Becky's Instagram
• Physio Movement & Performance Facebook
• Dr. Becky's Youtube Channel
• Dr. Becky's LinkedIn
• Book with Physio Movement & Performance
  
  
  
  

CF 291: Racial and Ethnic Disparities In Chronic Low Back Pain & Pregnancy And Cannabis Use

Today we're going to talk about Racial and Ethnic Disparities In Chronic Low Back Pain & Pregnancy And Cannabis Use

Clients often have chronic low back pain as a primary or secondary issue. 

It is often combined in complex presentations where addressing one issue is usually not going to generate optimal results. 

In this episode, Susan and Erica discuss the obvious and not-so-obvious drivers in this client with chronic low back pain and constipation/bloating!

They discuss the varied evidence that helps to determine not only the main drivers of this presentation but also the reality of utilization of the full systems and whole body consideration in care. 

Breath and balance play an important role. Don't miss it!

A glance at this episode:

• [3:56] Physical therapy for lower back pain

• [7:46] Chronic low back pain and chronic constipation

• [12:55] The thoracic spine and chronic low back pain

• [18:47] The importance of balance

• [21:37] Breathwork and the sympathetic nervous system

• [28:41] Reframing the question

Related links:

• Tough To Treat Website

• Erica’s Course: Decoding the Complex Patient

• Susan’s Pelvic Health Education Subscription

• Access the Transcript