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Enhancing chronic neck pain management: integrating SFBC and digital mental health screening - Summary by Liv Harley Street Hospital
Medical Condition

Enhancing chronic neck pain management: integrating SFBC and digital mental health screening – Summary by Liv Harley Street Hospital

Chronic nonspecific neck pain (CNSNP) and degenerative cervical spondylosis (DCS) are common musculoskeletal disorders that significantly impact quality of life. Current management strategies focus primarily on physical therapies, such as muscle strengthening and postural correction. However, these treatments often overlook the psychological factors that influence pain perception and management. This manuscript proposes an integrated approach combining Solution-Focused Brief Counseling (SFBC)…

livharleystreethospital October 31, 2025
Dexamethasone versus Dexmedetomidine as Adjuvants in Ultrasound Popliteal Sciatic Nerve Block for Hallux Valgus Surgery: A Mono-Centric Retrospective Comparative Study - Summary by Liv Harley Street Hospital
Bunion Surgery London

Dexamethasone versus Dexmedetomidine as Adjuvants in Ultrasound Popliteal Sciatic Nerve Block for Hallux Valgus Surgery: A Mono-Centric Retrospective Comparative Study – Summary by Liv Harley Street Hospital

CONCLUSION: No significant differences were observed in the duration of motor and sensory blockade between patients in both groups. Additionally, both groups showed good pain control with a low rate of adverse effects, even if there was no clinical difference between the groups. However, patients who received dexamethasone reported experiencing less interference with their sleep, daily activities and overall emotional well-being, and overall pain control.

livharleystreethospital October 30, 2025
Early Radiological Outcome of Hallux Valgus Corrective Surgery With an Intramedullary Plate: A Single-Center Case Series - Summary by Liv Harley Street Hospital
Bunion Surgery London

Early Radiological Outcome of Hallux Valgus Corrective Surgery With an Intramedullary Plate: A Single-Center Case Series – Summary by Liv Harley Street Hospital

CONCLUSION: Mini-open hallux valgus surgery using an intramedullary plate is a safe and effective technique that can lead to significant improvement in pain and function for mild to moderate hallux valgus. The modified placement of the plate into the medullary canal allows for a smaller incision while providing correction of the hallux valgus deformity.

livharleystreethospital October 29, 2025
Perceptions and use of self-management support strategies to improve the management of spine pain patients in a French-Canadian chiropractic teaching program: a mixed method study - Summary by Liv Harley Street Hospital
Medical Condition

Perceptions and use of self-management support strategies to improve the management of spine pain patients in a French-Canadian chiropractic teaching program: a mixed method study – Summary by Liv Harley Street Hospital

CONCLUSION: Although patients demonstrated moderate-to-high activation, EBP and SMSS implementation among interns and supervisor was limited. Treatment orientation, practice style, and contextual factors highlight the need for targeted educational and organizational strategies to bridge the knowledge-practice gap.

livharleystreethospital October 28, 2025
Perceptions and use of self-management support strategies to improve the management of spine pain patients in a French-Canadian chiropractic teaching program: a mixed method study - Summary by Liv Harley Street Hospital
Medical Condition

Perceptions and use of self-management support strategies to improve the management of spine pain patients in a French-Canadian chiropractic teaching program: a mixed method study – Summary by Liv Harley Street Hospital

CONCLUSION: Although patients demonstrated moderate-to-high activation, EBP and SMSS implementation among interns and supervisor was limited. Treatment orientation, practice style, and contextual factors highlight the need for targeted educational and organizational strategies to bridge the knowledge-practice gap.

livharleystreethospital October 28, 2025
Perceptions and use of self-management support strategies to improve the management of spine pain patients in a French-Canadian chiropractic teaching program: a mixed method study - Summary by Liv Harley Street Hospital
Medical Condition

Perceptions and use of self-management support strategies to improve the management of spine pain patients in a French-Canadian chiropractic teaching program: a mixed method study – Summary by Liv Harley Street Hospital

CONCLUSION: Although patients demonstrated moderate-to-high activation, EBP and SMSS implementation among interns and supervisor was limited. Treatment orientation, practice style, and contextual factors highlight the need for targeted educational and organizational strategies to bridge the knowledge-practice gap.

livharleystreethospital October 28, 2025
Perceptions and use of self-management support strategies to improve the management of spine pain patients in a French-Canadian chiropractic teaching program: a mixed method study - Summary by Liv Harley Street Hospital
Medical Condition

Perceptions and use of self-management support strategies to improve the management of spine pain patients in a French-Canadian chiropractic teaching program: a mixed method study – Summary by Liv Harley Street Hospital

CONCLUSION: Although patients demonstrated moderate-to-high activation, EBP and SMSS implementation among interns and supervisor was limited. Treatment orientation, practice style, and contextual factors highlight the need for targeted educational and organizational strategies to bridge the knowledge-practice gap.

livharleystreethospital October 28, 2025
Learning Curve for Minimally Invasive Surgery (MIS) for the Treatment of Hallux Valgus - Summary by Liv Harley Street Hospital
Bunion Surgery London

Learning Curve for Minimally Invasive Surgery (MIS) for the Treatment of Hallux Valgus – Summary by Liv Harley Street Hospital

IntroductionCorrection of hallux valgus through minimally invasive surgery (MIS) has grown in popularity in recent years. Despite the increase in use, there has been limited research into the learning curve associated with the procedure, which has been documented extensively for other MIS procedures. Our study looked to determine the learning curve associated with MIS hallux valgus surgery.MethodsA retrospective review was conducted of patients who underwent MIS hallux valgus surgery, performed…

livharleystreethospital October 27, 2025
Comparison of Percutaneous 60-Day Peripheral Nerve Stimulation of the Lumbar Medial Branches to Usual Care with Standard Interventional Management for Chronic Low Back Pain-a Multicenter Pragmatic Randomized Controlled Trial (RESET) - Summary by Liv Harley Street Hospital
Medical Condition

Comparison of Percutaneous 60-Day Peripheral Nerve Stimulation of the Lumbar Medial Branches to Usual Care with Standard Interventional Management for Chronic Low Back Pain-a Multicenter Pragmatic Randomized Controlled Trial (RESET) – Summary by Liv Harley Street Hospital

CONCLUSIONS: This prospective multicenter pragmatic RCT met its Primary Clinical Endpoint and found that more participants with CLBP reported pain relief at 3 months after receiving percutaneous 60-day PNS as compared to usual care with standard interventional management. Participants treated with 60-day PNS showed greater reductions in pain and more substantial improvements in functional outcomes through 6 months.

livharleystreethospital October 25, 2025
A Multi-Dimensional Systematic Review of Minimally Invasive Bunion Surgery (MIBS) - Summary by Liv Harley Street Hospital
Bunion Surgery London

A Multi-Dimensional Systematic Review of Minimally Invasive Bunion Surgery (MIBS) – Summary by Liv Harley Street Hospital

Background/Objectives: Hallux valgus, or a bunion, is a prevalent foot deformity associated with pain, limited mobility, and reduced quality of life. Surgical treatments include minimally invasive and traditional open techniques, but the optimal approach remains debated. This systematic review evaluates long-term outcomes, patient satisfaction, cost-effectiveness, the influence of patient-specific factors, rehabilitation protocols, and complication rates for these methods. Methods: A…

livharleystreethospital October 24, 2025
Exploring knowledge, confidence and barriers to evidence-based practice implementation of self-management strategy for low back pain during chiropractic training in France: a mixed method study - Summary by Liv Harley Street Hospital
Medical Condition

Exploring knowledge, confidence and barriers to evidence-based practice implementation of self-management strategy for low back pain during chiropractic training in France: a mixed method study – Summary by Liv Harley Street Hospital

CONCLUSION: The data suggests that while practitioners demonstrate a solid level of knowledge regarding the use of EBP in patients with low back pain, their actual implementation of these strategies remains moderate. Qualitative analysis further highlights the presence of specific beliefs and attitudes that mirror those reported in other healthcare professions. Among the main barriers, significant challenges related to knowledge, skills, and resources—particularly the lack of time—appear to…

livharleystreethospital October 24, 2025
A Novel Simulation Model and Training Program for Minimally Invasive Surgery of Hallux Valgus - Summary by Liv Harley Street Hospital
Bunion Surgery London

A Novel Simulation Model and Training Program for Minimally Invasive Surgery of Hallux Valgus – Summary by Liv Harley Street Hospital

CONCLUSION: This study validated a simulation model and training program, allowing nonexperienced HV MIS foot and ankle surgeons to enhance their surgical proficiency and effectively complete a substantial portion of the learning curve at the fifth session, and this performance was successfully transferred to a cadaver model.

livharleystreethospital October 23, 2025
Spinal cord stimulation protocols for modern pain management: from two-stage models to direct-to-implant strategies - Summary by Liv Harley Street Hospital
Medical Condition

Spinal cord stimulation protocols for modern pain management: from two-stage models to direct-to-implant strategies – Summary by Liv Harley Street Hospital

The direct-to-implant (DTI) approach to spinal cord stimulation (SCS) represents an emerging paradigm in the treatment of chronic neuropathic pain. Unlike the conventional two-stage models, which include a preliminary trial phase, the DTI strategy involves immediate permanent implantation in carefully selected patients. This article explores the rationale, clinical outcomes, and practical implications of adopting a single-stage implantation model. Drawing on recent evidence from randomized…

livharleystreethospital October 22, 2025
Hip Joint Neurolysis in a Patient with Cerebral Palsy - An Alternative Option for Pain Management - Summary by Liv Harley Street Hospital
Medical Condition

Hip Joint Neurolysis in a Patient with Cerebral Palsy – An Alternative Option for Pain Management – Summary by Liv Harley Street Hospital

Hip joint disorders are frequently observed in patients with cerebral palsy (CP) due to static encephalopathy, dyskinesia and spasticity. Surgical treatments have shown improved pain relief, but sometimes, due to comorbid conditions, they are not feasible. Hip joint neurolysis is a palliative pain procedure that destroys the sensory nerves responsible for hip joint pain. We present a case of a 23-year-old girl with severe spastic CP, who presented to the pain clinic with severe left hip joint…

livharleystreethospital October 20, 2025