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Changes in Sleep Quality and Treatment Outcomes in Patients with Musculoskeletal Pain Managed in Primary Care Physiotherapy - Summary by Liv Harley Street Hospital
Medical Condition

Changes in Sleep Quality and Treatment Outcomes in Patients with Musculoskeletal Pain Managed in Primary Care Physiotherapy – Summary by Liv Harley Street Hospital

CONCLUSION: Individuals who reported improved sleep quality during the first three months after the first consultation with a physiotherapist in primary care had a substantially higher probability of positive treatment outcomes up to 12 months, compared with those who had poor sleep.

livharleystreethospital November 10, 2025
Changes in Sleep Quality and Treatment Outcomes in Patients with Musculoskeletal Pain Managed in Primary Care Physiotherapy - Summary by Liv Harley Street Hospital
Medical Condition

Changes in Sleep Quality and Treatment Outcomes in Patients with Musculoskeletal Pain Managed in Primary Care Physiotherapy – Summary by Liv Harley Street Hospital

CONCLUSION: Individuals who reported improved sleep quality during the first three months after the first consultation with a physiotherapist in primary care had a substantially higher probability of positive treatment outcomes up to 12 months, compared with those who had poor sleep.

livharleystreethospital November 10, 2025
A remote first nation community-informed virtual care approach to chronic back pain management: a mixed methods study - Summary by Liv Harley Street Hospital
Medical Condition

A remote first nation community-informed virtual care approach to chronic back pain management: a mixed methods study – Summary by Liv Harley Street Hospital

Chronic back pain (CBP) is a widespread public health issue. There is a lack of community-based care options for Indigenous Peoples with CBP. A virtual care clinic co-designed with community was implemented in the Cree Community of Pelican Narrows using remote presence (RPR) technology. Methods We used a community-based participatory action framework and pre-post design to evaluate this intervention. Pain, quality of life and experience outcomes were measured. An assessment was provided by a…

livharleystreethospital November 7, 2025
A remote first nation community-informed virtual care approach to chronic back pain management: a mixed methods study - Summary by Liv Harley Street Hospital
Medical Condition

A remote first nation community-informed virtual care approach to chronic back pain management: a mixed methods study – Summary by Liv Harley Street Hospital

Chronic back pain (CBP) is a widespread public health issue. There is a lack of community-based care options for Indigenous Peoples with CBP. A virtual care clinic co-designed with community was implemented in the Cree Community of Pelican Narrows using remote presence (RPR) technology. Methods We used a community-based participatory action framework and pre-post design to evaluate this intervention. Pain, quality of life and experience outcomes were measured. An assessment was provided by a…

livharleystreethospital November 7, 2025
Neurofeedback Training for Managing Neuropathic Pain-Like Features in Chronic Musculoskeletal Pain: Protocol for an Open-Label Pilot Feasibility Clinical Trial - Summary by Liv Harley Street Hospital
Medical Condition

Neurofeedback Training for Managing Neuropathic Pain-Like Features in Chronic Musculoskeletal Pain: Protocol for an Open-Label Pilot Feasibility Clinical Trial – Summary by Liv Harley Street Hospital

CONCLUSIONS: The results and data generated will inform the design and sample size calculation for a fully powered randomized controlled trial aimed at evaluating the effectiveness of EEG-NF in targeting NP-like features in individuals with chronic MSK pain.

livharleystreethospital November 4, 2025
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
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
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
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
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
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
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
Self-management activation for low back pain and its influencing factors among intensive care unit nurses: a multicenter cross-sectional study - Summary by Liv Harley Street Hospital
Medical Condition

Self-management activation for low back pain and its influencing factors among intensive care unit nurses: a multicenter cross-sectional study – Summary by Liv Harley Street Hospital

CONCLUSION: The overall self-management activation for LBP among ICU nurses needs to be improved urgently. Although these nurses demonstrate a strong motivation for self-management, they possess insufficient knowledge regarding LBP. Therefore, future interventions should be tailored to key factors such as ICU nurses’ age, years of work experience, education level, exercise frequency, participation in LBP prevention training, presenteeism, and perceived social support. Developing such precise and…

livharleystreethospital October 17, 2025