Staying at Work with Musculoskeletal Pain in a Physically Demanding Job: A Qualitative Exploration of Workers' and Managers' Perspectives - Summary by Liv Harley Street Hospital
Pain Management

Staying at Work with Musculoskeletal Pain in a Physically Demanding Job: A Qualitative Exploration of Workers’ and Managers’ Perspectives – Summary by Liv Harley Street Hospital

CONCLUSION: The identified themes describe helpful and unhelpful beliefs and practices involving individual workers, their co-workers and managers. Shared and unshared cultural norms, understandings of what MSK pain is and means, and perceptions of responsibility drive stay-at-work practices, with trust being an important factor for the precarious balance between workplace support and pressure to stay at work.

The person-centered hypothesis framework: Advancing clinical reasoning in musculoskeletal pain management - Summary by Liv Harley Street Hospital
Pain Management

The person-centered hypothesis framework: Advancing clinical reasoning in musculoskeletal pain management – Summary by Liv Harley Street Hospital

INTRODUCTION: The Person-Centered Hypothesis (PCH) framework is a structured clinical reasoning model designed to enhance “in action” reasoning in person-centered care (PCC). The PCH integrates elements of the biopsychosocial model, pain phenotyping, and contextual factors, addressing gaps in real-time clinical decision-making.

Capabilities, opportunities and motivations in implementing guideline-oriented biopsychosocial low back pain management: perceptions of occupational healthcare professionals after an educational intervention - Summary by Liv Harley Street Hospital
Pain Management

Capabilities, opportunities and motivations in implementing guideline-oriented biopsychosocial low back pain management: perceptions of occupational healthcare professionals after an educational intervention – Summary by Liv Harley Street Hospital

CONCLUSIONS: To effectively implement BPS management in occupational health services, organizational and system-level barriers must be addressed and HCPs’ skills and motivation enhanced. For sustained support through policy initiatives and reinforced multidisciplinary collaboration, future strategies should integrate BPS practices into routine workflows.

The MyRelief Digital Educational Self-Management Program for Persistent Low Back Pain: Feasibility Uncontrolled Trial - Summary by Liv Harley Street Hospital
Pain Management

The MyRelief Digital Educational Self-Management Program for Persistent Low Back Pain: Feasibility Uncontrolled Trial – Summary by Liv Harley Street Hospital

CONCLUSIONS: The MyRelief study demonstrated feasibility in terms of recruitment but not retention. However, low baseline disability levels are not representative of the wider persistent LBP population. Future studies should broaden recruitment strategies, in particular, by recruiting from health care settings to improve representativeness. Although usability met industry standards, qualitative feedback suggests that navigation and accessibility require further optimization to better align with…

Effectiveness of a m-Health-Delivered Home-based Exercise Program for Self-management of Chronic Low Back Pain: PainReApp Randomized Controlled Trial - Summary by Liv Harley Street Hospital
Pain Management

Effectiveness of a m-Health-Delivered Home-based Exercise Program for Self-management of Chronic Low Back Pain: PainReApp Randomized Controlled Trial – Summary by Liv Harley Street Hospital

CONCLUSION: Self-managed HEP could slightly improve anthropometric, physical functioning, HRQL, and sleep quality in both groups of people with CLBP. Nevertheless, there were not consistent differences between m-Health and booklet-based modalities for delivering a HEP.Trial registrationAustralian New Zealand Clinical Trials Registry (ACTRN12621000783820).

Primary Care Strategies for Managing Musculoskeletal Pain: A Narrative Overview - Summary by Liv Harley Street Hospital
Pain Management

Primary Care Strategies for Managing Musculoskeletal Pain: A Narrative Overview – Summary by Liv Harley Street Hospital

Musculoskeletal pain (MSP), including conditions such as osteoarthritis, low back pain, tendinopathies, and soft tissue disorders, is one of the most frequent reasons for primary care (PC) office visits and a leading cause of disability worldwide. MSP imposes a sizeable socioeconomic burden due to work absenteeism, healthcare utilization, and loss of productivity. Primary care practitioners (PCPs) are central to identifying and managing MSP, particularly in the early stages, where timely…

Management of pregnancy after the development of spontaneous spinal epidural haematoma - Summary by Liv Harley Street Hospital
Pain Management

Management of pregnancy after the development of spontaneous spinal epidural haematoma – Summary by Liv Harley Street Hospital

The onset of spontaneous spinal epidural haematoma (SSEH) during pregnancy is rare, with only a few reports addressing the management of pregnancy after its development. In this report, we describe a case of pregnancy complicated by SSEH at 31 weeks’ gestation. In this case, the complications started with the symptoms of sudden neck pain and bilateral leg numbness. MRI examination revealed the presence of a haematoma within the posterior spinal canal. Since the patient was successfully placed in…

Cost-effectiveness of spinal manipulation, exercise, and self-management for spinal pain - Summary by Liv Harley Street Hospital
Pain Management

Cost-effectiveness of spinal manipulation, exercise, and self-management for spinal pain – Summary by Liv Harley Street Hospital

BACKGROUND: The United States spends more money on the care of back and neck pain than any other health condition. Despite this, the cost-effectiveness for many recommended treatments is unclear. Our primary objective for this project was to estimate the cost-effectiveness of spinal manipulative therapy (SMT), supervised exercise therapy (ET), and home exercise and advice (HEA) for spinal pain in the U.S.