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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
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
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
Effectiveness of digital pain management for older adults with musculoskeletal pain: systematic review with meta-analysis - Summary by Liv Harley Street Hospital
Medical Condition

Effectiveness of digital pain management for older adults with musculoskeletal pain: systematic review with meta-analysis – Summary by Liv Harley Street Hospital

INTRODUCTION: Musculoskeletal pain is highly prevalent among older adults and a leading cause of disability. Digital health promises to deliver timely and quality care, but existing reviews fail to be specific for older adults, focus on a single type of technology or a single body site, and do not provide an integrated overview of the effectiveness of current digital interventions. This systematic review with meta-analysis (Prospero ID: CRD42024549668) aimed to assess the effectiveness of…

livharleystreethospital October 3, 2025
An Analysis of Factors Associated with Chronic Musculoskeletal Pain, Pain Management Preferences, Coping Strategies, and Health-Related Quality of Life Among Older People: A Cross-Cultural Study - Summary by Liv Harley Street Hospital
Medical Condition

An Analysis of Factors Associated with Chronic Musculoskeletal Pain, Pain Management Preferences, Coping Strategies, and Health-Related Quality of Life Among Older People: A Cross-Cultural Study – Summary by Liv Harley Street Hospital

INTRODUCTION: Chronic musculoskeletal pain is common among older adults (OAs). This study aimed to identify and describe the characteristics of chronic musculoskeletal pain, pain management, and coping strategies among OAs from Turkey, Croatia, and Romania. The study also aimed to explore cultural differences in pain experience and management.

livharleystreethospital September 29, 2025
Efficacy and safety of pregabalin in the management of low back pain: a comprehensive meta-analysis - Summary by Liv Harley Street Hospital
Pain Management

Efficacy and safety of pregabalin in the management of low back pain: a comprehensive meta-analysis – Summary by Liv Harley Street Hospital

CONCLUSION: Pregabalin in the treatment of neuropathic LBP demonstrated significant improvements in pain relief, associated symptoms of anxiety and depression, and enhancements in quality of life and sleep quality. In addition, it exhibits a favorable safety profile. Nevertheless, these findings should be interpreted with caution due to the limited quality of the evidence and the inadequate reporting of pain etiology in several included studies.

livharleystreethospital September 24, 2025
Radiation exposure during ultrasound- and fluoroscopy-guided spinal interventional pain management procedures in dogs: a retrospective analysis in a single institution - Summary by Liv Harley Street Hospital
Pain Management

Radiation exposure during ultrasound- and fluoroscopy-guided spinal interventional pain management procedures in dogs: a retrospective analysis in a single institution – Summary by Liv Harley Street Hospital

CONCLUSIONS AND CLINICAL RELEVANCE: Ultrasound- and fluoroscopy-guided spinal interventional pain management in dogs resulted in relatively low radiation exposure levels for both animals and operators. Incorporating ultrasound aligns with the ‘as low as reasonably achievable’ principle, helping reduce fluoroscopy time and associated risks. These findings support the development of targeted radiation safety protocols for veterinary interventional procedures and underscore the importance of…

livharleystreethospital September 7, 2025
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.

livharleystreethospital September 3, 2025