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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
Postoperative Opioid Consumption Following Hallux Valgus and Rigidus Surgery: A Guide to Postoperative Prescription Writing - Summary by Liv Harley Street Hospital
Bunion Surgery London

Postoperative Opioid Consumption Following Hallux Valgus and Rigidus Surgery: A Guide to Postoperative Prescription Writing – Summary by Liv Harley Street Hospital

Prescribing postoperative pain medications is essential to foot and ankle surgery; however, prescribing an amount that results in an excess of pills has shown to lead to opioid abuse. The opioid epidemic has forced surgeons to analyze how we manage postoperative pain with a goal to prescribe the optimal number of pills that will reduce a patient’s pain while limiting the amount that is left over. The purpose of this study was to develop a guideline for prescribing postoperative pain medication…

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
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
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 November 1, 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
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
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