Physiotherapy is a broad and diverse profession that brings us into all kinds of interesting spaces and places.
The majority of people who experience an episode of acute LBP recover reasonably quickly (Menezes Cost e tal., 2012).
Those who don't are those in whom social, psychological, experiential, and clinical factors shape particularly strong thoughts and beliefs that their back is irreparably damaged, fragile and unhealthy. There may also be comorbidities involved (endometriosis and visceral pain syndromes) that lead to systemic inflammation and central pain mechanisms.
Further, the health care system, through MRI's, patho-anatomic diagnosis, and biomedically-oriented clinical exams may inadvertently lead to an early understanding that their back is physically fragile and unfit for activities that bring value and purpose.
Understanding the various components of the LBP experience may involve exploring areas that physiotherapists don't usually consider. Bladder Pain, endometriosis and other visceral pain conditions are highly comorbid with back pain. We need to understand these conditions and our role in addressing them in order to effectively treat the person in pain, especially LBP.
A brand new RCT published in JAMA (the RESOLVE trial) also gives us further direction in the treatment of sensory-motor dysregulation for the treatment of LBP. Changes in interoception in low back pain have been shown to occur in 98% of people with LBP (Wand et al, 2016), and addressing these through sensory discrimination training is an evidence-based approach that fits within a biopsychosocial framework (Bagg et al, 2022).
Lastly, fear of pain during labour and delivery is the number one concern of primiparous women (first time Moms). "My back labour was horrible" is a common report and adds a dimension of fear to a pregnant woman's experience. However, skilled physiotherapists can learn to use their pain neuroscience education tools to empower pregnant women during labour and delivery.
Curious? Are you ready to broaden your horizons in the assessment and treatment of LBP?
Join our international faculty of skilled and expert clinicians who address these problems in their everyday practice.
Overview of each Course
Below you will find the list of courses included in this course track. Click on each individual course to learn more about the course. You can register for individual courses or you can register for all courses. On checkout, you will be presented with the option to register for all courses at a discount.
This course series is hosted by Reframe Rehab in collaboration with Embodia. If you would like to stay up to date with Reframe Rehab, please opt-in to their mailing list by clicking here.