The Logic of Rehab Blog

We’re not experts, but we can play one on the internet.

Pain Science – Guiding the Path

Pain Science – Guiding the Path

Treating pain is a tricky business, but one that has become an integral component of today’s healthcare system. As clinicians, it is a primary outcome measurement that we regularly hinge the successes and failures of our treatment on. But is this the right measurement for all patient cases? Is all pain the same? Such questions quickly lead us down a rabbit hole and self-examination begging the question – Am I doing it right?

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Scraping Away the Narratives of IASTM

Scraping Away the Narratives of IASTM

Part 4 of the passive modalities discussion will cover instrument assisted soft tissue mobilization (IASTM).  This is the modality that the after effects are often displayed as a badge of honor on social media, but leaves us wondering if the person was a trauma victim or merely a trauma recipient.  Clinicians today discuss the modality based on its ability to scrape, break-up, emulsify, release – almost any verb imaginable related to fascia, muscles, or other soft tissues. But does this modality really do anything?  In this blog we will dive into the history and research of IASTM to find out.

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The Problem with a (Entirely) Structural Based Approach to Low Back Pain

The Problem with a (Entirely) Structural Based Approach to Low Back Pain

The problem with a (entirely) structural based approach to low back pain…. Is there may actually be no problem.

This sounds like channeling the girl from the Matrix proclaiming there is no spoon, but it’s not far off. Before a finding can be called a problem the base rate of the finding needs to be established. Or put another way, what is the incidence of that finding in the normal, asymptomatic population? Too often radiology reports are read as death sentences to patients when in fact it is natural progression of aging or highly present in the general, pain free population. Recently my intern and I set out to see what those rates are in hopes of further demystifying issues to both patients and practitioners. Here, in wonderful blog format, are our findings.

 

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Cupping – an Attempt to Draw Evidence

Cupping – an Attempt to Draw Evidence

Part 3 of the passive modalities series will discuss another modality returning to vogue at the Rio Olympics – cupping. Michael Phelps, and other skin bearing athletes, re-popularized this modality by being televised with purplish-red circles on their upper torso for the world to see. Suddenly, the internet was in a frenzy over it. Cupping turned into the pet rock of the 2016 fall season. It had been around for 1000’s of years, served absolutely no use, but had filled the minds of both spectators and clinicians alike.

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