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Self efficacy – A well used term but well understood?

Self efficacy is a term banded around in therapy quite regularly at the moment especially as more active approaches to rehabilitation are being embraced. So we have to ask exactly what does it mean, why does it matter and how do we improve it? In fact my twitter friend/colleague Jerry Durham asked me this question […]

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Pain education – How much neuroscience do you really need?

Pain education has for many become an integral part of the treatment process and rightly so, being able to help people understand what is happening to them is a must. One of the most frequently used methods to help people better understand pain is based on the neuroscience and physiology of pain. In some cases […]


Knowledge is power- What I need people with back pain to know.

Here is some information I would like anyone with back pain to know. Whether it is the first time you have had back pain or you have had it for ages. I would love others to contribute to building up this information as it is certainly not definitive. So if you are a clinician or […]

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Discogenic back pain – Is it more about relevance than prevalence?

The influence of structure on back pain is a discussion I have had twice in the last 3 days. I would not describe myself as an expert in this area but this area of discussion does leave me a little confused and I do take an interest in it, especially with the whole ‘forgetting the […]

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Will any old exercise help your patient?

So the real question should be, how specific should we be with our exercise prescription? (Now this could have turned into an epic blog, but I have decided to keep it brief and readable!) In my opinion WE SHOULD ALWAYS BE SPECIFIC. Now that’s a pretty emphatic statement so I should probably add a bit […]

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10 evidenced based reasons why you & your patients should EXERCISE

Exercise is great, we know this, right? Well sort of. Many people know exercise is good for us on a general level, but the question is, do they know it’s right for them on an individual level and is it the right fix for their problem? This is an entirely different proposition, applying that general […]