Rob and Dave use a real-life example to explore how they would treat and manage a patient who comes to them having already experienced conflicting advice

They go through the steps that are covered in an initial appointment and discuss the points at which a scan is the right choice along with what sorts of manual therapy can be a good choice

Practitioners approach patients in different ways but you should always expect a very individualised treatment plan and this is a great opportunity to find out about what you should expect and why

KEY TAKEAWAYS

The first step should be taking a really detailed history and the patient's thoughts and beliefs are a vital part of the conversation
It provides insight and an understanding that helps with building a personalised plan
It’s the two-way conversation between the practitioner and the patient
With sciatica, it’s about calming down the most aggravated part first
Sometimes over testing can make it more difficult to assess, move up to the pain, it’s not about aggravating it
Patients can be fearful and avoid particular movements but it can be used as part of the methodology of building toward graded exposure
The most important exercise is the one the patient does
You need to look at an individual patient's tolerance to pain and make any exercise personalised
A lot of changes seen on a scan are perfectly normal It's about focusing on the structural pathology
There are always the red flag questions that result in a scan being the right approach
Manual therapy provides a window of opportunity to feel better

BEST MOMENTS

‘People who are fearful and worried about their pain tend to have longer term back pain’

‘If a patient believes something should be done it’s important to explore it’

‘If something is painful it doesn’t mean it's being damaged’

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ABOUT THE HOSTS

Dave Elliott

Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.

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Rob Beaven

Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.

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