Physio Edge podcast with David Pope 014. Chronic low back pain with Peter O'Sullivan
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Jun 26, 2012 Peter O'Sullivan, expert in chronic low back pain, discusses the causes, classification, and treatment of chronic low back pain. He debunks myths around 'core stability' and emphasizes the importance of a multidimensional approach to treatment. He also talks about the role of manual therapy, educating patients, and integrating multiple dimensions in the classification and treatment of back pain.
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Multi-Dimensional Back Pain
- Back pain is a multi-dimensional phenomenon, rarely solely tied to specific pathology.
- Consider neurophysiological, psychosocial, and physical profiles, plus lifestyle and social factors.
Core Stability Obsession
- Some patients become obsessed with core stability, worsening their pain.
- Over-focus on individual muscle recruitment disrupts natural, fluid movement.
Individualized Approach
- Avoid prescriptive treatment for back pain; assess individual patient needs.
- Test for specific movement limitations rather than assuming a universal approach.