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Low back pain update presentation at NEPTACON 2018

I flew to Nepal last week to deliver an invited talk on “low back pain- update” at Nepal Physiotherapy Association Conference (NEPTACON 2018). I received an overwhelming response: houseful presence, many questions, request to conduct longer sessions demonstrating how to educate/reassure patients with low back pain.  Although I requested for an hour session, due to […]

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Patient-Specific Functional Scale (PSFS)- Nepali version

Patient Specific Functional Scale (PSFS) is one of the most frequently used outcome measures to assess physical function in individuals with musculoskeletal pain conditions. It is an easy to use measure because it only asks patients three to five items that they find difficulty doing on a scale of 0 to 10. As patients choose […]

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Summary of IFOMPT 2016

I was among the lucky three in the world to be supported by IFOMPT (International Federation of Orthopedic Manual Physical Therapists) and Glasgow city with international bursary award to attend IFOMPT 2016 conference in Glasgow this year between 4th – 8th July. I waited for this conference for 4 years after the last one in […]

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Consensus statement on Patellofemoral pain: Part 1

Patellofemoral pain (PFP) is a common condition of the knee that is characterized by the pain behind and around the patella. It is present in 7 – 28% of population and is slightly more common in women. As different researchers define the condition differently in their research, so do the clinicians. This results in difference […]

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Initiative to develop outcome measures in Nepal

Outcome measures are really important aspects of any practices in health care system. For example, vital signs are routinely assessed in patients admitted in hospital; e.g., temperature, respiratory rate, pulse rate and blood pressure. These are very important to assess the condition of a patient and now is an established rule. Prognosis of the patient […]

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Why does an old knee hurt?

Old knees are mostly painful due to a complex problem called the osteoarthritis (OA). It is one of the most common musculoskeletal disorders, which refers to clinical syndrome of joint pain accompanied by varying degrees of functional limitation and reduced quality of life (1). It affects more than one-third of persons of age more than […]

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How can we measure pain?

The ultimate aim of any clinician is to relieve afflictions of the patient which is measured in terms of pain. Pain is a psychological phenomenon and naturally there are several facets central to its perception [6]. These include intensity, duration, interference with activities or disability, affect, tolerance, fear avoidance, catastropizing etc. There are multiple validated […]

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Mulligan’s Approach – Workshop Opportunity in Nepal

What is Mulligan’s concept? A concept of manual therapy where the therapist applies the accessory joint mobilizations with the patient generated physiological movement (MWM). Mostly, it is done in weight bearing position and helps to reduce the pain and symptoms instantly. This is the reason why the patients or those with painful disorders like the […]

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Hidden contributor of pain in clinical practice – “Catastrophizing”

The experience of pain is a complex interplay between psychological, biological, and cultural factors [1]. Individual who experience pain from any surgical procedure or from any injury to the tissue tends to distress or pain. But question arises why the person with same type of injury or surgery tend to have different level of pain […]

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How to exercise in different chronic pain conditions?

After a very interesting discussion on exercise prescription for chronic low back pain on a previous post on chronic pain, I received an invitation to write a blog on exercises for chronic pain which I accepted to write. For writing this blog, I performed a narrative review of literature and summarized the evidences for three […]

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