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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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Diagnostic triage in low back pain

Low back pain (LBP) is one of the most common musculoskeletal problem encountered by a clinician. For the purpose of screening and diagnosis of LBP, a diagnosis triage has been proposed for patients when first presenting to a clinician. The goal of diagnostic triage is to exclude non-spinal causes of back pain and to allocate […]

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ढाड दुखाईको अनुसन्धानमा भाग लिनुहोस्

के तपाईलाई ढाड दुखेको छ ? यदि छ भने आउनुहोस् साहारा अस्पतालमा !!! यहाँ ढाड दुखाई सम्बन्धि अन्तर्राष्ट्रिय स्तरको अनुसन्धान भइरहेको छ । यस अनुसन्धानका प्रमुख अनुसन्धानकर्ता सौरब शर्माले निउजिल्याडको प्रतिष्ठित विश्वविध्यालयसँग आबद्ध भई आफ्नो PhD का लागि ढाड दुखाईको लागि बैज्ञानिक रुपमा प्रमाणित भइसकेका उपचारहरु तुलना गर्दै हुनुहुन्छ । यस अनुसन्धानमा भाग लिन र […]

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Classification of Low Back Pain based on Neuropathic, Nociceptive, or Central Sensitization dominance

Low back pain (LBP) is a heterogeneous disorder including patients with dominant nociceptive (e.g., myofascial LBP), neuropathic (e.g., lumbar radiculopathy), and central sensitization pain [1]. Nociceptive pain is defined as “pain arising from actual or threatening damage to non-neural tissue and is due to the activation of nociceptors, or as pain attributable to the activation […]

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Should we worry about “how much it hurts” in Chronic Pain?

History of pain management suggests strong value of focusing on pain intensity as the goal of treatment. This is true for cancer pain towards the end of life and probably for acute pain with injury or pathology. However, for pain without obvious pathology or trauma, addressing elimination of pain may not be right goal of […]

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Tell me exercises for Low Back Pain!!!

My friends, relatives and other people I know keep asking this to me all the time, “tell me some exercises for low back pain!!!”. They ask me in all weird ways such as over text message, facebook, phone etc and in unsuitable places such as while crossing a road, when meeting in social functions (wedding ceremonies, dance […]

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