Stressed Unstressed

Yet another angle on the mind and it’s power by David Butler. (I may question him on the difference between need and desire? over a Shiraz maybe!)

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I have always loved Rudyard Kipling’s uplifting poem ‘If’ – it’s too long to repeat here, but easily available. Just a few lines …

“If you can dream and not make dreams your master

If you can think – and not makes thoughts your aim.

If you can meet with Triumph and Disaster,

And treat those two impostors just the same.”

Wandering through one of those increasingly rare independent bookshops on a rainy Sunday afternoon, I picked up ‘Stressed Unstressed‘ – a collection of over 100 ‘classic poems to ease the mind’. Published by William Collins in 2016 the poems are categorised into groups such as stress-beating, meditating, stopping, grieving, moving on and positive thinking. Lovely stuff and ‘If’ was in it!

At NOI we hold the fundamental belief that the arts have a potent yet sometimes unrecognised place in the treatment of chronic pain. This book is so welcome as a…

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Do no harm! Do nothing!

I remember way back in my student days in an exam for in-hospital patient post-op an open gall bladder op & after assessing the client electing not to finish a treatment but electing to allow the patient to rest & review later in the day. I was quite nervous until I got my results ( very pleasing) but more relevant was an early lesson in sometimes the “best Rx” is not to treat! Great blog Adam!

Self management – a very vexing definition

A very sage speaker at a conference once said the patient is better when they are “doing all their normal activities, back at work, off medications, not seeing other health practitioners on the side…” A good insight!

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Self management is one of those terms that is used to describe the aim of cognitive behavioural programmes for chronic pain. It’s even in my description of this blog! At the same time, it’s difficult to arrive at a definition of self management that “everyone” agrees upon.

Self management can mean helping people to be “actively involved in their health care and to provide a variety of creative and individualized strategies to deal with their health problem in their daily life and ultimately to live as normally as possible despite their symptoms” (Zuffery & Schulz, 2009) – but the Devil is in the details!

What exactly does being “actively involved” mean?  Can it mean accessing treatments like massage, injections, acupuncture “as needed”? Or does it mean exclusively managing pain without recourse to so-called “passive” treatments?  And what are the implications of either of these two options (and yes, shades in between)?

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Why does your pain persist? – A letter to my patients suffering from chronic pain (part 1)

An excellent blog post from Oliver Lam encapsulating the current views in the constantly evolving area of persistent pain condition

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Therapists are welcome to link this post to their patients suffering from chronic pain.

First of all, I hate the word chronic. The word “chronic” sounds like the pain will last forever… but most of the time, it doesn’t. Furthermore, what does chronic even mean? The word creates debates even within healthcare professionals. Is it a pain lasting more than 3 months? 6 months? That will last forever?

nevada-chronic-pain.jpgI don’t like the word chronic. I prefer using the word persistent. The word persistent is less fear mongering and leaves hope. It’s more accurate. It only tells us that your pain has persisted, but doesn’t tell us that it will last forever.

If you have had pain for a while now, you probably went to see a lot of healthcare professionals so far. You might have seen a chiropractor, a doctor, an orthopedic surgeon, an osteopath, a physiotherapist, an…

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