Pain education to curb the opioid epidemic

Between the years of 1992 and 2012, there was a 15-fold increase in opioid prescription in Australia, with a consequential 32-fold increase in financial burden ($8.5 million to $271 million) on the Australian Government. The misunderstanding of pain is cause for concern. This misunderstanding is evidenced by the lack of efficacious treatments being prescribed, and the over prescription of potentially iatrogenic treatments. The understanding of pain has huge efficacy. Not for analgesia directly, but for better understanding of the management of pain, engagement in high value and evidenced based treatments, while mitigating risks of harm, and to empower the person seeking help to once again have control.

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Brendan Mouatt
EP3 and finding the common ground

Aren’t the words we use to describe our modalities and the paradigms we subscribe to interesting? Words like tribes or camps: “You’re from the biomedical camp”, or “The psychosocial camp”, or maybe perhaps it’s the “Physio camp” or the “Osteopathy camp”. The phrase “from different camps” is a military themed metaphor, to describe multiple groups that are in opposition and share little common ground – just like the Athenians and Spartans in ~400bc, and often with as much hostility.

I find this such a perplexing issue within healthcare. The notion that we have different camps suggests we cannot be focused on the main reason (the common ground) in which we are all in healthcare. The person seeking our help.

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Brendan Mouatt
How can we justify low-value physiotherapy interventions?

Recently there has been more debate around the role of low-value therapies such as cupping, dry needling, ultrasound, taping, etc. It has been interesting to read the varying arguments and justification and it has got me thinking a little more on it. Here are just a few of my thoughts and considerations, and some ideas as to what I think we need more of/less of in healthcare.

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Brendan Mouatt
Some Helpful Resources

Understanding what pain is, and how your experience of pain can be modified can be powerful in regaining control. Here are a number of resources that explore different areas of pain and injury, what it can mean and how it can change.

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Brendan Mouatt
Why we need to stop blaming Transversus Abdominis for back pain

…despite the literature no longer supporting this theory we still vilify these muscles and tell patients with LBP that they have weakness, instability or some other awful narrative that more than likely is not evidenced. Even more disappointingly, there is still no shortage of continuing education courses that teach this approach to LBP.

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Brendan Mouatt