One-Page Patient Fact Sheets for Low Back Pain in Primary Care url:https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2836549?utm_source=bluesky&utm_campaign=content-shareicons&utm_content=article_engagement&utm_medium=social&utm_term=071825 📚

World Physio Congress 2025 highlights:
-Seeing physios in diverse settings, esp crisis/emergency settings
-Seeing the knowledge from physios in Gaza on trauma-informed care
-Emphasis on multi-level determinants affecting health

Great to connect with clinicians from the Critical Physio Network 💪

In critical physiotherapy the “human” is deeply political: humanity is embedded in history, shaped by it and myriad social forces, & conditioned by relations of power in which
some are able to assert their status & privilege at the
expense of others.

pubmed.ncbi.nlm.nih.gov/37688439/

Tackling health inequities requires widening our lens to understand how jobs, working conditions, education, housing, social inclusion & even political power influence individual & community health.

One way to understand what Marmot calls the “causes of the causes” is to ask new questions:

Australian Pain Society Conference done! #AusPainSoc

Presented on the mechanisms of patient-led goal setting & pain science education ✅

Received updates on IASP 2025 Global Year through Australian lens (ISSHOOS published soon: www.isshoos.org)

Informative work at the 'rural realities' workshop

Figure 3. Potential avenues to apply a multilevel conceptualization of social aspects of pain to advance equitable pain prevention and management.

pubmed.ncbi.nlm.nih.gov/38897311/

Figure 1. Examples of contextual intersectional health inequities.

pubmed.ncbi.nlm.nih.gov/38107758/

Social is often positioned as a separate domain to people's health, a binary of medical/psychological, or conflated with individual.

Social isn’t just personal context, but also social structures, ideologies & institutions that privilege interests of dominant groups

www.jpain.org/article/S152...

I had the pleasure of presenting at the New Zealand Pain Society Conference this week 😍

I spoke about the complexities of clinical practice when providing evidence-based practice to people with chronic low back pain & linked them to the conference theme of “equitable outcomes in pain care”

When someone receives treatment for a MSK pain condition - the total treatment effect encompasses the specific effect of the treatment, contextual effects, and non-specific effects.

www.sciencedirect.com/science/arti...

What determinants play a key role in the lived experience of persistent pain and recovery?

www.sciencedirect.com/science/arti...

Political, economic, and cultural systems regulate social relations at a societal level, and define resource distribution, impacting pain prevalence and treatment access.

Ideas are organised into three broad categories; justice, access and knowledge

www.sciencedirect.com/science/arti...

4 of the themes describe what it means to live with chronic pain & 6 of the themes describe what it means to be on a healing journey with pain.

“A Healing Journey with Chronic Pain: A Meta-Ethnography Synthesising 195 Qualitative Studies”

academic.oup.com/painmedicine...

“Listen to me, learn from me & hear what I’m telling you, it makes me feel like my concerns have been understood”

“Provide a holistic approach to my care that is tailored & looks after my physical, mental, occupational, social, spiritual & intellectual needs”

pubmed.ncbi.nlm.nih.gov/35384928/

“System (eg. biomedical orientation), organisational (eg. key performance indicators) and professional (eg. identity as expert) factors compete with person-centred rehabilitation”

Great work by Prof Nicola Kayes

journals.sagepub.com/doi/10.1177/...

It often takes me a few goes to understand words like ontology, epistemology, positivist and constructivist…The breakdown in the paper is gold!

pubmed.ncbi.nlm.nih.gov/34457699/