Ashley Smith
@SmithAshleyD
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Whiplash Researcher | Clinical Specialist in Musculoskeletal Physiotherapy | PhD
Calgary CANADA
Joined February 2014
BPS President, Roger Knaggs, commented on a recent study about prescribing gabapentinoids. Read more here:
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Physical activity should be the primary intervention for individuals living with chronic pain A position paper from the European Pain Federation (EFIC) 'On the Move' Task Force 👇👇👇 https://t.co/oKOnxQ261A
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Pain within a biopsychosocial framework - we had challenges finding significant research on the social context of pain in chronic WAD, so we investigated it ourselves :) This is open access for those interested
degruyterbrill.com
Objectives Although it is well-known that chronic diseases need to be managed within the complex biopsychosocial framework, little is known about the role of sociodemographic features in adults with...
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Is it time to ‘terminate’ steroid injections for tendinopathy?
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This was a fun introductory SCED trial with some great clinicians to see if rehab influenced outcomes after an intervention for chronic WAD...lots of problems with adherence we found out. Interventions safe. Good preliminary data to build upon
tandfonline.com
Chronic whiplash-associated disorders (WAD) is a heterogeneous condition with limited effective treatment options available. This study evaluated the efficacy of multimodal physiotherapy and usual ...
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Our updated longer term data on #PRP (+/- adjunct PT) in #ChronicWhiplash Only a case series, and requires validation in a controlled trial, but appears to be an option for some at least https://t.co/OuWsntSOeM
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Here is one option for post-grad PTs in Canada to expand their knowledge and clinical reasoning in orthopaedic physiotherapy.
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PhD scholarship opportunity in #sensorytraining for #persistentpain supervised by myself, Prof. Lorimer Moseley and co. in Adelaide (must be Australian/New Zealand resident). Please share - applications close November 6! https://t.co/oq28bTceGN
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This appears to be a wonderful initiative (in Australia) for those with fear or anxiety with driving https://t.co/Wt1MGjRwF7
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And a contrary view highlighting the conflation of terms involving taxonomy, a clinical descriptor and a clinical syndrome:
journals.lww.com
Commentary on: Fitzcharles M-A, Cohen SP, Clauw DJ, Littlejohn G, Usui C, Häuser W. Chronic primary musculoskeletal pain: a new concept of non-structural regional pain. PAIN Reports 2022;7:e1024.
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"Chronic back pain is more heritable than acute back pain" https://t.co/UlEW6SLPw9
journals.lww.com
s: To characterize the molecular and cellular pathways contributing to acute and chronic pain states. Methods: Cross-sectional observational genome-wide association study. Results: A total of 375,158...
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Task-related fear as compared to kinesiophobia is associated with changes in lumbar spine kinematics during flexion https://t.co/kGA7nPoWN7
journals.lww.com
uld suffer from a lack of sensitivity and do not measure the fear of specific movements. Objectives: The purpose of this study was to investigate whether the task-specific assessment of pain-related...
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Stratifying care for LBP based on clinical pain phenotypes - an upcoming trial comparing duloxetine vs ACT vs manual therapy vs self-mgt https://t.co/6RdYSquX0c
journals.lww.com
r individual patients or subgroups of patients. The Back Pain Research Consortium, part of the National Institutes of Health Helping to End Addiction Long-termSM (HEAL) Initiative, will conduct a...
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Primary MSK pain vs nociplastic pain vs myofascial pain syndrome - a review of the possibilities and overlappping mechanisms
journals.lww.com
etal pain with a neuropathic component, and treatments were anatomically focussed. Chronic primary musculoskeletal pain is now identified under the chronic primary pain stem category with the...
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"acute stress disrupts connectivity underlying top-down emotion regulation of the threat response"
pubmed.ncbi.nlm.nih.gov
Background: Stress-related disruption of emotion regulation appears to involve the prefrontal cortex (PFC) and amygdala. However, the interactions between brain regions that mediate stress-induced...
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Objective demonstration of the association between neck pain and sleep disturbance in chronic neck pain: https://t.co/iphQrX9bTw, supporting our recent self-report measures investigating sleep, pain and psychological measures
pubmed.ncbi.nlm.nih.gov
Sleep disturbance in chronic WAD was associated with worse health outcomes and demonstrated both direct and indirect effects on both chronic pain and function.
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It does not appear that gut microbiome changes are associated with pain in people with fibromyalgia
pubmed.ncbi.nlm.nih.gov
Fibromyalgia-syndrome (FMS) is a complex disease characterized by chronic widespread pain and additional symptoms including depression, cognitive dysfunction ("fibro-fog") and maldigestion. Our...
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Put the needle down! 💉 Those who have steroid injections for shoulder pain are more than 7 times likely to have a rotator cuff tear compared to those who do not have injections! 🤔 https://t.co/CjsWkXq73K
pubmed.ncbi.nlm.nih.gov
This cohort study aimed to investigate the association between steroid injections for shoulder diseases and the increased incidence of cuff tendon tears. The Kaohsiung Veterans General Hospital...
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A ponderance If I have sciatica and I am already active,not worried or catastrophizing and I seek treatment from you and you tell me this has a good prognosis and to stay active and not worry, I will seek care somewhere else. Can we stop the minimalistic nonsense?
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