Comments on: Comments http://bodyinmind.org Research into the role of the brain in chronic pain Fri, 03 Feb 2012 21:49:20 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Flavia http://bodyinmind.org/comment/#comment-36773 Flavia Wed, 26 Oct 2011 03:08:13 +0000 http://www.bodyinmind.com.au/?page_id=2173#comment-36773 Hello John, I remember speaking to you at the Conference and I really appreciate your feedback. I’m glad you’ve posted on our site; we aim to maintain a forum for researchers and clinicians to stay on top of what the other lot is getting up to! At the minute, we are not running any clinical treatment trials in CRPS and as such aren’t in a spot to embark on any formal collaborations. But your ideas are nonetheless informative for us to see and other clinicians to comment on and add to. It’s interesting that several of the techniques you mention may in fact be used by other clinicians from across different disciplines; only sometimes people may have varying rationales behind why they chose that particular method, or what may be the underlying cause of the problem. All things worth debating! Thanks again for you input Kind regards Flavia Hello John,

I remember speaking to you at the Conference and I really appreciate your feedback. I’m glad you’ve posted on our site; we aim to maintain a forum for researchers and clinicians to stay on top of what the other lot is getting up to!

At the minute, we are not running any clinical treatment trials in CRPS and as such aren’t in a spot to embark on any formal collaborations. But your ideas are nonetheless informative for us to see and other clinicians to comment on and add to.

It’s interesting that several of the techniques you mention may in fact be used by other clinicians from across different disciplines; only sometimes people may have varying rationales behind why they chose that particular method, or what may be the underlying cause of the problem.

All things worth debating! Thanks again for you input
Kind regards
Flavia

]]> By: Spiros http://bodyinmind.org/comment/#comment-36194 Spiros Fri, 21 Oct 2011 06:48:07 +0000 http://www.bodyinmind.com.au/?page_id=2173#comment-36194 thanks Heidi! thanks Heidi!

]]> By: heidi http://bodyinmind.org/comment/#comment-36151 heidi Thu, 20 Oct 2011 22:43:15 +0000 http://www.bodyinmind.com.au/?page_id=2173#comment-36151 Hi Spiros. Another good suggestion - thank you. CAM has been added. Because of the way the poll is set up I can't move questions that people have already voted on (maybe in the next version of the widget they will enable that) - so the order the questions are coming up in is a little illogical, but CAM is there ! Heidi Hi Spiros. Another good suggestion – thank you. CAM has been added. Because of the way the poll is set up I can’t move questions that people have already voted on (maybe in the next version of the widget they will enable that) – so the order the questions are coming up in is a little illogical, but CAM is there !
Heidi

]]> By: Spiros http://bodyinmind.org/comment/#comment-36141 Spiros Thu, 20 Oct 2011 20:39:11 +0000 http://www.bodyinmind.com.au/?page_id=2173#comment-36141 Congratulations on your innitiative for the current poll, i am sure all you people at BiM will be in for a surprise. I admit, as did Tara the OT, to feel left out because whoever researcher added the options to the poll forgot Reflexologists! Ok we are a small group, even though we are working in a hospital pain clinic in Athens, how about adding CAM, you know complementary - alternative methods. What if priests are reading your blog, have you considered that!!!!! Congratulations on your innitiative for the current poll, i am sure all you people at BiM will be in for a surprise. I admit, as did Tara the OT, to feel left out because whoever researcher added the options to the poll forgot Reflexologists! Ok we are a small group, even though we are working in a hospital pain clinic in Athens, how about adding CAM, you know complementary – alternative methods. What if priests are reading your blog, have you considered that!!!!!

]]> By: heidi http://bodyinmind.org/comment/#comment-36055 heidi Wed, 19 Oct 2011 23:12:26 +0000 http://www.bodyinmind.com.au/?page_id=2173#comment-36055 Oh My! You are quite right Tara, OT's should definitely be included. Thanks for letting us know. They have been added to the poll. Oh My! You are quite right Tara, OT’s should definitely be included. Thanks for letting us know. They have been added to the poll.

]]> By: Tara Packham http://bodyinmind.org/comment/#comment-35964 Tara Packham Tue, 18 Oct 2011 23:33:41 +0000 http://www.bodyinmind.com.au/?page_id=2173#comment-35964 As an occupational therapist and pain researcher, I confess to being somewhat annoyed that your current poll about who is using the site allows aliens to self-identify, but not OTs! As an occupational therapist and pain researcher, I confess to being somewhat annoyed that your current poll about who is using the site allows aliens to self-identify, but not OTs!

]]> By: John Smartt http://bodyinmind.org/comment/#comment-35878 John Smartt Tue, 18 Oct 2011 01:27:14 +0000 http://www.bodyinmind.com.au/?page_id=2173#comment-35878 Hi, A couple of your researchers presented at an osteopathic conference I was on on the weekend. I spoke to one afterwards, who suggested that I post on this site. I seem to be able to treat CRPS-type conditions with some degree of success. I'd be interested in participating in a research project using these sorts of techniques (as the clinician, not as the researcher), if anyone is interested. The types of things I would normally look at for one of these patients are: 1) Manual lymphatic drainage. The lymph is often locally congested, and some of the pain seems to relate to over-stretched lymphatic vessels. One of the good things about treating the lympathic system is that you start working proximally to the site of pain, and can reduce the swelling and inflammation without making direct contact with a painful site. This in term lets you gradually work from proximal to distal, until it is possible to introduce some normal manual stimulus to the site of pain, and often to do further manual work to decrease pain locally once it is possible to touch the area. 2) Find and manually releasing sites of nerve entrapment and irritation proximally to the site of pain. Again, this allows you to make a change without having to directly contact a sensitive area. 3) Ensuring adequate rib excursion. (The proposed model is that this facilitates good blood flow to, and therefore normal functioning of, the sympathetic chain, through the effect of rib excursion on the azygos system.) 4) Seeking other potential sites of noxious stimulation that may be keeping the nervous system in a state of heightened arousal without quite registering as conscious pain. One classic site for this is a gall bladder which is painful to light touch, but is otherwise not registering on the person's conscious awareness. 5) Testing for an unidentified thyroid dysfunction. Thyroid dysfunction seems to increase the level of musculo-skeletal pain, and to increase congestion in the lymphatic system. The chemical pathways between thyroxine and the mitochondria do not seem to be well understood by the medical profession, which means that may people with a dysfunctional thyroid mechanism seem to be told they are normal just because their TSH and T4 are normal. 6) Providing an increase in normal stimulation (such as massage) to non-painful areas, to increase the level of parasympathetic stimulation and to provide more normalised input to the CNS. I hope this is helpful. Please let me know if you are interested in discussing any of these issues further. Hi,
A couple of your researchers presented at an osteopathic conference I was on on the weekend. I spoke to one afterwards, who suggested that I post on this site. I seem to be able to treat CRPS-type conditions with some degree of success. I’d be interested in participating in a research project using these sorts of techniques (as the clinician, not as the researcher), if anyone is interested.
The types of things I would normally look at for one of these patients are:
1) Manual lymphatic drainage. The lymph is often locally congested, and some of the pain seems to relate to over-stretched lymphatic vessels. One of the good things about treating the lympathic system is that you start working proximally to the site of pain, and can reduce the swelling and inflammation without making direct contact with a painful site. This in term lets you gradually work from proximal to distal, until it is possible to introduce some normal manual stimulus to the site of pain, and often to do further manual work to decrease pain locally once it is possible to touch the area.
2) Find and manually releasing sites of nerve entrapment and irritation proximally to the site of pain. Again, this allows you to make a change without having to directly contact a sensitive area.
3) Ensuring adequate rib excursion. (The proposed model is that this facilitates good blood flow to, and therefore normal functioning of, the sympathetic chain, through the effect of rib excursion on the azygos system.)
4) Seeking other potential sites of noxious stimulation that may be keeping the nervous system in a state of heightened arousal without quite registering as conscious pain. One classic site for this is a gall bladder which is painful to light touch, but is otherwise not registering on the person’s conscious awareness.
5) Testing for an unidentified thyroid dysfunction. Thyroid dysfunction seems to increase the level of musculo-skeletal pain, and to increase congestion in the lymphatic system. The chemical pathways between thyroxine and the mitochondria do not seem to be well understood by the medical profession, which means that may people with a dysfunctional thyroid mechanism seem to be told they are normal just because their TSH and T4 are normal.
6) Providing an increase in normal stimulation (such as massage) to non-painful areas, to increase the level of parasympathetic stimulation and to provide more normalised input to the CNS.
I hope this is helpful. Please let me know if you are interested in discussing any of these issues further.

]]> By: Steve Gilbert http://bodyinmind.org/comment/#comment-22345 Steve Gilbert Sat, 21 May 2011 08:20:40 +0000 http://www.bodyinmind.com.au/?page_id=2173#comment-22345 Came across this excellent Radiolab programme on placebo - popular New York science programme - lots of neuroscience stuff - careful it's quite habit forming http://www.radiolab.org/2007/may/17/ all the best Steve Came across this excellent Radiolab programme on placebo – popular New York science programme – lots of neuroscience stuff – careful it’s quite habit forming

http://www.radiolab.org/2007/may/17/

all the best
Steve

]]> By: Robert Abboud http://bodyinmind.org/comment/#comment-20305 Robert Abboud Wed, 20 Apr 2011 00:02:59 +0000 http://www.bodyinmind.com.au/?page_id=2173#comment-20305 Great thanks so much David, I'll do some searching for his work! Great thanks so much David, I’ll do some searching for his work!

]]> By: David http://bodyinmind.org/comment/#comment-20304 David Tue, 19 Apr 2011 23:48:17 +0000 http://www.bodyinmind.com.au/?page_id=2173#comment-20304 Robert A fantastic historical text is "The stress of Life" by Hans Selye. Widely accredited as the father of stress medecine I believe and a field which has now evolved into psychoneuroimmuniology. The common element of fatigue in conditions like CFS, Fibromyalgia, RSI and neuro-degenerative conditions attracts interest in these fields. Judging by the diverse combination of therapies (usually a bad sign) offered this appears to be work in progress. David Robert

A fantastic historical text is “The stress of Life” by Hans Selye. Widely accredited as the father of stress medecine I believe and a field which has now evolved into psychoneuroimmuniology. The common element of fatigue in conditions like CFS, Fibromyalgia, RSI and neuro-degenerative conditions attracts interest in these fields. Judging by the diverse combination of therapies (usually a bad sign) offered this appears to be work in progress.

David

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