What is it about?
This opinion piece, uses a single case study, involving 35 years of misdiagnosis and mismanagement. The paper allows physiotherapists an opportunity to step back and reflect on the trends and fashions that have dominated the profession over the years.
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Why is it important?
This unique case transcends over three decades of physiotherapy and illustrates how trends and fashions may cloud clinical judgement. This opinion piece illustrates that clinicians should always apply sound clinical reasoning and examination techniques, whilst never being entirely convinced of their own favoured assessment or management approach.
Perspectives
This article is NOT a critique of the biopsychosocial model or of pain science, but rather an observation of how musculoskeletal physiotherapy has been influenced by trends and fashions. It is also an illustration of pessimistic meta-induction, a reminder that all theories are fundamentally provisional ... and may be shown to be flawed or wrong in the future. This allows us to pay attention to counter evidence and those anomalous bits of data that make our picture of the world a little weirder, more mysterious, less clean. In essence, to be a good clinician AND to get more comfortable in the grey.
Alan Taylor
University of Nottingham
Read the Original
This page is a summary of: When Chronic Pain Is Not “Chronic Pain”: Lessons From 3 Decades of Pain, Journal of Orthopaedic and Sports Physical Therapy, August 2017, Journal of Orthopaedic & Sports Physical Therapy (JOSPT),
DOI: 10.2519/jospt.2017.0606.
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