what to expect


A typical face to face or telehealth care plan may consist of:
Session 1: This includes: a review of your medical history, your x rays and other investigations. What has worked for you in the past? What’s working now? Rehabilitation and self-care exercises to do at home. Selected youtube clips of suggested exercises and movements to do and avoid. Science and suggestions discussion, and followed up in an email to you. Around 1 hour. Session 2: Typically one week later. Progressing your exercises and home activities. Review of the science behind your condition, and typical progress. Staying motivated. Warning signs to look out for. Around 45 minutes.

Session 3: Typically one week later. Increasing your tolerance for exercise, work and life. Checking your understanding. Letter for your GP or specialist. Discussion about low cost options available locally. Around 45 minutes.




follow up


We're happy to follow up and offer advice at no cost, even after you've formally finished. Short term follow up:
Two weeks later via email or phone as you prefer. No cost. Around 10 minutes.

Long term follow up:
At 6 months. Via email or phone as you prefer. No cost. Around 10 minutes.




what does the research say?


SCIENTIFIC ARTICLES (OPEN ACCESS) Lancet series on back pain (2018). Summary of the latest research. Open access. https://www.thelancet.com/series/low-back-pain
Do core stability exercises work for back pain? No. No better than general exercise. Smith, B. E., Littlewood, C., & May, S. (2014). An update of stabilisation exercises for low back pain: a systematic review with meta-analysis. BMC musculoskeletal disorders, 15(1), 416. https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-15-416 NSW HEALTH WEBSITE: Extensive pain management resources from NSW Health Agency for Clinical Innovation.
Not only for back pain.
https://www.aci.health.nsw.gov.au/chronic-pain BLOG Pain-ed.com: WA based academic physio Professor Peter Sullivan Peter Sullivan: Australian academic physio VIDEO: Back pain - separating fact from fiction - Prof Peter O'Sullivan https://www.youtube.com/watch?v=dlSQLUE4brQ&t=48s BOOKS Ramin, C. J. (2017). Crooked: Outwitting the Back Pain Industry and Getting on the Road to Recovery. HarperCollins. PRINT EXCERPT:
https://www.cathrynjakobsonramin.com/blog/2017/5/19/seven-dos-how-to-eradicate-back-pain-before-it-gets-the-better-of-you-a-recipe-for-getting-on-the-road-to-recovery Hadler, N. M. (2009). Stabbed in the back: confronting back pain in an overtreated society. Univ of North Carolina Press. PODCAST: :
https://ptpodcast.com/pain-science-and-sensibility-episode-30-i-am-a-placebo-an-interview-with-dr-nortin-hadler-md/ PODCASTS NAF physio podcast by Adam Meakins - sweary mythbuster discusses what physios should (and shouldn't) be doing.
https://ptpodcast.com/podcasts/naf-physio-podcast/
David Hanscom: weekly podcasts on pain management, and online resources from a US spine surgeon
PODCASTS
https://backincontrol.com/





back pain

Back pain can be frightening. However, much like stepping on Lego, in the vast majority of cases back pain will fade on its own, without the need for xrays, adjustments or other repeated clinical interventions. That said, reassurance can be an important part of reducing pain and disability. Learn how to control your back pain today, and into the future. At lower cost. 

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