“persistence of pain alters a person’s field of affordances: the unfolding set of action possibilities that a person perceives as available to them.” @Peter_Stilwell @MichaelTamePain @sconinxphil - 1 “Addressing chronic pain should involve more than just looking for & treating a ‘root cause’” - 2

“Chronic pain constitutes a burden for those concerned because it limits the subject’s abilities to move towards an optimal grip in the interaction with the world.” @Pete_Stilwell @sconinxphil -1 “the rubber band is stretched for so long that the structure cannot return to a default stance: pain becomes a deep-rooted part of the person’s history, present, and future.” - 2

“there is increasing concern about low-back disability and its current medical management…
the role of medicine in that epidemic must be critically examined.” (1) “The traditional medical model of disease is contrasted with a biopsychosocial model of illness…
This model is used to compare rest and active rehabilitation for low-back pain.” - 2

PA affects life span as much as smoking @WHO

1.Theres a lot of debate today in the LBP field specifically & musculoskeletal pain in general about manual therapy vs exercise. Motor control vs strength training. The role of patient education, etc.
@JeremyLewisPT
pubmed.ncbi.nlm.nih.gov/34102533/ 2. The issue of client preferences is a no brainer to me as I’m in the trenches & validate my clients #livedexperience. I seek interaction & collaboration. @MyCuppaJo

1) A non-linear BPS approach for persistent MSP consists of an enactive reconceptualization designed to expand affordances & ⬇️ FABs associated w/ embodied past experiences. Such behavioral experimentation aims to support an ecologically valid positive experience w/ movement. 2) Here is an example of such a behavioral experiment w/ an AT I had never met before at a workshop in Winnipeg @MeganPomarensky This models what I learned from K Lewit, S Linton, G Waddell, Fordyce & others. Today it is best taught by @PeteOSullivanPT

@DerekGriffin86 LBP is complex & the social of BPS the code breaker between the dichotomization of pain science & biomechanics. I never got it when Waddell introduced Engel’s BPS model only focusing on biomechanics or YFs. Now I see social/environmental context as Job 1 to unmask. @_Tyson_Beach @DerekGriffin86 @_Tyson_Beach “Kind Care Requires Unhurried Conversations
Health care providers must have time to know their patients in “high definition” to best meet their needs.”

catalyst.nejm.org/kind-care-requ…

Will be at firstprinciplesofmovement.com soon @DrChrisBarton @GregLehman @PeteOSullivanPT @PainRevolution @JanHartvigsen 2) Zoom capped us at 100. Sorry. Anyone know how to let more in? HK, Norway, Belgium, Bolivia, Argentina ....

Education is the first approach in evidence-based MS care But l, education is poorly understood acc to Moseley which is why we do the Teach Back of which I’ve posted dozens online @PainRevolution