Entries by Leonard Van Gelder

,

Triggers of Acute LBP

Often as a culture, we have associated lifting heavy things and being in awkward positions as triggers of acute LBP. While these are important factors, the risk of them causing an initial episode of acute LBP is SIGNIFICANTLY increased when combined with psychosocial factors: “transient exposure to stress and fatigue triples the odds of developing […]

Research Review Brief – Education vs. Symptom Based Modification for cLBP

Research Review Brief An educational approach based on a non-injury model compared with individual symptom-based physical training in chronic LBP. A pragmatic, randomised trial with a one-year follow-up – Sorensen, et al. Population 207 patients 18-60 years (52% female)with LBP for at least 4 out of the last 12 months with the last 14 days =/>4/10 […]

, , ,

Finding Ease Part 2 – Sitting

***Please read Finding Ease Part 1 – Making Peace with Posture and Pain prior to reading and watching the video below: Ah, sitting, Western culture’s perceived demon. Is it really that bad? The alternative of standing all day isn’t fairing well in research or in practice, so perhaps it is time that we reconsider making […]

, , , ,

Find Ease Part 1 – Making Peace with Posture and Pain – Including Application video

What is a “good posture”? When  295 physiotherapists across the world were asked this question, they could not agree on what it looks like. If you were to ask more than one person who claims to work on posture this same question, odds are pretty good you will get different answer. Despite a lack of agreement, people […]

, ,

There and back again

This post is far more personal/autobiographic in nature than anything I have previously posted. I hope it does not detract too much from my intentions for this blog, but I have found that reading and hearing other clinician growth/life stories has tremendously helped my professional growth. I hope that perhaps this post may be meaningful […]

The Complexity of Pain

Teaching people about the complexity of pain is extremely challenging, you must meet each person where they are at. It is not cookie cutter, there is no script, what is meaningful for one person may not resonate with another. You can provide too much information and you can provide too little. While we cannot predict what […]

Confident Ambiguity

I currently work with a large percentage of patients who experience “complex ” and/or “chronic pain”. Many have multiple surgical intervention histories (most repeat surgeries), every known non-invasive treatment (multiple episodes of PT/chiro/body workers), and every known pharmacological intervention known to man. All of these patients share a similar story, they were all told that “X,Y,Z” would […]

, , , ,

Todd Hargrove’s: A Guide to Better Movement

I haven’t updated in a while due to time devoted to opening a new clinic called Generation Care Performance Center. However, I felt compelled to make a quick, blunt, review of Todd Hargrove’s: A Guide to Better Movement: The Science and Practice of Moving With More Skill And Less Pain. Simply put, this book is the most important book […]

, , , , ,

Post-Antalgic Patterning – Part 2 – Quick Reference for Manual Therapy and the Nervous System

*Note: This is part of a series of thoughts on the topic of looking at movement and movement related symptoms as influenced by the nervous system. These will be dynamic posts with additional content and references being added as time allows, but the primary purpose of the posts are to share my current thoughts on […]