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Manual Therapy for a Chronic Non-Specific Low Back Pain Rat Model
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Chronic pain and the thoracic spine
Adriaan Louw1, Stephen G Schmidt2
1International Spine and Pain Institute, Story City, IA, USA.
The Journal of Manual & Manipulative Therapy
|August 27, 2015
Summary
Pain neuroscience is revolutionizing physical therapy, shifting focus to the brain
Area of Science:
- Pain neuroscience
- Physical therapy
- Neuroscience education
Background:
- Emerging research challenges traditional pain models.
- Focus shifts to brain processing and cortical reorganisation.
- New treatments like therapeutic neuroscience education (TNE) and graded motor imagery (GMI) are gaining evidence.
Purpose of the Study:
- To explore unique pain neuroscience issues in persistent thoracic pain.
- To discuss clinical applications of TNE and GMI for thoracic spine conditions.
- To highlight the lack of research on these advanced pain treatments for the thoracic spine.
Main Methods:
- Review of current pain neuroscience literature.
- Discussion of clinical implications for manual therapists.
- Identification of three key thoracic spine pain issues.
Main Results:
- TNE and GMI show evidence for chronic low back pain and CRPS.
- Thoracic spine pain research lags behind other spinal regions.
- Unique pain neuroscience issues in the thoracic spine include nerve hypersensitisation and dural involvement.
Conclusions:
- Advanced pain neuroscience treatments like TNE and GMI have potential for thoracic spine pain.
- Further research is needed to validate these treatments for thoracic conditions.
- Understanding specific thoracic pain mechanisms is crucial for effective manual therapy.
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