Some Discussions on Pain, Clinician and Patients …

CLINICIAN DISCOURSE WITH PERSISTENT PAIN SUFFERERS Horst Ruthrof, FICI, FAHA, is Emeritus Professor in English and Philosophy at Murdoch University, Perth, Western Australia. Annotations by John Quintner & Melanie Galbraith These notes were prepared by Emeritus Professor Horst Ruthrof following a conversation (over wine) with John Quintner, retired rheumatologist, and Melanie Galbraith, physiotherapist, that took …

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VISCERAL MANIPULATION: THE REDISCOVERY OF GLÉNARD’S DISEASE?

What is visceral manipulation? Over the last three decades, French osteopath Jean-Pierre Barral has pioneered the practice of “visceral manipulation” as a distinct branch of osteopathy. According to Barral’s estimates: “In a single day, your internal organs move 30,000 times” and “Your liver alone travels 600 meters. But when one organ cannot move in harmony …

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Fibromyalgia Meets Craniosacral Therapy

Fibromyalgia The current criteria for making the diagnosis of fibromyalgia are based upon the scoring obtained from two subjective measures, the Widespread Pain Index and the Symptom Severity Scale, the results of which are then combined [Wolfe et al, 2010]. Fibromyalgia is therefore neither a distinct syndrome nor a specific disease, which is now being …

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Could Fibrositis be Making a Comeback?

Introduction As I perused the abstracts for the upcoming 4th International Fascial Research Congress (September 2015), I came upon one that made me stop and think. It related to a half-day post-conference workshop by Kirstie Segarra – Managing Fascial Health for Individuals in Fibromyalgia: To demonstrate clearly that managing widespread pain must include treatment of …

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THE TRANSMUTATION OF FIBROMYALGIA

Fibromyalgia was officially recognised in 1990 when a Multicenter Criteria Committee of the American College of Rheumatology recommended the term be used as a means of classifying patients presenting with chronic widespread pain and tenderness [1]. Pain was considered to be “widespread” when it was experienced in all four quadrants of the body (i.e. on …

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ARE THEY ASKING THE RIGHT QUESTION?

The following announcement has just appeared on Myopain Seminars, one of the websites run by proponents of “dry needling”: The Federation of State Boards of Physical Therapy is working on developing a list of competencies needed for physical therapists to perform dry needling, and we would greatly appreciate your help! The Federation has developed a …

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SUGAR-COATED NERVES: THE PSEUDO-SCIENCE OF NEURAL PROLOTHERAPY

 The human understanding when it has once adopted an opinion draws all things else to support and agree with it. And though there be a greater number and weight of instances to be found on the other side, yet these it either neglects or despises, or else – by some distinction sets aside and rejects, …

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A Brief History and Critique of Somatization

As originally proposed by the Viennese neurologist and psychoanalyst Wilhelm Stekel (1886-1940), somatization referred to a bodily disorder thought to originate from a deep-seated “neurotic” cause, and is identical with the Freudian concept of conversion. Used in this psychodynamic sense, somatization denotes an immature defence mechanism whereby psychic derivatives are “converted” into bodily symptoms. The …

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