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Chronic LBP: Why Your Hands-On Skills Aren't Enough (And What to Do About It)

A 2024 RCT shows that while manual therapy provides short-term relief for chronic low back pain, the results often don't last. Discover the evidence-based, multimodal approach combining Pain Neuroscience Education and Motivational Interviewing to create superior, sustained outcomes for your patients. Check out the infographic below!

Dr. E's Guide: Beyond Hands-On for Chronic LBP
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CHRONIC LBP: ARE YOUR PATIENTS STICKING THE LANDING?

GO BEYOND HANDS-ON FOR LASTING CHANGE.

A 2024 RCT confirms that for CNLBP, MT alone falls short long-term. Here's how to integrate the biopsychosocial model for superior, sustained outcomes.

THE CLINICAL QUESTION

Does combining Manual Therapy (MT) with Pain Neuroscience Education (PNE) and Motivational Interviewing (MI) lead to better long-term outcomes for Chronic Non-Specific Low Back Pain (CNLBP) than MT alone?

The Evidence Drop: Kasimis et al. (2024) RCT

A Randomized Clinical Trial (RCT) compared MT vs. MT + PNE + MI for CNLBP patients.

MT Alone Group:

  • **Short-Term (4 weeks):** Significant & clinically relevant reduction in pain (NPRS) & disability (RMDQ).
  • **Long-Term (6 months):** Improvements in psychosocial measures (TSK, PCS) *waned*.

Combined Therapy Group (MT + PNE + MI):

  • **Short-Term (4 weeks):** Significantly *greater* improvements in pain, disability, kinesiophobia (TSK), & catastrophizing (PCS).
  • **Long-Term (6 months):** All gains *maintained*, demonstrating statistically & clinically superior results.

Your Modern LBP Playbook: Actionable Insights

  • MT as a 'Window': Use manual therapy to achieve rapid, short-term pain relief – this creates a crucial opening for your patient to be receptive to active strategies and education.

  • Integrate PNE & MI Early: For chronic pain, education (PNE) and motivational strategies (MI) are not optional add-ons; they are foundational for challenging pain beliefs and fostering long-term behavioral change.

  • Measure Psychosocial Factors: Tools like TSK and PCS provide objective data on the 'invisible' aspects of chronic pain. Track these to guide your interventions and demonstrate the holistic impact of your care.

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REFERENCE

Kasimis, K., Apostolou, T., Kallistratos, I., Lytras, D., & Iakovidis, P. (2024). Effects of Manual Therapy Plus Pain Neuroscience Education with Integrated Motivational Interviewing in Individuals with Chronic Non-Specific Low Back Pain: A Randomized Clinical Trial Study. *Medicina*, *60*(4), 556. https://doi.org/10.3390/medicina60040556

Learn my full Eval, Reset, and Stabilize system and how to easily assess and treat most conditions from head to toe!

Modern Manual Therapy: The Eclectic Approach to UQ and LQ Assessment and Treatment Online Seminar

Modern Manual Therapy: The Eclectic Approach to UQ and LQ Assessment and Treatment Online Seminar

5.0

My easy to learn system will get you fast results! Get unlimited access and earn CEUs.

 


 

The course will cover:

  • The principles of Eval, Reset, and Stabilize

  • Movement Screen and Repeated Motions based evaluation

  • Neurodynamic testing ­ median, radial, ulnar nerves and sciatic and femoral nerves

  • Instrument Assisted Soft Tissue Massage (IASTM) with the EDGE Tool

  • Neurodynamic treatment

  • Functional mobilization of the hip, knee, and ankle

  • Home exercises, repeated motions based resets and using the EDGE Mobility Bands

  • An emphasis on patient education and self treatment

Note: this course is fully online and is digital only like all our media. Upon purchase you will immediately receive instructions on how to watch and get your handouts to follow along. 



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