Posts Tagged: biopsychosocial

Skills and conundrums in helping people with pain

Using the biopsychosocial understanding for diagnosis and treatment requires an expansion of manual therapy skills. We have already looked in-depth at the explanation of why biomedical reasoning alone is not justified in explaining pain and treatment methods. This post will consider some of the challenges involved in applying biopsychosocial reasoning in clinic. Osteopathic principles? The challenges and changes in clinical reasoning from our understanding of pain and the lack of correlation between tissue state and treatment is also a challenge to osteopathic principles. There has already been questions regarding Still’s Continue Reading »

Reconceptualising an osteopathic approach to pain, Part 1

Research evidence has eroded the foundations of much of osteopathic and manual therapy clinical reasoning: Inaccuracy of palpation Unreliability of postural, tissue-based diagnosis Ineffectiveness of manual therapy techniques to achieve significant changes in posture, tension and mobility. Many postural and structural diagnostic explanations have been found to be invalid, Biopsychosocial? There is an increasing evidence of the importance of the biopsychosocial model. You may consider this to be nothing new. Osteopathic has always emphasised a holistic approach. However, if you were to consider the diagnostic reasoning, treatment methods and treatment Continue Reading »