Acute/chronic pain is (often) misinterpreted

The terminology “acute/chronic” pain is often misinterpreted and is largely misunderstood by many laymen and some clinicians. The primary difference between acute and chronic pain is in the “relatively arbitrary time posts” (Apkarian et al.). In other words, the main difference is in the duration of the pain experience; it does not say anything concrete […]

Continue Reading

Podcasts, lectures and interviews (with me as guest)

I have been a featured guest on multiple podcasts and recorded interviews and zoom talks, in the last 1-2 years. I have also been a guest lecturer for Trust Me I’m a Physiotherapist, where I did two free online lectures that Trust Me Ed, now hosts. List of Podcasts, lectures, and interviews (with me as a […]

Continue Reading

The negative effect of misplaced positivity

“Criticising ourselves is the mark of a positive, confident profession” Dr. David Nicholls, PhD So the idea that we should only be positive, and lift each other up, is often used to silence critique. Silencing critique, that is, casting light on a real problem, is a very negative thing. As health professionals, we should welcome […]

Continue Reading

Road and the destination – Making the patient choose the treatment

The main problem I have with (making the clients choose the treatment) is this: What we do with our clients or patient should have plausible scientific reasoning and some supporting evidence. We should stand clear of modalities with no plausible scientific rationale and evidence that speaks against the modality. As stated by Ingram et al.: […]

Continue Reading

Don’t be a therapist prostitute – 8 reasons why this is wrong

As Adam Meakins has stated, “Just doing what ever a patient wants is prostituting yourself!”. A typical argument for letting the patient choose the choice of treatment is this: “I agree we should advocate for patient education on EBP but that comes at what cost? We’ll never know. Some patients may not return.”

 Often there […]

Continue Reading

The Lived Experience of Pain: Keith Meldrum

Joletta Belton (left) and Keith Meldrum (right) during the 2020 San Diego Pain Summit. Photo by photojournalist Nicolás Ng

 Foreword to the new miniseries (by Lars Avemarie) I started the “Pain Expert series” back in 2014. The series has had entries with some of the most esteemed academics and researchers in the pain field, like […]

Continue Reading

Physiotherapy (1894-2020)

A once-proud profession that lost its way and uncritical accepted too many fads, pseudoscientific interventions, low-quality treatments, passive modalities, and alternative treatments, based upon only a scrap of evidence.  “I have tried physiotherapy, and it did not help me!” This is a typical comment from many people living with pain; they have been to 2-3 […]

Continue Reading

The Lived Experience of Pain: Trevor Barker





Trevor Barker (left) and David Butler (right) during the 2019 Pain Revolution Tour in Australia.   Foreword to the new miniseries by Lars Avemarie I started the “Pain Expert series” back in 2014. The series has had entries with some of the most esteemed academics and researchers in the pain field, like Moseley, Louw, O’Sullivan, Marchand, […]

Continue Reading

An open letter to my follow physiotherapists and healthcare providers

“Digital misinformation has become so pervasive in online social media that it has been listed by the WEF as one of the main threats to human society” (1). So the World Economic Forum has stated that misinformation that is being shared on social networks like Facebook; is a threat to our society. In the Musculoskeletal […]

Continue Reading

The case against the use of clinical experience (for finding causal relationships)

Now, let me preface the title by saying that clinical experience and personal experiences have great value, and can teach us a lot of things. One great thing we can use our experiences to is to form a new testable hypothesis, that research then has to confirm before we integrate them into clinical practice. But, […]

Continue Reading