Thanks for the share! Definitely gets me thinking about how I approach chronic low back pain compared to my knowledge on what the evidence says. I think a lot of times I let my lack of confidence in delivering this message be a reason that I tend to fall back on to a more general approach and explanation rather than dive into pain science education. This definitely is a tricky subject to approach as you don’t want to be just another health care provider in the medical system that is invalidating to the patients experiences, so I feel like it for sure takes some practice in delivering this message in a way that is more likely to be accepted and understood. I think it also points to the importance of the subjective exam to identify beliefs and fear avoidance patterns that need to be addressed.
I like the idea of framing ideas about pain, hypersensitivity, etc. in a more relatable way. I have had a few patients during my internships that fall under the chronic non-specific LBP category and have had varied success in trying to use analogies. One patient in particular that it didn’t work well with just seemed to be unaccepting of any explanation that din’t give her some sort of specific diagnosis of something that was wrong or damaged that she could cling to. Have y’all had any success in breaking through with these patients?