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The father of Osteopathy in the Cranial Field: Sutherland or Swedenborg?

William G. Sutherland’s cranial osteopathic concepts are arguably the most cherished and guarded ideas within osteopathy. No other topic engenders the degree of debate, controversy, defense or criticism that a discussion of Osteopathy in the Cranial Field (OCF) will invariably spark. In fact, a recent study published by myself and three French colleagues resulted in [...]

Placebo analgesia is augmented following prior observation of successful treatment

It has long been known that psychosocial factors play a crucial role in placebo responses. According to Colloca and Benedetti, no attempt has been made to understand if social observation shapes the placebo analgesic effect. To address this question, they compared placebo analgesia induced through social observation (Group 1) with first-hand experience via a typical [...]

Reassurance: Help or hinder in the treatment of pain

Reassurance is a frequently recommended intervention for pain and is included in many national practice guidelines for musculoskeletal pain management. Reassurance is usually recommended on the basis of an implicit conceptualisation model that assumes that information presented to patients effectively corrects mistaken beliefs, which reduces fears based on those beliefs, which, in turn, leads to [...]

Diagnosing myofascial trigger points: A critical review of the evidence and clinical implications.

Myofascial trigger points (MTPs) are routinely diagnosed and treated by clinicians in many musculoskeletal health disciplines. MTPs have been associated with numerous clinical conditions and prevalence studies claim that they may account for 30-85% of patients complaining of regional muscular pain.1 Despite the widespread acceptance of MTPs as an important clinical entity the diagnosis of [...]