Category: Evidence Based Practice And Research

Consensus statement on Patellofemoral pain: Part 1

Saurab Sharma | June 29, 2016

Patellofemoral pain (PFP) is a common condition of the knee that is characterized by the pain behind and around the patella. It is present in 7 – 28% of population and is slightly more common in women. As different researchers define the condition differently in their research, so do the clinicians. This results in difference […]

Initiative to develop outcome measures in Nepal

Saurab Sharma | April 7, 2016

Outcome measures are really important aspects of any practices in health care system. For example, vital signs are routinely assessed in patients admitted in hospital; e.g., temperature, respiratory rate, pulse rate and blood pressure. These are very important to assess the condition of a patient and now is an established rule. Prognosis of the patient […]

Writing “Discussion section” of an article

Saurab Sharma | March 16, 2016

Discussion generally summarizes the main findings of the current research work and compares and contrasts with the previous work and finally explains the clinical implication of the current work with the limitations the current work had. Discussion section of a scientific paper can be compared with a closing argument during a legal case discussion in […]

Classification of Low Back Pain based on Neuropathic, Nociceptive, or Central Sensitization dominance

Saurab Sharma | February 11, 2016

Low back pain (LBP) is a heterogeneous disorder including patients with dominant nociceptive (e.g., myofascial LBP), neuropathic (e.g., lumbar radiculopathy), and central sensitization pain [1]. Nociceptive pain is defined as “pain arising from actual or threatening damage to non-neural tissue and is due to the activation of nociceptors, or as pain attributable to the activation […]

Hidden contributor of pain in clinical practice – “Catastrophizing”

Saurab Sharma | December 3, 2015

The experience of pain is a complex interplay between psychological, biological, and cultural factors [1]. Individual who experience pain from any surgical procedure or from any injury to the tissue tends to distress or pain. But question arises why the person with same type of injury or surgery tend to have different level of pain […]

How to exercise in different chronic pain conditions?

Anupa Pathak | December 2, 2015

After a very interesting discussion on exercise prescription for chronic low back pain on a previous post on chronic pain, I received an invitation to write a blog on exercises for chronic pain which I accepted to write. For writing this blog, I performed a narrative review of literature and summarized the evidences for three […]

Assessing “function” in clinical practice and research

Saurab Sharma | November 28, 2015

When a patient comes to us, he/ she almost always explains their problems in terms of the functions. For example: “I cannot comb my hair due to pain”, “I cannot walk”, I can’t climb the stairs because of pain” etc. Function is really important to a patient, and so it should be for a physiotherapist […]

Should we worry about “how much it hurts” in Chronic Pain?

Saurab Sharma | November 27, 2015

History of pain management suggests strong value of focusing on pain intensity as the goal of treatment. This is true for cancer pain towards the end of life and probably for acute pain with injury or pathology. However, for pain without obvious pathology or trauma, addressing elimination of pain may not be right goal of […]

Volunteer needed for “Pain Research” in Nepal

Saurab Sharma | November 6, 2015

सौरब शर्मा “दुखाई” सम्बन्धि बिषयको सर्वेक्ष्यणमा इच्छुक छन् | उनिले हालै नेपाली हरु मा दुखाई सम्बन्धि अनुसन्धान गर्न प्रतिष्ठित “International Association for Study of Pain (IASP)” मार्फत प्रोत्साहन पाएका छन् जुन नेपालमा प्रथम पटक हो | यस्तो ऐतिहासिक अनुसन्धान मा सौरबलाई सहयोग गरी हौसला प्रदान गर्नुहोस् | यदि तपाई (१) नेपाली हुनुहुन्छ र नेपली राम्ररी […]

I have subscribed to PEDro “Evidence in my Inbox” – have you?

Saurab Sharma | October 31, 2015

PEDro is physiotherapy Evidence Based Database. To learn how PEDro is useful resource for physiotherapists click here. A brand new feature of PEDro includes “Evidence in your Inbox”. With this feature of PEDro, “The latest clinical practice guidelines, systematic reviews and clinical trials for each area of physiotherapy and for selected topics in physiotherapy can […]