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What is the Natural History of Low Back Pain? It Depends
By: Chad E Cook PT, PhD, FAPTA Definition: The natural history of a disease refers to the progression of a disease in an individual over time, from its onset (pathological or exposure to causal agents) to its resolution. It is generally considered “natural” when no interventions are used that could affect the resolution process [1,2]. […]
Is Myofascial Pain Syndrome a Legitimate Primary Diagnosis?
By: Chad E Cook, Damian Keter, Ken Learman Background: Myofascial Pain Syndrome (MPS) is hypothesized to be both a primary and/or a secondary chronic pain disorder that can refer symptoms to other parts of the body. MPS is relatively common, affecting millions of people worldwide, particularly those who have experienced muscle overuse, trauma, or stress […]
Risk of Bias Measures can be Biased
By: Chad E Cook, Damian Keter, Ken Learman Navigating the Literature: Navigating the ever-growing, healthcare literature can be challenging [1]. The sheer amount of new research, articles, and guidelines published regularly can be overwhelming. The number of biomedical publications has been steadily increasing over the years. As of 2022, there were approximately 3.3 million scientific […]
Why Isn’t Everyone Using Stepped Care for Musculoskeletal Injuries?
By: Chad E. Cook PT, PhD, FAPTA Resource efficiency models Musculoskeletal (MSK) outcomes have shown some concerning trends over the last decade. Conditions like low back pain, neck pain, and joint pain have become more prevalent, contributing to the overall burden of a MSK disorder [1]. According to a report analyzing medical claims data from […]
Three Ways That Recruitment in Randomized Controlled Trials May Not Reflect Real Life
By: Chad Cook, Amy McDevitt, Derek Clewley, Bryan O’Halloran As we wind up a year of recruitment on the SS-MECH trial [1], we are compelled to reflect on our recruitment strategies and study participants. Our study has included four recruitment sites and we’ve enrolled over 110 participants, which is nearly 85% of our targeted sample. […]
