# data[].attributes.body
reduce cognitive threat
plan for graduated return to meaningful actvities
Mobilisation with movement
start small exercises/movements that are seen as safe

# data[].attributes.headline
1. Educate that pain is not equivalent to harm on back

# data[].attributes.subject
1. Educate that pain is not equivalent to harm on back

# data[].attributes.body
2. retrain normal movements
3. pain management strategies

# data[].attributes.headline
Address persistent pain and reassure patient 

# data[].attributes.subject
Address persistent pain and reassure patient 

# data[].attributes.body
1)Patient education
2) motor control exercises
3) return to sports

# data[].attributes.body
1. Address patients concerns and misundertanading

2. Nerve glide
3. Motor control exercises

# data[].attributes.headline
1. Chronic pain education about healing time frames and NS sensitivity 

# data[].attributes.subject
1. Chronic pain education about healing time frames and NS sensitivity 

# data[].attributes.body
2.  exercise to increase confidence to move
3. return to meaningful exercise

# data[].attributes.body
or
graded exercises within pain limits

# data[].attributes.headline
Initiate graduated return to movement deemed challenging 

# data[].attributes.subject
Initiate graduated return to movement deemed challenging 

# data[].attributes.body
tell her that what her GP said is wrong as
Level of pain =/= more damage; talk to her about the sensitivity of the nervous system [Neuromatrix]

# data[].attributes.body
1. - talk about MRI findings
- talk about pain
- encourage self-management with moving
2. Exercise
- knees - chest, knees side-side
- LP dissociation w/ mirror

# data[].attributes.headline
1. education, improving unhelpful beliefs

# data[].attributes.subject
1. education, improving unhelpful beliefs

# data[].attributes.body
2. Increase movement confidence

3. improve awareness of neutral spine

# data[].attributes.body
1. Disc bulge is prevalent in healthy populations.
2. Modify working environment - standing stations with high seats? So she can alternate between short periods of standing and sitting.
3. MCE.

# data[].attributes.body
2. motor control exercise (repetitive forward leans)
3. pelvic tilt exercises

# data[].attributes.headline
1. addressing patient concerns, understanding about condition etc (reassurance!)

# data[].attributes.subject
1. addressing patient concerns, understanding about condition etc (reassurance!)

# data[].attributes.body
2. pain self management: repeated movements, nerve glides etc
3. activity modifications at work/home

# data[].attributes.headline
1. Explain nervous system sensitivity and central sensitisation to address patient's pain concerns

# data[].attributes.subject
1. Explain nervous system sensitivity and central sensitisation to address patient's pain concerns

# data[].attributes.body
2. educate regular postural changes and transitioning between sitting/standing
3. Exercises

# data[].attributes.body
1.education/advice
2.fear avoidance behaviours
3.pelvic control exercises
4.

# data[].attributes.body
1. Advice and education- encourage exercise and address fear avoidant behaviour;
2. prescribe suitable exercise (patient must enjoy and comply)
3. return to work or stay at work (good prognosis for returning back to work ASAP or staying at work for ASAP) and activity modification

# data[].attributes.body
1. Advice and education- the spine is a really stable structure!
2. Passive ROM- reduce fear avoidance
3. Motor Control- 4pt kneel sit to heels

# data[].attributes.body
1. Address harmful beliefs and pain education
2. Encourage her to move her back
3. Motor control training and exercises

# data[].attributes.body
1. correct unhelpful beliefs and explain the complexity of nervous system and pain
2. encourage exercise, start with what patient is confident and gradually progress
3. give reassurance that our lumbar is stable and adaptable

# data[].attributes.body
- get them to move back
- LP dissociation
- graded exercise program

# data[].attributes.headline
1. Understanding/knowledge of spine - GP and MRI

# data[].attributes.subject
1. Understanding/knowledge of spine - GP and MRI

# data[].attributes.body
2. Educating about sensitivity of NS
3. Graded exposure to Ex

# data[].attributes.headline
1. Education on MRI findings and what they mean --> normal 

# data[].attributes.subject
1. Education on MRI findings and what they mean --> normal 

# data[].attributes.body
2. Increase confidence going into flexion --> reassure her she will not get hurt further

3.

# data[].attributes.body
2. Change Fear Avoidant beliefs

# data[].attributes.body
1-  A&E =  initial injury healed. Explain chronic pain

2- Teach patient 4pt kneel  motor control and possible progression

3- SLider with progression to possible tensioner.

# data[].attributes.body
1. Education
2. Reassurance
3. Short term goals (reduce fear of movement)

# data[].attributes.body
1. Debunking myths, consider what they want to find out, who have they seen about it in the past
2. Ask if work is supportive, have they had time off? Show them statistics about people who don't return ASAP
3. Work together and listen to find easing strategies, breathing, exercises etc.

# data[].attributes.body
1. education - disc bulge isn't necessarily the source of pain

# data[].attributes.body
1. nerve gliding
2. addressing patient concerns/ what patient understands is wrong with her back
3. Begin gentle exercise program in directional preference
4. Encouraged lumbo-pelvic dissociation while sitting/ changing position every 10 minutes

# data[].attributes.body
1. Address any catastrophizing thoughts or misunderstanding
2. Pain management - heat, icing, soft tissue techniques
3. motor control exercises - lumbopelvic dissociation, finding neutral spine,

# data[].attributes.headline
1. educate her on condition, why shes feeling persistent pain, and what she's been told in the past may actually be contributing to her symptoms (e.g. constantly bracing and avoiding movement)

# data[].attributes.subject
1. educate her on condition, why shes feeling persistent pain, and what she's been told in the past may actually be contributing to her symptoms (e.g. constantly bracing and avoiding movement)

# data[].attributes.body
2. sliders to reduce mechanosensitivity

3. encourage her to start exercising and moving again, asking her what sort of activities she enjoys doing/graded exercise

4. deep breathing to help decrease bracing?

# data[].attributes.body
1. advice and education: explain how the nervous system works, disc bulge is very common and doesn't always correlate to symptoms; good prognosis for her condition
2. pain management exercises: cat cow and knee side to side exercises
3. graded re-exposure to functional tasks. Flare ups are normal and ok

# data[].attributes.headline
FOR EXAMPLE (if it was acute low back pain) 

# data[].attributes.subject
FOR EXAMPLE (if it was acute low back pain) 

# data[].attributes.body
1. Address the patients concerns and provide infomation about the condition and prognosis
2. Develop a plan for early return to work
3. Find strategies to reduce acute symptoms including exercise and manual therapy