📣 In just two weeks I’ll be teaching my two-day, in-person MLR course in lovely South Wales. Handful of tickets remaining 😲

📍 St Joseph Hospital
📅 11th & 12th October

🎥 Listen to the bloke below to find out more 👋

📄 Sign up using the link below

theradicularclinician.com/in-person-co...

Here is a slide from my MLR course. An amalgamation of Spine-Related Leg Problems and its phenotypes along with a comprehensive Differentials list.

Session 2 of our experimental six-part online Mastering Lumbar Radiculopathy course is coming tomorrow.

It’s already shaping up to be something special. Long form can definitely work. 💪

Just 6 days to go until our first ever online Mastering Lumbar Radiculopathy course 😊

Chapters 1 & 2, Terminology and Fibers. Schedule here.

Time to slow things down a little. Consolidate. Looking forward to meeting you all.

A few spots available still 👇👇
www.eventbrite.co.uk/e/mastering-...

I Expect Therefore I Avoid? The Effects of Negative Expectancy Learning on Pain and Pain-Related Avoidance Behavior - PubMed Expectancies and avoidance behavior are key factors influencing pain perception and its maintenance, but few empirical studies have investigated their relationship. Thus, two separate studies with a t...

I think we need to shift from an all-encompassing fear of movement model towards a broader avoidance model, driven by a range of underlying factors.

One of those is risk aversion, the risk of having another awful experience, the expectation of pain itself.

pubmed.ncbi.nlm.nih.gov/40701208/?s=09

No drugs, more sex? And Rock’n Roll: effective non-operative treatments and practical management strategies for older adults with lumbar spinal stenosis - Chiropractic & Manual Therapies Lumbar spinal stenosis is a growing problem among older adults, associated with significant disability and socio-economic burden. Neurogenic claudication is the most common clinical syndrome caused by...

Interesting title.
Brilliant narrative review on lumbar spinal stenosis. 2025
chiromt.biomedcentral.com/articles/10....

The leisure time and occupational physical activity paradox in persistent musculoskeletal pain - Scientific Reports Scientific Reports - The leisure time and occupational physical activity paradox in persistent musculoskeletal pain

The leisure time and occupational physical activity paradox in persistent musculoskeletal pain. 2025.

www.nature.com/articles/s41...

Agreement between high-quality clinical practice guidelines in their treatment recommendations for low back pain: A systematic review Numerous international, national and local clinical practice guidelines (CPGs) for the diagnosis and management of low back pain exist.1 These provide recommendations to guide clinical practice based ...

Agreement between high-quality clinical practice guidelines in their treatment recommendations for low back pain: A systematic review

Open access!! 2025
www.thespinejournalonline.com/article/S152...

One to look out for. Not too far off 🔥
The Oral Steroids In Sciatica (OASIS) Trial is a randomised, placebo controlled, double blind trial investigating oral prednisolone in patients with acute, severe lumbar radicular pain.

👇👇👇
bmjopen.bmj.com/content/10/6...

I've made my one hour foot drop differentials talk free to watch on my bits n bobs page. Link below 🦶🦶

theradicularclinician.com/bits-n-bobs/

Pretty much sums up how musculoskeletal clinicians should view their role in managing patients with painful lumbar radiculopathy.

Even when patients get injections or attend for surgical opinions, this still holds true.

I wonder how much this mindset applies to other MSK conditions 🤔

#LongGame

a man with long hair and a beard is holding a cup of coffee and a bottle of beer . ALT: a man with long hair and a beard is holding a cup of coffee and a bottle of beer .

Poignant comment from the clinic:

"I know my problem isn't life-threatening, but it has been life-changing."

A concept worth savouring before we rush into our explainers.

Just under two weeks to go!
A very Northern two-day course in Teesside, my heartland ✌️
Still a few places remaining.

📍 Strive, James Cook Hospital, Teesside
🗓️ 17th–18th May
🔗https://theradicularclinician.com/in-person-course/

Let’s get busy with those reflex hammers 🔨 💪

NICE Standard for low back pain and sciatica needs urgent revision Low back pain is the leading cause of years lived with disability, imposing an enormous economic burden on society. In the UK, the cost of treating low back pain in general practice alone was estimate...

'Nice' paper highlighting some criticism and recommendations on the 2016 NICE low back pain guidelines.

'Sciatica' is in the title, but there’s no substantial guidance on it - or on LSS, for that matter. Maybe it’s time to take it out and produce separate guidance.

bjsm.bmj.com/content/earl...

Just over 3 weeks to go until my May Mastering Lumbar Radiculopathy fixture in the northeast of England 📅

Only a handful of places left, so if you were planning to join, now’s the time my nervy nerds friends 🤓

A BIG personal update – my Radicular Clinician 2.0 website is now officially live! 😍

Education & Continuing Professional Development for Healthcare Professionals Supporting People with Spine-Related Leg Pain
👇👇👇
www.theradicularclinician.com

Grainy images just weren’t cutting the mustard.
Here’s my 2-day course schedule from the slide deck.

Hips, DCM, PAD, and somatic referred pain assessment and management. And those are just the differentials.

Details for my May 2025 course via the link below:
events.southtees.nhs.uk/events/painf...

Few more recent course illustrations - EIGs, demyelination, the cauda equina, the radicular canal.

Developing a picture show around mechanisms without any real reference has been hell-ish 🥴

My new website is nearly done.
That also means my course schedule has had a lick of paint.

Here it is in all its pink glory. Check it out, and sign up for my may event below 😉
events.southtees.nhs.uk/events/painf...

YouTube video by Disney Tron: Ares | Official Trailer

Wow wow wow wow wow.
Tron Ares trailer is crazy good.
Loved Tron Legacy, not gonna lie.
youtu.be/9KVG_X_7Naw?...

In May Sue. Check the webby. Be lovely to meet you

My first ever 2-day face-to-face Mastering Lumbar Radiculopathy course is now finito. Eeeeek! What a lovely lot — passion, banter, and juicy debate. I was made to feel very welcome. Cheers, Jen.

Flexed some content never seen before. Website’s on the cusp of launching. Loads of food for thought.

The Instruction Manual Collection now has a home in the members' section of my new website (coming soon).

✔️ Organised by category
✔️ Timestamps
✔️ Hyperlinked sections

Exclusive to members who attend my course
🔗 events.southtees.nhs.uk/events/painful…

How useful is it to label pain as 'persistent' as early as >3 months, when it is known to continue for 5, 6, or even 7 months before showing any sign of resolution?

Understanding degenerative cervical myelopathy in musculoskeletal practice Degenerative cervical myelopathy (DCM) is a clinical syndrome characterized by a progressive compression of the spinal cord. DCM often looks like common symptoms of aging or bilateral carpal tunnel...

Understanding degenerative cervical myelopathy in musculoskeletal practice
www.tandfonline.com/doi/full/10....

In September I raised a concern to the Cureas journal regarding a potentially bogus paper.

It has just been retracted.

www.cureus.com/articles/232...

@adamdobson123.bsky.social

MASTERING LUMBAR RADICULOPATHY COURSE

Details in images

Book up now, I've limited the spaces. Scan the QR code on the leaflet or visit events.southtees.nhs.uk/events/painful…

📖 More details: Check out my course page: theradicularclinician.com/in-person-cour���

Spinal interventions for chronic back pain Do negative findings demand action? Despite the common use of spine injections in pain clinics around the world, it has been hard to come up with evidence that strongly supports this practice when ap...

Editorial of already shared SR & practice guideline. Interventional management - blocks, ablations, etc. for chronic low back and low back related leg pain not helpful & a strong recommendation not to perform is made.

Discusses gaps in research, harms & further work....
www.bmj.com/content/388/...

The impact of physical changes to appearance on people with vertebral fragility fracture: a qualitative study. The aim of this study was to explore the experiences of people with Vertebral Fragility Fracture (VFF) due to osteoporosis and the impact of the physical changes resulting from their condition.

The impact of physical changes to appearance on people with vertebral fragility fracture: a qualitative study

www.physiotherapyjournal.com/article/S003...

Commonly used interventional procedures for non-cancer chronic spine pain: a clinical practice guideline
www.bmj.com/content/388/...