My main focus since starting this journey of discovery has been on connecting the dots to explain what I have never been able to explain before in my medical career. As such I have been focussed on my own personal research and then communicating my findings in a metaphorical, real-world, and hopefully persuasive manner.
Hence my blogs on another part of this website.
However, in 2016 I was privileged to be asked to be involved as a leading author in an academic publication related to this material. This is my first official academic piece and I found the experience interesting, challenging and very rewarding. I hope to continue to make an academic contribution in addition to my general communications on these topics in the pursuit of much needed change at many levels.
I was fortunate to be involved with a group of co-authors* who I greatly respect and hopefully what we have produced will have multilevel impact.
It is directed specifically towards the care of patients with injuries and pain in a compensation context, but there is relevance and many parallels to the same problem in other contexts. The injuries are comparable and the neurobiological mechanisms of pain are identical; only the psychosociological contexts and the impact of placebo / nocebo effects are different.
And that is precisely my main point, which I will again revert to using a non-academic metaphor to illustrate. In terms of the overall outcomes of musculoskeletal associated pain conditions, 'CONTEXT' defeats 'PATHOLOGY' in the first 10 seconds of the first round of the title bout, and keeps pounding it for a long time despite the referee's attempts to intervene. How this can happen is well explained by the neuroscience which is included in this, my first official academic article.
The citation is as follows:
Article: Management of musculoskeletal pain in a compensable environment: Implementation of helpful and unhelpful Models of Care in supporting recovery and return to work.
*Darren Beales, Kal Fried, Michael Nicholas, Fiona Blyth, Damien Finniss, G. Lorimer Moseley.
Corresponding author: Dr. Kal Fried
Journal: Best Practice & Research Clinical Rheumatology.
Volume 30, Issue 3, June 2016, Pages 445–467