Lumbar discectomies for radicular symptoms are quite prevalent in the United States. Despite this, one out of every four individuals undergoing these procedures continues to have persistent pain and disability (1,2). A recent article published in Spine may change the way we approach pre-operative education and may improve post-op costs.
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Joseph Brence DPT, COMT, DAC is a physical therapist and clinical researcher from Pittsburgh, PA, USA. He is also a fellowship candidate with Sports Medicine of Atlanta, GA, USA.
Joseph’s primary clinical interests involve a better understanding of the neuromatrix and determining how it applies to physical therapy practice. He is currently involved in a wide range of clinical research projects investigating topics such as the effects of verbalising pain, the effects of mobilising v. manipulating the spine on body image perception and validation of an instrument which will assess medical practitioners’ understanding of pain.
Clinically, Joseph treats a wide range of painful conditions in multiple settings including complex regional pain syndrome, fibromyalgia and chronic fatigue syndrome. Joseph also runs the Forward Thinking PT blog.
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