Tim Beames BSc MSc lives in London where he works as a physiotherapist in private practice as co-founder of Pain and Performance providing treatment for people with persistent and complex pain problems, support and guidance for clinicians dealing with complex pain patients and delivering bespoke courses for departments and organisations on pain related topics. These diverse interests were fostered at King’s College London studying his Masters in Pain: Science & Society with Dr Mick Thacker.
He is the principal instructor for NOI UK and teaches the Mobilisation of the Nervous System, Neurodynamics and the Neuromatrix, Explain Pain and Graded Motor Imagery courses throughout the UK, Europe and Australia. He is co-author of the Graded Motor Imagery Handbook (2012) alongside Lorimer Moseley, David Butler and Tom Giles and has contributed the chapter on neck pain alongside Robin Blake in Maitland’s Vertebral Manipulation (2013).
Previously Tim has worked as a specialist physiotherapist and orthopaedic physiotherapy practitioner in the NHS, lectured at Kings College London, University College London and Sheffield Hallam University and set up and managed several successful pain management programmes. He has a particular interest in bodily perception and pain’s effect on it.
Tim is the commissioning editor for the Pain and Brain channel under the Physical Therapy category.
We are all experts in how our own body feels but how does this come about and what happens to this when we're in pain? As a clinician you use specific assessment techniques to understand and validate your patient's pain experience. Are these always appropriate or subtle enough?
This article introduces three bedside tests that explore bodily perception: left/right judgement tasks, two-point discrimination, and localisation of touch. These tests help to identify those patients at risk of their pain persisting and where rehabilitation may be failing. Having a better understanding of what helps construct our body perception and how this can change in pain, helps guide the rehabilitation process. This article includes a certificated elearning assessment, videos and a powerpoint presentation.