Clinical Reasoning

Clinical Reasoning in the Management of LBP – A Personal Exploration

I have an interest in clinical reasoning and attended a workshop run by Peter O’Sullivan; it sparked ideas on how multiple classification systems could be used simultaneously to, perhaps, gain further insight into a patient’s complaint. I must declare that Peter and his team have had a huge influence on how I practice and I would like to acknowledge and thank them in this blog. In fact, the clinical reasoning tool I use is based on the cognitive functional therapy approach following the workshop that I attended in 2012. We recognise that lifestyle, physical, psychosocial factors, pain mechanisms and their manifestations as well as beliefs, thoughts and feelings affect the therapeutic encounter. However, how can we bring this together? (more…)