The internet presents much health information that is available to anyone with easy access. It has become the primary source for patients and families to find information about their clinical condition including symptoms, preventive methods and treatment options [1].
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Chronic musculoskeletal pain is one of the most common chronic pain conditions and can be described as pain arising from muscles, tendons, joints and ligaments, which has been present for at least three months [1, 2]. Chronic spinal pain (CSP) is the most frequent form of chronic musculoskeletal pain and is situated in the cervical, thoracic or lumbar region [3-8].
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Distinguishing normal from abnormal when interpreting brain scans can be challenging, especially as a novice. One of the patterns you might notice is that certain brains have enlarged perivascular spaces. These spaces, also referred to as “Virchow-Robin” spaces, are generally considered normal.
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Pain is one of the most disabling and occurring symptoms in cancer survivors (1). About 5-10% of people surviving cancer develop chronic severe pain, which is up to 40% in the early post-treatment period of cancer (2). Up to now, pain medication is still the recommended standard treatment for cancer-related pain (3).
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Following new approaches to chronic pain management, mechanism-based therapy is considered more effective than diagnosis-based treatment (Levin, 2004, Nijs et al., 2019a). Pain phenotyping is a challenging issue that seems to contribute to the provision of individualized rehabilitation and patient-centered care (Nijs et al., 2021).
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A human being can be considered as an open, living adaptive system that aims to adapt to the environment and survival. Like every system, it includes nested subsystems, that function as component parts. A system is defined by a set of components constituting a whole within which each component interacts with or is related to at least one other component. All these components serve a common objective. Some (sub)systems of the human body are the nervous, endocrine, and immune system, and they function interdependently. In the following, I will explain how these systems work, in what way these specific systems function interdependently, and why this is different for each individual.
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In just two years, COVID-19 has broadly impacted and disrupted usual health care, often leading to the postponement of non-urgent health care practices [1]. Despite these and other negative consequences, the pandemic is also responsible for an increase in the use of tele- and eHealth applications. Such applications use the potential of smartphones, computers, and the internet to allow for remote patient treatment and monitoring [2, 3]. Specifically, patient education via e-learning seems to be a cost-effective and easy-to-implement use of such eHealth applications. In fact, studies introducing eHealth applications as a way to further inform and educate patients have already been completed successfully [4-6]. Though eHealth interventions for perioperative education in patients undergoing lumbar surgery are still evolving, early evidence is supportive of such applications [7].
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A new international, multidisciplinary collaborative has been formed with world-leading experts in pain science education, (cancer) pain, and oncological rehabilitation: Pain Education after CANcer.
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Chronic pain is one of the major concerns worldwide. Chronic pain in the elderly can be a challenging situation for clinicians not just for the complexity of chronic pain itself but also for the comorbidities that can be present at this age range.
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Chronic pain is a health problem that is affecting about 20 percent of the European population (Van Hecke, Torrance & Smith, 2013). Considering the cost of chronic pain, we should take into account the public health care expenditure but also costs caused by loss of productivity (Boonen, 2005). According to the ‘NHG standard: pain’ (De Jong et al., 2018) for the pharmacological treatment of pain, the first step is the use of a non-opioid analgesic, including paracetamol, followed by the use of non-steroidal anti-inflammatory drugs (NSAIDs). If this does not work (sufficiently), step two is the prescription of a weak opioid analgesic such as tramadol.
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The word “epigenetics” can be split in “epi” and “genetics” - “epi” means on and “genetics” refers to DNA - so epigenetics refers to molecules that are attached on our DNA. These molecules change the readability of the manual of our body and thus impact all body functions. What is interesting about epigenetics, is that it can be influenced by several factors, for example lifestyle and environmental factors.
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For many children, needle procedures can be a painful and distressing experience. Such negative experiences can further develop into fear of needles (McMurtry et al., 2015) with a possibility of adverse consequences, such as health care avoidance behavior and vaccine hesitancy. Given the current combat with the COVID-19 pandemic and global vaccination campaign, which since recently also includes children, reducing fear of needles is important to consider and manage (Love and Love, 2021).
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Whiplash associated disorders remain the most common injury associated with motor vehicle accidents and a major cause of disability (Ritchie et al, 2013). The consequences for people suffering a whiplash injury can be substantial with an evidential impact on their daily living (Campbell et al, 2018). Still, the exact pathophysiology is not entirely clear.
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Physical activity levels can be assessed by two main types of measures: objective or subjective measures (Prince et al., 2008). Each measure has its own strengths and weaknesses confirming the need for the examination of their psychometric properties (Prince et al., 2008; Hills et al., 2014).
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Chronic pain, chronic primary pain, chronic secondary musculoskeletal pain, chronic postsurgical or posttraumatic pain,… What is the difference between these terms and which one contains knee osteoarthritis pain?
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There is something tempting about numbers and figures. They are ‘clear’, we believe them to be straightforward and helpful in untangling our complex world. In healthcare, both clinical and in research, we love quantitative measures.
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Haemophilia is a genetic disorder which is characterized by recurrent joint bleedings. Consequently, the majority of adult PwH suffer from very painful and invalidating hemophilic arthropathy. Although the complexity of joint pain has been studied in several chronic joint pain conditions, until present only very limited research has been done on joint pain within PwH. As a result, developing effective treatments for chronic pain in PwH has been clearly identified as a priority for research in bleeding disorders.
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It is a challenging time to stay active and to adapt our normal activities due to the COVID-19 pandemic. As working out in group or with a supervisor is not always possible, exercises at home gain popularity. We have never been walking so much as during the past year, as it was one of the only possibilities to have some social contact.
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