Expectation and Pain

I have written previously about the role that expectation plays in clinical practice. Indeed, mastering 'expectation management' is a core part of effective 'doctoring' and can easily make the difference between the success and failure of most forms of treatment, particularly when pain is involved. But there's more to this phenomenon than simply recognising the possibility of placebo analgesia. Recent studies have shown that a patient's expectation of treatment success influences their nociceptive system all the way from the cortex to the brainstem and spinal cord...

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Expectation and Outome

As chiropractors we naturally possess confidence in the effectiveness of a spinal adjustment. Indeed, with an understanding of the neurological underpinnings of our art it is neither surprising nor unjustified that we look for scientific data to support our observations and theories. But as we dig beneath the surface of human physiology we come up against evidence that shows that our clinical successes might have just as much to do with the patient as they do with us.

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