Noigroup

How a clinician comes across in a clinical interaction may have biological consequences.

A 2017 Stanford study (Howe, Goyer and Crum) tested this directly. Participants were pricked with histamine to trigger an allergic skin reaction, then had an inert cream applied.

Some were told the cream would calm the reaction, others that it would worsen it. The clinician applying the cream was either warm and competent, or cold and unsure.

When the clinician was cold and unsure, what people were told about the cream made no measurable difference to the wheal that formed. When the clinician was warm and competent, those told the cream would calm the reaction had a noticeably smaller wheal.

Findings like these are a nice way into a bigger idea: how we show up with patients can be part of what their bodies are responding to, not just a backdrop to the treatment itself.

What does this bring up for you? 👇

Chilli feels hot. Mint feels cool. But neither one changes your body temperature.

The capsaicin in chilli opens TRPV1, the same ionotropic channel that opens when your skin actually gets hot. The menthol in mint opens TRPM8, the channel that opens when your skin is genuinely cool.

When these channels open, positively charged ions flow across the cell membrane, which can depolarise the neuron enough to fire an action potential, the electrical signal sent along the nerve.

So the input heading towards the dorsal horn and brain looks much like the input from real heat or cool, even though nothing thermal has happened.

Appreciating the physiology behind sensations like these is a nice way into a bigger idea: our experiences are shaped by a complex array of factors, not a direct readout of what's happening in the tissue.

What other examples do you find useful for thinking about this? 👇

What can we learn from nature-based prescription?

David Butler talks nature based activity.

How might we use nature as part of recovery? What benefits does a nature-based prescription provide? And what does it teach us about process driven interactions? All this and plenty more in the Noigroup TableTalks Interview with David Butler. 🎙️

👉 Check out the excerpt here: http://bit.ly/4duEiis

"Bone on bone. It's inevitable. You'll need surgery."
That's a sentence a lot of people have heard and believed.
But what if the science is pointing somewhere more hopeful?
Have you or someone you know been told there were no other options? What happened next? Let us know.

EP3… live streamed?!

Who would’ve thought that one conversation at EP3 changed my future… What could it do for you, your clinical encounters, and for the outcomes of the people you work with?

Click below to be at EP3 in Manchester… from anywhere in the world!

https://courses.noigroup.com/offers/8xq7EyWD/checkout

How do we bridge evidence and expectations?

Brendan Mouatt talks treatment expectations.

How might expectations be a barrier to evidence based practice? How might the notion of treatment differ? Can expectations be malleable? Does satisfaction with treatment lead to better outcomes? And how do we better shift expectations towards elements that we know lead to better outcomes?

All this and plenty more in the Noigroup TableTalks Interview with David Butler. 🎙️

👉 Check out the excerpt here: http://bit.ly/4duEiis

Education isn't just talking to someone.

David Butler talks misconceptions and education.

What are the different types of misconceptions? How can education vary? What tools can we use? And how do we make knowledge truly someone's own?

All this and plenty more in the Noigroup TableTalks Interview with David Butler 🎙️

👉 Check out the excerpt here: http://bit.ly/4duEiis

Lorimer Moseley and Dave Butler bring up a very timely reflection.
What’s your opinion on this? Let us know in the comments.