• Thoughts about supplements

    Joint supplements are so widely available and heavily advertised that one would be forgiven for thinking their benefits in managing osteoarthritis are undoubted. But, the evidence available is mixed. The most consistent evidence demonstrates…

  • Supporting physical rehabilitation with behavioural modification

    When managing painful conditions it is important to remain aware of the effects of pain on behaviour and conscious experience. By using pain-relieving medications, physical therapies, and cognitive activities we can reduce the impact…

  • Why does it hurt?

    If pain is so unpleasant, why have we not evolved to live without it?

  • Getting to the point – acupuncture in dogs and cats

    In an earlier post I described how muscle pain can add to, and sometimes drive, the discomfort of osteoarthritis. Acupuncture is one of the tools we can use to address it. It is often…

  • Arthritis: where does it hurt?

    You might think the answer is obvious. The word arthritis comes from the Greek (arthro-, joint, and -itis, inflammation), so surely the pain comes from the joint. In practice it is rarely that simple.…