Le Pub Scientifique 11-minute sessions: Recent Episodes

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Bite-sized interviews with the world’s leading pain experts.

11-minute sessions are interviews about all things pain related; the current research, best treatments, new knowledge about specific pain problems and much much more.

Join the community at www.lepubscientifique.com and gain access to videos, live presentations and much more.

Description: Persistent pain doesn't just hurt — it shrinks your world. Less movement, fewer social connections, reduced spontaneity, and a narrowing field of what feels possible. In this episode, Bart van Buchem and Tim Beames explore environmental enrichment as a clinical framework for reopening that world.

Drawing on affordance theory and ecological psychology, they discuss how to reframe exercise as lived experience, why small and consistent wins beat dramatic interventions, and how shifting a patient's state of mind can unlock new possibilities. They share practical approaches including constraint-based learning, playful exploration, and co-constructing enrichment plans rather than prescribing them. The episode closes with key questions clinicians can use to discover what brings their patients joy, curiosity, and energy — and what they've stopped doing that they miss.

A grounded, practical conversation for therapists who want to move beyond protocols and into person-centred care.

🔗 Explore our full session library and premium membership at lepubscientifique.com

What happens when persistent symptoms start calling the shots? In this episode, Bart van Buchem and Tim Beames dig into the concepts of agency and body ownership in persistent pain — how they differ, how they're disrupted, and what clinicians can do about it.

They discuss the clinical reality of patients wanting to disconnect from painful body parts, the role of hypervigilance and suggestibility, and why uncertainty can fuel the cycle. The conversation then moves into practical territory: mirror therapy, graded motor imagery, visual feedback, and how to introduce experiential techniques in a way that feels safe and meaningful. They also touch on the exciting potential of VR and AI in rehabilitation.

A clinically grounded conversation for therapists working with people in long-term pain.

🔗 Explore our full session library and premium membership at lepubscientifique.com

Pain has no objective test — so people depend on language to share what they're experiencing. In this episode, Tim Beames and Bart van Buchem unpack how clinicians can become better listeners, why patient metaphors matter far more than we might think, and how the language therapists use can either bridge or widen the gap between clinician and patient.

They cover the skill of balancing open and directed questioning, how to work with chaotic or contradictory stories, and the difference between descriptive metaphors (sharp, electric), body perception metaphors (my head feels huge), and conceptual metaphors (fighting, war). Bart and Tim also explore the risks of layering on clinician-preferred metaphors and why your go-to explanations probably reflect your treatment bias.

A practical, reflective conversation for therapists who want to sharpen their communication skills.

🔗 Join the Le Pub community and explore our full session library at lepupscientifique.com

In this episode of The Le Pub Scientifique Podcast, Tim Beames and Bart van Buchem tackle a phrase many clinicians fear saying out loud: “I don’t know.”

Working in pain care means working with complexity, variability, and uncertainty — yet clinicians often feel pressure to provide certainty, predictions, and clear answers. In this conversation, Tim and Bart explore why false certainty can quietly erode trust, and how learning to work honestly and skilfully with uncertainty can actually strengthen the therapeutic relationship.

They discuss:

Why uncertainty is inevitable in pain — and not a sign of incompetence
The difference between confidence and certainty
How over-explaining or overselling treatment can backfire
When “I don’t know” builds trust — and when it doesn’t
Reframing patient questions like “What’s wrong with me?” into deeper needs such as safety, support, and direction
How curiosity, exploration, and experience help both clinicians and patients live better with uncertainty

This episode is the first in a series exploring uncertainty, trust, and flexibility in clinical practice — especially relevant for clinicians working with persistent and complex pain.

If you value thoughtful, reflective conversations like this, you can join Le Pub Scientifique:

👉 Free membership — access selected podcasts, discussions, and community content
👉 Premium membership — full access to podcast archives, science sessions, clinical coaching series, and in-depth conversations with leading clinicians and researchers

🔗 Join here: https://www.lepubscientifique.com/

PainPodcast

ClinicalReasoning

PainEducation

LePubScientifique

What happens when we try to apply predictive processing models to fibromyalgia? In this exploratory conversation, Tim Beames and Bart Van Buckem work through the clinical implications of understanding fibromyalgia through the lens of prediction, uncertainty, and sensitivity to difference.

They discuss why unpredictability is so costly in fibromyalgia, why "healthy activity" can backfire, and how systems become sensitized to even tiny changes. The conversation explores concepts like entropy, allostasis, expectation violations, and the challenge of creating difference without creating threat.

Bart brings healthy skepticism throughout, questioning the risks of mechanistic language and whether these models truly help in the clinic. Tim responds by translating theory into practical approaches: micro-variability, building baselines of safety, and pacing at a different timescale.

This is thinking-out-loud science. Two clinicians trying to bridge theoretical models with clinical complexity in fibromyalgia—a condition where traditional approaches often fall short.

Featuring: Tim Beames & Bart Van Buckem
Duration: 39 minutes
Level: All clinicians working with chronic pain

Note: This episode is followed by a refinement piece where Tim reflects on the limitations of this approach.

In this episode of The Pain Podcast, Tim Beames and Bart van Buchem explore a deceptively simple question: can assessment itself be therapeutic?

Drawing on clinical experience from both in-person and online practice, they unpack how physical examinations are never neutral acts. Every question asked, every movement explored, and every test performed can shape expectations, build trust, reduce threat — or sometimes unintentionally increase it.

Rather than viewing assessment as a box-ticking exercise, Tim and Bart discuss assessment as a shared process of sense-making. They explore:

How validation, reassurance, and curiosity can emerge before any treatment begins
The difference between testing and exploring
Why over-testing can sometimes increase uncertainty or fear
How assessments can update internal models and predictions about the body
The role of safety, trust, and co-creation in early clinical encounters

If you enjoy conversations like this and want to go deeper into pain science, clinical reasoning, and real-world practice, you can join Le Pub Scientifique.

👉 Free membership gives you access to selected episodes, discussions, and community content
👉 Premium membership unlocks full podcast archives, science sessions, clinical coaching series, and in-depth discussions with leading clinicians and researchers

🔗 Join here: https://www.lepubscientifique.com/

PainPodcast #ClinicalReasoning #PainEducation

In this episode of The Pain Podcast, Tim Beames and Bart van Buchem take on a big, often buzzword-y topic: neuroplasticity in pain recovery.

Starting from a real patient encounter (“I think this is about my neuroplasticity…”), they explore what this term actually means, where it comes from, and how to use it in a way that supports – rather than scares or blames – people living with persistent pain.

You’ll hear them discuss:

Neuroplasticity as ongoing adaptation and change, not just “brain rewiring”.
The shift from a narrow neuro focus to a broader bioplasticity lens across multiple systems.
The problem with “maladaptive plasticity” and “broken pathways” language – and how it can reinforce a sense of defectiveness.
How difference and context (holidays, relationships, movement, meditation, therapy, altered states) create new embodied experiences that can open the door to change.
The role of salience, reward and emotional tone in determining whether change is large enough – and meaningful enough – to stick.
Why recovery often shows up first as better participation, connection and quality of life, even when pain scores don’t shift dramatically.

Tim and Bart also reflect on popular “rewire your brain” narratives, highlighting where the metaphor can be helpful and where it risks oversimplifying complex science.

This episode is for you if:

You’re a clinician trying to talk about neuroplasticity without slipping into hype or hopelessness.
You work with people whose pain has become the “status quo” and are looking for ways to create safe, meaningful difference.
You live with persistent pain and want a validating, nuanced explanation that doesn’t blame your brain or your beliefs.

Connect with Le Pub Scientifique

🔍 Explore more science sessions, clinical coaching series and resources for clinicians:

https://www.lepubscientifique.com/

✉️ Get in touch about teaching, courses or collaboration:

info@lepubscientifique.com

In this Christmas special, Tim Beames and Bart van Buchem look back at 2025 with Le Pub Scientifique and The Pain Podcast.

This episode is part gratitude, part reflection, and part behind-the-scenes tour of what’s been happening in the Le Pub universe – and how it all connects to real clinical work.

They talk about:

Meeting listeners and members at EPIC in Lyon and in Melbourne, and the sense that there is now a recognisable, values-driven global pain rehab community.
The growth of Le Pub Free Membership (around 350 members) and how it offers access to current assets: podcasts, clinical takeaways, and practical tools.
Highlights from Science Sessions, including:
- Predictive models and mechanisms of pain
- Nociplastic pain
- Immunology, lifestyle and their role in rehab
- The ongoing work of the Pain in Motion group
- A big year for the Clinical Coaching / Confidence Series:
- Irene Wicki on radiculopathy and nerve-related pain
- Bernhard Taxer on headaches, migraine and craniofacial pain
- A roundtable with Bernhard & Laura Rathbone on overlapping symptom profiles
- Sessions with Alison Sim and Ben Boyd on persistent conditions and therapeutic process
- Short-form resources:
- Pain Hacks – Bart’s 90-second practical pieces.
- Tim Translates – short paper reviews with explicit “how I use this in clinic” reflections.
- The FND Motor Masterclass – why functional neurological disorder is becoming more visible in neurology and rehab, and how the masterclass blends psychiatry, neurology and physiotherapy to give clinicians a grounded starting point.
- How recording the podcast itself has become a reflective practice tool for both Tim and Bart, feeding directly into their day-to-day clinical work.

They finish by looking ahead to 2026:

A better-organised platform to make Le Pub’s resources easier to access.
Upcoming Science Sessions on conditions like osteoarthritis.
A continued focus on confidence and competence for clinicians working with people in pain.

If this episode helped you…

Share it with colleagues who care about pain, but might not yet know Le Pub exists.
Consider joining the free membership to access practical takeaways and upcoming sessions.
Let Tim and Bart know what you’d like to see more of in 2026.

🔗 Explore Le Pub Scientifique & join the community:

In this Christmas special, Tim Beames and Bart van Buchem look back at 2025 with Le Pub Scientifique and The Pain Podcast.

This episode is part gratitude, part reflection, and part behind-the-scenes tour of what’s been happening in the Le Pub universe – and how it all connects to real clinical work.

They talk about:

Meeting listeners and members at EPIC in Lyon and in Melbourne, and the sense that there is now a recognisable, values-driven global pain rehab community.
The growth of Le Pub Free Membership (around 350 members) and how it offers access to current assets: podcasts, clinical takeaways, and practical tools.
Highlights from Science Sessions, including:
- Predictive models and mechanisms of pain
- Nociplastic pain
- Immunology, lifestyle and their role in rehab
- The ongoing work of the Pain in Motion group
- A big year for the Clinical Coaching / Confidence Series:
- Irene Wicki on radiculopathy and nerve-related pain
- Bernhard Taxer on headaches, migraine and craniofacial pain
- A roundtable with Bernhard & Laura Rathbone on overlapping symptom profiles
- Sessions with Alison Sim and Ben Boyd on persistent conditions and therapeutic process
- Short-form resources:
- Pain Hacks – Bart’s 90-second practical pieces.
- Tim Translates – short paper reviews with explicit “how I use this in clinic” reflections.
- The FND Motor Masterclass – why functional neurological disorder is becoming more visible in neurology and rehab, and how the masterclass blends psychiatry, neurology and physiotherapy to give clinicians a grounded starting point.
- How recording the podcast itself has become a reflective practice tool for both Tim and Bart, feeding directly into their day-to-day clinical work.

They finish by looking ahead to 2026:

A better-organised platform to make Le Pub’s resources easier to access.
Upcoming Science Sessions on conditions like osteoarthritis.
A continued focus on confidence and competence for clinicians working with people in pain.

If this episode helped you…

Share it with colleagues who care about pain, but might not yet know Le Pub exists.
Consider joining the free membership to access practical takeaways and upcoming sessions.
Let Tim and Bart know what you’d like to see more of in 2026.

🔗 Explore Le Pub Scientifique & join the community: https://www.lepubscientifique.com/
✉️ Get in touch about courses, teaching or collaboration: info@lepubscientifique.com

Pain can steal roles, confidence, and connection. Tim and Bart explore how to spot identity loss and how to guide patients toward a values-led, reconstructed sense of self using language, movement, small wins, and co-created experiments.

Why identity matters: chronic pain often causes biographical disruption—a break in the story of “who I am.”
Neuro/psycho frame: predictive processing and the “model of me”—how ongoing threat can dominate self-inference.
Clinician toolkit:
- Narrative reframing (precision over catastrophising).
- Values clarification (ACT-informed prompts that patients can actually answer).
- Small wins & the Three Gifts practice to re-evidence competence and joy.
- Co-creation & teams to expand the landscape of affordances.
- Vignettes: CRPS-style limb disownership language; makeup/hair example as “new me” exploration.
- Micro-experiments: safe, graded role re-entries across movement, connection, work, and creativity.

Resources Mentioned:

Le Pub Scientifique Free Membership (includes Sleep Clinical Action Plan).
Prior conversations with Lance McCracken, Laura Rathbone, Bronnie Lennox Thompson (in the Le Pub library).

Connect & Subscribe:
Le Pub Scientifique—free membership for clinicians & people living with pain. Share the episode if it helped you or your patients.

chronicpain #identity #ACT #physiotherapy #values #predictiveprocessing #CPPS #CRPS #narrativereframing #rehab

Up to three-quarters of people with persistent pain report sleep problems. Tim and Bart dig into why sleep disruption boosts sensitivity (inflammation, circadian shifts, cortical filtering) and how targeted, realistic strategies can help—far beyond “no screens after 9.” Hear how to triage insomnia type, coach stimulus control and sleep-window tweaks, handle neuropathic night pain (yes, sometimes get up and move), and track progress weekly.

In this episode, Bart and Tim explore one of the most misunderstood terms in pain care: catastrophising. More than just negative thinking, this cognitive-emotional process is deeply rooted in attentional networks, threat prediction, and prior experiences.

We cover:

The neuroscience of why catastrophic thinking increases pain
The trap of premature reassurance or cognitive correction
How to work with rumination, not against it
Clinical tools that validate, reframe, and gently open space for possibility

With references to predictive processing, the Fear-Avoidance Model, and years of lived experience, this is a compassionate, grounded take for clinicians wanting to do better by their patients.

🎧 Bonus: Tim shares a personal story of following Michael Sullivan on stage—and what that taught him about catastrophising on both sides of the clinic!

👉 Listen now and reflect on: What’s one change you could make to your language this week?

In this episode of the Pain Podcast, Tim Beames and Bart Van Buchem tackle one of the most pressing challenges in pain care: how do we define success when pain doesn't go away?

They explore why the traditional pain scale often fails people with chronic conditions, and how clinicians can shift the narrative toward life expansion, not just pain elimination. From functional goals to emotional resilience, discover what meaningful progress really looks like — and why celebrating small wins can be transformative for both patients and therapists.

🎧 Topics include:
– Why pain scales aren’t the full story
– Alternative outcome measures that reflect real-life improvement
– Reframing success: from reducing pain to living well with it
– Building trust, confidence, and connection in long-term pain care

Perfect for clinicians, coaches, and anyone supporting people with persistent pain.

How do we respond when patients want immediate solutions to complex pain problems? In this reflective episode, Tim Beames and Bart Van Buchem explore one of the most common—and most challenging—clinical scenarios: the search for a quick fix.

Expect insights into:

The psychology of urgency and fear in persistent pain
Strategies for building rapport and redirecting unrealistic expectations
Tools and metaphors (like “green vs red glasses”) to reframe pain experiences
Real-life clinical stories that show how to meet patients where they are—without abandoning your professional values

Whether you’re a physio, doctor, or coach, this is essential listening for anyone working in complex care.

🎧 Follow and share if this episode resonates with your practice.

What happens when prescribed exercises don’t land—or even backfire? In this conversation, Bart Van Buchem and Tim Beames explore how rigid prescriptions can often disconnect people from their recovery and how a more collaborative, curious approach can unlock movement confidence.

They discuss:

Why traditional exercise programs often fall short
The role of exploration, variability, and context in pain care
How to co-create meaningful movement that adapts to real life

Expect practical tips, clinical insights, and plenty of humour as Tim and Bart help you reimagine what movement in pain care can really look like.

In this episode of Le Pub Scientifique: The Pain Podcast, Tim Beames and Bart van Buchem unpack one of the most common—and misunderstood—parts of recovery: the pain setback. Together, they explore why flare-ups feel so derailing, how language shapes recovery narratives, and how to support patients when things go off track.

You’ll learn:

Why the word "setback" may be doing more harm than good
How to prepare patients for flare-ups using a proactive “toolbox” approach
How to reframe pain as a protective—not purely negative—experience
Practical ways to build safety, validate struggle, and avoid reinforcing fear or avoidance

This conversation blends science, clinical wisdom, and compassion—ideal for clinicians helping people with persistent pain, flare-ups, or cycles of progress and pause.

🎙️ Subscribe and share to help more clinicians and patients rethink recovery.

What does it really mean to “accept” chronic pain? Is it passive? Defeatist? Or could it be one of the most powerful tools in the pain recovery process?

In this thought-provoking episode of the Le Pub Scientifique Pain Podcast, Tim Beames joins host Bart van Buchem to explore how acceptance—far from meaning surrender—can provide a path toward self-understanding, reduced suffering, and renewed agency.

Drawing on clinical experience, Acceptance and Commitment Therapy (ACT), and lived narratives, Tim and Bart explore:

How acceptance differs from resignation
Why so many people resist the concept
Language and metaphors that resonate in clinical practice
How to support patients in moving from resistance to presence
The coexistence of pain relief strategies and acceptance
Real clinical examples and communication tips

Whether you’re a clinician, researcher, or someone living with persistent pain, this episode offers compassionate insights and practical strategies for reframing pain as something to relate to, not battle.

Referenced resources include:

Lance McCracken’s ACT research
Bronnie Thompson’s work on “Living well with pain”
Le Pub’s Clinical Confidence Series with Laura Rathbone

🎧 Subscribe and follow for more episodes diving deep into pain science, human connection, and evidence-informed care.

🎙️ Hosts: Tim Beames & Bart Van Buchem

What if pain isn’t just about injury—but about how we predict movement? In this episode, Tim Beames and Bart Van Buchem unravel the deep connections between Complex Regional Pain Syndrome (CRPS) and Functional Neurological Disorders (FND), exploring how pain and movement disorders often overlap and what that means for recovery.

🔍 What you'll learn:
✅ Why pain and movement disorders frequently co-exist
✅ The predictive nature of movement—how our brain shapes our motor responses
✅ The debate: Should rehab focus on pushing through pain or finding comfort in movement?
✅ The role of awareness, agency, and flexible treatment strategies in recovery
✅ How insights from FND treatment can improve approaches to CRPS

💡 Bonus Resource: Interested in the research behind this discussion? Check out the 2018 paper by Stoyan Popkirov et al. on the CRPS & FND debate in Neurology. https://doi.org/10.1136/jnnp-2018-318298

🎧 Listen now and explore more pain science discussions at Le Pub Scientifique!

PainScience #CRPS #FND #ChronicPain #MovementDisorders #PainRecovery

💡 What is Functional Neurological Disorder (FND), and how can healthcare professionals improve patient care and treatment outcomes?

In this episode, Bart Van Buchem explores the evolution of FND, from being historically misclassified as hysteria to its recognition as a complex neurological movement disorder. We dive into the latest treatment approaches, physiotherapy strategies, and multidisciplinary care models that are improving recovery outcomes for patients.

🔎 Key Topics Covered:✅ The evolution of FND – From hysteria to neuroscience
✅ The role of physiotherapy in restoring movement & function
✅ Multidisciplinary treatment strategies – What works best?
✅ Why patient acceptance of diagnosis is crucial for long-term recovery

⏳ Timestamps for Easy Navigation:00:00 – Intro
02:15 – The evolution of FND: From hysteria to neuroscience
08:30 – The role of physiotherapy in treatment
15:10 – Multidisciplinary care: What works best?
22:45 – Patient acceptance & long-term recovery strategies

🎧 Listen & Subscribe for More Clinical Insights:

📌 Website & Full Episode Notes: https://www.lepubscientifique.com/

💬 Enjoy this episode? Leave a review! It helps more healthcare professionals discover evidence-based approaches to pain and recovery.

Summary

In this conversation, Tim Beames and Bart Van Buchem explore the themes of unlocking lasting change in pain recovery, emphasizing the importance of self-reflection, journaling, and setting meaningful goals. They discuss how creating conditions for well-being and the role of disruption can facilitate change in patients. The dialogue highlights the need for clinicians to support patients in their journey towards empowerment and recovery, focusing on the significance of noticing positives and building trust in the therapeutic relationship.

Takeaways

Empowering patients is key to pain recovery.
Self-reflection is a crucial skill for change.
Journaling can help notice positive moments.
Setting meaningful goals enhances motivation.
Creating conditions for well-being is essential.
Disruption can facilitate necessary change.
Broader time perspectives can aid reflection.
Finding new hobbies can restore meaning.
Trust is vital in the therapeutic relationship.
Expectations need to be challenged for change.

Topics

pain recovery, behavior change, self-reflection, journaling, meaningful goals, well-being, disruption, therapeutic process, empowerment, chronic pain

Sound Bites

"Creating conditions for well-being"
"Journaling the positives is a skill"
"We need to challenge expectations"

Chapters

00:00 Unlocking Lasting Change in Pain Recovery
06:06 The Power of Self-Reflection
12:17 Journaling and Noticing Positives
20:11 Setting Meaningful Goals
25:20 Creating Conditions for Well-Being
30:43 The Role of Disruption in Change

Useful Links

Le Pub Website: www.lepubscientifique.com

Become a Le Pub member: https://www.lepubscientifique.com/premium-membership

Contact us: info@lepubscientifique.com

Follow us:

Twitter: @lepubscientifiq

Instagram: @lepubscientifique

LinkedIn: @LePubScientifique

Recorded November 2024

Summary

In this episode, Bart Van Buchem and Tim Beames discuss the complexities of nociplastic pain, a relatively new classification of pain that arises from altered nociception without clear evidence of tissue damage. They explore the implications of this classification for clinical practice, the importance of understanding patient perspectives, and the cultural considerations that influence pain terminology. The conversation highlights the challenges of diagnosing nociplastic pain and emphasizes the need for a broader understanding of pain experiences, including psychological factors. They also touch on the upcoming science session featuring Jo Nijs, which aims to further explore these topics.

Takeaways

Nociplastic pain is a significant and ongoing debate.
Understanding pain mechanisms is crucial for effective treatment.
Classification of pain can influence treatment decisions.
Patients often seek acknowledgment for their pain experiences.
Cultural factors play a role in how pain is classified and understood.
Pain experiences are often complex and multifaceted.
A broader perspective on pain is necessary for effective management.
Nociplastic pain challenges traditional pain definitions and classifications.
Psychological factors must be considered in pain management.
Upcoming discussions will provide balanced perspectives on pain classification.

Topics

nociplastic pain, pain classification, chronic pain, pain management, clinical practice, pain terminology, patient perspectives, cultural considerations, pain complexity, treatment implications

Chapters

00:00 Introduction to Nociplastic Pain
05:59 Clinical Implications of Nociplastic Pain
12:05 Patient Perspectives on Pain Terminology
18:00 Complexity of Pain Experiences
23:55 The Future of Pain Management

Recorded November 2024

Useful Links

Le Pub Website: www.lepubscientifique.com

Become a Le Pub member: https://www.lepubscientifique.com/premium-membership

Contact us: info@lepubscientifique.com

Follow us:

Twitter: @lepubscientifiq

Instagram: @lepubscientifique

LinkedIn: @LePubScientifique

Summary

In this episode, Tim Beames and Bart discuss the pervasive issue of misinformation in pain management. They explore how unhelpful messaging affects patients' understanding of their pain and the role clinicians play in addressing these misconceptions. The conversation emphasizes the importance of replacing misinformation with accurate knowledge, navigating uncertainty in patient care, and the need for clinicians to adapt their approaches based on individual patient experiences and beliefs. The episode concludes with reflections on the ongoing journey of learning and growth in clinical practice.

Takeaways

Misinformation can significantly impact patient beliefs about pain.
Patients often filter information based on their experiences.
Clinicians must be aware of the emotional responses of patients.
It's crucial to replace misinformation with accurate knowledge.
Uncertainty in pain management can be challenging for both patients and clinicians.
Listening to patients validates their experiences and builds trust.
Challenging patient beliefs requires sensitivity and care.
The therapeutic process involves navigating complex emotional responses.
Learning and adapting are essential in clinical practice.
Building rapport with patients is key to effective communication.

Topics

pain management, misinformation, patient care, clinician responsibility, chronic pain, therapeutic process, patient education, emotional responses, uncertainty, learning

Sound Bites

"We need to counter misinformation."
"It's about finding the balance."
"We don't have all the answers."

Chapters

00:00 Introduction and Setting the Context
03:13 Encountering Unhelpful Information
10:36 Replacing Unhelpful Information with Alternatives
14:38 Embracing Uncertainty in Pain Management
25:27 Compassion and Open-Mindedness in Countering Misinformation
30:45 Summary and Closing Remarks

Useful Links

Le Pub Website: www.lepubscientifique.com

Become a Le Pub member: https://www.lepubscientifique.com/premium-membership

Contact us: info@lepubscientifique.com

Follow us:

Twitter: @lepubscientifiq

Instagram: @lepubscientifique

LinkedIn: @LePubScientifique

Recorded June 2024

Summary

In this episode of the Pain Podcast, Bart Van Buchem and Tim Beames delve into the complexities of the quick fix mentality in pain management. They explore the implications of relying on immediate solutions versus the importance of long-term strategies for managing persistent pain. The conversation emphasizes the need for a mindset shift towards active participation in treatment, the balance between passive and active therapies, and the significance of building trusting relationships with patients to facilitate their recovery journey.

Takeaways

Quick fix mentality can be harmful in the long run.
Patients often seek immediate relief from pain.
Expectations play a crucial role in pain management.
Active treatments can also serve as quick fixes.
Mindset shifts are essential for long-term recovery.
Empowering patients in self-management is key.
Building trust with patients takes time.
Celebrating small successes can motivate patients.
Educating patients about the nature of pain is important.
Relationships in therapy can lead to fulfilling experiences.

Keywords

pain management, quick fix mentality, chronic pain, active treatment, passive treatment, mindset shift, physiotherapy, patient empowerment, long-term recovery, self-management

Chapters

00:00 Understanding Quick Fix Mentality
10:50 The Balance of Active and Passive Treatments
22:57 Shifting Mindsets for Long-Term Pain Management
32:50 Building Relationships in Pain Recovery

Useful Links

Le Pub Website: www.lepubscientifique.com

Become a Le Pub member: https://www.lepubscientifique.com/premium-membership

Contact us: lepubscientifique@gmail.com

Follow us:

Twitter: @lepubscientifiq

Instagram: @lepubscientifique

LinkedIn: @LePubScientifique

Tim Beames and Bart Van Buchem discuss the myth around posture and pain. They explore the societal belief that bad posture causes pain and how this belief is often ingrained from childhood. They also discuss the influence of social media and marketing on the perception of posture. The conversation highlights the importance of exploring different postures and movements to find what feels comfortable and beneficial for each individual. They emphasise the need for positive language and experiential processes to help people change their posture and alleviate pain. Keywordsposture, pain, myth, bad posture, societal belief, childhood, social media, marketing, exploration, comfort, positive language, experiential processestakeaways* The belief that bad posture causes pain is a societal myth that is often ingrained from childhood. * Social media and marketing can influence the perception of posture and create unrealistic expectations. * Exploring different postures and movements can help individuals find what feels comfortable and beneficial for them. * Using positive language and experiential processes can be more effective in helping people change their posture and alleviate pain.

Sound Bites* "Sitting is the new smoking" * "Your next position is your best position" * "Just touch the back of your seat and see what's happening"

Chapters00:00: Introduction and Common Beliefs about Posture and Pain11:10: Influence of Social Media and Marketing on Posture Perception25:04: Positive Language and Experiential Processes for Posture Change

In this episode, Bart and Tim discuss the importance of taking a break from therapy and how it can benefit patients. They share a story of a patient who experienced positive changes after giving themselves permission to have a break. They explore the concept of embodiment and how being in a different environment can change the way we experience our bodies. They also discuss the therapeutic approach to breaks and the importance of empowering patients to take control of their own recovery. Overall, they emphasise the opportunity for reflection, exploration, and self-care that a break can provide.

Takeaways* Taking a break from therapy can be beneficial for patients, allowing them to reflect, explore, and take control of their own recovery. * Being in a different environment can change the way we experience our bodies and can provide opportunities for growth and self-discovery. * Therapists should empower patients to take breaks and give themselves permission to rest and recharge. * Breaks can be a time for reflection, evaluation, and planning for future self-care and well-being. * The therapeutic approach to breaks should focus on creating a context that reinforces positive experiences and allows for mindful exploration.

Chapters00:00 Introduction and the Topic of the Day02:26 The Importance of Self-Treatments and Productivity Pressure09:44 Exploring Embodiment and the Impact of Different Environments16:18 Creating a Context for Positive Experiences and Mindful Exploration21:54 Empowering Patients to Take Control of Their Recovery23:12 Conclusion and Announcement of the Pain Pub Quiz Useful Links

Le Pub Website: www.lepubscientifique.com

Become a Le Pub member: https://www.lepubscientifique.com/premium-membership

Contact us: lepubscientifique@gmail.com

Follow us:

Twitter: @lepubscientifiq

Instagram: @lepubscientifique

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Tim and Bart dive into the challenge of working under time constraints in both public health systems and private practice. They share strategies for setting boundaries, prioritising patient rapport, and delivering high-quality, individualised care despite limited time. The duo discuss the pros and cons of working within a system versus private practice and emphasise the importance of flexibility and challenging the status quo. Packed with practical advice and relatable anecdotes, this episode will help you conquer the clock and thrive in any clinical situation. Useful Resource A Clinician's Guide to Thriving Under Time Constraints by Le Pub Scientifique & Sandy Hilton. Get your copy now: https://www.lepubscientifique.com/guides Keywordstime constraints, clinical practice, expectations, boundaries, flexibility, individualisation, protocols, efficiency Takeaways* Setting expectations and boundaries is important in managing time constraints in clinical practice. * Flexibility and individualization are key in providing effective treatment within limited time. * Protocols can be helpful for efficiency, but it is important to adapt them to suit each individual. * Doing things well and making the most of the available time is crucial in providing quality care.

Sound Bites* "Setting out expectations and boundaries is really important." * "Therapy starts when the patient leaves the room." * "The ability to adapt protocols to suit each individual is a skill."

Chapters00:00 Introduction and Overview02:22 Whose Problem is Time Constraints?04:18 Time Constraints in Different Contexts06:41 Creating a Treatment Plan09:07 The Challenge of Making a Difference in Limited Time13:29 The Therapy Continues Outside the Room15:23 The Importance of Readiness to Change20:38 Private Practice vs Public Health System23:23 Flexibility and Choice in Private Practice25:45 The Value and Limitations of Protocols28:09 Managing Time Constraints and Asking the Hard Questions30:09 Doing Things Well in Limited Time

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Professor Cormac Ryan delves into the transformative power of the Flippin' Pain campaign, a groundbreaking initiative dedicated to revolutionising the way people think, talk, and treat persistent pain. Through the lens of this public health approach, Cormac explores the critical importance of sharing knowledge, empowering communities, and harnessing the power of lived experiences to bridge the gap between specialists and the vast number of individuals living with persistent pain. Discover the six key messages that lie at the heart of this movement and learn how, by challenging misconceptions and reframing the narrative surrounding persistent pain, Flippin Pain is paving the way for a brighter future where recovery is possible, and no one is left to suffer in silence. Keywordspersistent pain, knowledge, Flipping Pain, public health, generalists, biopsychosocial approach, lived experience, communication, recovery, expectations Takeaways* The Flipping Pain initiative aims to boost knowledge and understanding of persistent pain in society. * Reaching generalists who interact with patients on a daily basis is crucial for disseminating accurate pain-related knowledge. * The campaign focuses on changing the way people think, talk, and treat persistent pain, promoting a biopsychosocial approach. * The lived experience of pain is a vital component of the campaign, providing relevant and powerful perspectives. * Barriers to spreading accurate pain-related knowledge include competing messages and the need to lift expectations and be more optimistic about recovery.

Sound Bites* "Flipping pain is about trying to change understanding on a community level, on a public health level about persistent pain." * "We need to take the best strategies from marketing and for communication and utilize those in our endeavors to try and communicate a better understanding of persistent pain." * "Recovery is possible. That's it, actually how I greet the person coming in."

Chapters00:00Introduction and Overview01:18The Need to Share Accurate Pain-Related Knowledge08:13The Six Key Messages of Flipping Pain18:07Overcoming Barriers to Spreading Accurate Pain-Related Knowledge21:52Lifting Expectations and Being Optimistic About Recovery30:35Conclusion and Call to Action Useful Links

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Tim Beames and Bart discuss the debate surrounding surgery for pain. They explore whether surgery is a panacea or a placebo, and share their thoughts on the topic. They discuss the influence of influential figures like Elon Musk and Tiger Woods, as well as the role of surgery in treating neurological problems. They also touch on the importance of a balanced approach and the need for clinicians to inform patients about the potential risks and benefits of surgery.

Keywords

surgery, pain, panacea, placebo, debate, neurological problems, Elon Musk, Tiger Woods, success, immune system, inflammation, research, bias, placebo surgery

Takeaways

The debate surrounding surgery for pain is complex, with no definitive answer as to whether it is a panacea or a placebo.
Surgery can be effective for treating neurological problems, but its efficacy for pain alone is less clear.
The success of surgery can vary depending on individual circumstances and the underlying cause of the pain.
Clinicians should inform patients about the potential risks and benefits of surgery and help them make an informed decision.
There is a need for more research and high-quality studies on the effectiveness of surgical procedures for pain.

Chapters00:00 Introduction and Recap01:35 Elon Musk's Statement and Initial Thoughts07:11 Surgery for Neurological Problems09:19 The Role of Clinicians in Informing Patients13:12 The Potential Effects of Surgery on the Immune and Inflammatory Systems23:02 The Need for More Research on Placebo Surgery29:36 Summary and Closing Remarks Useful Links

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In this episode, Tim talks to the acclaimed osteopath and PhD candidate, Alison Sim about her research on preventing chronic pain after injury, particularly in the context of compensable care.

Alison discusses the stressful and distressing nature of the compensation claim process, which can significantly impact recovery. Her research reveals an overlap in frustrations experienced by both claimants and clinicians, particularly regarding delays in care and lack of support. Alison's team developed a beneficial 5-session telehealth intervention based on co-design workshops with claimants. Interviews with experienced clinicians highlighted a common pattern of initial feelings of being underskilled, seeking further education, and ultimately developing a sense of mastery in their role. Alison suggests improvements to the compensation system, including early access to high-quality care and streamlining the claims process. Her research emphasises the importance of addressing psychosocial aspects of injury recovery in compensable care settings to foster better outcomes for individuals.

Keywords

chronic pain, compensable care, claims process, early interventions, pain self-management, social support, clinician experience, complexity, uncertainty

Takeaways

The claims process in compensable care can be distressing for both claimants and clinicians, and it is a significant predictor of poor outcomes.
Early interventions that provide information about the claims process, pain self-management strategies, and social support can help improve outcomes for claimants.
Experienced clinicians working in compensable care can find fulfillment and a sense of mastery in managing complexity and uncertainty.
Improving access to high-quality care, enhancing communication skills, and providing support for both claimants and clinicians are essential for better outcomes in compensable care.
Further research and evaluation are needed to assess the impact of interventions and systemic changes in compensable care.

Sound Bites* "I am interested in looking at early interventions to prevent the development of chronic pain following injury and particularly interested in injury in the setting of compensable care." * "The distress of interacting with the processes required to engage with a claim is a big predictor of poor outcomes." * "People didn't understand the claims process and felt overwhelmed by it."

Chapters00:00 - Introduction and Background02:07 - PhD Research on Early Interventions in Compensable Care08:19 - The Distressing Nature of the Claims Process11:16 - Intervention: Providing Information, Self-Management Strategies, and Social Support29:18 - Improving Outcomes in Compensable Care Useful Links

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Tim and Bart dive into the world of pain science and uncover the truth behind common misconceptions in their brand-new podcast series, The Painful Truth. With their signature blend of expertise, humour, and compassion, Tim and Bart tackle the most pervasive ideas surrounding pain care and treatment head-on.

In this inaugural episode, they take on the popular notion that you "can't go wrong getting strong" when it comes to managing chronic pain. But is this advice as straightforward as it seems? Tim and Bart explore the nuances and potential pitfalls of applying this mantra to everyone, shedding light on the importance of personalised approaches to pain management.

They share valuable insights on the complex relationship between strength training and chronic pain, the psychological impact of pain, and the risks of one-size-fits-all exercise prescriptions. You'll come away with a deeper understanding of what it takes to effectively manage chronic pain and why a multifaceted, individualized approach is key.

Whether you're living with chronic pain, supporting a loved one, or simply interested in the latest pain science, this episode is a must-listen. Tune in to The Painful Truth and join Tim and Bart on an enlightening journey towards better understanding pain, strength, and the path to improved well-being.

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Internationally acclaimed educator & specialist pain physiotherapist Mike Stewart (KnowPain Mike) sits down with Tim Beames to explore the intricacies of uncertainty in pain care. In this insightful session, Mike delves into the patient's perspective, likening the experience to being swamped and navigating through a perpetual traffic jam without a clear understanding of the cause.

As they delve deeper, they ponder the necessity of a structural diagnosis and the implications it holds for effective pain management. Additionally, they shed light on the concept of solution-focused care, unravelling its significance in guiding patients towards tangible relief and empowerment amidst uncertainty.

Tune in for an engaging discussion that promises to challenge conventional perspectives and inspire innovative approaches to pain care.

Useful Links

Find out more about Mike Stewart: https://www.knowpain.co.uk/

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Welcome to "Le Pub Scientifique: The Pain Podcast,"

'Every consultation is seen as an opportunity for micro changes, hope, and a shift in perspective. Join our insightful host, Tim Beames, as he takes you on a journey behind the scenes, serving as a fly on the wall during consultations with Dr. Deepak Ravindran.

In this episode, we delve into the world of pain management with Dr. Deepak Ravindran, a seasoned expert with over 20 years of experience dedicated to helping individuals overcome their pain. Dr. Ravindran is a rare gem in the UK's medical landscape, holding triple certification in lifestyle medicine, musculoskeletal medicine, and pain medicine.

As a consultant in pain medicine since 2010 at the Royal Berkshire NHS Foundation Trust, one of the largest district general medical hospitals in the UK, Dr. Ravindran has been at the forefront of cutting-edge pain management. Currently serving as the clinical lead for specialist pain services in West Berkshire since 2015, he brings a wealth of knowledge and a unique perspective to the table.

More about Deepak: https://deepakravindran.co.uk/

More about Le Pub: https://www.lepubscientifique.com/

Fear and Pain: An Inside Look with Professor Jonas Zaman

Discover how fear transforms our experience of pain and movement on this week's episode of the Le Pub Scientifique Pain Podcast. Professor Jonas Zaman joins us to explain his experimental work investigating the intricate relationship between emotions, learning, memory, perception, and pain. We explore how fear affects not just pain, but a wide range of bodily sensations and behaviors.

Professor Zaman provides rare insight into the complex mechanics behind our responses to fear and pain. Learn how emotions and experiences can alter our perceptions, movements, and memories. This compelling discussion illuminates the depths of the mind-body connection and how fear learning impacts our lives.

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Welcome to Le Pub Scientifique's The Pain Podcast! In this episode, our host Tim Beames engages in a compelling conversation with Rajam Roose, the visionary behind The San Diego Pain Summit. As the founder, owner, and organizer of this groundbreaking interdisciplinary event, Rajam brings clinicians, researchers, and individuals with lived experiences of pain together to revolutionize the way we approach pain management.

Join us as we delve into the intricacies of creating and managing a large-scale event solely dedicated to the profound subject of pain. Rajam shares her insights on the unexpected challenges encountered in organizing such an event, as well as the triumphs that arise from uniting diverse voices in the pursuit of transforming the narrative surrounding pain. Don't miss this enlightening exploration of the behind-the-scenes journey of The San Diego Pain Summit, offering a unique perspective on the complexities and successes of fostering change in pain management.

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https://www.sandiegopainsummit.com/speakers

Professor Romy Parker is the director of the Pain Management Unit at the University of Cape Town. She is an active physiotherapist and researcher focusing on the power of context and culture in treating pain.

In this podcast, she shares her experiences on the challenges of pain education and the significance of cultural nuances for effective communication and treatment strategies.

She examines the importance of approaching patients with humility and curiosity, advocates for acknowledging the limitations of one's understanding and encourages a collaborative, team-based approach to unravel the complexities of pain management within diverse populations. Don't miss this enlightening episode on pain, culture, and compassionate healthcare!

Professor Romy Parker

Romy Parker, PhD, is a professor and director of the Pain Management Unit in the Department of Anaesthesia and Perioperative Medicine at the University of Cape Town in South Africa. She is an active researcher, as well as an experienced physiotherapy clinician working in chronic pain management as part of the Chronic Pain Management interdisciplinary team of Groote Schuur Hospital. She leads a team of clinician researchers working in both perioperative pain and chronic pain management. Their aim is to develop, test and implement effective, culturally appropriate and sustainable treatments.

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In this Pain Podcast episode podcast physiotherapist Luke Bongiorno delves deep into the world of sports health, sharing his 25 years of experience working with elite athletes. Luke explores the interconnected web of physical, mental, and emotional aspects of sports injuries, providing valuable insights and practical advice.

Exciting news! Our clinical confidence series with Dr. Ebonie Rio is set to launch soon. Through a series of recorded sessions, she delves deeper into the intricacies of working with athletes dealing with pain and injuries. Stay tuned for invaluable insights!

-> lepubscientifique.com

Pain Podcast by Le Pub Scientifique with Dr Felicity Braithwaite

In this episode, Le Pub Scientifique dives into the fascinating world of pain research with Dr Felicity Braithwaite, a postdoctoral researcher at UniSA in Adelaide, Australia. Felicity's work focuses on placebo control research, particularly using innovative methods like sham dry needling techniques. More recently, she has delved into an Osteoarthritis (OA) trial, bringing a wealth of experience and insights to the discussion.

Dr Braithwaite's research in placebo control is notable for its exploration of unconventional techniques, such as sham dry needling. This method involves simulating the act of needling without actually penetrating the skin. The application of such techniques sheds light on the placebo effect and its impact on pain perception, offering a nuanced understanding of how psychological factors can influence pain experiences.

The podcast delves into Dr. Breathwaite's more recent work on an Osteoarthritis (OA) trial. A key focus is on her approach to co-design research trials with individuals who have a lived experience of pain. Co-design involves actively involving patients in the research process, from shaping the study design to interpreting results. Dr Braithwaite shares her experiences, discussing both the opportunities and challenges that arise when collaborating with those who intimately understand the impact of pain on their lives.

The conversation touches upon the hurdles faced in the professional field when embracing co-design methodologies. Similar to architects involving the public in their work, the pain treatment field can benefit significantly from incorporating the perspectives of those who directly experience pain. Dr Braithwaite reflects on the fear within the professional realm, highlighting the need for a shift in mindset towards recognising the value that patients bring to the research process.

The podcast explores the concept of prioritisation, negative framing, and the potential benefits of asking for the worst solution instead of the best. Dr Braithwaite explains how these approaches can open up a treasure trove of information, providing a more comprehensive understanding of pain experiences and improving the relevance and effectiveness of pain treatment strategies.

As the episode concludes, it becomes clear that Dr Braithwaite's work not only contributes to the scientific understanding of pain but also advocates for a paradigm shift in research methodologies. The co-design approach emerges as a powerful tool for enriching pain research, emphasising the importance of collaboration between researchers and those with lived experiences in shaping the future of pain treatment.

Elevate your clinical skills with the Le Pub Pain Podcast

It's our aim to bring you the latest findings and understanding about all aspects of pain treatment and care. We invite the most respected pain clinicians to share their techniques and skills, and world-leading researchers share their expert knowledge and latest findings. It's our mission to help you to become the expert you want to be whilst prioritising your personal well-being in the clinic.

If you'd like to get in touch with Le Pub here's how:

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Male pelvic health specialist, Karl Monahan talks about the, often misunderstood conditions of Chronic Pelvic Pain Syndrome (CPPS) and Prostatitis. Shedding light on the symptoms and challenges faced by men grappling with these debilitating conditions and drawing from his own personal journey as a chronic pelvic pain sufferer in his mid-20s, Karl brings a unique perspective. Karl shares some of the innovative techniques he has developed over his 20-year career as a clinical therapist and founder of the Pelvic Pain Clinic in London to help men recover from this condition. This podcast serves as a valuable resource for those seeking insights into male pelvic health, offering a compassionate and informed discussion on treatment approaches that go beyond the conventional understanding of these conditions.

Karl Monahan
Karl Monahan, is a male pelvic health specialist, he is the founder of the Pelvic Pain Clinic in London and the online clinic and information hub; Pelvic Pain Matters. With two decades of expertise in clinical therapy, particularly in sports and advanced clinical massage, Karl's journey into pelvic health was sparked by his personal battle with chronic pelvic pain. Starting his career in Men's Health in 2006 at the Prostate Centre in London, he provided holistic care to prostate cancer patients, later expanding his focus to Chronic Pelvic Pain Syndrome (CPPS) and Chronic Prostatitis (CP). Through webinars, podcasts, and articles, Karl strives to enhance understanding and treatment of male pelvic pain globally.

The Pelvic Pain Clinic, London: https://www.thepelvicpainclinic.co.uk/about/

Pelvic Pain matters: https://www.pelvicpainmatters.com/

Elevate your clinical skills with the Le Pub Pain Podcast

It's our aim to bring you the latest findings and understanding about all aspects of pain treatment and care. We invite the most respected pain clinicians to share their techniques and skills, and world-leading researchers share their expert knowledge and latest findings. It's our mission to help you to become the expert you want to be whilst prioritising your personal well-being in the clinic.

If you'd like to get in touch with Le Pub here's how:

Website: www.lepubscientifique.com/

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Tim and Bart eagerly reminisce about the fantastic year of Le Pub Scientifique in 2023, where curiosity, energy, and insights were at the forefront of their science sessions and Podcasts.

The Science Sessions with John Stone on FND (Functional Neurological Disorder) left a lasting impression, as Stone's expertise illuminated the intricate workings of the brain, sparking curiosity and generating insightful discussions among the attendees. The session not only delved into the scientific aspects but also ignited a sense of energy in the room as participants engaged with the fascinating topic.

Saurab Sharma's exploration of cultural aspects of pain added a unique dimension to Le Pub Scientifique. The discussions led by Sharma not only provided insights into the diverse ways pain is perceived across cultures but also fueled a curiosity to understand the complex interplay between cultural influences and the experience of pain.

James Close's session on psychedelics was a highlight, bringing a dynamic energy to Le Pub. The discussions went beyond the scientific aspects of psychedelics, exploring their potential impact on mental and physical health and consciousness. Close's expertise and passion for the subject fueled an energetic atmosphere that resonated with the audience, leaving them with a newfound curiosity about the therapeutic potential of psychedelics.

The podcast recordings were another source of inspiration, capturing the essence of Le Pub Scientifique. These recordings not only disseminated valuable insights to a wider audience but also showcased the lively and energetic discussions that characterized Le Pub's atmosphere throughout the year.

As Tim and Bart reflect on Le Pub Scientifique in 2023, they are proud of the community they've built—a space where curiosity thrives, energy is contagious, and insights are shared freely. The success of the science sessions and podcast recordings has solidified Le Pub Scientifique as a hub for intellectual exchange and a source of inspiration for those seeking to delve into the depths of scientific curiosity.

Exercise and movement specialist Ben Cormack (Cor Kinetic and Better Clinician Project) discusses a variety of pain related topics, including whether you should cause pain during your exercise and tips for someone who is scared to move because of their pain.

Ben Cormack has recorded extensive sessions with Tim Beames on challenges in practice. These sessions will help you to feel confident and competent in treating pain. Check out our website www.lepubscieintifique.com

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lepubscientifique

exercise

exercisepain

pain

movement

Psychologist and senior researcher in the field of low back pain research, Professor James McAuley discusses the historical development of psychological models in pain treatment. In this episode, he highlights that psychology, while essential in pain management, may not be highly successful as a standalone treatment for low back pain. Professor McAuley and his team have been working on new treatment approaches for chronic low back pain, including cognitive functional therapy and pain reprocessing therapy. Their research focuses on improving self-efficacy in patients and utilising techniques like tactile acuity training to enhance sensory perception in the context of pain management.

Kent et al. (2023) https://pubmed.ncbi.nlm.nih.gov/37146623/

Bagg et al. (2022) https://jamanetwork.com/journals/jama/fullarticle/2794765

James McAuley

https://neura.edu.au/researchers/prof-james-mcauley

Professor James McAuley is a psychologist, Professor in the School of Health Sciences, Faculty of Medicine and Health at UNSW and Senior Research Scientist at NeuRA.

A/Professor Melanie Noel discusses the profound connection between early childhood experiences and the way pain is experienced in adulthood.

Melanie Noel, is an Associate Professor of Psychology at the University of Calgary, and she is at the forefront of pain psychology and pediatric pain research. With a wealth of knowledge and expertise, Melanie provides invaluable insights into understanding the intricate relationship between our early life experiences and the pain we encounter later in life.

In this captivating discussion, the episode delves into the concept of "pain memories" and how these memories are moulded by early life events. Melanie and Bart discuss the significance of this concept, highlighting its pivotal role in shaping pain management strategies.

As the conversation unfolds, the episode explores the practical applications of this knowledge. How can healthcare professionals, therapists, and individuals themselves harness this understanding to craft more effective and personalised pain management strategies? Melanie offers illuminating examples where the integration of early-life experiences into pain management has led to profound improvements in patients' lives.

Le Pub Scientifique Pain Podcast offers a platform where science meets compassion and where pain becomes a subject of profound exploration.

Subscribe now to embark on a journey through the intricacies of pain science and to stay connected with the experts who are shaping the field.

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Professor Kamper shares his expertise on how researchers can bridge the gap to assist clinicians in comprehending scientific findings effectively, while also empowering clinicians to interpret and apply the science within their practice adeptly. An engaging conversation that sheds light on the symbiotic relationship between research and clinical application, ultimately improving patient care and outcomes.

Dr Steve Kamper is Professor of Allied Health at the School of Health Sciences and Nepean Blue Mountains Local health District. He has been continuously supported by NHMRC fellowships since 2008, and is currently a NHMRC Emerging Leader Fellow . He has over 190 publications in peer-reviewed journals, has presented his work in >10 countries, and received >$5 million in competitive research funding from Australia, Ireland, Canada, and Norway.

Steve is senior editor of the Journal of Orthopaedic and Sports Physial Therapy, associate editor in the Cochrane Back and Neck Group, Vice-chair of the Executive Orgainsing Committee of the International Back and Neck Pain Forum, and member of the Scientific Advisory Committee of the Australia New Zealand Musculoskeletal Clinicial Trials Network.

Supporting and connecting early career researchers is an important part of Steve's professional life. In 2011 he established the International Collaboration of Early Career Researchers (http://the icecream.org), he has provided input regarding ECR programming at International conferences, conducts mentoring and training, and gives lectures on academic skills such as writing and presenting.

https://pubmed.ncbi.nlm.nih.gov/29852833/Evidence in Practice: A New Series for Clinicians

The series "Evidence in Practice" by Professor Steven Kamper is designed to bridge the gap between research and clinical application. In this series, clinicians can expect to find valuable insights into effectively incorporating scientific evidence into their daily practice. Kamper's work aims to empower clinicians with the knowledge and tools they need to make informed decisions, ultimately enhancing patient care and outcomes. Whether you're a seasoned practitioner or a budding clinician, "Evidence in Practice" offers a practical and informative resource to help you navigate the complexities of evidence-based healthcare.

Dr. Jane Chalmers, a leading expert in pelvic pain, shares her expert knowledge about the multifaceted aspects of pelvic pain, exploring its societal impact, the stigma surrounding it, and the promising research directions that offer hope for those affected by this challenging condition.

Episode Highlights:

Understanding Pelvic Pain: Dr. Chalmers takes us on a journey to comprehend the complexities of pelvic pain, shedding light on its diverse causes and manifestations. Gain valuable insights into the wide-ranging challenges faced by individuals dealing with pelvic pain.
Societal Implications: We explore the broader societal problem of pelvic pain, examining its often-overlooked consequences on individuals, relationships, and society as a whole. Learn how addressing pelvic pain goes beyond the individual, impacting the community at large.
Breaking the Stigma: Dr. Chalmers discusses the pervasive stigma surrounding pelvic pain and how it can hinder proper diagnosis, treatment, and support. Discover strategies for breaking down these barriers and promoting understanding and empathy.
Research Advancements: Dive into the exciting world of pelvic pain research with Dr. Chalmers. Explore the latest developments and innovative approaches that hold promise for improving the lives of those affected by pelvic pain.
Hope for the Future: This episode offers hope and inspiration to individuals dealing with pelvic pain, as well as their healthcare providers and loved ones. Discover how increased awareness, research initiatives, and collaborative efforts are shaping a brighter future for pelvic pain management and care.

Don't miss this eye-opening conversation with Dr. Jane Chalmers as we strive to raise awareness, challenge stigma, and pave the way for a more inclusive and supportive world for those affected by pelvic pain. Tune in to the "Le Pub Pain Podcast" and join the movement to transform the landscape of pelvic pain understanding and treatment.

About Jane

Dr Jane Chalmers (PhD, B.Physio) is a Senior Lecturer in Pain Sciences at the University of South Australia. She is the leader of the pelvic pain theme under the Innovation, Implementation And Clinical Translation in Health (IIMPACT) research concentration at the University of South Australia.

Her research focuses on understanding pelvic pain in both women and men. Her work ranges from basic science through to implementation research and she is particularly interested in the role of pain education and other physiotherapy interventions in recovery from pelvic pain.

Jane has a passion for science dissemination, regularly writing pieces for The Conversation, giving media interviews, and presenting at conferences on the topics of pelvic pain and women's health.

Jane has supervised several Honours, Masters, and PhD students to completion, and is always looking for more HDR students.

Welcome to the captivating world of the Le Pub Scientifique "Pain Podcast," where insightful conversations and groundbreaking research come together to unravel the intricate dimensions of pain. In this episode, we have the privilege of delving into the realm of pain perception, context, and illusion with the esteemed Associate Professor Tasha Stanton, hailing from the esteemed University of South Australia (UniSA) in Adelaide.

Prepare to embark on a journey of intellectual exploration as Assoc. Prof. Stanton shares her profound expertise in pain science and therapy. With a keen focus on research and therapeutic insights, she guides us through the labyrinthine corridors of pain perception, revealing how our minds and bodies interact to create the enigma of pain.

Join us as we navigate through the scientific intricacies and human narratives that define the study of pain. The "Le Pub Pain Podcast" offers a unique opportunity to engage with Assoc. Prof. Stanton's groundbreaking research, exploring the multidimensional landscape of pain from both academic and real-world perspectives. Whether you're a seasoned researcher, a healthcare practitioner, or simply curious about the mysteries of the human experience, this episode promises to leave you with newfound insights and a deeper appreciation for the complexity of pain.

Understanding the Impact of Quest Cognitive Hypnotherapy in Pain Treatment - Sheren Gaulbert in Conversation with Tim Beames

Introduction: In this insightful podcast episode, host Tim Beames engages in a captivating conversation with Sheren Gaulbert, delving into the fascinating realm of Quest Cognitive Hypnotherapy and its pivotal role in pain treatment. Unraveling the mysteries behind language, beliefs, and pattern matches in the context of pain, this discussion offers a fresh perspective on managing and alleviating discomfort.

Key Points:

Quest Cognitive Hypnotherapy: Sheren Gaulbert introduces the concept of Quest Cognitive Hypnotherapy, a potent approach to pain management that combines cognitive therapy and hypnosis. The discussion highlights the empowering aspects of this therapeutic method, which aim to bring about lasting relief.
Language and Pain: Tim and Sheren explore the significant impact of language on pain perception. How the words we use to describe our discomfort can influence our overall experience, and how reframing language can play a vital role in the healing process.
The Role of Beliefs: Sheren Gaulbert sheds light on the powerful connection between beliefs and pain. Unraveling the relationship between one's mindset and the intensity of their pain, the episode discusses how shifting limiting beliefs can open doors to transformative healing.
Pattern Matches in Pain: Delving deeper, the conversation touches upon the intriguing notion of pattern matches in pain experiences. Sheren explains how past experiences and memories can affect the way we perceive pain in the present, and how breaking these patterns can offer relief.

In this thought-provoking episode, Sheren Gaulbert and Tim Beames offer valuable insights into the world of Quest Cognitive Hypnotherapy and its efficacy in pain treatment. Listeners gain a fresh understanding of the interplay between language, beliefs, and pattern matches in shaping our experiences of pain. To learn more and join the Le Pub community, connect through email, Twitter, Instagram, LinkedIn, or Facebook at the provided contact details.

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Welcome back, listeners, to another intriguing episode of Le Pub Scientifique! Today, we have a special guest with us, Dr. Alessandro Chiarotto, an Assistant Professor at Erasmus University Hospital in Rotterdam (NL) and a renowned expert in the field of pain research.

treatment #lowbackpain #Placebo #Regressiontothemean #BIAS #Realtreatmenteffects

Dr. Alessandro Chiarotto is an esteemed Assistant Professor in the field of pain research. With a strong background in physiotherapy and evidence-based practice, Dr. Chiarotto has dedicated his career to understanding and treating chronic pain.

Dr. Chiarotto's recent work has focused on investigating the mechanisms behind chronic pain and developing effective interventions. He has conducted extensive research to identify factors that contribute to the persistence of pain beyond the expected healing time, such as psychosocial factors, central sensitization, and maladaptive pain processing.

In his studies, Dr. Chiarotto has explored the effectiveness of various treatments, including physical therapy, cognitive-behavioral therapy, and interdisciplinary pain management approaches. His research aims to provide clinicians with evidence-based guidance on the most appropriate interventions for different types of chronic pain.

Dr. Chiarotto's work has been published in renowned scientific journals, and he is actively involved in collaborative research projects with multidisciplinary teams. He is passionate about translating research findings into clinical practice and improving the lives of individuals living with chronic pain.

James Close discusses the potential role that psychedelics may play in the future for people suffering with persistent pain. He gives a brief history of the development of psychedelics and how they have been used to help heal. He talks about the mechanisms of action, up regulation of genes associated with plasticity and behavioural influences, that give hope to a pharmacologically-assisted therapeutic approach for people with chronic pain.

James recommended two books as further reading:

How to change your mind, Michael Pollan
Psychedelics, Prof. David Nutt

James Close is a pain specialist physiotherapist and PhD student at Imperial College London where he is exploring the potential for psychedelic-assisted therapy for people in pain.

We explore what pain clinician and educator (and host of this podcast!) Bart thinks about his ongoing educational journey in pain. Including, the deliberate techniques that he employs to facilitate this learning journey

Bart van Buchem has been an integral part of Noigroup since 2012, initially leading the translation and teaching of Explain Pain in the Dutch language – Begrijp de Pijn. Ten years on, Bart is now Director of Noigroup European Operations, and is driving for broader access to courses and publications on the European continent.

A physiotherapist by background, Bart specialises in chronic pain-related conditions through his clinic in The Netherlands Praktijk Noorder Spaarne. This continued clinical contact allows Bart to educate in Explain Pain with a genuine knowledge of applying the principles to practice.

Bart is an integral part of the Le Pub Scientifique team, initially taking live events to the Netherlands and more recently developing this Pain Podcast.

Lorimer's excitement in both work and life stems from a profound interest in the challenge of chronic pain. The more he learns about the workings of pain, including the biological processes involved and the experiences people go through, the more he is captivated by the complexity of this issue. The complexity of pain is awe-inspiring, highlighting the incredible nature of human beings. Recent advancements in pain research have revealed that the degree of complexity is far greater than what was previously believed a decade ago.

Professor Lorimer Moseley is a highly respected and renowned figure in the field of pain science and neuroscience. He has made significant contributions to our understanding of chronic pain and has played a crucial role in challenging traditional beliefs and perceptions surrounding this complex phenomenon.

Lorimer obtained his academic qualifications at the University of South Australia, where he completed his Bachelor's degree in Physiotherapy. He then went on to earn his Ph.D. in the field of neuroscience from the University of Sydney. Throughout his academic journey, Lorimer developed a deep fascination with pain and its intricate mechanisms.

As a leading expert in the field, Lorimer has held prominent positions at various prestigious institutions. He has served as a Professor of Clinical Neurosciences and the Inaugural Chair in Physiotherapy at the University of South Australia. Additionally, he has been involved with the Body in Mind research group, which focuses on advancing our understanding of pain and rehabilitation.

Lorimer's groundbreaking research and innovative approach to pain science have garnered widespread recognition. He has published numerous influential papers in scientific journals and has authored and co-authored several books that have become authoritative resources in the field. Through his work, Lorimer challenges conventional theories and encourages a more comprehensive understanding of pain as a complex biopsychosocial phenomenon.

Beyond his academic achievements, Lorimer is known for his engaging and passionate teaching style. He frequently presents at international conferences, delivers captivating TED talks, and provides educational workshops to healthcare professionals. His ability to translate complex scientific concepts into accessible language has made him a sought-after speaker and educator.

chronicpain #lorimermoseley #complexity

Specialist sports physician and researcher Dr Adam Weir's shares his expert knowledge on diagnosing and treating groin and related pain in adults and adolescents. While current guidelines do not distinguish between children and adolescents in the diagnosis and treatment of such pain, Adam believes that a unique approach is necessary for managing this common pathology. For instance, just like Osgood Schlatter, the os pubis is only fully developed in late adolescence, emphasizing the need for a distinct approach. Adam discusses the importance of adopting a more diverse and innovative approach to this issue. Pain science, in particular, has been shown to be a paradigm shift for physicians.

Dr Adam Weir is a Sports Physician working as a lecturer and researcher at Erasmus MC Rotterdam. His focus has been on groin and hip-related injuries and pain.

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Roland Reezigt discusses the existing discrepancy between what is taught to physiotherapy students at university and the actual skills and knowledge needed in the field. To address this issue, Roland and Anneke Beetsma launched a Delphi study with the aim of identifying, through consensus, the essential pain-related topics that should be included in the undergraduate physical therapy curriculum. This groundbreaking study has united all universities in an effort to shape the curriculum and equip future physiotherapists with the appropriate skill set and knowledge. As a result, a new project has emerged, marking an exciting step towards improving the quality of physiotherapy education.

Roland Reezigt is a PhD Candidate, Faculty of Behavioural and Movement Sciences, Neuromechanics at Vrije Universiteit Amsterdam, a Physiotherapist and Manual therapist and a Lecturer at Hanze Hogeschool University of Applied Sciences.

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Bernhard Taxer discusses all things relating to migraine, including how we screen and assess people with migraine and the best treatment options available. Specifically, Bernhard introduces the notion of migraine as a neuroscience-limbic disease, the different emotional and psychosocial aspects affecting migraine, where lifestyle fits into the development and treatment of migraine. He also talks about bodily disruption and applying somatosensory and left/right judgement testing to understand this disruption.

Bernhard is a Physiotherapist, with a background in manual therapy. He has a special interest CP, headache and neuropathic pain. Currently is a Lecturer at FH JOANNEUM Graz University of Applied Sciences. He also works in the clinic as a physiotherapist.

migraine #Somatosensorytesting #bodily disruption #laterality #QST

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Join Dr. Ebonie Rio, a renowned tendon pain specialist, in this engaging podcast as she shares her insights on how she integrates her extensive knowledge of tendon pain and her cutting-edge research into her clinical work. With a refreshing honesty, she encourages listeners to think outside the box and embrace the best of science to provide contemporary solutions for people suffering from tendon pain. You will gain valuable insights into the latest advances in tendon pain treatment and learn how to apply this knowledge to your clinical practice.

Dr. Ebonie Rio

Ebonie is a post doc researcher at La Trobe University and has completed her PhD in tendon pain, Masters Sports Phys, B. Phys (Hons) and B. App Sci. Her clinical career has included Australian Institute of Sport, Australian Ballet Company, Australian Ballet School, Melbourne Heart Football Club, Alphington Sports Medicine Centre, Victorian Institute of Sport, 2006 Commonwealth Games, 2010 Vancouver Winter Olympics, 2010 Singapore Youth Olympics, 2012 London Paralympics.

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Psychologist Dr Lauren Heathcote shares her expert knowledge about applying a BPS model to cancer pain and the new treatment opportunities this presents. What does this mean in clinical practice? How does this help to deal with the uncertainty around cancer? What are psychologically wise interventions? What are the challenges?

This is what excites Lauren the most about her work:

Bringing the BPS model approaches and thinking into the medical world, especially in common diagnoses like cancer and chronic infectious diseases.
Developing strategies and treatments for these patients that embed the BPS model within the existing medical model.

Dr. Lauren Heathcote is an Associate Professor of Health Psychology at King’s College London. Her research focuses on understanding psychosocial influences on the experience of pain in young people, particularly youth with chronic illnesses such as cancer and chronic pain.

A/Prof Nathan Hutting discusses his research and asks pertinent questions around the right skillset for clinicians working in occupational health and with work-related (pain) problems. Also, should the responsibility for these complaints be taken by the employee, the employers or a mixture of the two?

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Tim Beames is the co-founder of Le Pub Scientifique and also co-author of the Graded Motor Imagery (GMI) Handbook alongside Lorimer Moseley and David Butler. Tim talks about what GMI is, how this has changed over the years, what attributes a clinician needs to use GMI with a patient and where research is taking us in the evolution of GMI.

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Leanne Rath discusses how she uses philosophy and phenomeonology to inform her clinical practice, in particular how to use complex models for the treatment of people in pain. Her work in elite sport and with high performance athletes drove her to explore newer models of thinking because, despite apparent injury there was often so much more to that injured or in pain athlete. In other words, viewing injury through a broader lens. Leanne discusses complexity and systems theories and how these can be utilised in her thinking behind the injured athlete and how to implement rehabilitation strategies.

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Professor Jo Nijs discusses how lifestyle factors can influence a persons epigenetic and what this means to pain and the expression of pain for someone. Also, how each individual is affected differently by these lifestyle factors, including those predisposed to develop persistent pain problems.

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Professor Jon Stone discusses the features of Functional Neurological Disorder that help with a current understanding of the mechanisms associated with Complex Regional Pain Syndrome. Including, the onset of the conditions, how they can best be diagnosed and most appropriate treatment approaches

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Dr. Albere Koke shares his expert knowledge of multidisciplinary pain management programmes and their settings and how a biopsychosocial approach to understanding pain can be incorporated into them. Also, how access should be improved and speeded up for many individuals.

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Lissanthea Taylor discusses the role of narrative medicine in pain. She tells us what narrative medicine is and how we should welcome more involvement of the humanities into our understand of a personalised experience of pain

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In this special edition, we discuss some of the past speakers and how what we've heard has resonated with us, influenced our practices as clinicians and excited us about the future of pain care and treatment.

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Dr. Matt Bagg discusses an important research trial, the RESOLVE trial for chronic low back pain, the first large trial of its kind targeting the brain and nervous system utilising pain science, best practice and shared-decision making with the patients. What are the main rationales for the development of the trial and what were some of the practical difficulties experienced through the trial?

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A/Professor Melanie Noel discusses how pain and trauma in a parent can infer either risk or resilience in their children through epigenetics and behaviour. She particularly discusses the antidotes to the risks of generating pain in childhood

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Laura Rathbone talks about the types of difficulties that clinicians encounter day-to-day and constraints of the systems that we work in. Also, how we can support ourselves (as clinicians) to be able to best connect and support our patients

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Dr Dan Harvie talks about how the #painrevolution and the brain bus opened the door to a new way of thinking about pain for people suffering pain. In particular how perceptual illusions can be used to open discussion about pain experiences.

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Professor Steve Kamper discusses how to make evidence more accessible for clinicians. What makes a paper useful? What should you look out for if you're reading a research paper?

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Dr. Saurab Sharma discusses the influence of culture on pain. He talks about the pain experience, the way people report pain and when and what would lead people from Eastern cultural backgrounds (Indian, Chinese, African) to seek help. Also, are treatments that are shown to be effective in people from Western cultural backgrounds likely to be effective in people from non-Western cultural backgrounds?

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Dr. Jane Chalmers talks about what excites her in pelvic pain research, including the concepts of safety and danger and how we begin a discussion around pelvic pain in the clinic

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Associate Professor Tasha Stanton discusses her work on perceptual illusions and how this can help in the clinical context. She also introduces where predictive processing can help explain perceptual experiences

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Listening to Dr. Sarah Wallwork discuss her PhD work about the peripersonal space and her current post-doctoral research on childhood pain and considers how these relate

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Host Bart van Buchem interviews physiotherapist and director of noigroup, Luke Bongiorno. In this episode they explore pain in athletes and professional sportspeople. Is treatment and rehabilitation different for these people

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Sheren Gaulbert talks to host Tim Beames about quest cognitive hypnotherapy and its role in the treatment of pain. In particular, we discuss the roles of language, beliefs and pattern matches in pain.

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Host Bart van Buchem talks to Physiotherapist and pain researcher (and Sole Survivor on Australian Survivor: Brain vs Brawn 2021) Dr. Hayley Leake about how we can do more for teenagers suffering from pain.

Want to know more?

If you enjoyed this podcast you can see more of Hayley in her full 2-hour Le Pub Homebrew; Adapting pain science education across the lifespan, where Hayley talks in depth about optimising the content and delivery of pain education for all ages. Available at www.lepubscientifique.com/past-events/

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Professor Beth Darnall is one of the world's learning researchers on the use of opioids for pain and tapering from opioids.

Want to know more? If you enjoyed this podcast you can see more of Beth in her full 2-hour Le Pub Homebrew; Empowered Relief: Improving access for pain relief and opioid reduction, where Beth talks in depth about home-based treatments for pain and opioid reduction. Available at www.lepubscientifique.com/past-events/

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opioids #pain #lepubscientifique

Le Pub host, Tim Beames, discusses a range of movement and exercise-related topics with Ben Cormack (Cor Kinetic and Better Clinician Project), including whether you should cause pain during your exercise and tips for someone who is scared to move because of their pain.

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lepubscientifique

exercise

exercisepain

pain

movement

Dr. Josh Pate discusses the evidence for pain education in children.

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lepubscientifique #childhoodpain #pain

Bart talks to Dr. Josh Pate about his research and clinical findings of educating children about pain. What did they find and what are the messages that these children take from tailored education?

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lepubscientifique #childhoodpain #pain

Kicking off our first Le Pub Scientifique 11-minute sessions and discussing the exciting developments at Le Pub Scientifique with Bart van Buchem and Tim Beames.

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lepubscientifique #pain