The Modern Pain Podcast: Recent Episodes

Modern Pain Care

Podcast by Modern Pain Care

Is "whole person reasoning" just biopsychosocial with new branding, or does it change how you actually run a session? Mark Kargela and Ben Whybrow break down why treating pain by tissue alone misses most of what's driving a patient's experience, and why that applies from day one of an acute injury, not just after the 91-day mark that turns pain "chronic."

Mark tells the story of a student on his last clinical rotation who was so locked into test clusters and technique that he nearly missed a patient in visible distress, until one question about coping unlocked what she actually needed. Ben shares how a NICE-guideline question about cultural influence on pain has changed his intake conversations, plus the patient whose neck pain flared after an election result.

They also dig into why "subjective" is the wrong word for a patient's story (it's not less-than the objective findings, it often predicts outcome better), how systemic biology shows up even when imaging and labs look "controlled," and why social and cultural context can make or break a treatment plan that's otherwise textbook-perfect.

If you want a structured way to hold all of this in a session without turning it into another checklist, Mark and Ben mention the free Whole Person Reasoning guide, link below.

LINKS
Free Whole Person Reasoning guide
Join Modern Pain Pro
More from Modern Pain Care

PhysicalTherapy #PainScience #BiopsychosocialModel

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

What if following the clinical guideline is sometimes the wrong call? Not occasionally. In the kinds of MSK situations that come up regularly. That's the argument physiotherapy researcher Matt Low makes in Part 2 of this conversation, and it's worth sitting with.

About Matt: Matt Low is a physiotherapy clinician and researcher based in the UK whose work sits at the intersection of philosophy, epistemics, and clinical practice. He asks uncomfortable questions about what physical therapy actually is and where it's going.

In this episode:

Why rigid guideline adherence can be an ethical problem, not a clinical safety net (SIJ fusion as a concrete case)
How value-based care's four pillars create friction rather than harmony in practice
What AI is already doing to MSK services right now (Cambridge UK is procuring AI for MSK management today)
Why ambient documentation tools change more than just note-taking
The contextual architect: what the PT role looks like when AI handles algorithmic pathways
What decentering the human in PT curriculum would actually mean in practice

Resources mentioned:

Chad Cook's paper on value-based care in MSK practice
Dave Nicholls' work on the future of physiotherapy
Deleuze and Guattari (rhizome concept applied to clinical thinking)
Part 1 of this conversation

Want to keep developing this kind of reasoning? Modern Pain Pro is the community where clinicians work through exactly this.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

None

Evidence-based practice has a blind spot: not in the research itself, but in how we rank one form of knowledge above all others.

In this episode, I sit down with physiotherapist and PhD candidate Matt Low to unpack what he calls epistemic fluency, the ability to move between different forms of clinical knowledge depending on what the situation actually requires. We cover why population-based research gives you a map but not your patient's territory, how Aristotle's three forms of knowledge apply directly to clinical reasoning, and why the biopsychosocial model functions better as an analytical tool than a practice guide.

We also dig into the Back Cafe — a 3-arm RCT on lumbar spinal fusion rehab that compared a progressive training program, a video program, and a social cafe setting run by a senior physiotherapist. At the 2-year follow-up, the back-cafe group outperformed the training group on pain and beat both other groups on daily task performance. The study raises hard questions about what the active ingredient in rehabilitation actually is.

This is Part 1 of 2.

LINKS

Join Modern Pain Pro
Matt Low's blog
Back Cafe study (PubMed)
CauseHealth (Matt's network)

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Most chronic pain patients aren't failing to improve because they aren't trying. They're failing because no one in their care has helped them see what they're actually up against.

In this solo episode, Mark breaks down why even well-intentioned biopsychosocial care often falls apart in practice -- and why the fix isn't just adding more disciplines to the team.

Key takeaways:

What the Misdirected Problem Solving Model reveals about chronic pain care
Why patients still separate the "body problem" from the "mind thing" even when seeing both PT and a psychologist
How incoherent clinical narratives keep patients locked in biomedical thinking
What true interdisciplinary care actually looks like vs. parallel care happening in silos
How PTs can bring the psychosocial in -- and why psychology needs to bring the body back into the conversation
What a unified clinical story sounds like in practice

A free webinar is coming up focused on building this framework in your own practice. Registration HERE

If this episode hit home, subscribe and check out Modern Pain Pro -- where clinicians go deep on exactly this kind of work together. - https://modernpaincare.com

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

What if the best thing you could bring to a complex pain case… is curiosity instead of certainty?In this episode, Mark Kargela sits down with physical therapist and pelvic health specialist Faith Stokes to explore what trauma-informed, psychologically informed care actually looks like in practice. When patients present with persistent pain, grief, trauma, or complex comorbidities, rigid clinical labels and quick solutions often fail. Faith shares how clinicians can step back, regulate themselves, and create space for the patient’s story to guide care.

This conversation dives into practical ways to show up more human, grounded, and effective when treating messy cases that don’t fit the textbook.

In this episode, you’ll learn:

Why you don’t need to be “the expert” in the room
How clinician nervous system regulation changes patient outcomes
What trauma-informed care actually looks like during treatment
How curiosity improves clinical reasoning in complex pain cases
Why acknowledging a patient’s story can transform rehabilitation
How to integrate psychological awareness without abandoning physical treatment

If you treat persistent pain, pelvic health conditions, or complex chronic cases, this conversation will change how you approach patient care.

Subscribe for more conversations on modern pain care, clinical reasoning, and treating complexity.

Explore the resources and programs mentioned in the links below.

Link:

Sondermind
Complex PTSD Book
Holistically Treating Complex PTSD Book
IG Post on Veterans Stress and Suicide

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Complex PTSD: From Surviving to Thriving: A GUIDE AND MAP FOR RECOVERING FROM CHILDHOOD TRAUMA

What if biomechanics isn’t the reason your patients improve?

And what if your best “tool” isn’t a tool at all?

In this episode, I sit down with exercise physiologist Samuel Bulten to unpack the identity shift many clinicians face when persistent pain doesn’t respond to traditional care.

We discuss:

Why biomechanics has a weaker link to pain than we were taught
The ego trap of being the “fixer” in the room
How ACT and psychologically informed care change clinical conversations
The tension between objective measures and meaningful life change
Why therapeutic alliance may matter more than your technique
How rural practice highlights the limits of biomedical narratives

If you’ve ever felt unsettled leaving school confident—only to feel lost with persistent pain cases—this conversation will help you recalibrate.

If you’re ready to build confidence with complex pain, subscribe for weekly episodes.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

What if the guideline isn’t wrong—but incomplete?

And what if your patient isn’t “non-compliant”—just complex?

In this episode, I’m joined by Joost Van Wijchen to explore the tension between clinical guidelines and the messy reality of practice. We unpack the concept of mindlines—the experience-shaped frameworks that actually guide what we do—and why uncertainty isn’t a flaw in care, but part of it.

You’ll learn:

Why guidelines are population-informed—but patients are personal
How “mindlines” shape clinical reasoning more than we realize
Why outcome measures like the Oswestry don’t tell the whole story
How the capability approach shifts focus from impairments to meaningful freedom
Practical ways to navigate uncertainty without losing clinical integrity
How to co-construct care instead of imposing solutions

If you’ve ever felt the tension between measurable outcomes and meaningful outcomes, this conversation will resonate.

If this episode challenges or sharpens your thinking, subscribe and share it with a colleague.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Mindfulness for pain isn’t candles and breathing apps.

It’s measurable, mechanism-based analgesia.

In this episode, we break down what the neuroscience actually shows about mindfulness and pain modulation—and why it works through pathways completely independent of opioids.

You’ll learn:

How mindfulness decouples sensation from suffering (insula vs. prefrontal activity)
Why “trying to relax” can backfire—and what to cue instead
How thalamic gating may reduce nociceptive input before conscious processing
The role of predictive processing and reduced anticipatory threat (amygdala + salience network)
How shifting from narrative mode to experiential mode changes pain
Why mindfulness still works even when endogenous opioids are blocked
How improved interoception supports emotional regulation in chronic pain

This is not about turning your clinic into an eight-week meditation program. It’s about understanding the mechanisms so you can apply brief, practical strategies in real sessions.

If you work with complex or persistent pain, this reframes mindfulness as a clinical skill—not a wellness add-on.

Subscribe so you don’t miss Part Two, where we cover the dose-response data and the minimum effective dose.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

What do you do when a patient says, “I don’t care about goals—I just want less pain”?
This moment shows up every day in pain care—and how you respond can either reinforce stuckness or help someone get their life back.

In this episode, Mark Kargela breaks down why pain reduction isn’t wrong—but often incomplete—and how clinicians can navigate this conversation without invalidating the patient or taking away hope.

You’ll learn:
• Why pain reduction alone can narrow a patient’s life
• Red flags that someone is stuck in the pain reduction loop
• How pain scores function as communication—not thermometers
• How to use “creative hopelessness” without confrontation
• Ways to pair short-term relief with long-term valued living
• How to reframe goals when patients fear movement and activity

This episode is for clinicians who want practical, psychologically informed tools to manage complex pain conversations—without abandoning pain relief or overstepping their role.

If you work with persistent pain, this discussion will sharpen how you listen, how you frame goals, and how you help patients move forward—even when pain doesn’t fully disappear.

👉 Subscribe for weekly evidence-informed conversations on modern pain care. - @ModernPainPodcast

👉 Explore the links below for related resources and deeper learning:

Kenneth Craig Paper on Social Communication Model of Pain
A biopsychosocial formulation of pain communication
Creative Hopelessness Guide

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

🎙️ What happens when a clinician becomes the patient—and almost doesn’t survive?
💥 HLH. ICU. Life support. Then… powerlifting again.

In this powerful episode, strength coach and physio Jared Maynard shares his shocking journey through a life-threatening diagnosis of HLH, his fight to stay alive, and what he learned about healthcare, humanity, and healing.

You’ll learn:

What HLH is—and how it nearly ended Jared’s life
The deep clinical lessons from losing strength, speech, and independence
How small human moments in care created lasting impact
What it’s like to rebuild your life, body, and mindset after ICU
How Jared’s story reshaped his clinical work and coaching
Why “being human” matters more than “having the answer”

Whether you’re burned out, feeling disconnected from your work, or want to show up better for patients—this story will move you.

👇 Subscribe for more clinician-to-clinician conversations.
🧠 Join the Modern Pain Pro community.
🎓 Explore Pain Practice OS and start applying modern principles.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Part 2 goes from definitions to implications.

Bottom-up pain does not mean “it’s in the tissues.”

This episode is a recording of a live interview with pain researcher and clinician Asaf Weissman. If you haven’t watched Part 1, start there—we laid the foundation: why pain semantics matter, how mixed messages harm patients, and why “nothing is wrong with your body” is an overreach.

In Part 2, we dig into:

What “always bottom up” actually means (and what it doesn’t)
Structural paradigm vs pathophysiology: why imaging often fails us
Why stress, fear, and emotions are usually modulators, not causes
Threshold models: when trajectories may (and may not) be changeable
The case for neuroimmune mechanisms in chronic pain states
Where diagnostics and biologics may take chronic pain care next
What role physios may play as case managers and guides

This is the second half of a two-part series. Part 1 builds the framework. Part 2 challenges how we interpret evidence, scope, and clinical uncertainty—while staying anchored to what helps the patient in front of you.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Chronic pain care is stuck—and definitions may be the reason.

In Part 1 of this two-part series, we reset how clinicians talk about nociception and pain.

This episode is a recording of a live interview with pain researcher and clinician Asaf Weissman, whose work explores the relationship between nociception and pain—and why confusion in the field creates real-world harm for patients.

In this episode, you’ll learn:

Why “just semantics” becomes a patient trust problem
How mixed messages (“all in your head” vs “tissue damage”) derail care
Why “nothing is wrong with your body” is an overreach
Where neuroimmune processes may fit in chronic pain biology
Why psychological interventions tend to show only modest effects on pain intensity
How clearer definitions could move research and practice forward

This is Part 1 of a two-part conversation. Here, we focus on the foundations—definitions, clinical frustration, and the biological plausibility behind what patients feel. Part 2 will go deeper into implications for treatment and the direction pain care needs next.

Subscribe for Part 2.

Join the Modern Pain Pro community.

Enroll in Pain Practice OS.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Enrolling our next cohort of Pain Practice OS soon - JOIN US!

Most back pain improves – but how we guide recovery makes all the difference.

In this part 2 conversation with Dr. Jim Eubanks, we dig into:

First-line care for acute low back pain
Why rest is often the worst advice
The role (and limits) of hands-on care
When and how pain procedures fit into a plan
Clear guidance on when to refer to a physiatrist
Navigating complex cases that stall in recovery
Future potential (and current pitfalls) of regenerative medicine

This episode brings clarity and clinical confidence to some of the most debated decisions in spine care.

Subscribe for more evidence-aware guidance, and check the links below for show notes, resources, and clinician tools.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode, Dr. Jim Eubanks, physiatrist and spine specialist, breaks down the most harmful back pain myths patients encounter online-and what clinicians can say instead. If you've ever struggled to help a patient move past catastrophic thinking or scary MRI language, this conversation will give you the tools to reframe pain, imaging, and recovery.

What you'll learn:

Why "pain equals damage" keeps patients stuck in fear and avoidance
How to translate radiology reports into plain language that empowers movement
When imaging is actually necessary (and when it's not)
The role of lifestyle, sleep, stress, and psychological factors in back pain recovery
Why rehabilitation should almost always come first-even before imaging

This is part one of a two-part series. Part two dives into first-line care, injections, procedures, and when to involve a specialist.

🎧 Listen to the full podcast

💬 Join Modern Pain Pro for mentorship, case discussions, and clinical resources → modernpaincare.com

📘 Learn about Pain Practice OS → Our flagship program for clinicians building local pain programs

Your work matters-let's build modern pain care together.

BackPain #PhysicalTherapy #ChronicPain #PainScience #Physiatry #RehabFirst

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode, I sit down with Mark Shepherd, fellowship program director, to tackle a controversial question: Is the "manual therapy" label holding back our profession? We explore whether orthopedic manual physical therapy should rebrand itself as the research evolves and public perception shifts.

What we cover:

Why fellowship training is about reasoning, not just technique
The disconnect between what OMPT actually is vs. how it's perceived
How branding affects patient expectations and clinician identity
Whether the manual therapy name limits our ability to attract new fellows
The role of touch in modern pain care—and why it shouldn't define us

This is a nuanced conversation between two fellows who deeply respect the training but question whether our messaging matches our methods in 2025.

🎧 Modern Pain Care Resources:

Join the Modern Pain Pro community
Learn about Pain Practice OS

PhysicalTherapy #ManualTherapy #OMPT #PainCare #Fellowship #PainScience #Physio

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Try Pain Coach

Connect with Lachlan on LinkedIn

Struggling to turn complex chronic pain into simple, actionable care plans your patients can follow?

In this episode of the Modern Pain Podcast, Mark sits down with physiotherapist and Pain Coach founder Lachlan Townend to unpack how lifestyle data, clinical reasoning, and tech can finally work together instead of against each other.

Lachlan shares his own journey with persistent groin pain, why the traditional biopsychosocial model often becomes “woo-woo” and unmeasured, and how he built Pain Coach to help clinicians track sleep, exercise, social connection, nutrition, and psychological distress in a way that actually guides treatment.

You’ll hear us dive into:

How Lachlan’s personal pain story shaped his empathy and practice
Why patients don’t want “complexity” – they want simple, actionable steps
The limitations of manual therapy and short-term fixes (without throwing them out entirely)
How to use lifestyle tracking as a clinical support tool, not a replacement for reasoning
Using data to test-treat-retest lifestyle changes over time
The tension between research, incentives, and real-world outcomes
How AI could help clinicians ask better questions of their patients’ data

If you’re a physio, PT, chiro, OT, pain coach, or any clinician working with persistent pain, this conversation will give you a concrete way to move beyond the “magic hands” model and into measurable, whole-person care.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode, Mark sits down with Richard McIlmoyle, a chiropractor from British Columbia who went through a profound professional transformation after discovering modern pain science. Richard shares his journey from biomechanical certainty to embracing uncertainty, and how that shift has made him a better clinician and mentor.

In this conversation, you'll discover:

How to mentor students without destroying their foundational confidence
Why intellectual humility is your greatest clinical asset
The tension between what we're taught in school and what science actually shows
How Richard approaches manual therapy from a macro-down perspective
Why he audited UBC's medical school pain curriculum (and what he found)

Richard's story is a masterclass in professional evolution. From attending the San Diego Pain Summit in 2015 to now influencing medical education in British Columbia, he demonstrates what's possible when clinicians choose curiosity over certainty.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Pain management requires psychological flexibility—not just for patients, but for clinicians too. Bronnie Lennox Thompson reveals why embracing uncertainty builds better therapeutic relationships than projecting false certainty ever could.

What you'll learn:

→ Why the biopsychosocial model gets lip service but fails in practice

→ How to redirect your certainty from treatments to relationships

→ Guided discovery techniques for hands-on and active care

→ Why saying "I don't know" strengthens trust (not weakens it)

→ Essential skills: Motivational Interviewing + ACT for pain coaching

→ How to help patients discover freedom in their own world (not just your clinic)

Bronnie explains her shift from "biopsychosocial" to a multifactorial model, shares how clinicians struggle with uncertainty just like patients do, and breaks down the practical communication skills that transform you from expert-fixer to collaborative guide.

Whether you're struggling with big emotions in sessions, feeling stuck in the "certainty peddling" culture of CE courses, or ready to deepen your psychologically informed practice—this conversation offers permission, wisdom, and actionable strategies.

Perfect for: Physical therapists, occupational therapists, chiropractors, and any clinician working with people in chronic pain who want to practice with more authenticity, confidence, and human connection.

🔗 Interested in coaching and mentorship? Learn more about Modern Pain Care programs at modernpaincare.com

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Chronic pain doesn’t have to steal your purpose.

In this episode, Benjamin shares how he’s navigated life with cluster headaches—and how he’s turning his journey into a mission to help others.

Key takeaways

How Benjamin first experienced his illness and what followed
Why acceptance became a turning point—not surrender
Daily rhythms and small rituals that anchor him
Relationship dynamics: the role of honest, nonjudgmental communication
How lived experience shapes credibility in pain work
Integrating mind and body: why they can’t be separated in chronic illness
What Benjamin’s next steps look like (coaching, writing, building community)

If you’re a clinician, coach, or person in pain interested in bridging lived experience and evidence-based practice, this one’s for you.

🎯 Subscribe for more conversations with pain leaders.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

You’re not powerless to fix the system — you can lead change right where you are.
In this episode, Mark Kargela walks you through 5 actionable steps any clinician can take now to transform how pain is treated in your community.

What you’ll learn:
• Why waiting for the system to change is a trap
• How to build a financial model that supports sustainable care
• Ethical, value‑driven marketing—not selling out
• The power of community, mentorship, and accountability
• How to deliver truly psychologically informed care in practice

Want to do more than just “talk about” whole person care? This is your roadmap to doing it — in your clinic, in your region, with real patients.

🛠️ Subscribe and turn on notifications
📚 Links below for our community, resources, and the Pain Practice OS program

Pain Practice OS

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Rethinking pain changes outcomes.

Treating tissues alone leaves people behind.

In this clinician-focused conversation, Mark Kargela flips the script with Pete Moore (Pain Toolkit) to unpack what modern, human-centered pain care looks like in real clinics.

You’ll learn:

Why a tissue-only approach misses 10–30% of cases—and what to do instead
Practical ways to “shut up and listen” to the story beneath the pain
How stress, HPA-axis load, IBS/migraine, and sensitization intertwine with pain
A workable “driving instructor” model for self-management and shared expertise
How to use patient narratives to align biology with lived experience
Education that actually lands—with patients and with students/colleagues
Where AI/tech can help (and where it can de-humanize care)

If you’re ready to move beyond procedures and protocols toward care that restores function and confidence, this episode is for you. Subscribe for more evidence-aware, practical conversations. Want to go deeper? Check the links below for Pete’s resources, upcoming self-management events, and the Modern Pain Podcast.

The Pain Toolkit

Learn how to deliver this type of care - Pain Practice OS

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

What happens when “fix me” fails—and you still hurt every day?
Keith Meldrum shares how validation and willingness replaced a decades-long fight with pain to rebuild a meaningful life.

What you’ll learn
• Why pain is always biological—but rarely only biomedical
• How stigma, dismissal, and “it’s in your head” worsen outcomes
• The pivotal power of “We believe you” in the clinic
• Practical reframes: from fighting pain to willingness and pacing
• Stress–pain loops: noticing, de-escalating, and regaining control
• Navigating procedures (nerve blocks, neuromodulation consults) without chasing magic bullets
• Protecting relationships and energy when pain is constant

Keith’s story equips clinicians to lead with compassion and equips patients with actionable mindsets to reduce suffering and reclaim function. If this helped, subscribe and share with a colleague who treats complex pain.

Find Keith online:

A Path Foward - Facebook Page

Learn how to help people like Keith in our Pain Practice OS Course

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

When pain makes life small, fighting harder isn’t always the answer.
Former firefighter Joletta Belton shares how she stopped “going to war” with pain and rebuilt a bigger life around it.

What you’ll learn:
• Why the “fix pain first, live later” plan keeps people stuck
• How acceptance/willingness differs from “just live with it”
• Practical ways to reconnect with values when activity is limited
• Using relationships and peer support without feeling like a burden
• Managing the inner critic with self-compassion that actually sticks
• Whole-person care: biology matters—and so do context and meaning

If you work with complex pain—or you’re living it—this conversation offers a humane, evidence-aware path forward.

Next steps: Subscribe, share with a patient or colleague, and see links below to join our community and explore Pain Practice OS for clinical tools that blend science with lived experience.

Pain Practice OS
Joletta's Substack

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____________________________________
Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Compassion is not just being “nice”—it’s a clinical superpower. Learn how inner compassion can transform both patient care and your resilience as a clinician.

What You’ll Learn in This Episode:
• Why compassion is a contextual wisdom, not just basic kindness.
• How self‑compassion supports your regulation, quality of care, and longevity.
• Real-world client story: a chronic pain patient’s breakthrough through compassionate guidance.
• Research shows compassionate care → patient activation and better outcomes.
• Overcoming inner critic myths: self‑compassion builds strength, not softness.

This episode delivers actionable insight for modern pain clinicians seeking depth and impact. Subscribe to stay connected, explore how you can cultivate compassionate care, and become part of our evidence-informed, clinician-led community. Links to tools and Shelly’s resources are below.

Shelly's Website
Kristen Neff's website

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____________________________________
Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Fighting pain made things worse. Acceptance gave him his life back.

Tom's Facebook Group

In this powerful episode, Tom Bowen shares how chasing a cure for chronic pain left him anxious, depressed, and stuck. Only when he shifted focus—from fixing pain to living well—did real change begin.

• How endless referrals and surgeries fueled hopelessness
• The mental shift that helped him reclaim control
• What “acceptance” really means (and doesn’t mean)
• Practical strategies that became second nature
• How purpose and advocacy pulled him forward

Ready to go deeper?
Subscribe for weekly clinician insights - @ModernPainPodcast
Be notified when we re-open enrollment for Pain Practice OS so you can learn how to help people like Tom -

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Most chronic pain care ignores one of the most powerful drivers of symptoms: our emotions.

In this episode, I sit down with Dr. Mark Lumley, a leading researcher in Emotional Awareness and Expression Therapy (EAET), to explore how unprocessed emotions, trauma, and life stressors can directly influence pain — and what to do about it.

We break down:
-The differences and overlaps between EAET and Pain Reprocessing Therapy (PRT)
-How to help patients shift from body-focused to brain-focused views of pain
-Cultural and healthcare system barriers to addressing emotions in pain care
-Practical, evidence-based strategies for clinicians and patients
-Where the research is heading — and what it means for the future of pain treatment

Resources Mentioned:
• Dr. Mark Lumley’s University Page
• Howard Schubiner’s Unlearn Your Pain
• Association for the Treatment of Neuroplastic Symptoms (ATNS)

🎧 Subscribe to The Modern Pain Podcast: @ModernPainPodcast

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Are you tired of surface-level solutions in pain care? In this episode, Mark Kargela pulls back the curtain on the massive gap in pain programming and why our current clinical education models are failing both patients and providers.

Mark introduces the Pain Practice OS—a structured, mentored, and market-ready program to help clinicians finally deliver meaningful, psychologically informed care.

Whether you’re a physical therapist, chiropractor, or coach working with people in pain, this episode is your call to step up, lead, and transform your community.

✅ Learn the flaws in traditional continuing education
✅ Why marketing and financial literacy are essential skills
✅ How to build a scalable, ethical pain program
✅ Tools, mentorship, and real patient footage to accelerate learning
✅ Why it’s time to stop waiting and start building

👉 Join the waitlist for Pain Practice OS

🎙️ Know someone changing the game in pain care? Let’s feature them! Reach out to Mark directly.

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____________________________________
Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

As AI continues to evolve and integrate into more areas of healthcare, many clinicians are asking: will we be replaced? In this episode, Mark Kargela and Ben Whybrow have a frank conversation about how AI is affecting clinical work, what it can (and can’t) do well, and why the human elements of care—empathy, presence, collaboration—remain irreplaceable.

You’ll hear how we’re using AI tools like ChatGPT in our content creation and case planning, the limitations we’ve seen in clinical decision-making, and why now is the time for clinicians to lean into the “soft” human skills that no algorithm can replicate.

👇 Join our waitlist to learn how to build your future-proof skillset

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Many patients are doing something about their pain—but they’re still not living the life they want.

In this episode of The Modern Pain Podcast, Dr. Mark Kargela breaks down how to help patients zoom out and reflect on whether their care is truly moving them toward what matters most—or just keeping them stuck in a cycle of appointments and short-term relief.

You’ll learn:

✅ Why “the medical merry-go-round” fails patients with complex pain

✅ How to use simple questions to promote reflection and agency

✅ A free download you can use in your next session to support these conversations

🎁 Download the FREE Patient Reflection Tool: https://modernpaincare.com/reflect

👇 Drop a comment: How do YOU guide patients to evaluate their care path?

🧠 Join our movement to change the story around pain. Subscribe, share, and connect at modernpaincare.com

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____________________________________
Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Are you battling self-doubt and endless distractions that keep you from creating something that matters? You’re not alone.

In this episode of the Modern Pain Podcast, I share how I spent six months fighting my own inner critic and finally took action on a project I deeply care about.

We’ll talk about:
✅ Why even experienced clinicians feel like imposters sometimes
✅ The small, practical steps that helped me beat procrastination
✅ Tools and habits I’m using to stay focused and off the doomscrolling hamster wheel
✅ How these same principles apply to helping patients living with persistent pain

🛠️ Tools mentioned:
Brick
Cold Turkey

🎯 What you’ll learn:
• Real-world tips for breaking through perfectionism and fear
• How to use tools like Pomodoro timers, productivity apps, and mindset shifts
• Why your “inner critic” isn’t telling the truth (and what to do instead!)

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Pain Practice OS Waiting List

Matt Erb returns to the show for an insightful and wide-ranging conversation on the future of physical therapy. We cover the limitations of the biopsychosocial model, practical mindbody strategies, billing within the system, trauma-informed care, and how clinicians can advocate for real change—both in their practice and the communities they serve.

📃 Article - Advancing Physiotherapy in Mental Health: Guiding Principles for Whole-Person Care

📕 Integrative Rehabilitation Practice - Textbook Co-Edited by Matt

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode, I sit down with Ben Whybrow, a pain specialist physio in the UK and new community manager for Modern Pain Care, to discuss the critical role of communication in modern healthcare. We break down why the traditional, paternalistic approach to patient interaction falls short and explore how guided discovery can lead to better outcomes for people in pain. If you’re a clinician looking to improve your communication skills and create more meaningful connections with your patients, this conversation is for you.

🔗 Links Mentioned:
• Modern Pain Care Program Interest List
• Clinical Communication Podcast – Ben Whybrow
• Gifford’s Aches and Pains Books

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____________________________________
Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode, I sit down with Cameron Faller, co-founder of the Institute of Contextual Health, to discuss the future of healthcare. We explore the challenges of traditional, siloed care models and why a more interconnected, person-centered approach is essential for better patient outcomes. Cameron shares insights on process-based care, complexity science, the role of EMRs, and the potential for AI to revolutionize the patient experience. If you’re a clinician or healthcare provider looking to make a real impact, this episode is for you.

🔗 Links Mentioned:
• Institute of Contextual Health
• Hayes & Hoffman’s Process-Based Therapy Book (recommended reading) (affiliate link)
• Connect with Cameron on Instagram

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____________________________________
Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In today’s episode, we tackle one of the biggest tensions modern clinicians face:

How do you keep your schedule full and patients engaged without fear-mongering or overselling?

I share how to reframe “sales” from manipulation to alignment, why selling your services is an ethical obligation, and how to transition from just treating pain to guiding patients toward long-term health and resilience.

If you’ve ever felt stuck between wanting to do right by your patients and keeping your business thriving — this one’s for you.

➡️ Learn how to out-value, not out-volume, the competition.
➡️ Find out why selling real wellness is the future.
➡️ Hear real-world strategies to build relationships, not dependency.

Timestamps
00:00 Introduction and Episode Overview
00:09 Listener's Message and Common Struggles
00:44 Reframing Sales in Healthcare
01:10 Personal Journey with Sales
02:20 Ethical Sales and Value Exchange
04:54 Challenges with the Fix Model
07:13 Broadening the Scope of Care
14:08 Practical Tips for Ethical Sales
17:12 Conclusion and Call to Action

Subscribe for more episodes: https://youtube.com/@modernpainpodcast

Connect with me:
Website: https://modernpaincare.com
Instagram: @modernpaincare
Email: mark@modernpaincare.com

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____________________________________
Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

What if more treatment isn’t the answer?

In this episode, we explore Creative Hopelessness—an ACT-based exercise that helps patients with persistent pain reflect on the real impact of their symptom management strategies.

You’ll learn how to guide patients to see their patterns, validate their efforts, and gently open the door to a new, values-based direction.

👇 Download the FREE clinician guide to walk through this exercise in your own sessions:

https://modernpaincare.com/hopelessness

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

🎙️ Have you ever treated someone with what seemed like a typical MSK problem—but the pain just didn’t add up? Burning, zinging, unpredictable symptoms? In this episode, Mark Kargela breaks down the clinical presentation of neuropathic pain, how to screen for it confidently, and 4 common mistakes that lead to missed diagnoses.

✅ Learn how to distinguish neuropathic from nociceptive and nociplastic pain
✅ Use simple tools like a paperclip and a coin to screen for small fiber dysfunction
✅ Understand how to palpate nerves (not trigger points) and recognize their sensitivity
✅ Get clarity on terms like somatic referred pain, radicular pain, and radiculopathy

📥 Download the free Neuropathic Pain Screening Cheat Sheet here:
👉 https://modernpaincare.com/neuropathic

📃 Related Papers:
Terminology IASP paper
Validity of Small Fiber Tests
Neuropathic Pain Grading System

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____________________________________
Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

🎙️ Is whiplash just a musculoskeletal issue—or are we missing something bigger?

In this episode, we talk with Dr. Annina Schmid and Dr. Joel Fundaun—two of the world’s leading researchers on nerve involvement in whiplash. They reveal the surprising evidence from recent studies showing that many patients with Grade II whiplash have signs of neuropathic pain, nerve inflammation, and sensory loss—and they share simple ways frontline clinicians can catch it early.

✅ Learn how small fiber deficits, neurodynamic testing, and bedside tools like pinprick and thermal tests can help
✅ Find out why current guidelines may under-treat nerve involvement in whiplash
✅ Hear how to reframe rehab beyond musculoskeletal care

Whether you’re a PT, physician, or pain researcher, this episode bridges the gap between clinical research and real-world application.

🎧 Listen to the full episode now and subscribe for more deep dives into modern pain care.

📚 Papers:

Nerve pathology and neuropathic pain after whiplash injury: a systematic review and metaanalysis
The presence and prognosis of nerve pathology following whiplash injury: a prospective cohort study
Evidence for peripheral neuroinflammation after acute whiplash

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

🎙️ In this episode of The Modern Pain Podcast, Mark Kargela chats with Tom Walters, DPT—founder of Rehab Science, educator, and digital health innovator.

Tom shares how he transitioned from a traditional orthopedic physical therapist to building a global online brand helping millions through coaching, education, and his bestselling book. We dive into:

✅ Why coaching and education may be more impactful than hands-on care
✅ How Rehab Science became a leader in virtual rehab & social media health content
✅ Handling criticism in the online health space (and how to grow from it)
✅ The dangers of outdated treatment models in physical therapy
✅ How Tom is serving both clinicians & the general public through modern pain care

👉 If you’re a clinician, fitness pro, or just someone who cares about where healthcare is headed—you don’t want to miss this one.

📚 Grab Tom’s Book (Rehab Science): https://amzn.to/4bQB0oB (affiliate link - helps the channel)
💻 Follow Tom on Instagram & YouTube (@rehabscience)
🌐 More from Modern Pain Care: https://modernpaincare.com

💡 Stay tuned until the end where Tom shares details on upcoming courses and certifications aimed at bridging the gap between rehab and fitness!

TomWalters #RehabScience #DigitalHealthcare #PainCare #PhysicalTherapy #ModernPainPodcast #Coaching #PTBusiness #ChronicPain #PainScience #FitnessProfessionals #VirtualRehab

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

🚨 In this episode of The Modern Pain Podcast, Mark Kargela interviews Sandy Hilton, a pioneering physical therapist and expert in pelvic health and pain care. 🚨

Sandy shares her fascinating journey from treating loggers in Oregon to leading change in pelvic health and pain management globally. We discuss why pain care is falling behind, the massive issues with the modified Oswestry assessment, and why treating pain with pain must stop.

👉 You’ll learn:

• How Sandy entered the world of pelvic health unexpectedly

• Why many pain treatments still make things worse

• How to improve access to care, even with limited resources

• The real reason men avoid pelvic health care

• How pelvic health therapists were early adopters of pain science principles

• What’s wrong with current clinical tools and how we can do better

• Sandy’s vision for the future of pain care

💡 Whether you’re a clinician, student, or someone navigating pain, this conversation will challenge you to rethink how we approach healing.

🎯 Don’t forget to:

✅ SUBSCRIBE for weekly interviews on modern pain care

✅ SHARE with colleagues and friends who need to hear this!

🔗 Helpful Links:

📝 Take the Modern Pain Podcast Research Survey: https://modernpaincare.com/research

🎙️ Listen to the full podcast here: https://modernpaincare.com

📩 Contact Sandy Hilton: sandyhilton@gmail.com

📚 Related Topics: pain science, pelvic health therapy, chronic pain treatment, manual therapy myths, and patient-centered care.

PainManagement #PelvicHealth #SandyHilton #ModernPainPodcast #PainCare #PhysicalTherapy #PainScience #ChronicPain #PTPodcast #Healthcare

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Participate in our research study
Amy's First Episode

✅ Ever battled with chronic pain or long COVID symptoms? Discover Amy Eicher's remarkable journey from being dismissed and misdiagnosed to becoming her own best advocate. In this episode of the Modern Pain Podcast, Amy shares her personal story of dealing with chronic pain, understanding long COVID, and navigating the intricacies of the healthcare system. Expect eye-opening insights, practical takeaways on resilience, pacing, and self-advocacy, and much more. Stick around for an engaging conversation that healthcare professionals, patients, and anyone interested in the human side of chronic illness should not miss!

Restoring Venus - https://restoringvenus.com/
Restoring Venus Facebook - https://www.facebook.com/RestoringVenus/
Restoring Venus TikTok - https://www.tiktok.com/@restoringvenuspaincoach
Restoring Venus YouTube - @restoringvenusamyeicher

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, host Mark Kargela challenges clinicians to rethink their approach to pain treatment. He discusses how the pursuit of certainty can lead practitioners to rely too heavily on specific tools, neglecting the complexity and individual nature of pain. Using the parable of the blind men and the elephant, he illustrates the pitfalls of mistaking partial perspectives for the whole truth. Mark advocates for a values-based approach, emphasizing the importance of understanding patients' personal goals and experiences to provide meaningful care.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, host Mark Kargela discusses the evolution of pain treatment from a solely biomechanical model to a more holistic biopsychosocial approach. Initially rooted in biomechanics, Mark shares his journey of realizing the limitations of this model and the rise of psychologically informed care. He emphasizes the importance of integrating both biomechanics and psychological strategies for effective pain management. Through various patient case studies, Mark illustrates the need for balance and the middle ground in modern pain treatment. He also urges clinicians to move beyond outdated narratives and adopt a more comprehensive approach tailored to individual patient needs.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, join Mark Kargela as he discusses the challenges in pain care and the gaps in clinician education. Discover how to provide psychologically informed care and learn about a new comprehensive community-based program designed to empower clinicians as pain management leaders. Mark shares insights on the need for a paradigm shift from quick fixes to lasting, meaningful change and invites you to be part of this transformative journey.

Join the waiting list and stay updated on when you can bring your community the pain management it deserves - https://modernpaincare.com/painprogram

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, host Mark Kargela sits down with Jim Stark, an insightful and experienced physical therapist with over 30 years in the field. Jim discusses the limitations of our current 'illness care system' and shares his journey of integrating holistic and spiritual approaches into physical therapy, focusing on chronic and persistent pain. Learn about the importance of being authentic, the concept of narrative medicine, and powerful, practical strategies like breathing exercises for durable impact. Jim also highlights the significance of seeing patients outside the confines of conventional treatment and creating a supportive environment for true healing. Don't miss his valuable advice and resources for clinicians aiming to enrich their practice and transform patient care.

00:00 Introduction to the Illness Care System
01:06 Jim's Path to Physical Therapy
02:20 Spiritual Growth and Patient Healing Stories
03:47 Changing the Narrative in Healthcare
07:55 The Role of PTs and OTs in Pain Management
12:36 Breathing Techniques for Pain Relief
19:18 Strategies for Patient Empowerment
31:34 Conclusion and Final Thoughts

Free resources from Jim

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Join us in this episode of the Modern Pain Podcast as we sit down with Brian Pulling to explore groundbreaking research on why people with knee osteoarthritis avoid physical activity despite its known benefits. Brian shares insights from a study using the Implicit Association Test (IAT) to uncover subconscious beliefs associating movement with danger. We delve into how these implicit threat associations differ from explicit beliefs and the implications for clinical practice. Brian also shares his personal journey from physical therapy training in the U.S. to becoming a leading researcher in Australia. This episode is packed with valuable information for clinicians looking to improve pain management strategies and help patients move more confidently.

ARTICLE

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, host Dr. Mark Kargela interviews physical therapist Chris Hughen. Chris shares his journey from aspiring strength coach to established physical therapist, highlighting the importance of mentorship, the pitfalls of chasing certifications, and the value of embracing uncertainty in clinical practice. Chris also discusses how his background in coaching influences his patient interactions and the necessity of maintaining good professional relationships. Tune in for valuable lessons on pain management and building a successful career in physical therapy.

Chris' Instagram
Chris' Podcast
E3 Rehab

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Join us for an insightful episode where host Mark Kargela engages with expert Jen Uschold, a physical therapist and lifestyle medicine coach. Delve into the integration of traditional physical therapy with coaching and mental fitness to foster stronger client-therapist relationships in pain management. Discover the significance of motivational interviewing, emotional intelligence, and 'mental fitness' principles covering positive psychology, performance science, CBT, and neuroscience. Explore the synergistic relationship between Positive Intelligence (PQ) and Physical Therapy (PT), the impact of Acceptance and Commitment Therapy (ACT), and innovative approaches to managing chronic pain. Learn how to address both manual therapy and cognitive strategies, promoting meaningful activities beyond mere pain control. This episode is a treasure trove for clinicians seeking to improve patient care through a holistic and personalized approach

Links:
Jen's Website for PT
Website for Mental Fitness and Divorce Prep -Code for your listeners to get 20% off the Mental Fitness 7 week course: IRISE20
Jen's LinkedIn
Jen's Instagram

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, Mark Kargela explores the false dichotomy of passive versus active care in pain management, emphasizing that neither is inherently detrimental. He discusses the unique roles of passive care techniques like manual therapy and active care, which encompasses more than just exercise. Mark highlights the importance of personalized, patient-centered approaches that consider the patient's values and life circumstances. The episode underscores the significant impact of communication skills, advocating for meaningful clinician-patient dialogues to better understand patients' stories and barriers. This approach aims to foster a therapeutic alliance and guide patients back to meaningful lives.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, host Mark Kargela explores the intersection of environmental considerations and physiotherapy with Filip Maric, Founder of the Environmental Physiotherapy Association, and Jessica Stanhope, a Research Fellow at the University of Adelaide. The discussion delves into the environmental blind spots in physiotherapy practice, emphasizing the importance of incorporating natural environments into treatment settings. The episode highlights research linking green spaces to better health outcomes, such as reduced pain and arthritis, and examines how physiotherapy education can integrate environmental awareness. The conversation invites clinicians to contemplate the physical environments patients interact with, both inside and outside clinical settings, and consider innovative ways to make impactful changes in their practice.

Helpful LInks
Environmental Physiotherapy Association

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, host Mark Kargela is joined by Mathilde Kehler to explore the transformative shift from a 'fixer' to a 'coach' in helping patients manage chronic pain. They delve into the importance of positioning the patient as the main character, focusing on their goals, and leveraging their resources rather than just diagnosing and treating symptoms. Mathilde shares her journey from physiotherapy to creating a pain coach program, emphasizing the need for personalized, patient-centered care. The episode highlights the critical role of communication, listening, and effective questioning in pain management, aiming to build patient self-efficacy and meaningful change. They also discuss the challenges and strategies for clinicians transitioning to this approach and the potential future of pain coaching in healthcare systems.

LINKS
Mathilde's Website
Smerteguiden Instagram

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of The Modern Pain Podcast, host Mark Kargela interviews Trevor Barker, a remarkable individual who transitioned from battling chronic pain with a medicalized approach to living well despite the pain. Trevor shares his compelling journey from relying on heavy medications and invasive treatments to embracing a holistic and human-centric approach that significantly improved his quality of life. He details his involvement with Pain Revolution and how community support and shared experiences have played a pivotal role in his ongoing journey. Clinicians and patients alike will find valuable insights into the power of social and psychological factors in managing chronic pain. This episode underscores the importance of empathy, patient voices, and the impactful role of supportive relationships in the healing process.

Chronic Pain Champions Facebook Group
Pain Revolution

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

n this episode of the Modern Pain Podcast, host Mark Kargela discusses the philosophy of science as it pertains to pain research with philosophers Rani Lill Anjum and Elena Rocca. The conversation revolves around their book, which critiques traditional scientific approaches and emphasizes the importance of understanding philosophical biases in research. The trio explores how empirical methods often fail to address the complexity of individual pain experiences, the ethical dilemmas in excluding certain populations from research, and the significance of patient stories in clinical practice. This episode aims to provide clinicians with a deeper understanding of the philosophical underpinnings of the science they use in their own practices.

NEW TEXTBOOK - Philosophy of Science
CauseHealth Book - Rethinking Causality, Complexity and Evidence for the Unique Patient
Unpacking the Complexity of Evidence YouTube Playlist

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, host Mark Kargela sits down with Emily Rich, an occupational therapist and POTS specialist, to discuss Postural Orthostatic Tachycardia Syndrome (POTS) and related conditions like Ehlers Danlos Syndrome and Mast Cell Activation Syndrome. Emily shares her personal journey with POTS, her PhD research, and offers practical tips for clinicians to better identify and manage these complex conditions. Emily emphasizes the importance of humility in clinical practice, the use of occupationally specific exercises, and supportive care strategies. This episode is packed with insights and actionable advice for healthcare professionals looking to improve their treatment approach for patients with POTS and related syndromes. Be sure to check out the show notes for additional resources.

HELPFUL LINKS
Utah ADAPT program
POTS Providers Course
POTS Providers List
Dysautonomia International

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, host Mark Kargela sits down with clinician and long COVID experiencer, Daria Oller. Daria shares her journey from contracting COVID-19 in March 2020 to becoming an advocate for education and understanding about long COVID. This discussion delves into the complexities of treating long COVID, the importance of listening to patients, the need to move beyond traditional exercise biases, and tips for clinicians on managing the fluctuating symptoms of this condition. The conversation highlights the significance of seeing the patient as a whole person and the crucial role of multidisciplinary approaches in improving care for long COVID sufferers. Daria also talks about resources available for clinicians and patients alike. Tune in to gain valuable insights into the ongoing challenges and strategies for addressing long COVID in clinical practice.

RESOURCES
Long Covid Physio
World Physiotherapy Briefing Paper
Ed Yong's Works

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, host Mark Kargela dives into the complex relationship between exercise and pain management. He explores traditional beliefs about exercise, discusses graded exposure and graded activity techniques, and emphasizes the importance of personalized, patient-centered approaches. Mark highlights the need to tailor exercise to individual patient preferences and values rather than imposing generic fitness routines. He also discusses the role of narrative and patient mindset in successful pain therapy. Perfect for clinicians seeking to enhance their understanding and methodologies in helping patients with chronic pain

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode, we explore the critical role of empathy in clinical settings. As a clinician, acknowledging a patient's pain by simply listening and validating their feelings can be profoundly impactful. Learn the importance of saying 'I hear you' and offering sincere apologies to foster a deeper connection and support for those in need.

A Path Forward - Keith's Facebook Blog
Keith's X Profile

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode, we welcome Paul, a former massage therapist turned scientific writer, who shares his journey from clinical practice to founding the PainScience.com website. Paul discusses the evolution of his career, the challenges of transitioning to science writing, and the importance of maintaining ethical standards in a field often dominated by simplistic solutions. He also delves into the misconceptions around pain science and the need for a deeper understanding of physiology. Whether you're a healthcare professional or someone interested in pain management, this episode offers valuable insights into the complexities of pain and the science behind it.

Paul's website
Paul's membership

TIMESTAMPS
00:00:00 Intro to Episode
00:02:25 Interview Start
00:03:13 Paul's journey
00:05:13 What brought Paul to a career in scientific writing?
00:09:43 How has Paul handled critical comments on his work?
00:14:21 Did he have to sacrifice followers for integrity?
00:17:15 Paul's evoluation as an online writer
00:24:05 Paul's biggest influences in his writing
00:28:13 Paul's key resources his development
00:33:43 Skepticism versus nihlism
00:39:42 Paul's concern over current approaches to pain science
00:45:45 Limitations in professional boundaries and emerging fields
00:48:48 Where to find Paul and his current project

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Mark welcomes pain coaching expert Richmond Stace to discuss his journey from nursing to becoming a pioneer in pain coaching. Richmond shares his multidisciplinary background, touching on the psychological and physical aspects of dealing with chronic pain. They talk about the importance of connecting with patients, understanding their beliefs, and guiding them through meaningful change. Richmond also delves into the role of motivational interviewing and the broader philosophy of pain management, emphasizing the need for high standards in practice. Aspiring pain coaches and healthcare professionals will find valuable insights and practical advice on improving patient care through a compassionate and individualized approach.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

If you have struggled to balance what you feel is best practice in pain care and the business demands of the setting you're in then this episode is for you. We had Andrew Rothschild in for a chat and we discussed this and how you can maintain high value care and meet the demands we all face in the business of healthcare. We talk about when it may be time for you to leave and find a better fit for you as well.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Join us for an enlightening episode with Nick Rainey as we delve into modern strategies in pain management and their transformative potential for your clinical practice. Learn about the importance of mentorship in developing your pain management expertise and how integrating sales techniques can enhance patient engagement and outcomes. Whether you're a seasoned professional or just starting out, this episode is packed with valuable insights to elevate your approach to pain care. Tune in and learn from one of the leading experts in the field.

Helpful Links
Rainey Pain and Performance
OMPT definition paper

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Episode Summary:
In this episode of the Modern Pain Podcast, host Mark Kargela is joined by Brett Neilson, a physical therapist and professor at Hawaii Pacific University. Recorded live at the Pain Science in Motion conference in Las Vegas, the episode delves into the crucial intersection between sleep and chronic pain management. Brett shares insights from his scoping review on the integration of sleep measures in chronic low back pain research, highlighting a significant gap in current practices. The conversation covers the impact of sleep on pain, the role of wearables, and practical advice for clinicians on how to incorporate sleep assessments and interventions into their practice. Brett emphasizes the importance of understanding individual sleep needs and using tools like the CBTI Coach app to help patients improve their sleep quality.

CBT-i Coach App
Scoping Review

TIMESTAMPS:
00:00:00 Episode begins
00:01:43 Interview Start
00:02:53 Brett's Work on Sleep
00:05:04 What did they find in their systematic reveiw?
00:08:25 Clinical pearls gained in pre-conference course
00:10:43 What apps or tools are out there for clinicians?
00:13:46 Can tracking sleep excessively become anxiety generating?
00:14:57 How do we determine the right amount of sleep for the individual?
00:19:47 Mindulness or meditation for sleep
00:23:12 How do we get this in curriculum?
00:26:20 How do we get this as every day practice?
00:31:59 Sleep as a part of the big picture in pain

Key Takeaways:
Sleep and Chronic Pain Connection: There is a strong link between poor sleep and chronic pain. Addressing sleep issues can potentially alleviate pain symptoms.

Research Findings: A scoping review revealed that less than 10% of chronic low back pain trials include sleep measures, highlighting an area for improvement in research practices.

Role of Wearables: While wearables can provide useful sleep data, they should be used cautiously to avoid causing anxiety. It's best to view sleep data in the context of long-term trends rather than daily fluctuations.

Screening and Interventions: Simple questions about sleep quality can help identify patients who may benefit from further sleep assessment. Tools like the CBTI Coach app, developed by the VA, can assist clinicians in guiding patients through cognitive behavioral therapy for insomnia.

Individualized Approach: Quality of sleep is more important than quantity. Clinicians should tailor their recommendations based on the individual needs and experiences of their patients.

Practical Tips for Clinicians: Incorporate basic sleep questions into patient assessments, use validated sleep measures, and educate patients on sleep hygiene practices. Encourage patients to find relaxation strategies that work for them, whether it's mindfulness, reading, or other calming activities.

Educational Integration: Teaching about sleep and its impact on health should be integrated into PT education to better prepare future clinicians.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Diego Hidalgo a Spanish physiotherapist and osteopath discusses their recent paper - ‘It’s all connected, so it all matters’ - the fallacy of osteopathic anatomical possibilism.

In the podcast they discuss:
• Anatomical Possibleism in Osteopathy and PT
• Anatomy, Pathologization, and Pain Discussion
• Pain Treatment and Cultural Differences
• Concerns Over Over-Diagnosing and Anatomical Possibleism
• Addressing Chronic Pain Challenges
• Holistic Approach to Pain Management
• Evidence-Based Approach and Transition to Modern Practice Challenges

‘It’s all connected, so it all matters’ - the fallacy of osteopathic anatomical possibilism
Jarvik study

The doors are open to Modern Pain Pro!

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this conversation, Mark Kargela interviews Michael Shacklock about his journey and influences in the field of neurodynamics. They discuss the transition from the traditional view of neural tension testing to neurodynamics, the influence of pain science on clinical practice, and the importance of integrating the biological examination with psychosocial factors. Michael also shares his focus on lumbar radiculopathy in his PhD research, specifically looking at unloading the nerve root for pain relief. In this conversation, Michael Shacklock discusses the use of neurodynamic techniques in the treatment of radiculopathy. He explains that movement-related pain should respond quickly to movement, and shares his favorite patient profile for this type of treatment. Shacklock emphasizes the importance of ruling out contralateral tests if they provoke pain, as this indicates reduced cord movement. He also discusses the role of radiology in diagnosing radiculopathy and the challenges of interpreting radiology reports. Shacklock addresses the misconceptions around neurodynamic tests and highlights the need for a comprehensive approach that integrates neurodynamics with musculoskeletal function. He concludes by discussing the application of neurodynamic techniques in acute radiculopathy and the importance of adapting treatment to the individual patient's needs.

If you are looking to go deeper on topics, get training, and become a better pain care clinician, then check out our community at https://modernpaincare.com

TIMESTAMPS
00:00:00 Start
00:02:04 Interview Begin
00:07:15 The movement to neurodynamics versus neural tension
00:10:37 How has pain science influenced MIchael's approach
00:14:40 There is a time to specifically treat the tissues
00:18:51 Michael's PhD focus
00:23:32 Crossed straight leg raising as treatment
00:26:50 Differneces between mechanical compresison and inflammtory nerve root issues
00:32:05 Difficulties with radiolgy
00:34:16 Where physios are missing the mark in application
00:38:51 Use of neurodynamics in irritable patients
00:42:04 Michael's view on other movement approaches
00:45:09 Michael's courses and where to find him next

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

To go deeper and get support in your practice make sure you check out our community

In this conversation, Mark Kargela interviews Jason Silvernail about the definition and description of Orthopedic Manual Physical Therapy (OMPT). They discuss the misconceptions and misunderstandings surrounding manual therapy and how OMPT differs from other forms of manual therapy. They also highlight the distinguishing characteristics of OMPT, including advanced subspecialty training, focus on clinical judgment, expertise in examination and treatment, and a patient-centered long-term mindset. The conversation emphasizes the importance of evidence-based practice and the need for a nuanced understanding of OMPT. In this conversation, Jason Silvernail and Mark Kargela discuss the value and benefits of OMPT (Orthopaedic Manual Physical Therapy) fellowship training. They highlight the importance of clinical judgment and critical thinking in the practice of manual therapy. They address the misconception of elitism associated with advanced training and emphasize the need for accurate information and informed decision-making. The conversation provides insights into the distinguishing characteristics of OMPT and its role in providing high-quality, evidence-based care for patients.

Helpful Links:
Link to paper
Clinical reasoning paper in OMPT
Jason's website
Jason's X profile

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this conversation, Mark Kargela interviews Ian Harris, an orthopedic surgeon and researcher, about the challenges and problems in healthcare. Ian discusses his journey from being a practicing surgeon to becoming interested in the scientific method and evidence-based medicine. He talks about the resistance he has faced in challenging the status quo and the difficulties in changing the way surgeons think. They also discuss the placebo response in surgery, the blurring of normal and disease states in healthcare, and the overuse of procedures like spinal fusion and regenerative medicine. Ian shares his projects on placebo studies for rotator cuff repair and spine fusion, which aim to provide high-quality evidence to change practice.

Takeaways

The scientific method and evidence-based medicine are crucial in improving healthcare practices.
Surgeons often face resistance when challenging the status quo and trying to change the way they think.
The placebo response in surgery is complex, and contextual factors play a significant role.
The blurring of normal and disease states in healthcare leads to unnecessary interventions and medicalization of normal conditions.
Procedures like spinal fusion and regenerative medicine are often overused despite limited evidence of their effectiveness.
Placebo studies for rotator cuff repair and spine fusion aim to provide high-quality evidence to guide practice.

Books (Affiliate Links)
Surgery: The Ultimate Placebo
Hippocrasy: How Doctors are Betraying Their Oath

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Hippocrasy: How doctors are betraying their oath

In this episode, physiotherapist Adam Dobson discusses lumbar radiculopathy and its management. He highlights the challenges in assessing and diagnosing lumbar radiculopathy, emphasizing the importance of precise terminology and understanding mixed presentations. Adam also explains the role of the neurological examination and the stepped-care approach in managing lumbar radiculopathy. He emphasizes the need for an economical approach to treatment, focusing on patient preferences and activities that are meaningful to them. Adam also discusses the role of physiotherapy in supporting patients' recovery and the importance of balancing tissue-based and biopsychosocial approaches.

Schmid AB, Tampin B, Baron R, et al. Recommendations for terminology and the identification of neuropathic pain in people with spine-related leg pain. Outcomes from the NeuPSIG working group. Pain. 2023;164(8):1693-1704. doi:10.1097/j.pain.0000000000002919

Konstantinou K, Lewis M, Dunn KM, et al. Stratified care versus usual care for management of patients presenting with sciatica in primary care (SCOPiC): a randomised controlled trial. Lancet Rheumatol. 2020;2(7):e401-e411. doi:10.1016/S2665-9913(20)30099-0

Stynes S, Konstantinou K, Ogollah R, Hay EM, Dunn KM. Clinical diagnostic model for sciatica developed in primary care patients with low back-related leg pain. PLoS One. 2018;13(4):e0191852. doi:10.1371/journal.pone.0191852

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Simon Kelly discusses his journey as a healthcare professional and his exploration of the role of physiotherapy in pain management. He questions the necessity of physiotherapy for every individual and the challenges of building a virtual practice. Simon also delves into the limitations of the biomedical model of medicine and the need for a more holistic approach.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Summary
In this conversation, Mark Kargela interviews Seth Peterson about various topics in physical therapy practice and education. They discuss the challenges of PT education, the role of manual therapy, the influence of social media on PT practice, the importance of mentorship, the value of communication in PT practice, the state of continuing education in PT, and the role of PTs as primary care musculoskeletal practitioners.

Takeaways
- PT education should focus on developing safe clinicians and providing mentorship to help clinicians become skilled practitioners.
- There is value in manual therapy, but it should be used in conjunction with other interventions and tailored to the individual patient.
- Social media can create idea cults and confusion for young clinicians, but mentorship and critical thinking can help navigate these challenges.
- Communication skills are essential for PTs and should be emphasized in education and practice.
- Continuing education in PT should be evidence-based and focus on developing clinical reasoning and case management skills.
- PTs have the potential to serve as primary care musculoskeletal practitioners, but there are barriers that need to be addressed, such as expanding PTs' scope of practice.

Check out Seth on X

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Dr. Howard Schubiner discusses the link between childhood trauma and pain, as well as the brain's role in creating pain. He highlights the challenges in training healthcare professionals to understand and address mind-body pain. Dr. Schubiner introduces the symptom perception model and explains the process of pain reprocessing therapy. He emphasizes the importance of ruling out structural problems and using the FIT criteria to determine if the pain is functional, inconsistent, and triggered. This conversation explores the revolutionary data on non-structural pain and the importance of transitioning to understanding the emotional piece of chronic pain. It delves into the role of emotional awareness and expression in pain management and the challenges clinicians face in incorporating a mind-body approach. The conversation also highlights the healthcare system challenges and available resources for clinicians and patients. Finally, it discusses the future of mind-body approaches and training opportunities.

Helpful Links
Dr. Sarno's Books
Dr. Schubiner's Website
JAMA Psychiatry Study on Pain Reprocessing Therapy

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this conversation, Derek discusses his journey in pain rehabilitation and the challenges faced in providing comprehensive care. He emphasizes the need for prevention and early intervention in pain management, as well as the importance of addressing the biopsychosocial factors that contribute to pain. Derek also shares strategies for introducing new narratives to patients and overcoming barriers to implementing a multidisciplinary approach. The conversation concludes with a discussion on the frontier of pain care and the potential impact of understanding the neuroimmune system on patient care. In this conversation, Derek Griffin discusses the complexity of pain and the challenges of understanding its underlying mechanisms. He emphasizes the importance of bringing complex topics to the patient's context and using relatable examples, such as allergies and the flu, to explain the body's protective responses. Derek also highlights the limitations of pain neuroscience education and the need for a more comprehensive approach to treatment. He discusses the skill set required for psychologically informed care, including active listening, dealing with uncertainty, and acknowledging the patient's expertise. Derek concludes by emphasizing the importance of continuous learning and collaboration in improving patient care.

Derek's X Profile - https://twitter.com/DerekGriffin86

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Join the Modern Pain Pro community

In this conversation, Mark Kargela and Logan Buckley discuss the importance of communication in physiotherapy and how improv can enhance patient care. Logan shares his journey from being a physical therapist to discovering improv and how it has impacted his communication skills. They explore the role of communication in working with persistent pain patients and the influence of improv on navigating uncertainty and complexity. They emphasize the importance of authenticity and finding one's own voice in communication. The conversation concludes with a discussion on the complexity of communication compared to interventions and the power of purposeful curiosity. In this conversation, Mark and Logan discuss the importance of being authentic and vulnerable in patient interactions. They highlight the value of admitting when you don't have all the answers and being a real person rather than a paternalistic authority figure.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

This episode dives into the shifting paradigms around strength exercise in managing shoulder pain and what is behind the positive effects we see clinically. Jared Powell, a Ph.D. candidate, and shoulder physio specialist, joins us to discuss this and helps us get an understanding of the current state of evidence and how he positions exercise in his practice along with how he communicates it.

Jared's Publications Mentioned in the Episode

The Shoulder Physio Website

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Join our exclusive Modern Pain Pro community where we go deep on all things pain

In the episode "Beyond Techniques: Transforming Pain Care" of the Modern Pain Podcast, the focus is on the limitations of relying solely on new techniques in pain management. It emphasizes the importance of understanding the broader context of a patient's life and experiences. The discussion revolves around integrating holistic approaches into patient care, highlighting the need for long-term strategies that go beyond immediate pain relief techniques. This approach aims to foster more sustainable and effective pain management, offering a deeper insight into the complexities of pain care.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Join our exclusive Modern Pain Pro community - where we go deep on all things pain

This episode offers insights for physical therapists, especially new graduates, on thriving in professional environments where colleagues may have differing treatment philosophies. It emphasizes the importance of understanding clinic culture, respecting diverse treatment approaches, and integrating evidence-based methods into traditional practices. The video provides practical advice on building professional relationships, adapting to various physical therapy techniques, and effectively managing complex pain cases. It encourages open communication and continuous learning from peers to enhance patient outcomes and personal career growth.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Go deeper in our Modern Pain Pro Community

The Client Experience Company

In this conversation, Mark and Jerry discuss the need for upstream thinking in healthcare and the barriers that prevent clinicians from seeing beyond the clinic. They emphasize the importance of managing expectations and building alliances with patients. They also explore the value of consumer-facing resources and the resistance to change in the healthcare system. The conversation highlights the potential impact of giving more than you get and the need for a shift from illness care to wellness care. Jerry discusses the importance of charging for services and the challenges of pricing. He emphasizes the need for the work to be on him to find ways and people that can benefit the consumer. Jerry also mentions the work he does with his company, Client Experience Company, which focuses on managing the patient journey and setting expectations. He highlights the importance of moving conversations upstream and ensuring that information travels with the patient. Jerry shares the results of his work, including increased patient success and improved business outcomes. He also mentions his current research on misalignment in organizations and the impact on patient care.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

The PRISM Model

The Integrative Pain Science Institute

The Modern Pain Pro Community

SummaryIn this conversation, Joe discusses the development of the PRISM model, a comprehensive approach to pain management. He explains the evolution of the biopsychosocial model and the need for a more expansive model that addresses the complexities of pain. Joe also highlights the importance of a process-based approach to pain care and the domains and processes of the PRISM model. He discusses the barriers to integrating a holistic approach and the discomfort that clinicians may experience when moving away from traditional interventions. Joe emphasizes the importance of resilience in pain care and provides contact information for further inquiries. In this conversation, Mark Kargela interviews Joe about chronic pain and its treatment. They discuss the importance of understanding chronic pain, the biopsychosocial model, and various treatment approaches. The conversation provides valuable insights for both clinicians and patients struggling with chronic pain.

Takeaways

The PRISM model is a comprehensive approach to pain management that addresses the complexities of pain and incorporates a process-based approach.
The biopsychosocial model has evolved over time, and the PRISM model aims to build upon it by incorporating new research and understanding.
The PRISM model consists of six domains: person context, purpose, pain literacy, pain mindset, physical activity, and physiology.
There are 18 processes within the PRISM model that support the domains and help guide the treatment and management of pain.
Barriers to integrating a holistic approach to pain care include education, reimbursement systems, and individual resistance to change.
Embracing discomfort and uncertainty is necessary for clinicians to expand their thinking and provide more effective care.
Resilience is a key component of the PRISM model, and helping patients access their own resilience can lead to positive growth and recovery. Chronic pain is a complex condition that requires a comprehensive understanding of its underlying causes and contributing factors.
The biopsychosocial model emphasizes the interaction between biological, psychological, and social factors in the experience of chronic pain.
Treatment approaches for chronic pain should be multidimensional, addressing physical, psychological, and social aspects of the condition.
Collaboration between clinicians and patients is crucial in developing effective treatment plans for chronic pain.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Be part of the Modern Pain Pro Community

Jamie's Website

Had an enlightening chat with Jamie Johnston on our latest Modern Pain Podcast episode.

From his journey in embracing pain science to the integration of mental health in therapy, Jamie's insights are a great example for any healthcare practitioner.

Tune in to discover how we can revolutionize pain management together!

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Join the community waitlist

Welcome to another episode of the Modern Pain Podcast. In this episode, Dr. Mark Kargela discusses the shortcomings of continuing education (Con Ed) in pain management and proposes solutions for clinicians.

Key Topics:

• Mismatch Between Con Ed and Clinical Practice: the environments of Con Ed courses often don't resemble real clinical settings, limiting their applicability in managing complex pain cases.

• Isolation in Clinical Practice: Many clinicians find themselves isolated when applying modern pain science and techniques, lacking peer support and mentorship in their practices.

• Logistical and Financial Challenges: Con Ed often imposes financial and lifestyle burdens on clinicians, making it difficult to integrate continuous learning into their lives.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Join host Mark Kargela as he and Dr. Liebenson dive deep into the evolution of pain care and reveal strategies they both used and teach to help them transform their practices and those of their students..

Craig shares his journey from traditional chiropractic methods to a revolutionary, holistic approach. He illuminates the often-overlooked psychological and physiological aspects of pain, challenging conventional wisdom and opening new pathways for treatment.

Whether you're a healthcare professional seeking to enhance your practice, or someone struggling with pain, this video offers invaluable insights. Learn about the future of healthcare, the importance of patient-centered care, and the clinician's evolving role in this dynamic field.

Helpful Links:
First Principles of Movement (Craig's website)
Craig's threads profile
Craig's X profile
Youtube

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Have you felt like you've rode the pendulum of manual therapy?

If you listen to social media it either sucks or it remains the bedrock of good pain care.

Which is it?

Well in this episode you'll hear Mark talk to Dr. E (Erson Religioso) about the transformation his views and use of manual therapy have made throughout his career.

Listen in and find out how we have grown from traditional theory of jedi hand skills to a more person-centered approach.

You'll come out of this episode with a better view on manual therapy and where it may fit in modern pain care.

Check out Dr. E and Modern Manual Therapy at:
Instagram
Facebook
X
YouTube

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

This episode features a conversation with Ben Whybrow, a physiotherapist specializing in pain management at an NHS pain clinic.

Ben discusses the multidisciplinary approach to treating complex pain cases, emphasizing the importance of patient communication and empathy.

He shares insights into managing difficult conversations around ingrained beliefs, the effectiveness of group dynamics in treatment, and strategies for addressing emotional challenges in the clinical setting.

The discussion also explores the evolution of physiotherapy in the context of pain management, offering valuable perspectives for clinicians in this field.

HELPFUL LINKS:
Ben's Instagram
Ben's TIkTok
Ben's X

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

🎙️ In this eye-opening episode of The Modern Pain Podcast, we dive into the inspirational journey of Pete Moore.

Pete shares his transformative experience from battling chronic pain to developing the revolutionary Pain Toolkit. This toolkit has empowered countless individuals to reclaim control over their pain and lives.

Join us as we explore the power of self-management in chronic pain care, learn about Pete's innovative approaches, and discover how to turn pain into an opportunity for growth and empowerment.

Tune in to be inspired and to gain valuable insights into managing pain more effectively.

HELPFUL LINKS:
Pain Toolkit Online
Pete's X profile

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this enlightening episode of The Modern Pain Podcast, host Mark Kargela is joined by Dr. Linda Bluestein, an expert in the fields of hypermobility syndromes and Ehlers-Danlos Syndrome (EDS), to delve into the intricacies of managing chronic pain, EDS, Mast Cell Activation Syndrome (MCAS) and Postural Orthostatic Tachycardia Syndrome (POTS).

🚀 Takeaways for Clinicians and Patients:
Clinicians will learn about the MEN'S PMMS framework to enhance their practice.
Patients will gain insights into empowering themselves to manage their pain effectively.

🧠 Mental Health and Chronic Pain:
Explore the often-overlooked connection between chronic pain and mental health. Understand how Dr. Bluestein personalizes treatment plans while considering psychological aspects and the importance of being heard and validated.

🧬 The Future of Pain Management:
Dive into the conversation about pharmacogenomic testing and the potential of precision medicine in providing tailored treatment plans for chronic pain sufferers.

🤸‍♂️ Physical Therapy's Role:
Discover new perspectives on physical therapy's role in managing EDS and POTS, and how small movements can make significant improvements.

💻 Dr. Bluestein's Online Practice:
Learn about the innovative ways Dr. Bluestein's practice has adapted to the digital age, offering hybrid consultations to reach patients worldwide - https://hypermobilitymd.com

🎙️ Bendy Bodies Podcast:
A resource for further education on hypermobility and related conditions - https://www.bendybodiespodcast.com/

✅ Subscribe for more insights on managing pain:
Don't forget to subscribe to our channel for more expert interviews and discussions on transforming pain management and enhancing patient care.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this compelling episode of The Modern Pain Podcast, we dive deep into the concept of enactivism and its revolutionary implications for clinicians working in pain management. Joined by Peter Stilwell, an expert straddling the worlds of philosophy, cognitive sciences, and clinical practice, we explore how enactivism can move us beyond conventional biopsychosocial models.

If you're a clinician looking to elevate your approach to pain treatment, this episode is for you. We unpack how to bridge the gap between theory and therapy, helping you navigate the complexities of pain from an enactive standpoint. Peter's insights offer a transformative look at avoiding 'siloed' practices and understanding pain as an embedded experience that is far more than just neural signals.

Tune in to discover a new paradigm that could lead to more job satisfaction, happier patients, and a comprehensive framework to work with any patient successfully. Whether you're a seasoned professional or just stepping into the world of pain management, this episode will arm you with actionable insights to make a meaningful impact on your practice.

*HELPFUL LINKS**
Peter's Citations

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Join me on a personal journey as I candidly recount my experiences with burnout and imposter syndrome in the world of physical therapy. In this heartfelt podcast episode, I shed light on the normalcy of these challenges faced by therapists and how I overcame them.

Discover how I transitioned from an ego-driven approach to a person-centered care model, where the therapist becomes a supportive guide rather than the sole hero striving for outcomes. We'll explore the power of collaboration between therapist and patient in helping individuals achieve their valued goals.

If you're a physical therapist looking for inspiration and practical insights to navigate burnout, this episode is for you. Together, let's redefine the narrative of therapy, emphasize the importance of patient empowerment, and find renewed purpose in our practice.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Are you struggling with the complexities of communicating about pain with your patients? Do you find it challenging to break down intricate medical jargon into terms that your patients can easily understand? You're not alone. Effective communication is one of the most critical yet often overlooked aspects of pain care.

🔍 The Problem:

Difficulty in conveying complex pain science to patients.
The pitfalls of using unhelpful or damaging metaphors.
Struggling to connect with patients from diverse backgrounds and experiences.

🎧 The Solution: Our Latest Podcast Episode - "Challenging the Status Quo: Mike Stewart on Creativity and Communication in Pain Care"

In this enlightening episode, we sit down with Mike Stewart, an expert in the field of pain management and communication. We tackle the challenges head-on and offer innovative solutions that you can implement in your practice right away.

What You'll Learn:

How to use creative approaches like metaphors and storytelling to improve patient education.
Strategies for shifting patients' perceptions of pain.
The importance of understanding and navigating cultural differences in pain communication.

Why You Should Listen:

Gain a fresh perspective on patient education.
Equip yourself with practical tools to improve your communication skills.
Learn from a renowned expert in the field.

*HELPFUL LINKS**
• Mike’s website and courses
• The Road to Reconceptualization
• Stuck in the middle: the impact of collaborative interprofessional communication on patient expectations
• Sticks and Stones: The Impact of Language in Musculoskeletal Rehabilitation

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this enlightening episode of The Modern Pain Podcast, we are honored to have Abby Gordon, an experienced professional in the world of physical therapy, delve into complex conditions like Postural Orthostatic Tachycardia Syndrome (POTS) and Ehler's Danlos Syndrome (EDS). Abby brings her unique expertise from both the sports therapy world and her significant experience in treating chronic conditions. This conversation aims to shed light on how PTs can navigate the challenging landscape of these disorders, balancing cutting-edge therapies with practical patient care.

Abby Gordon shares her personal journey from working on the sidelines of sports events to diving deep into the clinic to manage POTS and EDS. Her insights are not only invaluable for clinicians seeking a better understanding of these complex conditions, but also for patients aiming to make sense of their difficult journeys with chronic pain. With Abby's varied background in physical therapy, the discussion provides a multi-dimensional view on how to approach patient care with empathy, skill, and the latest evidence-based practices. Subscribe now and don't miss this in-depth look into the world of physical therapy and its role in managing POTS and EDS.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In our latest episode of The Modern Pain Podcast, we had the privilege of hosting Bronnie Lennox Thompson, an authority in pain management and a postgraduate academic coordinator for studies in pain and pain management at the University of Otago.

This enlightening conversation delves into the often-underestimated skills of active listening and compassion, both crucial elements in effective pain management.

We discuss how healthcare's increasing focus on cost containment, efficiency, and productivity often leads to a loss of humanity and how we, as clinicians, can bring it back.

Bronnie provides valuable insights into why clinicians need to give themselves the grace of more time and skills to truly hear and understand their patients. This not only enriches the therapeutic process but also addresses the growing issue of clinician burnout.

With over three decades in the field, Bronnie argues that no patient ever complained about being listened to too much. She emphasizes that it's not just about meeting the patient's stated expectations; it's about letting them know you're listening and you care.

HELPFUL LINKS*

Bronnie's blog - an absolute treasure trove on content to help you better utilize ACT and improve your overall pain management strategy

DANCING AROUND THE HEXAFLEX: USING ACT IN PRACTICE 1

DANCING AROUND THE HEXAFLEX: USING ACT IN PRACTICE 2

DANCING AROUND THE HEXAFLEX: USING ACT IN PRACTICE 3

DANCING AROUND THE HEXAFLEX: USING ACT IN PRACTICE 4

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this insightful episode, Mark Kargela and Jarod Hall discuss the monetary hurdles facing physical therapists, examining both the systemic issues in healthcare and the potential for new, diversified revenue streams. They dive deep into how physiotherapy can move from being a revenue generator to a cost-saver, and the role of lifestyle and wellness services in a more fiscally sustainable model.

Key Takeaways:

Cost-saving vs. Revenue Generation: The need for physical therapists to transition from being mere revenue generators to crucial cost-savers in healthcare systems.
Alternative Revenue Sources: Exploring side programs that offer counseling and education as alternative income streams, highlighting the role of physical therapists as 'health quarterbacks' for patients.
Data and Research: The importance of collecting data to prove the cost-saving benefits of physical therapy over time, emphasizing that immediate financial gains shouldn't be the sole focus.
Wellness and Long-term Management: Discussing the untapped opportunities in lifestyle and wellness services for physical therapists, including examples like fitness and wellness programs.
Systemic Challenges: An overview of the larger healthcare problems, particularly in the United States, that make it difficult to implement cost-saving strategies on a large scale.
Personal Engagement: Jarod Hall extends an open invitation for listeners to reach out to him with any questions, affirming his role as both a clinician and a business professional.

For clinicians and patients alike, this episode offers a critical look at the financial aspect of physical therapy and provides thoughtful solutions for a more sustainable future.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this insightful episode of The Modern Pain Podcast, host Mark Kargela sits down with David Nicholls to discuss the evolving landscape of physical therapy and healthcare. They delve into the challenges facing the industry, such as economic pressures, digital disruptions, and dated cultural narratives that still influence patient perception. The conversation also explores progressive shifts towards individualized, biopsychosocial models of care and the implications for the future of physiotherapy. The episode serves as a clarion call for healthcare providers to adapt and grow in the face of changing paradigms.

Problem Areas Discussed:

Challenges to Professionalism: Discusses the waning perception of healthcare professions as morally good and expertise-driven.
Economic Drift: The evolution from traditional economic models towards neoliberalism and late capitalism, with a focus on healthcare as a new avenue for "unlimited" growth.
Digital Disruption: The existential threat and opportunities presented by the digital age for traditional physiotherapy.
Cultural Narratives: The influence of socially and culturally created narratives in healthcare, specifically from the chiropractic profession.
Traditional vs. New Models: The rigidity of conventional healthcare frameworks and their slow adaption to modern needs.

Solutions and Opportunities:

Post-Professional Change: How the decline in the "goodness" and "expertise" of health professionals can open doors to new ways of delivering care.
Expanding the Marketplace: The opportunity for physiotherapy to expand into a more consumer-driven model.
Adapting to Digital Trends: The need for physiotherapists to adopt digital platforms to meet consumer demands and stay relevant.
Biopsychosocial Approach: The shift towards more comprehensive, human-centered models of care, citing the example of the osteopathy profession's recent debate.
Individualized Physical Therapy: The freedom to explore unique forms of physical therapy that might be more beneficial to patients than traditional models.

Tune in to gain new perspectives on the future of physiotherapy and how you can adapt to the changing landscape.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

This week we look into the world of manual therapy and pain research with our guest, Steve George. A practiced physical therapist turned researcher, Steve provides a fascinating look into his unique career path and the development of his innovative model of manual therapy. This model, created in collaboration with Joel Bialosky and others, addresses the multifaceted challenge of pain treatment. Steve's insights into the manual therapy process, and its potential impact on both patients and providers, make for an engaging listen.

We discuss everything from the efficacy of manual therapy to the role of placebo in pain treatment. Steve delves into the ongoing debate in the manual therapy community and shares his thoughts on how manual therapy can be over-utilized. We also explore intriguing aspects like the role of expectation and communication techniques in the treatment process. The conversation takes an interesting turn as we discuss the challenges of implementing stratified care and the potential of AI in pain management.

As we navigate the complexities of pain management, Steve shares his vision for the future and the challenges of bridging the gap between research and everyday practice. We discuss the potential of pain neuroscience education and the need for better integration of this knowledge in the healthcare community. Finally, we explore the role of AI in managing pain and the opportunities it presents in automating scoring of questionnaires, flagging high-risk patients and more. Join us as we unearth the complexities and future potential of manual therapy and pain management with Steve George.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Are you ready to challenge everything you thought you knew about pain treatment with our special guest, Lars Avemarie. As a physiotherapist hailing from Denmark, Lars is walking the talk daily with patients in his clinical practice.

Join us as we unravel Lars' unique journey, the complexities of pain, and the implications of traditional physiotherapy practices.

You will hear Lars breaks down the intricate world of pain management, exposing the therapeutic illusion and the oversimplification of cause and effect in treatments.

Together, we'll explore the detrimental impacts of these misconceptions and the power of a holistic approach. Lars shares his perspectives on the interplay of biological, psychological, and social elements in pain treatment.

Toward the end of our discussion, we dive into the world of pain education and therapeutic alliances. You will want to listen close as Lars emphasizes the importance of a co-constructive approach and shares cutting-edge techniques like narrative-based approaches, motivational interviewing, and acceptance and commitment principles.

Finally, learn about Lars' ongoing work and how you can keep a pulse on his groundbreaking research. Embark on this journey with us and let's redefine the narrative about pain together.

LINKS
Lars website
Nociception necessary for pain? - Lars' blog
Pain neuroscience education is dead. Long live pain education - Lars' blog
The biggest error - Lars' blog

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

🎧 Welcome to a Captivating Exploration of Critical Thinking, Philosophy, Evidence-Based Practice, and Physical Therapy! 🧠📚

Tune in to our thought-provoking podcast episode as we delve into the intriguing clash between traditional philosophies of science and the dispositional approach. Join us on a journey to understand pain, human complexities, and the intersection of critical thinking and evidence-based practice, featuring our guest, Roger Kerry, an accomplished scholar in this field.

🎙️ In this episode:
Roger shares his unique insights that illuminate the interplay between critical thinking, philosophy, and evidence-based practice. Discover how a serendipitous encounter and transformative books ignited his journey to navigate profound concepts, leading him to pursue his PhD in this area.

💡 Key Points:

Questioning Paradoxes in Science: Delve into the irony of simplifying variables and its potential to detach us from the true reality.
Pragmatic Randomized Controlled Trials: Explore the reliance of healthcare practitioners on research and its impact on guideline development.
Philosophical Insights: Examine Hume's theory of causation and the nuanced use of randomization for establishing causality.
Dispositionalism and Individuality: Understand how this approach balances professional demands and clinical guidelines.
Narrative-Based Medicine: Recognize the power of stories in enhancing patient understanding.
Richard Feynman's Theories: Uncover their relevance to manual therapy and context-specific variables in treatments.

🔗 Immerse yourself in the world of critical thinking, philosophy, evidence-based practice, and physical therapy as we challenge conventional notions and offer a fresh perspective on these intricate topics.

🎧 Subscribe now to embark on a journey of intellectual stimulation and curiosity through our engaging podcast series!

HELPFUL LINKS*
Go deeper on dipositionalism in healthcare - Rethinking Causality, Complexity and Evidence for the Unique Patient - (FREE ACCESS)

Roger's Masterclass - Evidence-based Healtcare & N=1

Unpacking the Complexity of Evidence Playlist

Matt Low's article on using dispositions in practice

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____________________________________
Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Have you ever wondered about the intriguing relationship between cognition and inflammation? Dive into the unexplored depths of the neuroimmune interface in pain management with our esteemed guest, Professor Mark Hutchinson. We peel back the layers of neuroinflammation, its clinical implications, and the innovative developments on the horizon, all while focusing on precision medicine with a biologic approach. We center our discussion around the consumer in pain, exploring how cognitive molecular patterns are tied to individual pain experiences.

In this episode, we address the crucial task of improving pain care and treatment accessibility. We consider the nuances of supporting pain consumers, the importance of collaboration among healthcare professionals, and potential treatments like biologics and molecular neurosurgery. Additionally, we discuss the need for people to reintegrate into life post-treatment to maximize the effects of pain management. We also touch on the future of precision medicine in the pain field and its potential to revolutionize care for complex diagnoses.

Lastly, we delve into the power of pain buffering behaviors and the significance of sleep and lifestyle changes for pain management. We consider how positive adjustments like reducing alcohol intake, improving sleep, and adopting healthier eating habits can influence hyponose reception and manage exaggerated pain and danger responses. We wrap up with an exploration of the exciting advancements in pain research and treatment, touching on quantum biology, wearable technology, and biomarker potential. With Professor Hutchinson's enlightening insights, we leave you with a renewed perspective on pain management and a glimpse of the limitless possibilities ahead. Tune in to this captivating episode and embark on a journey towards a deeper understanding of pain and its management.

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____________________________________
Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Have you ever felt overwhelmed by the complexity of human pain?

Ever wondered about the role of philosophy in helping us understand and navigate this complexity?

Join us for an enlightening conversation with Laura Rathbone, an advanced practice physiotherapist, as she offers a deeper understanding of her journey and work with individuals experiencing complex and persistent pain conditions.

Laura's insights into the complexities of pain are both enlightening and empowering. As we explore her professional evolution from treating pain to understanding it, we touch upon fascinating aspects like the role of philosophy in her practice and the valuable life lessons learned from uncertainty in the clinic.

However, it's not just about the theoretical approach - Laura's experience with Acceptance and Commitment Therapy (ACT) offers a fresh perspective on how to live life more fully, even in the face of adversity. It's quite a ride as we navigate the complex terrain of integrating psychologically informed physiotherapy into traditional models of practice.

Beyond the intricacies of professional practice, Laura's journey is also a testament to the power of resilience. From the importance of building clinical communities to the complexities of pain-informed practice, Laura's story offers a great deal of food for thought.

Enjoy the episode

* LINKS ***
Laura's Masterclass on YouTube
Russ Harris' - ACT Made Simple (AFFILIATE LINK)
Laura's Courses

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____________________________________
Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Embark on a remarkable voyage into the world of chronic pain management led by our distinguished guest, Dr Andrea Furlan. Dr. Furlan, a renowned physiatrist, YouTuber, and passionate educator hailing from Toronto, Canada, graciously shares her wisdom and experiences through enlightening discussions on chronic pain, opioids, and opioid-induced hyperalgesia.

Her strong advocacy for enhanced education for primary care providers in this intricate field is empowering, and her belief in an interdisciplinary team approach to persistent pain issues is a model of best practice.

A pivotal part of our conversation focuses on the multifaceted challenges of prescribing opioids for chronic pain management. Dr. Furlan's guidance, inspired by the 2010 Canadian Opioid Guideline, provides an insightful perspective.

Our discussion extends to her successful randomized trial on opioid tapering and the potential role of coaching from individuals with lived experiences.

Through this, she emphasizes the need for improved education and skills training for primary care physicians to effectively address chronic pain. She also highlights the innovative role her YouTube channel plays in patient education.

Lastly, we gear up to conquer chronic pain with Dr. Furlan. A stimulating discussion takes us through the three types of pain, the concept of retraining the pain system through neuroplasticity, and the importance of managing emotions.

We also touch upon the role of sleep, nutrition, and social context in pain management. Dr. Furlan shares how setting therapeutic goals and helping others after conquering personal pain can create a positive ripple effect.

This conversation is a treasure trove of knowledge you can't afford to miss. So tune in, soak in the wisdom, and learn how to navigate the stormy seas of chronic pain.

Dr. Furlan's Book - (AFFILIATE LINK)
Dr. Furlan's YouTube Channel
Dr. Furlan's website

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

None

Are you ready to broaden your perspective on healthcare and rehabilitation? We've got the perfect episode for you. Join us on an enlightening journey with Leonard, a clinician, educator, and pioneer in the pain rehabilitation space. We travel through Leonard's inspiring journey from academia to establishing his own clinic, Dynamic Movement and Recovery. We also unpack the limitations of the biopsychosocial framework, and how Leonard's Human Rehabilitation Framework remedies these shortcomings.

As we navigate this complex terrain, we turn our lens towards the importance of developing a coherent scientific philosophy. Understanding and challenging our biases, we delve into the intricacies of the biopsychosocial model and propose a process-based solution. Leonard illuminates how a comprehensive understanding of these complex issues can help us move beyond pre-set protocols, and develop more nuanced, individualized care strategies.

In the final phase of our discussion, we delve into the multi-dimensional factors that shape an individual's pain experience. Ranging from the neuroendocrine immune axis to movement behavior variability and even the influence of family roles on cognition and emotion, we dissect the complex web of factors contributing to pain. Through Leonard's insights, we underscore the significance of Ergadocity and the potential of idionomic analysis in enhancing our understanding of individuals. We wrap up by highlighting Leonard's education work and where you can learn more about the Human Rehabilitation Framework. This is one episode you won't want to miss.

https://hrfhome.com

https://www.pnas.org/doi/10.1073/pnas.1711978115

https://www.sciencedirect.com/science/article/abs/pii/S0005796722001267

https://pubmed.ncbi.nlm.nih.gov/33621638/

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Can you remember feeling like a beginner? Like there is so much more to learn? That's the world Andrew Squire, a seasoned physical therapist, still resides in. With over 11 years of experience, he humbly refers to himself as an advanced beginner, a testament to the endless complexities of the human body and modern pain care. Andrew's got stories from various settings across different states, and his current focus? Treating chronic conditions like neck and back pain at the University of Michigan.

Our discussion takes you through Andrew's professional evolution, detailing experiences from different treatment settings and underscoring the importance of critical thinking in physical therapy. He's got a fascinating approach to treatment methods such as the McKenzie method, and he's candid about the necessity of having more than just one tool in his therapeutic toolbox. Ever wondered how a clinician evolves? Andrew has gone from taking patient improvements personally to realizing that the patient's wellbeing is all that matters, quite the shift in perspective.

As we float through Andrew's physical therapy world, you also get to understand his views on challenges within the profession and invaluable recommendations. For the budding physical therapists, Andrew dishes out advice on proactive clinic behavior and the importance of mastering basic skills. And let's not overlook the significance of communication in fostering patient belief and confidence. Andrew's journey in pain care and his ever-evolving approach promise an insightful listen, don't miss out!

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Curious about the future of anatomy education? Join us as we sit down with Mike Pascoe, an associate professor in the Anschutz School of Medicine at the University of Colorado, to discuss the innovative ways technology is reshaping the field. We explore how Mike leverages his expertise to develop and deliver gross anatomy content within the DPT and PA curriculum, all while navigating the unique challenges brought on by the pandemic. And, guess what? Mike isn't just about academics; he also fills us in on his podcast pursuits and other hobbies that keep him balanced amidst his demanding work.

We then delve into the realm of symmetry in the human body and the complexities of the SI joint's movement as we age. Speaking from his extensive experience as an anatomist, Mike offers fascinating observations that will make you see the human body in a new light. The conversation doesn't end there. We tackle the high-pressure, changing landscape of academia and how educators like Mike are stepping up to the challenge.

Finally, we face a provocative question: Can Artificial Intelligence revolutionize anatomy education? Mike shares his insights on the potential of AI in creating natural language processing, VR and AR's role in patient care, and how tech giants like Apple are making it all more accessible. We even chat about the fears surrounding AI’s impact on jobs and how it can actually be used to enhance patient care. All while Mike shares his passion for stamp collecting and Dissecting Philately, his podcast that merges anatomy and philately. This episode is a perfect blend of science, technology, and hobbies—don't miss out!

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

What if you could gain insights from a renowned physical therapy professor and learn about the evolution of physiotherapy practice and research? Join us in a riveting conversation with Chad Cook, a professor at Duke University and the director of the Center of Excellence in Manual and Manipulative Therapy. As we take a stroll down memory lane, we discuss the significant growth of science and evidence-based practice over the past 33 years, the vital role of patients in recovery, and the impact of various interventions throughout the years.

We also tackle the influence of social media on the dissemination of research and its effect on physical therapy practice. Discover how the character of the researcher or presenter shapes people's perception of the content, and the ongoing debate about manual therapy. We'll also delve into the importance of purposeful skepticism, clinical equipoise, and the challenges of conducting research.

Lastly, we explore the significance of capturing patient voice in clinical research, the bio-psychosocial factors, and psychologically informed care. Chad shares his thoughts on the Proteus Phenomenon, the importance of the clinician-patient relationship, and some of his current research projects. Don't miss out on this fascinating discussion as we uncover the complexity of patient-driven approaches and the potential of improving outcomes.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Are you ready to revolutionize your approach to physical therapy? Join us for an eye-opening discussion with Matt Erb, a leading practitioner in mind-body medicine, as we explore the powerful potential of integrating mind-body principles in physical therapy practice. Discover how addressing the biopsychosocial model can contribute to positive shifts in human health, and learn about the challenges of separating biological treatments from psychosocial domains.

Through our conversation, we delve into the importance of whole person care in physical therapy, discussing the need for time, comfort, training, mentoring, and coding to truly engage in this type of care. Matt shares his thoughts on using open-ended questioning to give people permission to share and uncover their own answers, and he offers insights on how this is a form of neuromuscular reeducation and its potential in shifting bodily tone and regulating heart rate variability.

We also examine the crucial role of self-application and embodiment of mind-body principles, and discuss barriers to providing transformative care. As we emphasize the importance of staying within the scope of practice while still supporting patients, you'll gain valuable perspectives on maintaining professional boundaries and providing life-changing experiences. Don't miss this enlightening conversation packed with valuable insights on expanding the scope of physical therapy to address both mind and body.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

What if we've been looking at pain all wrong? Join me in a fascinating conversation with Asaf Weisman, a clinician and researcher in Israel who offers a differing perspective on the biopsychosocial model of pain from what is commonly seen on social media.

Asaf's personal history of chronic pain from skateboarding and migraines, combined with his professional background in physical therapy, provides a backdrop for our discussion on the term psychogenic pain and the potential future of pain relief in biological treatments.

We had a solid discussion on psychogenic pain as a label, and how it's often used as a convenient way to dismiss a patient's experience. Moreover, we delve into the false delineation of somatic and nonsomatic pain, and the challenges clinicians face when navigating these concepts.

Asaf shares his thoughts on why the biopsychosocial model of pain has been a red herring for pain research and argues that the future of pain relief will be in biological treatments.

Finally, we explore the potential to influence chronic pain states through lifestyle factors such as weight, smoking, alcohol consumption, and physical activity. Don't miss this thought-provoking conversation that will surely challege the way you think about pain.

Relevant links:
Asaf's twitter page
Goebel article 1
Goebel article 2

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

What if we told you that the key to transforming physiotherapy and care for people with chronic pain lies in a paradigm shift towards person-centered care? In this thought-provoking episode, we sat down with Morten Hoegh, a professor at Alberg University in Denmark, to discuss this revolution in pain management and the challenges that come along with it.

We also delved into the complexities of treating chronic pain and the importance of creating a collaborative environment between patients and practitioners. With Morten's insight, we unpacked the implications of two recent research papers and discovered how different disciplines, such as neuroscience, topology, and philosophy, contribute to the conversation on pain management. The need for professionals to use generic skills and work with experts when necessary has never been more evident.

Our conversation with Morten took us on a journey through the realm of patient-centered care, empowering patients to take ownership of their treatment and exploring the idea of booster sessions to further support them in their path to recovery. We even touched upon the political implications of having different professions to treat chronic pain and the potential benefit of working together as a team. Don't miss this insightful episode as we redefine pain management and revolutionize the future of physiotherapy.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

What happens when two world-renowned pain management experts collaborate on a groundbreaking study that challenges traditional healthcare approaches? Join us for an enlightening conversation with Peter Kent (PK) and Peter O'Sullivan (Pete) as we dissect the Restore Trial - a game changer in the world of person-centered care and pain management.

In this compelling discussion, we dive into the science of pain, the multi-factorial nature of this complex issue, and how Cognitive Functional Therapy (CFT) is empowering patients to regain control of their healthcare journey. With the help of PK and Pete, we also examine the challenges and benefits of transitioning from a tissue-based examination to a more human-centered approach in pain management.

But that's not all - our guests share their experiences working on the Restore Trial, the lessons they've learned from their patients, and the importance of building supportive clinical communities for both patients and healthcare professionals. Don't miss this captivating conversation that will leave you pondering the future of pain management and the potential for change in healthcare. Join us and discover how we can reshape the way we approach pain and embrace a brighter, more patient-focused future.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

This week we have the honor of speaking with a leader in the world of physical therapy and pain care across the world.

Adriaan Louw has had a massive impact on me and the direction of my career. He is a great model of humility and generosity.

We discuss where we were, where we are, and where we need to go in pain care.

It was a great conversation, and I hope you all enjoy it!

00:00 Introduction
02:05 Adriaan's professional roller coaster
05:54 Moving past find it fix it
09:36 State of DPT education
14:05 Research on kids and pain
17:24 Where are we with lifestyle medicine?
20:29 Dealing with systemic barriers
25:35 Why the struggle to get our message to the consumer?
31:03 Are research methods capturing the patient's voice
34:48 Immunology in pain care
38:18 Recommendations for DPT students and early career professionals

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

You have heard us talk about person-centered care quite a bit on the podcast.

We think it is that important!

This week we talk with Carla Rauseo, a physical therapist who is researching this in her PhD.

She shares a great perspective from her view as a physical therapist trained in the U.S. and practicing in Trinidad.

We hope you enjoy it!

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

This week we speak with someone who has walked in the patient's shoes.

Tom Bowen is a patient advocate who shares great experience and perspective.

There is a ton to learn in this episode, as Tom shared some great points

PATIENTS ARE THE ONLY EXPERTS IN THEIR PAIN EXPERIENCE

Tom's website
Tom's Facebook Group

CHAPTERS
00:00 - Start
01:39 - Tom's background
02:42 - Tom's journey with pain
04:28 - Biomedical vs biopsychosocial
09:44 - The mental or psychological journey
12:33 - Is anger a common barrier?
15:38 - How to fix our system
20:24 - Recommendations for people currently strugglingions
24:02 - The struggle
26:17 - Slipping back into past behaviors
28:23 - Mindset around getting off pain medications
31:00 - Shifting focus
36:20 - The good and bad with support groups
38:31 - There is hope
40:55 - Stop fighting a battle

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____________________________________
Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

How well do you recognize what our Occupational Thearpy colleagues bring to the table?

They are much more than simply ADLs and play huge roles in the successful management of pain.

Tune in this week and hear Megan Osgood Doyle discuss this and more!

Check out Megan on:
Instagram at @meganosgooddoyle81112
Twitter at @MOsgoodDoyle

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____________________________________
Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this conversation, Mark and Matt Low discussed the limitations of our knowledge from university and the pursuit of expertise in practice.

What are the potential challenges of community building and avoiding confirmation bias?

How does one diversify one's learning community and be open to different perspectives?

Why is AAOMPT's opposition to moving to a more broad definition of MSK care and expertise potentially problematic?

Mark and Matt suggest that physical therapy needs to let go of some traditional practices to evolve and better serve patients.

Nicola Petty paper - https://www.sciencedirect.com/science/article/abs/pii/S1746068915000024
Matt on Twitter - https://twitter.com/mattlowpt
Matt's blog - https://mattlowpt.wordpress.com/

CHAPTERS
00:00 - Start
01:55 - Matt's introduction
05:47 - Current work and the pursuit of expertise
14:02 - The pursuit of clinical knowledge
12:53 - Owning our own bias
23:59 - Diversifying your learning community
31:06 - Defining expertise under a manual therapy flag
33:20 - Why define ourselves narrowly
36:22 - Limits of categorical thinking and knowledge silos
46:23 - Recommended resources
49:16 - Where to find Matt online

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

How well do you manage rheumatism in your practice?

Listen and learn from Jack March as he shares his expertise on best practices in terms of rheumatologic conditions in physical therapy practice.

00:00 - Start
03:48 - Tips for the patient interview
07:47 - Barriers to exercise
11:54 - Has pain science influenced practice?
17:31 - Tips for the relationship with a rheumatologist
23:40 Common labs that are missed
32:10 - Jack's tips for success
35:11 - Helpful resources
38:09 - Therapy Live

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

This week we interview Mark Shepherd.

Mark is a friend and colleague who is doing big things in the profession.

We discuss :

Where manual therapy fits in our practice and how applying it in a skilled fashion
Fellowship and it's role in our growth
The role of mentorship
Challenges new grads and early career professionals face
Much more

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

I look back on my career and see clearly where my priorities on becoming a great clinician were misplaced.

Techniques are great, but research time and time again has failed to find a technique that works significantly better than the next.

So, what would I do if I were to go back in time?

Tune in and find out!

Episode articles mentioned:

Artus M, van der Windt DA, Jordan KP, Hay EM. Low back pain symptoms show a similar pattern of improvement following a wide range of primary care treatments: a systematic review of randomized clinical trials. Rheumatology (Oxford). Dec 2010;49(12):2346-56.

Cook C, Learman K, Showalter C, Kabbaz V, O'Halloran B. Early use of thrust manipulation versus non-thrust manipulation: a randomized clinical trial. Man Ther. Jun 2013;18(3):191-198.

https://www.noigroup.com/noijam/the-rollercoaster-of-professional-life-still-evolving/

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

This week we interview David Poulter, a world-traveled physical therapist with great wisdom to share from his journey.

Why do people get so polarized over MDT or McKenzie?

What is a way to avoid tribalism that only limits your growth as a clinician?

How has Twitter helped David build a library to store articles and threads full of great information?

Check David out on Twitter at - https://twitter.com/Retlouping

Check out his latest blog at - https://retlouping331888347.wordpress.com/

A recent meta-analysis in JOSPT looked at what the best exercises for low back pain were.What were the best exercises for chronic low back pain?Do these exercises work for everyone?Is a more tailored or individualized approach necessary?Tune into this week's episode and find out!Links:https://www.jospt.org/doi/10.2519/jospt.2022.10671

Our friend Aaron Kubal put out a TikTok discussing our ability to predict injury.

Link - https://www.tiktok.com/@aaron_kubaldc/video/7122578119000640814

As always he made some good points.

But is there nuance to the discussion that a 60 second TikTok misses?

Can someone be injury prone?

Are there patients where this may resonate?

Tune in to this week's episode of the Modern Pain Podcast and find out!

Person-Centered has been a more common term being thrown around on social media.

Often it is proposed as an ideal mode of clinical practice?

What is person-centered care?

Hasn't it always be person-centered care?

What are the barriers that exist to delivering person-centered care?

Tune into this week's podcast and find out

Links: https://link.springer.com/book/10.1007/978-3-030-41239-5#about

In a recent discussion in DPT school the topic of spinal hygiene came up?

What does it even mean to have good spinal hygiene?

Is this even a real thing?

What are the bad and good things that can come from this concept?

Tune in to this week's episode and find out!

Recently there was a tragic story of a college age woman who suffered partial paralysis after cervical manipulation

This has always been a controversial topic

Does cervical manipulation have a place?

What are ways we can do our due diligence in screening for application of cervical manipulation?

Check out this week's episode and find out

Helpful links: https://www.ifompt.org/site/ifompt/IFOMPT%20Cervical%20Framework%20final%20September%202020.pdf https://pubmed.ncbi.nlm.nih.gov/22677797/

We are fascinated how discussions around MDT can create this angry mob of love and hate around the intervention.

Why the dichotomy?

Is there a patient-centered way to apply this?

Do our biases get in the way at times?

Tune in to this week's episode of the Modern Pain Podcast and find out!

Don't get us wrong, our improved understanding of pain has done more good than bad.

How many of us have pain-splained someone?

Have you ever tried to explain pain and saw a blank frustrated stare across from you only to never see this person for a second visit?

Listen in to this week's episode as we go over an example of a patient's negative experience with pain science.

How do we fit our interventions best to the patient in front of us?

Listen in this week and find out!

We all deal with challenges in our DPT student or early career stages of our journey.

Imposter syndrome is real!

We can't look weak or wrong in front of a patient.

Or can we?

Listen in on an experience where Jarod was wrong and how to have tough conversations when you are wrong in the clinic.

Jarod recently did an article review for our friends at the Physio Network.

We thought it was worth a discussion on the podcast.

The title of the articles is: Effect of diagnostic labelling on management intentions for non-specific low back pain: A randomized scenario-based experiment

Link - https://pubmed.ncbi.nlm.nih.gov/35616226/

How did words matter in this study?

How can you use these results in your practice?

Tune in to this week's episode of the Modern Pain Podcast and find out!

David Nichols, our friend from Auckland University in New Zealand, recently published a viewpoint on the current environment and views on passive care in physical therapy.

What goes behind this push away from passive care?

Are we swinging the pendulum too far?

Does passive care have a place in patient care?

What do our patients think?

Join Jarod and Mark for this week's episode of the Modern Pain Podcast and find out!

Article link - https://pubmed.ncbi.nlm.nih.gov/33998263/

You may have noticed we took a break from the podcast as of late.

Listen as both Mark and Jarod share their recent experiences with burnout

Does this sound like you?

Is hustle culture bad for your health?

Are you enjoying the journey or stressing about the destination?

Tune in and hear our thoughts on burnout and what has helped us get balance back in life.

Recently Bob and Brad released a post on Twitter discussing the need to be careful with vigorous activity first thing in the AM due to your discs being swollen

Is this true?

Is this a bad message?

Are there contexts where this discuss can be helpful or harmful?

Tune in to this weeks episode of the Modern Pain Podcast and find out!

In this week's episode we interview Mark's wife Mallory and discuss her lived experience around a recent health scare.

There a ton of pearls in this episode as Mallory reflects on the challenges she faced when dealing with an uncertain diagnosis

We discuss the tendency for medicine to anchor on mental health in ambiguous situations

Tune in for this and more.

Listen to our 3rd and final episode recording live at CSM San Antonio

Dan Lorenz shares his background and perspective.

What do experts do well?

Are we getting distracted from the basics with new shiny intervention strategies?

How has pain science influenced his practice?

Listen in to this week's episode and find out

Join us for our second interview from CSM San Antonio with Michael Ray.

Listen as Michael shares his journey and the challenges he faced with traditional teachings around pain and what he had learned in chiropractic school

Dr. Ray discusses some of the great research he is involved in and his transition from clinical practice to academia.

Listen to our first interview at CSM 2022 in San Antonio with one of our mentors and friends Col. Jason Silvernail

We talk about development of critical thinking skills, his role in the military trying to create an amazing community of physical therapists.

This episode is packed with great wisdom from Jason,

We hope you enjoy!

In part two of our discussion with Aaron we discussed the process he went through in becoming this active and successful on social media.

We discuss his consistent pursuit of authenticity and leaning into who he is.

We discuss the differences of social media platforms and limitations of discussions on a social platform.

Enjoy!

Join us as we interview Aaron Kubal, a chiropractor, doing some great things in his practice and on social media

In part one we talk about his journey and the challenges he faced to get to where he is today.

Aaron challenges the status quo regularly on social media.

What is behind this and how has the experience been for him?

Tune in to this week's episode and find out

While listening to Peter O'Sullivan and Joletta Belton discuss their experience with Peter's interaction with Joletta the topic of manual therapy arose

Mark mentioned that manual therapy should be supportive not corrective.

This encapsulates the journey that most manual therapists and manual therapy systems must make to stay current with what science is telling us manual therapy can and cannot do

What does this mean in regards to clinical practice?

Tune into this week's episode and find out

A key concept that really helped Jarod and Mark better understand and help people with pain was the thought that pain was more defense versus defect.

What does this mean?

How can it help you in patient care?

Tune in to this week's episode and find out!

The clinic is undoubtedly full of gray and rarely resembles the neat black and white version we learn in DPT school

Humans likely never will fall into nice neat diagnostic buckets.

With this complexity comes scenarios where we aren't entirely sure what is going on with the patient.

They don't fit into any bucket or they fit into multiple.

This is where we need something to lean on to thrive in these situations.

Tune in to this week's episode to find out what Jarod and Mark lean on in these situations

DPT education can become a very spirited discussion.

Students are at times heard complaining about what they are being taught.

Faculty members are fighting to maintain the balance between getting students ready to pass boards while also preparing them for the gray areas that permeate clinical life.

Zach Huff, one of our MPC teammates, joins us this week to discuss with Mark his perspective as a faculty member and practicing clinician.

How do we help students and early-career clinicians see the nuance and complexity that exists in the clinic and thrive?

Tune in to this week's episode and find out!

Listen in this week as Mark interviews Joe Camoratto and CJ DePalma. They will discuss their Across the Continuum Program and how they have been able to help clinicians become comfortable with exercise programming in the rehab to performance aspects of any patient.

They are set to launch their second running of the program in January. Reach out to Joe at joe@themovementdr.net for more info!

Last week Jarod and Mark discussed a systematic review on specificity of spinal manipulation.

The review showed we didn't have any data to support specific manipulation techniques

So what does this mean for our practice?

Is specific manual therapy a waste of time?

Are there ever times where specific issues may benefit from specific techniques?

Do large population studies always jive with the N=1 patient encounter?

Tune in and hear Mark discuss whether there is a place for specific manual therapy.

A recent systematic review has been published in Scientific Reports titled - The importance of selecting the correct site to apply spinal manipulation when treating spinal pain: Myth or reality? A systematic review

As many of you know this is a passionate topic of Mark's as he spent a great deal of time in his career thinking the key to helping complex pain presentations was to learn the very specificity this study examines.

What does the study say?

Does specificity matter?

Is it long past time to put up or shut up when it comes to those claiming segmental specificity is a must have in the delivery of manual therapy?

Check out this week's episode and find out!

Link here - https://www.nature.com/articles/s41598-021-02882-z

Coming off of last week's episode on keys to success as a new grad we thought we would go in the opposite direction.

What are three things you DON'T need to succeed as a new grad.

Listen as Jarod and Mark reflect on things they look back on and recognize were not that important in chart a path to success and expertise in the clinic.

We have been fortunate to have a lot of conversations with new graduates who are early in their career.

We have been able to hear their struggles in our coaching and mentoring program.

It has caused Jarod and Mark to reflect on what, looking back, they feel are the keys to success as a new graduate.

What are the keys?

Tune in to this week's episode of the Modern Pain Podcast and hear the three keys to success as a new graduate!

We had someone pose a question that we get A LOT!

How do I handle practicing with a clinician who is practicing in dated practice patterns?

So how do we go about that relationship?

What has worked and not worked for Jarod and Mark?

What are some strategies you can start today to help you successfully navigate these situations?

Tune into this week's episode of the Modern Pain Podcast and find out!

Jarod reposted an Instagram post from 4-5 years ago on the three best exercises you can do

What are the characteristics of these exercises?

How do these apply to the unique people we see in pain?

Does exercise need to be hyperspecific or hyperfunctional???

Tune into this week's episode and find out!

Patients regularly report their pain is due to arthritis

Dr. Google is often no help for patients in getting a current view on what their imaging means.

What is the difference between arthropathy and arthritis?

How can this discussion help you help patients?

Tune in to this week's episode of the Modern Pain Podcast and find out

Jarod had the following post on Twitter.

You can prescribe the same exact exercise 100 different ways, with 100 different doses, 100 different intensities, and 100 different rationales for 100 different patients. We don’t need goofy fad “rehab exercises”. We need a solid critical thinking/clinical reasoning framework

Do you chase shiny exercises?

Tired of the chase and ready to develop your framework?

Tune in to this week's episode of the Modern Pain Podcast and stop the chase!

A regular complaint we see on social media comes from DPT students frustrated with what they are being taught in their DPT programs

Jarod and Mark both teach in DPT programs so they have been able to see both sides of this issue

Is PT school a history lesson?

Is this unique to DPT training?

What should you do about it?

Tune in to this week's episode and find out!

We have been talking to a lot of clinicians lately and a common theme seems to be emerging?

People are frustrated. Social media per usual feeds you a dichotomy that is devoid of any nuance.

Young clinicians are disenfranchised and are questioning what place if any manual therapy has in practice.

So, before you go on a 15 level coursework pusuit of manual therapy jedi certification or go and buy a manual therapy sucks t-shirt from Adam Meakins, listen in and hear a nuanced discussion around the pendulum swings of manual therapy.

Resources: https://www.thieme-connect.com/media/10.1055-s-00049852/202103/supmat/10-1055-a-1499-5262-s01.pdf

https://youtu.be/nGspYvZGTFg

Joint mobilizations are a large part of our manual therapy training in school

We learn the convex concave rule and arthrokinematics in detail

But does it matter?

Do we need to be specific?

What are the mechanisms behind an effect with joint mobilizations?

Join Jarod and Mark as they dive into this and more in this week's episode of the Modern Pain Podcast

Articles of interest: https://pubmed.ncbi.nlm.nih.gov/22333460/ https://pubmed.ncbi.nlm.nih.gov/17416123/

We have all been there.

A person we are working with comes in with primary complaints of pain in the shoulder region

We jump on the primary hypothesis of it being a primary shoulder related issue.

Six visits later nothing is changing.

Both the patient and the clinician are getting frustrated.

Did you check the neck?

How do you know if pain in the shoulder region is coming from the neck?

Tune into this week's episode of the Modern Pain Podcast where Mark and Jarod discuss this and more.

We are living in unprecedented times that have not likely been similarly witness since the last major pandemic of the Spanish Flu

Covid has taken a toll on us all.

Tragically, many of us have experienced terrible loss in our circle of friends, family, and colleagues.

Social media is full of misinformation and divided groups of people.

Many relationships are being challenged by differing beliefs and behaviors around the pandemic

Many of us are finding ourselves dissatisfied with many aspects of our life right now.

Are we truly dissatisfied or is this something else?

Jarod made a post about this that really resonated with people - https://www.facebook.com/jarod.hall.357/posts/10165790011290375

Join us for this week's episode of the Modern Pain Podcast where we discuss this and more.

What we all were taught about stretching and what science is saying about stretching are two different things

Per usual social media tends to create a false dichotomy of you should never or you should always stretch.

What about patients who LOVE to stretch? Do we tell them to stop?

Are there times where stretching can be helpful?

Are there times where stretching is harmful?

Join Jarod and Mark as they discuss this and more on this week's episode of the Modern Pain Podcast

Related references: 1. Konrad A, Tilp M. Increased range of motion after static stretching is not due to changes in muscle and tendon structures. Clin Biomech (Bristol, Avon). Jun 2014;29(6):636-42. doi:10.1016/j.clinbiomech.2014.04.013 - http://www.ncbi.nlm.nih.gov/pubmed/24856792

Struggling to feel confident and competent in the clinic? Book A Free 45 Minute Confident Clinician Consult Call with Us at https://modernpaincare.com/call

Get Help With Your Clinical Practice By Joining Our Free FB Community,

Join Our Free FB Community Pain Masterminds Network https://www.facebook.com/groups/painmastermind

Lumbar stenosis is a common imaging finding we often see in clinic.

Is it always clinically relevant?

How do we test this clinically?

We must be careful to treat people and not images.

Listen in this week as Mark and Jarod share their experience with lumbar stenosis

Related articles: https://www.sciencedirect.com/science/article/abs/pii/S1047965102000761?via%3Dihub http://www.ncbi.nlm.nih.gov/pubmed/25844995 https://pubmed.ncbi.nlm.nih.gov/24373681/

If you are looking for coaching or mentorship in your practice jump on https://modernpaincare.com/supercharged and see if we can help

The first 8+ years of Mark's career was spent moving back and forth to new tools to add to the toolbox

His clinical process was to throw the kitchen sink at patients and hope for the best.

If people improved or worsened he had no idea what in the kitchen sink may have contributed.

A clinical process is what saved his career

What does it mean to have a clinical process?

Tune in to this week's episode of the Modern Pain Podcast and find out

We have been having a blast with our first clinician enrolled in our Complete Clinician Supercharged Program.

We have had a lot of questions about the structure and experiences in the program.

We figured who best to tell you then the people themselves.

Listen to Howard Yan share his experience with our coaching and mentorship program as a clinician on year 4 of his career and working in a challenging setting.

If you are interested in discussing mentorship or coaching in your practice then go to https://modernpaincare.com/supercharged to book a call to talk with us to see if the program is a good fit.

We have been having a blast with our first clinician enrolled in our Complete Clinician Supercharged Program.

We have had a lot of questions about the structure and experiences in the program.

We figured who best to tell you then the people themselves.

Listen to Kyle Yuro share his experience with our coaching and mentorship program as a brand new PT out of DPT school

If you are interested in discussing mentorship or coaching in your practice then go to https://modernpaincare.com/supercharged to book a call to talk with us to see if the program is a good fit.

Recently we had someone ask us how we get patient buy-in when the person appears unmotivated.

Is someone truly unmotivated or are we missing something?

How do we structure encounters and treatment programs to maximize the chance of compliance?

Join Jarod and Mark as they discuss this and more on this week's episode of the Modern Pain Podcast

Helpful Resources: https://www.ncbi.nlm.nih.gov/pubmed/29327405 https://www.ncbi.nlm.nih.gov/pubmed/29434416

There has been a great movement to better understand and apply exercise patients.

Strength and conditioning principles are important to understand when we are dosing exercise to meet the specific performance goals of our patients

Dosing for performance and dosing for pain are two different concepts

How do Jarod and Mark approach that in clinic?

How can we find the best dose for the unique person in front of us?

Join Mark and Jarod as they discuss this and more on this week's episode of the Modern Pain Podcast

Related Resources: https://www.ncbi.nlm.nih.gov/pubmed/31536554 http://www.ncbi.nlm.nih.gov/pubmed/24662498 https://pubmed.ncbi.nlm.nih.gov/29664187/

We get asked a lot about the utilization of techs in the clinic.

Is this a bad thing?

What's the best way to deliver high-value care while incorporating the use of technicians into care?

Tune in to this week's episode of the Modern Pain Podcast and find out!

I think we can all agree that we were not prepared well to prescribe exercise in school

We often are so focused on getting people to "discharge" we miss a huge opportunity to have a bigger impact on a person's health

How many of us could write out exercise programming for the household athlete all the way to the fitness athlete?

Join Mark with special guests CJ DePalma and Joe Camoratto as they discuss their new program Across the Continuum.

We are excited to have them join the Modern Pain Care team and can't wait to see the impact they will have on many practices.

If you're interested in joining the program check out https://modernpaincare.com/across-the-continuum-interest

IG - @acrossthecontinuum

Dr. Joe Camoratto IG - @dr.joe.dpt

Dr. CJ DePalma IG- @the_movement_dr

Opioid use disorder is something many patients in pain unfortunately are dealing with.

Marcos Lopez is a physical therapist doing some amazing things in this space to help those suffering with opioid use disorder

How does Marcos approach this?

How should clinicians be approaching this?

Join us for this week's episode of the Modern Pain Podcast to find out

Want to hear Marcos deliver his masterclass on this topic. Join us in the Complete Clinician Lifelong Learning Academy to hear this masterclass and many more at - https://modernpaincare.com/lifelong-learning-academy

Related Resources: https://journals.lww.com/painrpts/fulltext/2020/10000/physical_therapy_and_opioid_use_for.12.aspx

https://pubmed.ncbi.nlm.nih.gov/29180553/

https://pubmed.ncbi.nlm.nih.gov/31542740/

Lateral shifts are a common clinical presentation that can respond to specific treatment

Louis Gifford had public criticisms of the push to correct a lateral shift due to the thoughts it was an adaptive response early on.

Some still recommend these are dealt with immediately and there is little time to consider this adaptive and for it to be left alone.

So what do we do?

When may it be adaptive and best left alone?

When may "correcting" the shift be the best choice?

Tune in to this week's episode of the Modern Pain Podcast and find out.

Resources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2700497/ https://giffordsachesandpains.com/download-material/the-full-mckenzie-debate/

Looking for free resources and training?? - Jump in our Facebook group - https://www.facebook.com/groups/painmastermind

Looking for coaching or mentoring in your practice?? - Check out https://modernpaincare.com/supercharged/

You learned about them. You studied them. You were tested on them. But the real question is, how important are they to use?

Clinical prediction rules (CPRs) were developed using multivariate statistical methods to help clinicians select particular interventions to use depending on a cluster of findings a patient presented with.

Given the black and white matter of how the CPRs were created, this allowed for the opportunity to write a lot of test questions whether it was the NPTE or the OCS exam.

However, as many practicing clinicians know, the clinic is not black and white and we cannot always shoehorn patients into classifications or rules.

So what do we do instead?

Listen in as Jarod and Mark discuss this on this week's episode of the Modern Pain Podcast

If you read studies often we are left with 3 sets of 10 reps or 3 sets of 30 seconds as what we have to go on for rep schemes around dosing.

Does that best meet the individual in front of you?

How can we dose things specific to the needs of the person in front of you?

Join Jarod and Mark as they discuss this and more on this week's episode of the Modern Pain Podcast

Join us this week as we have Nick Rolnick from BFR Pros joining us to talk all things blood flow restriction

Nick gives a great summary of BFR and answers questions from our live stream.

Nick will be delivering a masterclass in our Complete Clinician Lifelong Learning Academy. Grab a free 14-day trial - modernpaincare.com/lifelong-learning-academy

Recommended Links: https://pubmed.ncbi.nlm.nih.gov/32246768/ https://www.frontiersin.org/articles/10.3389/fphys.2019.00533/full https://www.jospt.org/doi/abs/10.2519/jospt.2019.8375 https://insights.ovid.com/strength-conditioning/scjr/2020/10/000/blood-flow-restriction-training-physique-athlete/4/00126548 https://bjsm.bmj.com/content/51/13/1003 https://pubmed.ncbi.nlm.nih.gov/21917016/

Where do neurodynamics fit in lower extremity conditions?

Tune in and find out as Jarod and Mark unpack this and more on this week's episode of the Modern Pain Podcast

What does it mean to apply neurodynamics in a purposeful and methodical manner?

Are you systematically applying loads in these tests?

How do you document neurodynamics and use them as markers of progress in your notes?

How methodical are you in considerations of patient positioning in in the reliability of your testing?

Where does the c-spine fit in neurodynamic treatments?

How do you protect yourself from trying to find neurodynamics when they aren't there?

Join Mark and Jarod as they discuss this and more in episode 51 of the Modern Pain Podcast

Neurodynamics can give us clues of possible neuropathic pain components to extremity conditions?

What conditions often have a neurodynamic component?

How do neuodynamics point toward possible spinal treatments for extremity problems?

How do Jarod and Mark use them in practice?

Join us for this week's episode of the Modern Pain Podcast and find out!

Neurodynamics is an examination and treatment strategy that can give you great information and treatment strategies with a patient.

It also can be a way to quickly aggravate a patient's condition

How do we know how much, when, who, where...etc?

Is it strictly a mechanical phenomenon?

Join Jarod and Mark as they unpack this and more on this week's episode of the Modern Pain Podcast

Is Painful Manual Therapy OK? by Modern Pain Care

Repeated motions is a examination and intervention skill that can be very helpful for patients?

How do we apply it in clinic?

What are the common errors in application?

How do we fit it to the unique N=1 encounter?

Join Jarod and Mark as they unpack this and more on this week's episode of the Modern Pain Podcast

Related links: https://www.jospt.org/doi/full/10.2519/jospt.2016.6158 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822320/ https://pubmed.ncbi.nlm.nih.gov/22795390/

Join us in our first episode where we share clinical pearls that have helped us greatly along the way.

Pain in region of the medial border of the scapula is a common problem we see in clinic.

Do we continue blasting the rhomboids and mid traps with cupping, scraping, needling, taping, manipulation, mobilization?

We say it's coming from the neck until you prove otherwise.

Listen in and find out why

🤬🤬We often have people approach us and say we have a very cynical view on things and have the view that nothing works for pain🤬🤬

This is not where we stand.

🤔 Are there interventions that are special and provide unique and superior benefits for pain?

🤔 Who makes the decision on what the best intervention is for the unique human in front of you?

🤔 Have we been operating under a clinician-centered care paradigm?

🤔 If person-centered care is the goal, how do we move there?

🔥🔥Join Jarod and Mark as they discuss this and more in this week's episode of the Modern Pain Podcast🔥🔥

Links: https://pubmed.ncbi.nlm.nih.gov/26755405/ https://pubmed.ncbi.nlm.nih.gov/25550671/ https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-020-04610-w https://www.ncbi.nlm.nih.gov/pubmed/20713495

Want to get help and coaching in your practice? https://modernpaincare.com/courses/

✅ A recent article discussed the history and current evidence behind IT band pathology.

🤔 What is the history of this diagnosis?

🤔 What does current evidence say in regards to the IT band?

🤔 How do we deal with this in clinic?

Join Jarod and Mark as they unpack this and more in this week's episode of the Modern Pain Podcast.

Helpful links: https://pubmed.ncbi.nlm.nih.gov/33351908/ https://pubmed.ncbi.nlm.nih.gov/18723456/ https://pubmed.ncbi.nlm.nih.gov/26755689/

There have been some great conversations going on about patient expectations recently.

✅ Bringing the patient's unique thoughts and beliefs into each encounter is crucial.

✅ Therapeutic alliance and patient expectations are concepts we must understand to best create patient interactions that drive people to their desired outcomes.

🤔 Where do expectations come from?

🤔 How does the culture our patient lives in and the one our clinic advertises and delivers on influence expectations?

🤔 Can we really say most patients share the same expectations?

👉 Join Jarod and Mark as they discuss this on this week's episode of the Modern Pain Podcast.

Links: https://pubmed.ncbi.nlm.nih.gov/23508341/ https://pubmed.ncbi.nlm.nih.gov/22528659/ https://thesciencept.com/flush-your-stool-down-the-funnel/ https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-9-19

Modern Pain Care Coaching Program: https://modernpaincare.com/courses/

A recent systematic review has come out with the title, "No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis"

✅ Often we are taught impingement is due to limited subacromial space.

✅ The type of acromion has also been theorized as a contributing factor?

🤔 What has science told us in regards to these issues?

🤔 Are impingement theories holding up to scientific testing?

🤔 Most importantly, what does all this mean when you sit in front of a patient with shoulder pain?

🔥🔥 Join Jarod and Mark as they discuss this and more in this week's episode of the Modern Pain Podcast.🔥🔥

Article Links: https://pubmed.ncbi.nlm.nih.gov/29490599/ https://www.researchgate.net/publication/233562428_Subacromial_impingement_syndrome_a_musculoskeletal_condition_or_a_clinical_illusion https://pubmed.ncbi.nlm.nih.gov/19336812/ ps://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32457-1/fulltext https://pubmed.ncbi.nlm.nih.gov/27422460/https://www.nature.com/articles/s41598-020-76704-z https://pubmed.ncbi.nlm.nih.gov/29065348/

🌏🌏 The Lancet recently released an OPEN ACCESS study titled - "Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019" (link in comments below) 🌏🌏

🤔 The study had some interesting conclusions

🗣🗣 "We argue that rehabilitation needs to be brought close to communities as an integral part of primary health care to reach more people in need."🗣🗣

🤔 MSK conditions were the most prevalent disease area with low back pain being the most prevalent condition

🤔 So how do we get rehabilitation more into main stream care of MSK conditions?

🤔What barriers to we have to overcome systemically, culturally, and beyond?

🔥🔥 Join Jarod and Mark as they discuss this and more on this week's episode of the Modern Pain Podcast. 🔥🔥

Article Link: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)32340-0/fulltext

There has been discussion going around about discs

Do they slip?

Are clinicians spreading misinformation?

What do people in pain believe?

What does research say?

How do you navigate a discussion of discs with patients?

Join Jarod and Mark as they discuss this and more on this week's episode of the Modern Pain Podcast

😩😩This joint nearly had me quit PT.😩😩

😥😥 It convinced me that I will never be capable of feeling that millimeters of movement that supposedly were the key to "fixing" people.😥😥

😀 Thankfully science has been very helpful in putting the SI joint in perspective

🤔 Can we detect millimeters of movement reliably?

🤔 Does SI joint dysfunction even exist?

🤔 Is this a case of palpatory pareidolia?

(not sure what pareidolia means? I guess you'll have to tune in)

🤔Do we have professions who have identified themselves with the the SI joint and a myriad of theoretical "problems" it can have?

🤔 Is there nuance to SI joint discussions or is it all or none?

Helpful links: https://www.sciencedirect.com/science/article/pii/S0268003314000308 https://pubmed.ncbi.nlm.nih.gov/31355883/ https://www.youtube.com/watch?v=mvW2lj194MQ

A recent post was made in the DPT student group that peeked our interest.

https://www.facebook.com/groups/DPTStudent/permalink/3566671440045574/

It was a great example of how black and white thinking is not helpful when dealing with complex issues such as pain

The discussion on the post was interesting.

What is black & white thinking?

Why does it often fail in complex systems such as a human being?

How do we combat black & white thinking?

Jarod released a blog (link in comments) on our site that put into words a lot of the frustration we see and encounter daily.

Are their truly special interventions out there?

Are we arguing over the wrong things in patient care?

What about the people who do not improve with natural history?

Where should our focus be?

Join Jarod and Mark as they discuss this and more in this week's episode of the Modern Pain Podcast

Link to blog - https://modernpaincare.com/blog/f-our-differences

We had a great discussion this past weekend in our Lifelong Learning Academy.

It was so good we felt we needed to share it with you all.

Jarod Hall, Marcos Lopez, and Mark Kargela got together to discuss their talks they shared in the academy and had a great discussion where there were clinical pearls were flying everywhere

We hope you enjoy the discussion and get some value to help you in your practice!

For more information on the Complete Clinician Lifelong Learning Academy check it out at - https://www.modernpaincare.com/lifelong-learning-academy

🤜🤛Critical thinking and sound clinical reasoning go hand in hand.🤜🤛

😫It is not easy to teach in a classroom.

🗣🗣We usually are quick to criticize the thinking of others.

🤔Are we just as quick to criticize our own?

🤔Do we consciously make an effort to think about our thinking?

🤔Where are you in your critical thinking skills?

Books referenced: Coddling of the American Mind - https://www.amazon.com/gp/product/B076NVFT5P

Thinking Fast and Slow - https://www.amazon.com/Thinking-Fast-Slow-Daniel-Kahneman-ebook/dp/B00555X8OA/ref=sr_1_2

The Righteous Mind - https://www.amazon.com/Righteous-Mind-Divided-Politics-Religion-ebook/dp/B0052FF7YM/ref=sr_1_1

Being Wrong - https://www.amazon.com/Being-Wrong-Adventures-Margin-Error-ebook/dp/B003JBHW08/ref=sr_1_1

The Coddling of the American Mind: How Good Intentions and Bad Ideas Are Setting Up a Generation for Failure

Thinking, Fast and Slow

The Righteous Mind: Why Good People Are Divided by Politics and Religion

🏋️🚴It's hard to argue over the value of exercise in the treatment of pain. 🚴🏋️

🤔 But do we need to be specific?

🤔 Around the spine do we need to be specific in our efforts at strengthening where we focus on attempting to isolate muscles?

🤔 What about simple global exercise?

🤔 What about directional preference?

🤔 Where does the patients beliefs and preferences fit in?

Frozen shoulders are somewhat of a clinical enigma

We don't necessarily understand their cause and have yet to find a great treatment that speeds up their natural history significantly.

A recent study in the Lancet compared PT, arthroscopic release, and manipulation under anesthesia...

The winner was.....

None of them! None were superior in their outcomes.

So what do we do with people we see with frozen shoulder?

Study link - https://www.ncbi.nlm.nih.gov/pubmed/33010843 YouTube Video summary - https://www.youtube.com/watch?v=I88uzfD8Y4s&feature=youtu.be

✅ Understanding symptom behavior is crucial to being able to appropriately plan your examination and treatments.

✅ A big part of this is understanding the irritability of a symptom. Irritability has three components to make a judgement:

1️⃣ How easily is it provoked 2️⃣ How intense are the symptoms provoked 3️⃣ How much does it take to reduce symptoms back to baseline

🤔 Is irritability a measure of the tissue?

🤔 Are there more things than simple nociceptive messages into the system that influence a patient's reports?

💪💪"You can't go wrong getting strong!!!!"💪💪

✅ That has been a popular battle cry lately in the rehab fields.

🤔 Is this always the case?

🤔Can you truly never go wrong?

🤔Where does this fit in person-centered healthcare?

🔥🔥Join Mark and Jarod as they discuss this and more🔥🔥

🤯🤯Nothing seems to raise blood pressures and evoke emotional responses as the debate around trigger points.🤯🤯

🤬🤬With dry needling becoming a more popular intervention in patient care the debate has become more common and emotional. 🤬🤬

🤝🤝Instead of emotions ruling the discussion join Jarod and Mark as they have a chat around trigger points and the science behind the trigger point theory. 🤝🤝

Resources: 🤯🤯Nothing seems to raise blood pressures and evoke emotional responses as the debate around trigger points.🤯🤯

🤬🤬With dry needling becoming a more popular intervention in patient care the debate has become more common and emotional. 🤬🤬

🤝🤝Instead of emotions ruling the discussion join Jarod and Mark as they have a chat around trigger points and the science behind the trigger point theory. 🤝🤝

Resources: https://pubmed.ncbi.nlm.nih.gov/25477053/ https://pubmed.ncbi.nlm.nih.gov/29025044/ https://bjsm.bmj.com/content/bjsports/49/6/348.full.pdf

🛠🛠Often you will hear clinicians discuss having a lot of tools in the toolbox.🛠🛠

🤔 Is this always a great pursuit?

🤔 Do we risk having tools without a process of application?

🤔 Would thinking of patient care as a process not product be helpful?

✅Join Mark and Jarod as they discuss this and more

Article links: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3360492/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3172949/

🤔🤔 Do we "pain science" people? 🤔🤔

✅ That seems to be the thoughts of a lot of people out there.

🗣🗣We regularly hear, "Well you do the pain science thing..." 🗣🗣

✅ This tells me that there is a large lack of understanding of what pain science is and what it is not.

📅📅 Join Jarod and Mark as they discuss why pain science is not an intervention and how it is best incorporated into a person-centered framework of care. 📅📅

https://www.modernpaincare.com/complete-clinician

😔 Most of us have experienced this and it can be frustrating!!!

😨 A patient discusses their condition and tells you they feel they are dealing with bone on bone

🛑 It can be a huge barrier. 🛑

😨 Understandably, most with this belief are hesitant to load or engage in rehabilitation.

🏋🏾‍♀️🏋️‍♂️ Exercise and loading is considered dangerous or harmful.

❓❓❓How do you deal with this clinically?

✅✅Join Jarod and Mark as they discuss their strategies to help people challenge this belief and successfully move forward in their pursuit of valued goals. ✅✅

Helpful links: https://www.ncbi.nlm.nih.gov/pubmed/30886966 https://www.ncbi.nlm.nih.gov/pubmed/26721229 https://www.ncbi.nlm.nih.gov/pubmed/23789746

👴👩‍🦱🧔🏿🧕🏼If you are human you have a unique context you have grown and learned in that has shaped your beliefs and perceived knowledge👴👩‍🦱🧔🏿🧕🏼

🗣 Others bring unique beliefs and knowledge from their own context

✅ Sometimes our views and beliefs do not align.

🗣 🤼‍♀️ You have likely witnessed discussions on social media turn ugly

✅ Professional dialogue and debate can serve a vital role in helping us improve our knowledge and understanding of the world.

📅 Join Jarod and Mark as they relive their past failures in this area. Learn strategies to debate along with common logical fallacies we fall victim to in professional debate.

🤔 What is patellofemoral pain sydnrome?

🤔 Should we just call in pain in the region of the anterior knee?

🤔 Do biomechanics have a role?

🤔 Is the knee extension machine truly the devil?

✅ We'll be answering these question and more in our weekly pain points.

Check the links below for some primer articles and blogs to wet your appetite!

https://pubmed.ncbi.nlm.nih.gov/15995427/ https://bjsm.bmj.com/content/52/18/1170 https://www.running-physio.com/pfps2/ https://www.running-physio.com/pfps1/

✅Many of us were taught that specific activation of the transverse abdominus and multifidi are a key component of any back exercise program.

✅ Research has challenged this thought.

🤔 Is there a time for bracing work?

🤔 Where can "core stability" go wrong?

🤔 How can you prescribe exercise for back pain in a person-centered way versus allowing biomechanical theory dictate our choices to patients?

Join Jarod and Mark as they unpack this topic in Modern Pain Care's weekly pain points!

Links to articles discussed: https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-15-416 https://pubmed.ncbi.nlm.nih.gov/22146280/ https://pubmed.ncbi.nlm.nih.gov/22884190/ https://pubmed.ncbi.nlm.nih.gov/30381024/ https://pubmed.ncbi.nlm.nih.gov/22270245/

🤔 The research has not really supported many mechanical effects of manual therapy

✅ Yet we do see it change pain in session

✅ Joel Bialosky, Steve George and others have shown us that the mechanisms of manual therapy are mainly neurophysiological

❓ What can we learn about the patient's pain modulation abilities through manual therapy?

❓ What do we do with this information?

❓ Most importantly how do we give people the ability to do it actively?

🔥 Join Jarod and Mark as they discuss this and more in Modern Pain Care's Weekly Pain Points See Less

💸💸Healthcare spending is a major issue!! 💸💸

📉 📉The return on investment is severely lacking📉📉

✅ This recent JAMA study points to low back pain and neck pain as the areas of highest spending.

https://jamanetwork.com/journals/jama/article-abstract/2762309

📉 📉 These areas often have poor data on the utilization of conservative care options 📉📉

🗣🗣 This data needs to be shared with patients and providers 🗣🗣

We need to do better!

✅ Join Jarod and Mark as they reflect on this article and talk of ways you can use it in conversations with providers and patients.

🤔🤔 Where does stretching fit in current practice?🏋️‍♀️🏋️‍♂️

🤔 Are we truly elongating tissue?

🤔 What is the sensory theory of stretching?

🤔 Does stretching hinder performance?

🤔 Should we be prescribing stretching?

🤔 Are there times we should not be stretching?

✅ Join Jarod and Mark for our weekly pain points to find the answers to these questions and more!✅

🤔🤔Critical thinking is vital to our growth and performance as clinicians🤔🤔

❓ Do you ever think about your thinking?

❓ Is biomedical and related philosophy best helping our patients?

❓ What are some alternative philosophical viewpoints that may better serve our patients?

🤔 The evidence-based practice movement has given us a huge amount of value in healthcare 🤔

🤯 It is not perfect though. 🤯

❓ How can experts have such hugely different assessments of the evidence?

❓ How do you improve your research consumption skills?

Join Jarod and Mark as they discuss this in Modern Pain Care's Weekly Pain Points

✅ Passive care requests can be challenging to address.

❓ How do you get patients to engage in active management strategies?

❓ How do you not lose patients?

❓ How do you meet people in the middle

🤔 Join Jarod and Mark as they discuss some strategies you can use with your patients.

Should you learn manual therapy?

❓❓We have had people asking us this question for some time so we think it's time to share our views with everyone❓❓

🤔 Is it worth learning manual therapy?

🤔 Is fellowship training a good idea for you?

🤔 Does manual therapy have a place in modern practice?

Join Dr. Jarod Hall and Dr. Mark Kargela as they discuss their perspectives!!

You have not lived unless you have been a part of the usual mud slinging and name calling that happens when biomechanics and pain science are discussed

🤔 Why such anger?

🤔 Why can't they co-exist?

🤔 Is it really an either/or discusssion?

Join CJ Depalma, Jarod Hall, and Mark Kargela as they discuss this often heated topic.

Listen as Rachel Zoffness, PhD, a pain psychologist shares her unique perspective on pain from a pain psychology point of view and some of the challenges in pain psychology. She also discusses her amazing book - The Chronic Pain & Illness Workbook for Teens.

Listen as Dr. Marcos Lopez shares his perspective as a physical therapist practicing in an opioid addiction setting. He discusses the sobering statistics and helps us better understand how we can help someone who is struggling with opioids in their journeys.

Listen as Mark interviews Ben Cormack of Cor-Kinetic (cor-kinetic.com) where they discuss core stability and person centered exercise. Ben brings up examples from his current caseload and discusses his journey and approach to the person in pain.

Listen as Mark and special guest interviewer, Joletta Belton, have an amazing discussion around person-centered care. Peter shares a ton of great clinical pearls and Joletta and Peter both discuss their interaction at the San Diego Pain Summit

Listen as Mark interviews author and clinician John Launer where they discuss narrative-based communication in practice.

Listen as Mark interviews Martin Hoegh a physiotherapist and soon to be PhD from Denmark. They discuss research, neuroscience, theory, philosophy and much more!

Mark interviews David Hanscom, MD for the third and final part of their interview series. This episode dives deeper into the family in pain and goes into some of the treatment strategies David uses in his practice to better help the family in pain.

Listen to part two of our discussion with orthopedic spine surgeon Dr. David Hanscom as he discusses his approach to working with families of those who are dealing with difficult pain situations.

Listen as orthopedic spine surgeon Dr. David Hanscom shares a bit about his journey to quitting his practice as a spinal surgeon. We discuss the neurophysiology of pain and how it affects the experience of those who are living with pain.

Dr. Mark Kargela interviews Dr. Mick Thacker a world respected researcher on his current work around predictive processing and its application to clinical practice.

Listen to Dr. Mark Kargela interview New Zealand Occupational Therapist and PhD Bronnie Thompson where they discuss communication skills and strategies when interacting with a person in pain

Joletta and Mark interview Keith Meldrum, a fire chief, in British Columbia Canada. Listen to Keith's powerful message to clinicians and hear his journey from a severe injury and the difficulties he faced until an encounter with a clinician who simply said, "I believe you" changed the course of his recovery.

This month Joletta Belton and Dr. Mark Kargela interview Tami Link, a yoga practitioner, who shares her story of pain and learning to live well again through a challenging journey that changed directions when she began to see her pain story through a pain science lens.

Listen as Dr. Mark Kargela and his guest co-host Joletta Belton interview Samantha Bonsack and hear her amazing story of triumph in the face of a very dark and challenging period of her life with severe persistent pain.