Pain Reframed

145: Explaining Pain as a Pain Psychologist | Rachel Zoffness Jan 28, 2021

"Has anyone ever explained pain to you?" Rachel Zoffness, PhD, always asks her patients this one question in order to bridge the gap between her patient's understanding of their own pain and what other health care providers have told them about their pain.

On today's episode of Pain Reframed, Dr. Zoffness joins Tim Flynn, PT, PHD, OCS, FAAOMPT, and Jeff Moore, PT, DPT, OCS, FAAOMPT, to discuss her new workbooks that she created to help bridge that education gap that patients have of their understanding of what their pain is telling them about their bodies. Dr. Zoffness wrote these workbooks for her own practice as a psychologist treating adolescents and young adults and is now ready to share this incredible resource with other providers.

Links: https://www.zoffness.com/ The Chronic Pain and Illness Workbook for Teens The Pain Management Workbook @DrZoffness @jeffmooredpt @timothywflynn @EIMteam

January 2021 Kickoff Jan 21, 2021

On this week's episode of Pain Reframed, Tim Flynn, PT, PHD, OCS, FAAOMPT, and Jeff Moore, PT, DPT, OCS, FAAOMPT, discuss how to regroup and focus in 2021 on how clinicians can help their clients and patients during the global pandemic, by building up their immune systems through fitness, lifestyle choices and nutrition alongside social distancing and masks. They also talk about the rise of overdoses, the COVID-19 vaccines and how to move forward in 2021.

Links:

Rest, Relaxation, and the Immune System 11/13/2020

Is older age associated with COVID-19 mortality in the absence of other risk factors? General population cohort study of 470,034 participants

The Hidden Epidemic of Opioid Overdoses During the Coronavirus Disease 2019 Pandemic

143: Pain Reframed: The Body Keeps Score | David Clawson, MD Dec 10, 2020

On this week's episode of Pain Reframed, David Clawson, MD, joins Tim and Jeff to discuss holistically approaching neck and back pain and spinal deformity, breaking down how Dr. Clawson has used that approach his field of physical medicine and rehabilitation. Dr. Clawson categorizes the threats that patients are up against -physical and mental, then dives into the review of systems to inform and determine his plan of care. Dr. Clawson also discusses in depth how to transition from the physical evaluation to the mental or spiritual evaluation that plays such a large part of pain.

Links:

@jeffmooredpt @timothywflynn

Listen on Vurbl

142: Dedicated Emergency Department Physical Therapy | Keith Roper and Andrew Pugh Oct 22, 2020

On this week's episode of Pain Reframed, Tim Flynn and Jeff Moore talk with Andrew Pugh, MD and Keith Roper, DPT to discuss their new research paper "Dedicated emergency department physical therapy is associated with reduced imaging, opioid administration, and length of stay: A prospective observational study" and how this research affects their practice in emergency medicine.

Links:

Dedicated emergency department physical therapy is associated with reduced imaging, opioid administration, and length of stay: A prospective observational study

141: From Bench to Bedside: Pain Modulation Research | Kirsty Bannister Oct 16, 2020

On this week's episode Liz and Jeff speak with Dr. Kirsty Bannister, a renowned researcher on conditioned pain modulation, about what we know, what we’re studying, and what we can look forward to in the future of this topic.

Kirsty completed BSc, MRes and PhD degrees at University College London and and Imperial College before returning to UCL for a decade-long postdoctoral research position in the laboratory of Professor Anthony Dickenson. In 2017 Kirsty gained her faculty position upon joining King’s College London where she now runs her research group investigating the central modulation of pain. Specifically Kirsty's research team bridges the gap between bench and bedside pain research by conducting exploratory experiments that seek to molecularly, anatomically and/or functionally define descending control pathways in rodent and man using electrophysiology and human psychophysics respectively. Kirsty has led multiple symposia at world pain congresses including IASP and EFIC and she also performs Section Editor duties for multiple pain-related journals.

Links:

kirsty.bannister@kcl.ac.uk

@bannister_lab

Kirsty Bannister's Lab address: Wolfson CARD, King’s College London, London, SE1 1UL

@jeffmooredpt

@LizPeppin

140: Racial Inequity in Health Care | Heidi Jannenga Oct 08, 2020

In this episode, Liz and Tim speak with Dr. Heidi Jannenga PT, DPT, ATC, physical therapist and co-founder of WebPT, regarding the difficult topic of inequity in health care for people of color. We discuss the problems of implicit bias, systemic racism, and the 90% problem in the PT profession. Heidi also provides some small ways we can all work to improve.

Links: Justice In June Why We Cannot—And Do Not—Serve Our Patients Equally Bridging the PT Diversity Gap Connect with Heidi via LinkedIn

Some books regarding these topics: The New Jim Crow (Michelle Alexander) So You Want to Talk About Race (Ijeoma Oluo) How to be an Antiracist (Ibram X Kendi) Just Mercy (Bryan Stevenson) White Fragility (Robin DiAngelo)

139: Art, Ethics, and Opioids Jul 09, 2020

In this episode, Liz and Adam talk to artist and educator Emily Lanctot about how art and pain cross paths. She discusses the ethics of museums accepting donations from families such as the Sacklers, who were largely responsible for the devastation of the opioid crisis. Emily also gives her insight on how to cope with grief, anxiety and pain through art and creativity.

Links:

Opioid Addiction Helpline: 1-800-662-HELP (4357)

138: An Attorney General Fighting the Opioid Epidemic |Phil Weiser Jun 04, 2020

On this week's episode of Pain Reframed, Colorado Attorney General Phil Weiser joins Tim Flynn to discuss how trauma affects every part of your life. His own family history of trauma has driven his mission as the Attorney General to fight the opioid epidemic by first, stopping and listening to his constituents, then addressing those issues through lawsuits and opioid-related task forces.

Links:

@COAttnyGeneral

coag.gov/about-us/colorado-attorney-general

Opioid Unit

Connect on Facebook

137: Fifty Shades of Pain | Danesh Mazloomdoost May 29, 2020

On this week's Pain Reframed episode, Tim and Jeff are joined by Danesh Mazloomdoost, MD the author of Fifty Shades of Pain: How to Cheat on Your Surgeon with a Drug-Free Affair and fellowship-trained and dual board certified clinician in Anesthesiology and Pain Management. Dr. Mazloomdoost discusses different chapters in his book that cover topics like how pain medications can cause more pain in the long-term, how people should view surgery to relieve pain and how powerful hope can be.

Links:

Get the Top 5 Questions to ask your health care provider here: http://wellwardmed.com/book/

http://wellwardmed.com/team/drdanesh/

136: Pain and Training in the Athlete | Chris Johnson May 21, 2020

Chris Johnson, MPT, ITCA, joins Liz and Jeff to discuss the unique challenges of treating pain in athletes. Chris worked at the world-renowned Nicholas Institute of Sports Medicine and Athletic Trauma of Lenox Hill Hospital as a physical therapist and researcher. In 2014, he opened Zeren PT to provide unparalleled physical therapy and performance coaching for multi-sport athletes in the Pacific Northwest. Chris is also the co-founder and CEO of RunCadence LLC, which is an IOS app that helps runners apply step rate manipulation to their training.

Outside of his professional work, Chris races triathlon at the amateur elite level. He is a five-time USAT All American, three-time Kona Qualifier, and one of the dominant age group athletes in long course triathlon. Chris is also extensively published in the medical literature and is a sought after international public speaker.

Links:

chrisjohnsonpt.com

@zerenpt

chris@zerenpt.com

347.433.6789

@LizPeppin

@jeffmooreDPT

135: The Curable Universe | Laura Seago May 14, 2020

In this episode, Liz and Jeff talk to Laura Seago, co-founder and Head of Content at Curable, about using the mind-body connection to treat pain. Laura focuses on creating virtual, neuroscience-based recovery programs for chronic pain. Her passion for creating these programs stems from her personal experience of recovery from migraines, sciatica, and chronic knee pain. She is an alumna of BuzzFeed and Google, both of which helped her to develop the digital storytelling skills Curable uses to engage chronic pain sufferers with bite-sized audio lessons and easy-to-use techniques.

Links:

www.curablehealth.com

info@curablehealth.com

https://www.curablehealth.com/podcast

@curablehealth

134: Psychological Flexibility and Relational Frame Theory | Leonard Van Gelder May 08, 2020

Liz and Jeff chat with Dr. Leonard Van Gelder, DPT, CSCS, TPS, CSMT about relational frame theory, the most empirically-studied theory of human language and cognition and how this relates to the psychological flexibility of patients' ability to incorporate new concepts into their existing stories, and prognosis for recovery.

Leonard Van Gelder has been involved in the movement and rehabilitation field for over 15 years. During this time, he has studied, published research, and presented at regional and international conferences on the science of stretching, strength and conditioning, and therapeutic pain science interventions. He has explored a diverse spectrum of manual therapy and movement approaches, and emphasizes a biopsychosocial approach to manual therapy, movement, and education in his practice. He owns and practices clinically at Dynamic Movement and Recovery (DMR) in Grand Rapids, MI.

Links:

www.dynamicprinciples.com

www.dmrmove.com

leonard@dynamicprinciples.com

@LizPeppin @JeffMooreDPT

Recommended resources:

Learning RFT by Niklas Torneke

ACT Made Simple by Russ Harris

133: Stressing a Patient-led Experience | Walt Fritz Apr 30, 2020

In this episode, Liz and Jeff chat with Walt Fritz. Walt has been a physical therapist since 1985 and has integrated manual therapy into that model ever since 1992. He trained with many traditional tissue-based instructors, including myofascial release and craniosacral therapy, but became dissatisfied with the narratives used to describe the work and effects and began to move into a more biologically plausible explanation. While continuing to use a hands-on approach that visibly resembles those earlier models, he has neutralized the implied message by now referring to the work he uses and teaches as "manual therapy." Building on concepts firmly grounded in the biopsychosocial model, as well as the possibly undervalued third leg of the evidence-based practice model (patient preferences and values), his model of intervention and professional education stresses a patient-led experience. He believes that manual therapy need not be a passive modality, one that fosters patient dependency, but a subset of therapeutic intervention that reduces fear of movement and encourages self-efficacy, one well-grounded in evidence-based practice.

Links:

www.LimaPainRelief.com

132: Outpatient Chronic Pain Program |Dr. Evan Parks Apr 24, 2020

On this episode of Pain Reframed, Liz and Jeff talk with Evan Parks, Psy. D., a clinical psychologist on staff at Mary Free Bed Rehabilitation Hospital and an adjunct assistant professor at Michigan State University College of Human Medicine. He is also the host of the Pain Rehab podcast and writes a regular column for Psychology Today. We discuss the 10-week outpatient chronic pain program at Mary Free Bed, explaining pain to patients, and more!

Links:

www.PainRehabSource.com

https://www.maryfreebed.com/

https://www.psychologytoday.com/us/blog/pain-rehabilitation

@DrEvanParks

https://www.facebook.com/painrehabsource

www.linkedin.com/in/drevanparks

@eimteam

@jeffmooredpt

@LizPeppin

Replay | 4: Understand the Patient to Understand the Pain | Dr. Justin Dunaway Apr 09, 2020

Dr. Justin Dunaway joins Pain Reframed this week! Justin has extensive experience in outpatient orthopedics, not only in the United States, but also in Haiti. Justin and his wife, Dr. Morgan Denny, founded and run the organization STAND Haiti. The STAND Haiti Project establishes permanent access to orthopedic rehabilitative services in the country of Haiti through direct patient care and clinical training of its citizens.

Through STAND Haiti, Justin and his team go to Haiti multiple times a year to see patients who have a significantly different relationship with healthcare and different level of resources and education than in the United States. Interestingly, the difference of access to resources and education brings up some fascinating discussion. Jeff, Justin, and Tim share their thoughts on these differences and how having a “blank slate” in treatment and care can actually be beneficial.

Justin shares his experience in going through the Therapeutic Pain Specialist Certification program and how it helped him and changed the way he manages pain. The certification was instrumental in teaching Justin ways to take the ideas on pain management and apply it in a framework that works for him and his patients.

LINKS:

Replay | 44: Sleep and Physical Therapy with Dr. Catherine Siengsukon Apr 02, 2020

Sleep is SO important. Sure, the topic has been batted around on Pain Reframed, but do we really know and believe that sleep is essential? Today, we’ll be chatting with Dr. Katie Siengsukon about sleep, as well as screening and sleep hygiene tactics that you need as a clinician and also that you need as a patient.

Dr. Siengsukon provides instruction in neuroscience, neurorehabilitation, and sleep health promotion in the physical therapy and rehabilitation science graduate programs. She is currently the director of the Sleep, Health, and Wellness Laboratory and conducts research to better understand how sleep impacts function, learning, and overall health particularly with aging and in those with neurological conditions.

Links:

Replay | 56: Higher Order Skills with Dr. Jessie Podolak Mar 31, 2020

We have Dr. Jessie Podolak joining us this week to share her story and journey as a physical therapist working with patients who have chronic pain. Jessie shares a wealth of, not only knowledge and great tips, but incredible wisdom that is absolutely helpful to, not only your professional pursuit, but also your personal life.

Jessie talks quite a bit about the need for PT’s to have self-care. Take care of yourself in order to take care of others. Additionally, rather than saying “soft skills” in relation to compassion, empathy, listening, mentorship, etc., say they are “higher order skills.” This is HUGELY important and something, we’ve found, that patients really do, deep down, want.

LINKS:

131: Chronic back pain through a historical perspective|Britt Smith Mar 27, 2020

In this episode of Pain Reframed, hosts Tim Flynn and Jeff Moore are joined by Dr. Britt Smith, PT, DPT, OCS, FAAOMPT, a physical therapist and private clinic owner, to discuss the importance of taking a historical perspective during challenging times.

Dr. Smith has spent his life studying history and the humanities and bringing that mindset into the care of his patients and into the care of society. His research focuses on back pain through a historical perspective and this discussion centers on President John F. Kennedy’s struggles with chronic back pain.

Links:

@brittmsmith @timothywflynn @jeffmooredpt

Replay | 88: It's Your Presence That is So Important | Dr. Marc Ringel Mar 26, 2020

Dr. Marc Ringel joins us on Pain Reframed to discuss the humanistic perspective on healthcare. Dr. Ringel has served in so many different aspects of the healthcare profession, but his perspective on the humanistic side is very powerful. This week, Marc, Jeff, and Tim will be talking about what it is to be human and how to deliver kind care. The power of touch and face-to-face communication can’t be replaced with technology, no matter how helpful technology is for us.

Also, as a philosophy major, Dr. Ringel became interested in the history of science and in the "mind-body problem." For most of his career Dr. Ringel has written, spoken, and consulted on issues related to medical informatics and telemedicine.

LINKS:

Marc’s Book: Digital Healing: People, Information, and Healthcare
marcringelmd@google.com
Pain Reframed Facebook Group
http://evidenceinmotion.com
@eimteam

Replay | 107: Keeping Patients Out of the Clinic | Dr. Marc Rubenstein Mar 24, 2020

Dr. Marc Rubenstein is the owner of Jersey Physical Therapy and Jersey LiveWell, a health management company that works with individuals to reduce chronic disease burden and partners with companies to save on healthcare costs. A long-time listener of Pain Reframed, Marc is dedicated to helping chronic pain patients throughout his community.

LINKS:

Twitter - @EIMTeam Twitter - @MarcRubyDPT Twitter - @BethDarnall Listen to Dr. Beth Darnall's episodes - Pain Catastrophizing and We Have Ignored the Pain Psychology of Patients

Replay | 118: Creating Relationships in Difficult Environments | Scott Mann Mar 19, 2020

Scott Mann, a retired U.S. Army Special Forces officer, story-teller and human connections coach is joining Tim and Jeff to talk through how finding your personal story can help you overcome trauma and find healing.

Scott discusses his time in the military and how that has affected his life moving forward, including his organization, Rooftop Leadership; his play, Last Out: Elegy of a Green Beret; his book, Game Changers; and his non-profit, The Hero’s Journey. Scott also gives his recommendations for healthcare providers treating patients that have lost trust in the healthcare system, from his personal experience creating relationships in challenging environments.

Links:

http://www.rooftopleadership.com/

Scott Mann

http://www.theheroesjourney.org/

https://www.amazon.com/Game-Changers-Abridged-Citizens-Extremists/dp/1978442971

http://www.lastoutplay.com/

@timothywflynn

@jeffmooredpt

Update on Podcast Schedule due to COVID-19 Mar 18, 2020

Listen in for an update from your Pain Reframed host, Tim Flynn, PT, PhD, on how COVID-19 will be affecting new episodes of the podcast. We appreciate your continued support, and we hope we can continue to add value to your practice and to your lives.

130: Wrinkles on the Inside | Jim Heafner and Jarod Hall Mar 06, 2020

On this week's episode of Pain Reframed, Jarod Hall, PT, DPT, OCS and Jim Heafner, PT, DPT, OCS join Jeff and Tim to discuss a pamphlet called "Wrinkles on the Inside: The Good News about Aging."

This pamphlet talks about how the relationship between imaging and aging to educate patients and health care providers at clinics.

Links:

Wrinkles on the Inside: The Good News about Aging

129: How NPs are Bringing Care to Underserved Populations |Sophia Thomas Feb 20, 2020

Sophia L. Thomas, DNP, APRN, FNP-BC, PPCNP-BC, FNAP, FAANP, is president of the American Association of Nurse Practitioners® (AANP). A family and pediatric nurse practitioner (NP) at the Daughters of Charity Health System in Kenner (New Orleans), Louisiana, Dr. Thomas’ clinical practice has focused on providing care to the medically underserved families.

Dr. Thomas is active within several professional organizations, including the Louisiana Association of Nurse Practitioners (LANP). She has served in elected and appointed leadership and committee positions, including as president of LANP, and previously in AANP as Region 6 Director. Dr. Thomas was inducted as a Fellow in both the AANP in 2012 and the National Academy of Practice in Nursing in 2013. In addition to her advocacy, Dr. Thomas impacts NP education as clinical faculty for Georgetown University’s FNP program as well as through publications and presentations on multiple clinical topics. As AANP President and spokesperson, her multimedia reach includes print, radio and television. She also speaks extensively throughout the U.S. and internationally, advocating for NP scope of practice legislation and for improving patient access to quality, affordable health care.

Links:

The American Association of Nurse Practitioners

128: The Role of the Dorsal Root Ganglion in Neuropathic Pain | Robert North Feb 13, 2020

In this episode of Pain Reframed, Liz and Adam interview Robert North, MD, PhD regarding a study published in Brain, "Electrophysiological and transcriptomic correlates of neuropathic pain in human dorsal root ganglion neurons." This study provides important foundational evidence for spontaneous firing observed in dorsal root ganglia from symptomatic dermatomes, and sets the stage for future investigations which may lead to novel clinical treatments for peripheral neuropathic pain. North is Chief Neurosurgery resident at Baylor College of Medicine (Houston, TX) and its affiliated hospitals, including MD Anderson Cancer Center.

Links:

Original study: https://www.ncbi.nlm.nih.gov/pubmed/30887021

Email Dr. North: north@bcm.edu

@LizPeppin

@adampaulryan

@EIMTeam

127: The Relationship Between Food and Pain | Joe Tatta Feb 07, 2020

What is the relationship between food and pain? On this week's episode of Pain Reframed, Joe Tatta, PT, DPT, joins Jeff to talk through how nutrition affects pain and the nervous system and how a licensed health care professional can address nutrition with their patients.

Links:

Can a Physical Therapist Give Nutrition Advice? What the law says about a PT counseling on nutrition Heal Your Pain Now @DrJoeTatta joe@integrativepaininstitute.com @JeffMooreDPT

126: A Candid Discussion About Prescribing Patterns Jan 30, 2020

Jeff, Liz and Adam candidly talk about the results of a recent study that looks at the proportions of patients with new chronic musculoskeletal pain condition that were prescribed nonopioid medication, opioids, PT, counseling and other nonpharmacologic treatments. This has generated a lot of discussion in the medical community and in this episode we bring in three disciplines to talk about it.

Links:

Patients with newly diagnosed musculoskeletal pain are prescribed opioids more often than recommended

Management of Patients with a Musculoskeletal Pain Condition that is Likely Chronic: Results from a National Cross Sectional Survey

125: Education, Motivation, and Activation with VR |Adriaan Louw and Aaron Gani Jan 23, 2020

On this week's episode of Pain Reframed, Dr. Adriaan Louw and Aaron Gani join Liz and Adam to discuss how BehaVR is using virtual reality to add education, activation and motivation to your pain neuroscience education.

Links:

Interdisciplinary Pain Neuroscience Continuing Education in the Veterans Affairs: Live training and live-streaming with 1-year follow-up

Can pain beliefs change in middle school students? A study of the effectiveness of pain neuroscience education

Winter Replay |121: Communicating with Humans | Dr. Lisa Holland Dec 12, 2019

As we near the end of the year, we want to share some of our favorite episodes from 2019. First on the list, Dr. Lisa Holland joins Tim and Jeff for Part 2 of their conversation on blending the Eastern and Western models of treatment. If you haven't listened to their first conversation, check out Episode 113.

Lisa, Tim and Jeff talk about a "Human Systems Model of Care" that focus on the human that is in your clinic. They discuss what exactly that model of care looks like, how that affects your patients and what that will look like to your patients.

Links:

Connect with Lisa Holland

https://www.linkedin.com/in/lisaholland/

@EIMTeam

@timothywflynn

@jeffmooredpt

124: A Professional Violinist's Pain Journey | Soo Yeon Kim Dec 06, 2019

Julliard graduate, Soo Yeon Kim joins Liz and Adam on this week's episode to talk about how pain affected her as a performer and artist in a culture where weakness must be hidden away.

Join Soo Yeon as she talks through how she finally came to a point in her life that helped her breakthrough the cycle of pain and stress.

Links:

123: Put a Face on Your Pain | Dr. Rachel Zoffness Nov 14, 2019

Rachel Zoffness, PhD is a pain psychologist in the San Francisco Bay Area who specializes in treating teens and children dealing with persistent pain. She is also an Assistant Professor at the UCSF School of Medicine where she teaches pain neuroscience.

Through her practice, she developed a workbook, The Chronic Pain & Illness Workbook for Teens, gives youth, parents and healthcare providers a guide to working through chronic pain.

Links:

https://www.zoffness.com/

Rachel Zoffness' Book: The Chronic Pain & Illness Workbook for Teens

122: DPT Student + Pain Patient | Lauren Elliott Nov 01, 2019

Lauren Elliott, South College DPT Student, joins Jeff and Tim to talk about her story of persistent pain, how her pain started, how her healthcare team addressed her pain and how she was able to overcome it.

Lauren is pursuing her passion of helping others who are in persistent pain by becoming a physical therapist herself. Listen in to Lauren's five year journey and where she's going next.

Links:

lauren.26.elliott@gmail.com

@EIMTeam

@timothywflynn

@jeffmooredpt

121: Communicating with Humans| Dr. Lisa Holland Oct 24, 2019

Dr. Lisa Holland joins Tim and Jeff for Part 2 of their conversation on blending the Eastern and Western models of treatment. If you haven't listened to their first conversation, check out Episode 113.

Lisa, Tim and Jeff talk about a "Human Systems Model of Care" that focus on the human that is in your clinic. They discuss what exactly that model of care looks like, how that affects your patients and what that will look like to your patients.

Links:

Connect with Lisa Holland

https://www.linkedin.com/in/lisaholland/

@EIMTeam

@timothywflynn

@jeffmooredpt

120: Finding Hope in the ED | Dr. John Seip and Dr. Peter Drinkwine Oct 16, 2019

John Seip, DPT, CSMT, and Peter Drinkwine, DPT, have the unique positions of working as PT's in the Emergency Department at a trauma hospital in Duluth, Minnesota.

John and Peter join Liz and Adam to share their experiences helping patients with acute, chronic, and acute-on-chronic pain find hope and direction in some of the most desperate times in their lives.

Links:

Research in Physical Therapy: https://academic.oup.com/ptj/article/99/9/1150/5554395

Research in American Journal Emergency Medicine: https://www.ncbi.nlm.nih.gov/pubmed/29853343

http://www.apta.org/NSC/

John and Peter’s upcoming NSC 2019 presentation: https://apta.confex.com/apta/nsc2019/meetingapp.cgi/Session/1752

119: A Pharmacist's Approach | Dr. Sahar Swidan Oct 09, 2019

In this episode, Sahar Swidan, Pharm.D., R.Ph., ABAAHP, FAARFM, FMNM, FACA, joins Liz, and Adam discuss all things medication treatments for persistent pain, including some exciting up-and-coming medication treatments, new trials, tapering and more.

Listen in for details on low-dose naltrexone (LDN), ketamine, oxytocin, and CGRP inhibitors for various persistent pain conditions.

Links:

118: Creating Relationship in Challenging Environments | Scott Mann Oct 03, 2019

Scott Mann, a retired U.S. Army Special Forces officer, story-teller and human connections coach is joining Tim and Jeff to talk through how finding your personal story can help you overcome trauma and find healing.

Scott discusses his time in the military and how that has affected his life moving forward, including his organization, Rooftop Leadership; his play, Last Out: Elegy of a Green Beret; his book, Game Changers; and his non-profit, The Hero’s Journey. Scott also gives his recommendations for healthcare providers treating patients that have lost trust in the healthcare system, from his personal experience creating relationships in challenging environments.

Links:

http://www.rooftopleadership.com/

Scott Mann

http://www.theheroesjourney.org/

https://www.amazon.com/Game-Changers-Abridged-Citizens-Extremists/dp/1978442971

http://www.lastoutplay.com/

@timothywflynn

@jeffmooredpt

117: Playing with Movement | Todd Hargrove Sep 26, 2019

Todd Hargrove joins Dr. Tim and Dr. Jeff on today's episode to talk through how Todd went from practicing attorney to a Feldenkrais Method practitioner and certified rolfer. Todd' discusses his book, Playing with Movement which delves into how environment affects your movement and how to bring enjoyment back to exercise.

Using his unique perspective, Todd answers the questions: Is there a way to integrate the Feldenkrais Method into more traditional musculoskeletal health care? How can the Feldenkrais Method affect pain?

Links:

Playing with Movement

116: Pain, Exit Stage Left | Dr. Lynne Greenburg Sep 19, 2019

In this episode, Liz and Adam talk with Lynne Greenberg, PhD, about her personal experience with pain. Her poignant memoir, The Body Broken, tracks her experience with pain from misdiagnosis and misunderstanding to connection and realization. Lynne teaches at Hunter College in New York City, where she specializes in 17th century British literature.

Lynne, Liz and Adam talk about her journey into the desert of pain and back out again, including some of the ways she now co-exists with pain, despair, and hope.

Links:

The Body Broken

lagreenb@hunter.cuny.edu

115: Imaging as an Obstacle| Dr. Jodi Young Sep 12, 2019

On this week's episode, Jodi Young, PT, DPT, OCS, FAAOMPT, joins Dr. Tim and Dr. Jeff to discuss her latest research article from JOSPT, Nonoperative Management Prior to Hip Arthroscopy for Femoroacetabular Impingement Syndrome, and how it addresses the question of how imaging can affect a patient's perspective.

Join Jodi, Tim and Jeff as they answer the questions: How should patients synthesize the research for their own situation? What do PTs need to do to insure patients understand the role of imaging? And, where will Jodi go next in her research?

Links:

Nonoperative Management Prior to Hip Arthroscopy for Femoroacetabular Impingement Syndrome

Jodi.young@bellincollege.edu

114: Yes, you can | Casey Gunderson Sep 05, 2019

On today's Pain Reframed podcast, Casey Gunderson, CTRS, joins our hosts Liz Peppin, PA-C, TPS, and Adam Ryan, MD, to discuss her role as a Recreational Therapist in a diverse, interdisciplinary pain treatment team at the Minnesota Department of Veterans Affairs.

Join Casey, Liz and Adam as they discuss how she helps veterans have fun to assist them on their path toward healing. Casey shares a shares a powerful story of a veteran who nervously started the veteran climbing program. His fears and disabilities were overcome through connection and trust in just three short weeks climbing with Casey and the group.

Links:

Casey Gunderson

113: Allopathic-based Practice| Dr. Lisa Holland Aug 29, 2019

On this week's episode of Pain Reframed, Dr. Lisa Holland joins Dr. Tim and Dr. Jeff as she discusses integrating Eastern and Western approaches to healthcare. She addresses what's missing in western medicine and how eastern medicine can bring an allopathic approach to healthcare.

Join Lisa, Tim and Jeff as they talk motivational interviewing, changing general vernacular and addressing trauma at all levels to build resilience.

Links:

112: Perception, Bias and Misdiagnosis | Dr. Kathy Travnicek Aug 22, 2019

On this week's episode of Pain Reframed, Kathy Travnicek, MD joins Adam Ryan, MD and Liz Peppin, PA-C to discuss her own journey through the healthcare system when an ED clinician misdiagnosed a subarachnoid hemorrhage as a wine headache. As a pain management and rehabilitation specialist at Pain Institute of Nevada, fortunately, Kathy was able to advocate for herself and has now fully recovered.

Join Liz, Adam and Kathy as they talk through what went wrong in Kathy's experience, how healthcare professionals can better take care of their patients, and the pain scale.

Links:

111: Build Hope with VR | Dr. Jeff Hathaway Aug 15, 2019

Jeff Hathaway, PT, DPT, the CEO of Breakthrough Physical Therapy in North Carolina, joins hosts Dr. Tim Flynn and Dr. Jeff Moore to discuss his brainchild, VR for Pain Neuroscience Education. Since VR hasn’t been widely implemented in traditional healthcare settings, Jeff Hathaway discusses his strategy for educating the public and other healthcare providers about the benefits of VR, and about how he made VR a reality in his clinics.

Listen in as Jeff Hathaway, Tim Flynn and Jeff Moore talk through how VR enhances pain neuroscience education, how other patient stories play a key role and the future of VR in the clinic.

Links:

Jeff Hathaway: 607.227.6366

https://www.evidenceinmotion.com/

https://www.ispinstitute.com/

Summer Replay | 29: Caring Deeply and Dropping Your Ego with Dr. Peter O’Sullivan Aug 08, 2019

This week, on Pain Reframed, Dr. Tim Flynn and Dr. Jeff Moore are joined by Dr. Peter O’Sullivan. Peter is Professor of Musculoskeletal Physiotherapy at Curtin University, in Perth, Australia. In addition to his teaching and research at Curtin University, he works in clinical practice as a Specialist Musculoskeletal Physiotherapist (as awarded by the Australian College of Physiotherapists in 2005). He is recognized internationally as a leading clinician, researcher and educator in the management of complex musculoskeletal pain disorders.

Tim, Jeff, and Peter discuss being authentic with patients and walking alongside with them in ways the medical industrialized complex doesn’t. Peter shares his success story of deeply caring for patients for a long time and being willing to drop his pride and ego when the patient wasn’t getting better. It’s allowed him to learn, to grow, and to, ultimately, help patients so much more.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

Summer Replay | 28: We Have Ignored the Pain Psychology of Patients | Dr. Beth Darnall Aug 01, 2019

This week, on Pain Reframed, Dr. Tim Flynn and Dr. Jeff Moore are joined by Dr. Beth Darnall, who is a pain psychologist, clinical scientist, and Clinical Professor at Stanford University. Beth has a focus on pain catastrophizing as well as treating some of the key issues that prevent patients from succeeding with other pain treatments.

Clinically, Beth provides psychological services to patients with catastrophic burn, spinal cord injury or amputation. Her desire to specialize in the management of chronic pain was inspired by her clinical experiences and by her own personal experience with chronic pain. Beth brings a wealth of knowledge to the episode as they discuss some key aspects to managing patients with chronic pain as well as altering systems to maximize positive treatment effects.

LINKS:

Summer Replay | 9: How to Help the Patient Taper Opioid Addiction Effectively | Dr. Anna Lembke | Drug Dealer, MD Jul 25, 2019

Welcome back to Pain Reframed! This week, we welcome back Dr. Anna Lembke, by popular demand, to discuss how we can specifically help patients to come down off of opioid addiction in a healthy and attainable manner that the patient can also handle.

Dr. Lembke describes her acronym: B.R.A.V.O. and how it helps providers to help their patients through the tapering process.

B: Brooching the subject
R: Risk-benefit calculator
A: Addiction happens
V: Validation and velocity
O: Other treatments for pain

LINKS:

Summer Replay | 5: Drug Dealer, MD | Dr. Anna Lembke Jul 18, 2019

Welcome back to Pain Reframed! This week, we welcome Dr. Anna Lembke who is the Chief of Addiction Medicine and Assistant Professor of Psychiatry and Behavioral Sciences at Stanford University School of Medicine. Anna is also the author of the powerful and eye-opening book “Drug Dealer, MD.”

Dr. Lembke shares her professional journey and what led her to write “Drug Dealer, MD.” The premise behind her book is extremely jaw-dropping and shows a very real perspective to what happens between Doctor and Patient in the medical profession and in terms of the opioid crisis. She reads a passage out of her book and she, Tim, and Jeff discuss just what that looks like and what we, as PT’s need to do to fix this pain problem and help our patients!

On the other hand, Anna is not attacking doctors as she believes they are “trapped in the system” and she, therefore, has a great deal of empathy for them. Her desire is to help them to get them out of the bureaucracy in order to solve the problem for patients. This is a fantastic and intriguing episode worth your time!

LINKS:

Announcement: Summer Break Jul 11, 2019

Pain Reframed has some exciting episodes coming up, but we are taking a short summer break.

During the break, we will repost some of our biggest hits, and can't wait to bring you brand new episodes soon!

110. We Believe You | Keith Meldrum Jun 13, 2019

We're excited to have Keith Meldrum on this week's episode of Pain Reframed! He shares his journey with chronic pain, what led him to the biopsychosocial model in particular, and how a simple statement changed the path of his recovery.

A civil engineer by trade, Keith has been living with chronic pain for over 30 years, after a near-fatal car accident in 1986. Years of surgeries eventually ended in being told that his pain was all in his head. Since then, he's taught himself about the biopsychosocial model and began advocating for it. He continues to speak out about the importance of pain science through social media, his blog, and other avenues.

LINKS:

Twitter - @ISPITeam

Twitter - @keith_meldrum

Keith's blog - A Path Forward

Learn pain science techniques you can immediately use with your patients here

109. The Answers Aren't All in the Brain | Dr. Judy Grisel Jun 06, 2019

We have the pleasure of welcoming Dr. Judy Grisel for a particularly emotional episode of Pain Reframed this week. She shares her personal struggle with addiction, the havoc it wreaked on her life and relationships, and what it was that eventually got through to her and convinced her to get sober. She also discusses how she's helping her own daughter avoid making the same mistakes, using techniques we can all implement, both in our clinics and in our personal lives.

Dr. Judy Grisel is a behavioral neuroscientist whose research focuses on determining root causes of drug addiction. She studies sex differences in the role of stress and endorphins on drug reward and works to identify innate factors that contribute to individual differences in the liability toward addiction.

In addition to being a professor and researcher, Judy is a New York Times bestselling author. Her book, Never Enough, uses her past as an addict to explore the neuroscience behind how drugs work, the changes they cause in the brain, and where we might be able to find the cure to today's addiction epidemic. It's a powerful piece that we recommend for all clinicians who work with current or recovering addicts.

Do you have a question for Judy that you'd like her to answer on another episode of Pain Reframed? Send us a DM on Twitter, post it in the Pain Reframed Facebook group, or email Liz Peppin at lizpeppinmqt@gmail.com.

LINKS:

Twitter - @ISPITeam

Join the Pain Reframed Facebook group

Order Never Enough on Amazon here

https://www.ispinstitute.com

108. Is There Ever a Place for Opioids? | Dr. Roger Chou May 30, 2019

Tim and Jeff are joined by Dr. Roger Chou on this week's episode of Pain Reframed! A professor and physician at Oregon Health & Science University (OHSU), Dr. Chou was part of the team that developed the CDC's Guideline for Prescribing Opioids for Chronic Pain in 2016. More recently, he co-published an editorial in the New England Journal of Medicine, examining the current state of opioid prescribing in the United States. Tim, Jeff, and Dr. Chou discuss the impact of both of these works and the steps we can take in our clinics to make sure we're always putting the patient first.

Dr. Roger Chou is a Professor in the Departments of Medicine, and Medical Informatics & Clinical Epidemiology at Oregon Health & Science University (OHSU) School of Medicine, and Staff Physician in the Internal Medicine Clinic at OHSU. He has served as Director of the Pacific Northwest Evidence-based Practice Center since 2012. He has conducted systematic reviews in a number of areas, including chronic pain and musculoskeletal conditions, screening and prevention, diagnostic testing, and prognosis. He has served as Director of the American Pain Society clinical guidelines program, the GRADE methodologist for the World Health Organization’s Division of Reproductive Health, is a member of the Cochrane Back Review Editorial Board, and co-chair of the National Quality Forum Musculoskeletal Standing Committee. Dr. Chou is on several journal editorial boards and is an author on numerous scientific articles published in peer-reviewed journals.

LINKS:

Twitter - @ISPITeam

No Shortcuts to Safer Opioid Prescribing (New England Journal of Medicine)

Learn more about the roles that physical therapists and physical therapy assistants can play in reducing the opioid epidemic

107. Keeping Patients Out of the Clinic | Dr. Marc Rubenstein May 23, 2019

We're excited to have Dr. Marc Rubenstein on this week's episode of Pain Reframed! He, Tim, and Jeff discuss the idea of empowered relief, taught by Dr. Beth Darnall, a former guest on this podcast, and how it can help us with our ultimate goal: helping chronic pain patients help themselves.

Dr. Marc Rubenstein is the owner of Jersey Physical Therapy and Jersey LiveWell, a health management company that works with individuals to reduce chronic disease burden and partners with companies to save on healthcare costs. A long-time listener of Pain Reframed, Marc is dedicated to helping chronic pain patients throughout his community.

For more tools to help your chronic pain patients, check out these courses.

LINKS:

Twitter - @ISPITeam

Twitter - @MarcRubyDPT

Twitter - @BethDarnall

Listen to Dr. Beth Darnall's episodes - Pain Catastrophizing and We Have Ignored the Pain Psychology of Patients

106. Changing the Culture Around Pain in the ER | Dr. Justin Dueweke May 16, 2019

This week on #PainReframed, Liz Peppin and Adam Ryan are joined by Dr. Justin Dueweke, an emergency room physician. They discuss the current culture around pain in the ER, how it affects our patients, and the steps we can each take to change it.

Dr. Justin Dueweke is a board-certified emergency medicine physician. He works with a private practice in southern Michigan and is affiliated with one of the busiest emergency departments in the U.S. Justin is a firm believer that the words we use have a powerful effect on our patients' outcomes. He is passionate about changing how pain is discussed in the ER, and ultimately treated.

Do you want to help change the culture around pain in your community? Check out these pain science courses to see which one is right for you.

LINKS:

Twitter - @ISPITeam

The Influence of Patient Choice of First Provider on Costs and Outcomes: Analysis From a Physical Therapy Patient Registry (JOSPT)

Study Says Cost Savings of Physical Therapy for LBP Are Significant (APTA)

105. Pain Reframed PSA: Opioid Tapering May 09, 2019

This week, Dr. Jeff Moore & Dr. Tim Flynn examine our tendency as clinicians to take guidelines a step too far. They discuss opioid tapering, in particular, and how well-meaning healthcare professionals might end up doing more harm than good by reading too much into the latest CDC recommendations.

Do you want to learn more about how to treat pain in a way that's best for your patients? Join us for a Therapeutic Neuroscience Education (TNE) course near you!

LINKS:

Twitter - @ISPITeam

Find a TNE course near you

No Shortcuts to Safer Opioid Prescribing

Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review

Pocket Guide: Tapering Opioids for Chronic Pain

104. A Holistic Approach to Healthcare | Dr. John Zapanta May 06, 2019

On our latest episode of Pain Reframed, Tim Flynn and Jeff Moore are joined by Dr. John Zapatna, an orthopaedic physical therapist with a background in neurology. They discuss our tendency to operate in silos, why that harms our patients, and how we can work to create a more holistic approach to healthcare.

Dr. Zapanta received his Doctor of Physical Therapy degree at Regis University in Denver, CO. He completed an Orthopaedic Physical Therapy Residency program in Scottsdale, AZ. He is Board Certified in Orthopaedic Physical Therapy (OCS) and is a Fellow in the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT). Dr. Zapanta’s clinical interests are in the management of neuromuscular, musculoskeletal, and cardiopulmonary conditions while integrating a patient-centered hands-on approach to rehabilitation. He annually presents at state and national conferences and participates in expanding healthcare access locally and globally. He is an adjunct faculty of Physical Therapy at South College in Knoxville, TN & faculty with the NeuroRecovery Training Institute (NRTI).

LINKS:

Twitter - @John_C_Zapanta

Twitter - @ISPITeam

https://www.ispinstitute.com/

https://www.neurorti.com/

103: Has the Opioids Pendulum Swung Too Far? | Dr. John Lehtinen Apr 26, 2019

Liz Peppin and Adam Ryan are back with their second episode of Pain Reframed! This week, they’re joined by Dr. John Lehtinen, an addiction specialist in a primarily rural area in Michigan. They discuss John’s work with the opioid crisis and how we can each help our communities battle this epidemic.

Dr. Lehtinen has a varied background, including sports medicine as well as addiction medicine. He has previously worked with the U.S. Olympics teams at the Summer games in 1992, 1996, and 2008. He is passionate about helping his patients return to the activities that they love.

102: Backs, Necks, and Explaining Pain | Dr. DeAndre Caldwell Apr 18, 2019

This week, Liz Peppin and Adam Ryan are hosting their first episode! To kick things off, they're interviewing Dr. DeAndre Caldwell, a physical therapist in Delaware who works in a hospital-based outpatient center.

DeAndre has spent much of his career working with patients who have neck and back pain, which started him on his journey with chronic pain. A graduate of the ISPI Therapeutic Pain Specialist (TPS) program, DeAndre is passionate about using his pain neuroscience education knowledge to advocate for his patients.

LINKS:

Twitter - @DrCaldwellpt

Twitter - @ISPITeam

Therapeutic Pain Specialist Certificate

101: It's Up to the Patient | Dr. David Hanscom Apr 11, 2019

This week on the Pain Reframed podcast, Dr. David Hanscom joins Tim Flynn and Jeff Moore to discuss the strategies he uses to help chronic pain patients, and why recovery is ultimately in the hands of the patient, not the clinician. Dr. Hanscom is an orthopedic complex spinal deformity surgeon who now understands that most chronic pain from any source is solvable – usually without surgery. He is the creator of the DOC (Direct your Own Care) program, which is the subject of his book, Back in Control: A Surgeon’s Roadmap out of Chronic Pain. He also publishes a weekly blog and maintains a website, www.backincontrol.com, to provide resources for chronic pain patients and their families. Dr. Hanscom distinguishes himself from many spine surgeons in that he strongly encourages non-surgical solutions for his patients, a belief which stems from his own battle with chronic pain.

Learn more about Dr. Hanscom's story by listening to episode 23!

LINKS:

Twitter - @DrDavidHanscom

Twitter - @ISPITeam

https://www.ispinstitute.com/

100. Introducing Our New Co-Hosts | Jeff Moore, Tim Flynn, Liz Peppin, Adam Ryan Apr 04, 2019

We're celebrating our 100th episode this week! To mark this special occasion, and stay true to our mission of creating an interdisciplinary conversation about pain, we're bringing two new co-hosts on to Pain Reframed. Tim and Jeff will continue to host episodes, but Liz Peppin and Adam Ryan will take over for them once a month.

This week, Jeff and Tim discuss their hopes for the next 100 episodes of Pain Reframed, Adam and Liz introduce themselves, and one of our hosts shares a very personal story that reminds us why we're on a mission to change the conversation around pain in America.

LINKS:

Listen to Adam's first episode here

Listen to Liz's first episode here

Join us for a course near you

Twitter - @ISPITeam

99. Pain Reframed PSA | The Opioid Epidemic Mar 28, 2019

This week, Dr. Jeff Moore & Dr. Tim Flynn discuss the current state of affairs regarding the opioid epidemic. They look at multiple papers and discuss what strides are being made in confronting this epidemic, as well as what still needs to be done to best help our patients.

Do you want to learn how to help your patients cope with pain without using opioids? Join for us for a Therapeutic Neuroscience Education (TNE) course near you!

LINKS:

Twitter - @ISPITeam

Find an ISPI TNE course near you

Trends and Patterns of Geographic Variation in Opioid Prescribing Practices by State, United States, 2006-2017 (JAMA Network)

Initial Opioid Prescriptions among U.S. Commercially Insured Patients (New England Journal of Medicine)

Is Pain a Sensation or an Emotion? (The New York Times)

98. A Piece of the Puzzle | Adriaan Louw Mar 21, 2019

We're bringing Adriaan Louw back on this episode of Pain Reframed! He, Jeff, and Tim discuss a recent article on pain neuroscience education (PNE) and why helping patients with chronic pain takes multiple types of interventions.

LINKS:

Twitter - @ISPITeam

Abstract - http://bit.ly/2UV9tdg

Learn how to use PNE in your clinic

97: Pain Reframed Recap: 9th Edition Mar 07, 2019

It's time for another Pain Reframed Recap! We've gotten a lot of great nuggets from our guests, so we want to delve into them. Jeff and Tim also discuss a recent report on using virtual reality to treat chronic pain that Tim published with Adriaan Louw and Colleen Louw.

Reminder for our listeners in Tennessee: Dr. Ted Jones (episode 93) is looking for a rehab specialist to join his multidisciplinary pain practice in Knoxville!

LINKS:

Twitter - @ISPITeam

Facebook - @ISPInstituteTeam

Web - https://www.ispinstitute.com/

96: Challenge, Empower, and Be Present | Dr. Melissa Cady Feb 28, 2019

This week, we're welcoming Dr. Melissa Cady, "the Challenge Doctor," back to Pain Reframed! Dr. Cady is a Doctor of Osteopathy, board-certified anesthesiologist, and board-certified and fellowship-trained in Pain Science. She shares her experience as a physician, how she's trying to empower her patients, and why it's important to be present.

LINKS:

Web - Challenge Doctor

Web - International Spine and Pain Institute

Twitter - @challengedoctor

Twitter - @ISPITeam

YouTube - Dr. Melissa Cady

95: Mental Health and Self Care | Dr. Michelle Morrow Feb 21, 2019

We're welcoming Michelle Morrow to Pain Reframed! A self-described type-A, perfectionist personality, Michelle's mental health struggles during residency showed her the importance of self care. She, Tim, and Jeff share how each of them incorporate self care into their daily routines, despite their busy schedules. We hope you can use some of these techniques in your own life!

Michelle Morrow, DPT, is a physical therapist who believes in providing patient-centered care at all times. Michelle takes into account the patient's goals, desires, culture, and strengths to put together a plan of individualized care that best suits the patient. She believes in making each patient the director of their care, while she helps facilitate the patient's goals. She is very passionate about her profession and using her talents to serve others.

LINKS:

International Spine and Pain Institute (ISPI)

Twitter - @ISPITeam

Twitter - @michellemDPT

94: An Optimistic Time for Physical Therapy | Dr. Sharon Dunn Feb 14, 2019

We have a very special episode of Pain Reframed this week! Joining us is Dr. Sharon Dunn, President of the American Physical Therapy Association (APTA). We discuss what she and the APTA have been doing to combat the opioid crisis and help our profession. She also shares some thoughts on public awareness of what our roles are as PTs and where the current trend is going in regards to insurance and access to physical therapy. It’s a great conversation that we hope will leave you with optimism that we’re moving in the right direction!

Less than a MONTH away!! March 8-10, 2019 in Denver, Colorado, the Align Conference will be taking place, focusing on movement and pain.

LINKS:

Twitter - @DunnSdunn2
sharondunn@apta.org
http://ispinstitute.com
http://evidenceinmotion.com
Twitter - @EIMTeam
Twitter - @ISPITeam

93: Opioid Addiction and Abuse Solutions | Dr. Ted Jones Feb 07, 2019

Dr. Ted Jones joins us on Pain Reframed this week! Dr. Tim Flynn, Dr. Jeff Moore, and Dr. Ted Jones discuss how Ted is, as a pain addiction expert, able to help patients with challenging cases, particularly concerning opioid addiction and abuse. The conversation comes from the psychological perspective with the intent to help get patients back into health and a life worth living.

Dr. Ted Jones is a licensed clinical psychologist with more than 30 years experience in the areas of general mental health, applied research, substance abuse and chronic pain. He has specialized in the field of chronic pain for more than 15 years. He has a full-time clinical private practice, while also conducting applied clinical research and offering educational services to health professionals. He is part of the psychology practice Behavioral Medicine Institute and works exclusively at Pain Consultants of East Tennessee. He founded Ted Jones Research in 2013 as a way to promote and expand his emerging applied clinical research projects. Dr. Jones is one of the country’s leaders in conducting empirical research on opioid risk assessment.

It’s RIGHT around the corner! March 8-10, 2019 in Denver, Colorado, the Align Conference will be taking place, focusing on movement and pain.

LINKS:

tedwjones@comcast.net
http://painconsultants.com
http://tedjonesresearch.com/
https://www.ncbi.nlm.nih.gov/pubmed/20021601
https://www.ncbi.nlm.nih.gov/pubmed/21750461
https://www.wmpllc.org/ojs-2.4.2/index.php/jom/article/view/171
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

92: Do the Small Things Well | Dr. Adriaan Louw Jan 31, 2019

Dr. Adriaan Louw returns to Pain Reframed! We have an episode that might bring you down at first… but then it will bring you back up and deliver incredible hope at the end! The first part of our episode is a truthful, real look at what is truly going on in our industry. It’s a challenge and a call to action. But there is hope! There is a reason to be excited!

Adriaan, Tim, and Jeff have a powerful and intense conversation that delivers a great message of doing the small things well, right now. Do that one thing you can do right now and do it consistently. Then get others to do the same. That small change will compound into something significantly greater across the industry. Do the basics well, and excellence will follow.

It’s RIGHT around the corner! March 8-10, 2019 in Denver, Colorado, the Align Conference will be taking place, focusing on movement and pain.

LINKS:

91: We Can Each Make Change | Liz Peppin Jan 10, 2019

We welcome Liz Peppin back to Pain Reframed! Liz was on Pain Reframed on Episode 45 in February of 2018. She shared her story of dealing with pain, not finding the solutions she needed, but then being able to turn it around, reframing her pain and, now, reframing the pain of her patients. Liz is a long-time listener to Pain Reframed and also a Physician Assistant who has suffered from extreme pain for quite some time.

Liz is one of the most involved people within the Pain Reframed community. She’s heavily engaged with the Facebook Group and takes the information we share on Pain Reframed and puts it into action within her own practice. On this episode, Liz, Tim, and Jeff discuss what she’s specifically doing with the information shared and she encourages each of us to make change and better our practices and our industry.

ALSO! Save the date!! It’s coming up quickly! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain.

LINKS:

90: The Power of Breathing with Dr. Eric Christensen Jan 03, 2019

HAPPY NEW YEAR!!! We hope your 2019 is off to a great start!

We welcome Dr. Eric Christensen to Pain Reframed! We’re extremely excited to have Eric on the show. Not only is Eric a friend and colleague, but he’s the owner of Chandler Physical Therapy in Chandler, AZ and author of the book “Breathe Better.” Eric, Tim, and Jeff will be discussing Eric’s book and how and why Eric wrote and uses the book for patient care.

Eric graduated with his Doctorate of Physical Therapy program from Regis University in 2009, where he published a journal article on the effect of whiplash on the cross-sectional area of the muscles surrounding the throat as well as presenting at multiple conferences. He graduated from Colorado State University with a degree in Exercise Science and a focus in Sports Medicine. In practice, Eric enjoys working with all populations of patients in the orthopedic and neurological field. He has specialized in custom orthotic prescription and casting, vestibular reprogramming, and manual therapy. Eric takes a developmental approach to rehabilitation utilizing the Selective Functional Movement Assessment. He uses functional movement patterning and manual therapy to return patients to prior levels of function.

ALSO! Save the date!! It’s coming up quickly! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain.

LINKS:

https://www.breathebetter.co/
http://facebook.com/chandlerphysicaltherapy
IG: @chandlerphysicaltherapy
Twitter: @e_s_christensen
Twitter: @chandler_pt
Pain Reframed Facebook Group
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

89: The Holiday Episode | Answering Listener Questions Dec 27, 2018

We hope you had a Merry Christmas and Happy Holidays, and are continuing to enjoy the Holiday season! This week, we have a holiday episode for you. It’s the season for giving, so this week, we have some giving to do for you!

We get asked quite a few questions on a regular basis from you, and we enjoy being able to provide you with answers, solutions, and other thoughts to your questions. This week, our gift to you is just that. We’ll be covering a couple topics, including:

Is Virtual Reality a reality? Is it going to be a reality for us as PTs? What are the benefits of it?
“How do I get the rest of the people around me on board?”

Enjoy this episode and thank you so much for listening and making 2018 an incredible year for us and for our entire community! We wish you a very HAPPY NEW YEAR and we look forward to talking to you next week, in 2019!

ALSO! Save the date!! It’s coming up quickly! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain.

LINKS:

88: It’s Your Presence That is So Important | Dr. Marc Ringel Dec 20, 2018

Dr. Marc Ringel joins us on Pain Reframed to discuss the humanistic perspective on healthcare. Dr. Ringel has served in so many different aspects of the healthcare profession, but his perspective on the humanistic side is very powerful. This week, Marc, Jeff, and Tim will be talking about what it is to be human and how to deliver kind care. The power of touch and face-to-face communication can’t be replaced with technology, no matter how helpful technology is for us.

Also, as a philosophy major, Dr. Ringel became interested in the history of science and in the "mind-body problem." For most of his career Dr. Ringel has written, spoken, and consulted on issues related to medical informatics and telemedicine.

Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain.

LINKS:

Marc’s Book: Digital Healing: People, Information, and Healthcare
marcringelmd@google.com
Pain Reframed Facebook Group
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

87: How to Create Success with Your Patients | Dr. Karen Litzy Dec 13, 2018

Dr. Karen Litzy joins Dr. Tim Flynn and Dr. Jeff Moore on Pain Reframed this week! Karen is a physical therapist and host of the podcast: “Healthy, Wealthy, and Smart.” Karen has personally dealt with persistent pain and, therefore, understands how to come alongside patients empathetically and effectively. Karen tells her story of dealing with pain for around a decade. She also shares her wisdom, experience, and insights in how to create success with your patients in their pain journey.

Dr. Litzy offers a “concierge” model of physical therapy where she travels to patients’ homes or offices. This allows her to dedicate a full hour of one-on-one treatment to each and every client. She’s able to have plenty of time to evaluate, treat, re-evaluate, and educate her patients.

Karen’s podcast, “Healthy, Wealthy, and Smart,” provides up to date clinical information combined with business strategies from the best and brightest thought leaders in physical therapy, wellness and entrepreneurship.

Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain.

LINKS:

86: Why We Revolt | Dr. Victor Montori Dec 06, 2018

We are extremely excited to welcome Dr. Victor Montori, author of “Why We Revolt: A Patient Revolution for Careful and Kind Care” to Pain Reframed! Dr. Montori’s book speaks honestly and knowledgeably about the faults of industrial medicine. Dr. Montori’s message is for us to rise up and make this system better for the care of our patients.

Dr. Montori, originally from Peru, is a Mayo Clinic Endocrinologist for patients with diabetes, as well as researcher, focusing on ways to make care more patient-centered. His mission is for patient revolution versus healthcare corruption, in order to provide careful and kind care for all.

Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain.

LINKS:

85: You and Your Patients Aren’t all That Different | Dr. Kelly Nov 29, 2018

We have Dr. Kelly joining us on Pain Reframed this week! Dr. Kelly is an osteopathic physician, who is starting her new business, “Counseling International” any day now! Dr. Kelly has incredible passion with her practice and even engages with patients who have been down and out in their lives: those who’ve made mistakes along the way.

Dr. Kelly shares some powerful stories of working with patients out of prison and jail and encouraging us that ANY of us could be that person. We’re not as far removed from our patients as it may seem. We’ve all made mistakes in our lives and Dr. Kelly’s passion for helping her patients, who may be more in need of our care than many other populations, is amazing and something we can all learn from.

Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain.

LINKS:

84: We Are Thankful for YOU Nov 22, 2018

Happy Thanksgiving!

Welcome to a special edition of Pain Reframed! This week, we want to share what we’re thankful for in our Thanksgiving episode. First of all, we are absolutely thankful for YOU! We really appreciate, not only you listening, but also for getting involved and helping to change our profession for the better.

It’s beyond amazing how much of a difference you are making. We are so thankful for you. We’ll also share a few more things we are thankful for and give you some resources to help you continue to learn even more to help you master your practice and help your patients!

Have a HAPPY THANKSGIVING and a wonderful Holiday weekend!!

Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain.

LINKS:

83: Yoga and Chronic Pain with Sarah Martin Nov 15, 2018

We’ll be discussing the fusion of a traditional medical model with yoga in this week’s episode of Pain Reframed! We welcome Sarah Martin, Physician Assistant and Certified Yoga Therapist, to discuss what she’s doing to blend the traditional treatment of those dealing with pain with utilizing yoga to help enhance healing through the mind body connection.

Sarah gives excellent tips in how we, as PTs, can be trained to utilize the mind body connection healing, including different kinds of of breath work and postures, for example, into chronic pain care.

Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain.

LINKS:

82: Good Pain and Bad Pain with Jenn Shelton Nov 08, 2018

Today, we have another story from the “patient’s” point of view! We welcome Jenn Shelton, a world-class ultramarathoner, to Pain Reframed to discuss her story and experiences with injury and pain. She has a very fascinating story about how she experienced pain, in a way that’s a little different than what you might expect!

You may have heard of Jenn through being featured in the book “Born to Run.” She set course records in several of the most demanding American ultramarathons, becoming one of the top female ultrarunners in the United States. Jenn is now an ambassador to outdoor sports and adventuring, helping people to get involved in nature.

Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain.

LINKS:

81: Neuroinflammatory Mechanisms that Drive Chronic Pain | Dr. Peter Grace Nov 01, 2018

Science News and the media shared some recent research on what morphine does in terms of pain reactivity as well as what is happening with post-surgical opioids. We welcome Dr. Peter Grace to discuss these findings and to unpack this information to help us in this battle against the opioid crisis. Peter has a balanced viewpoint that should give us some good information to consider, going forward.

Additionally, Tim, Jeff, and Peter discuss Peter’s current research on understanding the mechanisms of pain and the role of peripheral immune cells and neuropathic pain. They also discuss the transition from acute to chronic pain and the effect of opioids and morphine substances on moving into that persistent pain pattern.

Peter is an Assistant Professor in the Department of Critical Care Research, at the University of Texas MD Anderson Cancer Center. His research aims to understand the neuroinflammatory mechanisms that drive chronic pain, in order to identify new treatment strategies.

Don’t forget to save the date: March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain.

LINKS:

80: Physical Therapy as First Point of Care for Low Back Pain | Bianca Frogner Oct 25, 2018

We are so excited to welcome Bianca Frogner to Pain Reframed! Bianca published a paper, in May, titled: “Physical Therapy as the First Point of Care to Treat Low Back Pain: An Instrumental Variables Approach to Estimate Impact on Opioid Prescription, Health Care Utilization, and Costs.” Bianca, Tim, and Jeff will discuss the findings and outcomes from this paper in today’s episode.

Bianca is an Associate Professor in the Department of Family Medicine, Director of the Center for Health Workforce Studies (CHWS), and Deputy Director of the Primary Care Innovation Lab (PCI-Lab) in the School of Medicine at the University of Washington.

Don’t forget to save the date: March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain.

LINKS:

https://onlinelibrary.wiley.com/doi/abs/10.1111/1475-6773.12984
Twitter - @uwchws
Twitter - @biancafrogner
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

79: We are Being Conditioned to Panic About Pain | Dr. Adriaan Louw Oct 18, 2018

We welcome, back to Pain Reframed, Dr. Adriaan Louw! Adriaan, Jeff, and Tim are discussing ISPI’s new Front Office Program, which is designed to help front office staff to interact with patients in a way that will help them in their healing process. Saying something to a patient and/or treating them in a certain way can, as we know, help or hurt that patient. Our goal is to make the patient’s experience the best possible and to allow for optimal healing.

Adriaan also gives us an update on his middle school education about reframing pain and teaching students at a younger age to understand healthy foundations for what pain and discomfort truly is.

Don’t forget to save the date: March 8-10, 2019 in Denver, Colorado, the Align Conference will be taking place, focusing on movement and pain.

LINKS:

78: Reframed Recap: 8th Edition | Colorado Health Education Summit | Dr. Jamie Childs Everitt | Eric Chaconas and Ahmed Rashwan Oct 11, 2018

It’s been a while since we’ve done a Reframed Recap. We’re excited to get back together and dive deeper into the nuggets shared on a couple episodes over the past few months. Dr. Tim Flynn and Dr. Jeff Moore discuss, first of all, some key takeaways and lessons learned from attending the Colorado Health Education Summit! This ties in with episode 76 with Dr. Jamie Childs Everitt. Make sure to listen that episode with Jamie if you haven’t already.

They also dig deeper into the conversation and content shared in the episode with Eric Chaconas and Ahmed Rashwan (episode 73). There are some great nuggets of wisdom shared in this episode!

LINKS:

77: Behavioral Patterns of Individual Patients | Dr. Derek Clewley Oct 04, 2018

Today, we are looking at large data sets, from a population standpoint, asking if there are ways we can figure out why people actually seek out healthcare and solutions to their pain. We welcome Dr. Derek Clewley, from Duke University, who has been researching behavioral attributes towards healthcare services. His goal has been to use this information to predict healthcare utilization, which, of course, can help us to better understand and serve patients with persistent pain.

Derek, Tim, and Jeff discuss Derek’s findings and how we can understand where the patient is coming from, what their expectations are, and what their experiences have been. They’ll discuss how we measure these findings and ensure we’re utilizing correct comparisons so we can best treat our patients.

LINKS:

Twitter - @djclewpt
derek.clewley@duke.edu
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

76: Your Voice is Needed | Dr. Jamie Childs Everett Sep 27, 2018

We have a very special episode for you this week. Dr. Jamie Childs Everett joins us to discuss what she’s doing legislatively to help combat the opioid crisis. Jamie has not, traditionally, been very outspoken, but when she spoke up, the government in Wyoming listened. As a result, things have changed, in a positive way, in the way that individuals with persistent pain will be treated in the state of Wyoming. Jamie will share what she did to help make this happen and what she’s continuing to do so you’ll have the necessary information to get involved in your state!

LINKS:

75: Top 5 Commonly Asked Questions from Patients Sep 13, 2018

We have the top five commonly asked questions from patients today! Dr. Tim Flynn is out celebrating his 35th anniversary with his wife, so The Real Brian fills in to help Dr. Jeff Moore answer some of these commonly heard and very important questions that patients typically ask. Our discussion today culminates a lot what we talk about on Pain Reframed into one episode, hitting on some of the essentials!

Are you guys saying that damaged structures in our body never cause pain?
You hear that pain comes from the brain. How can I manage and even sort of control the pain with my mind?
If the "issue isn't in the tissue" why do treatments that are directed towards the tissue often help temporarily?
I’m wanting to take a more conservative approach to my treatment. How do I talk to my doctor if she seems biased towards medication and surgery?
What are the best ways to exercise, move, strength-train, etc?

LINKS:

74: Non-Pharmacological Management is the FIRST Step | Megan Doyle Sep 06, 2018

We strive to continue to bring different perspectives and disciplines of practice on to Pain Reframed to help balance our approach in helping patients. This week, we have an occupational therapist, Megan Doyle, joining us! Megan will be sharing her systems approach in how, why, and when we approach patients with specific information. Using words that help and not harm, for example. The goal is to keep the control in the patient’s hands, but yet to continue to arm them with the right information they need to achieve health and victory and prevent recurrence.

The conversation today is fantastic. Megan, Tim, and Jeff discuss the massive message for each of us to first ask what we are doing and what our approach is. Non-pharmacological management is the FIRST step. Let’s get our patients healing correctly and fully!

LINKS:

Facebook - @meganosgooddoyle
meganosgooddoyle81112@gmail.com
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

73: Addiction Recovery | Eric Chaconas and Ahmed Rashwan Aug 30, 2018

A need exists to address the physical aspect of addiction recovery. That’s the specialty of Advanced Therapy and Wellness. Today, we welcome Eric Chaconas and Ahmed Rashwan to discuss their work and passion in helping individuals recovering from substance use disorder by improving physical function, reducing pain and improving a sense of well being.

On this week’s episode, Ahmed, Eric, Tim, and Jeff discuss their conference, APTA Next, the role of physical therapists in regards to addiction, the physical component on addiction (which is, surprisingly, not normally addressed), and how we can, sometimes, underestimate what physical therapy brings to the market. It’s an incredible discussion and something you will definitely find valuable as well as, possibly, some new opportunities!

LINKS:

https://www.advancedtherapyandwellness.com/
Ahmed’s e-mail: dra@atandw.com
Ahmed’s phone: 561-632-4369
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

72: Moments From a Year of Healing | Leda McDaniel Aug 23, 2018

It’s been quite some time since we’ve had an episode focused on the patient side of things. Today’s episode with Leda McDaniel, however, is a bit different as she brings, not only the patient perspective, but also the PT perspective. Leda is a physical therapy student, having access to numerous treatment resources and learning how to deal with pain along her personal journey. She has a powerful story dealing with years of persistent pain and, yet, victories in the long run.

Leda wrote a book, recently, about her journey dealing with the pain, lessons learned, and healing experienced. Her book is called “Moments From a Year of Healing.” She also has a wealth of experiences and resources she shares in this week’s episode. Whether you’re someone dealing with persistent pain or treating those who experience long-term pain, this episode will, not only encourage you, but give you some great nuggets of wisdom.

LINKS:

Leda’s Book: https://www.amazon.com/dp/069212120X?ref_=pe_870760_150889320
https://sapiensmoves.wordpress.com/
ledamcdaniel1@gmail.com
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

71: Mindfulness-Based Cognitive Therapy with Dr. Sara Lazar Aug 16, 2018

This week, we welcome Dr. Sara Lazar, a neuroscientist from Harvard University. Her research focuses mainly on yoga, meditation, and mindfulness-based cognitive therapy to ascertain neural changes that occur with these types of therapy. Dr. Lazar has studied a wide-variety of problems including bipolar disorder, persistent pain, and depression. She will share some exciting information about the research of the cognitive therapies and their effects on persistent pain.

Dr. Lazar’s research results suggest that meditation can produce experience-based structural alterations in the brain. They also found evidence that meditation may slow down the age related atrophy of certain areas of the brain. It’s very exciting research and we hope you enjoy this discussion!

LINKS:

70: Strategies and Wins from the Field: Part 5 | Stephanie Carter Kelley Aug 09, 2018

We have our final episode in the series of Strategies and Wins from the Field. Today, we welcome Stephanie Carter Kelley to Pain Reframed! Stephanie will be sharing how she incorporated Yoga into her Physical Therapy practice and why it’s been so important and helpful for her patients. Stephanie also shares how this incorporation of yoga and PT has been immensely helpful in the treatment of her own chronic pain.

Stephanie brings, not only a wealth of knowledge and experience helping others, but also some very personal experiences of pain and victory to the table. Whether or not you decide to incorporate yoga into your PT practice, Stephanie will share a number of key principles that can be applied to your treatment plans as well as some tips on helping patients, who deal with chronic pain, to endure for the long haul and see and experience eventual victory, no matter how long the treatment process may take. There are wonderful gems in this episode and we hope you get a lot out of this fantastic discussion!

LINKS:

https://stephaniecarterkelley.com/
info@stephaniecarterkelley.com
Instagram - sck.yoga
Facebook - YogaPhysicalTherapist or StephanieCarterKelley
http://ispinstitute.com
http://www.alignconference.com/
http://evidenceinmotion.com
@eimteam

69: Pain Catastrophizing | Dr. Beth Darnall Aug 02, 2018

We welcome back, to Pain Reframed, Dr. Beth Darnall, who is a pain psychologist, clinical scientist, and Clinical Professor at Stanford University. Beth has such a passion and commitment to making a difference in the management of persistent pain as well as reducing the opioid epidemic.

In episode 28 with Beth, we discussed the fact that we tend to ignore the pain psychology of patients. Today, we’re continuing that discussion and getting also into the topic of pain catastrophizing and what to do about it.

Beth has a focus on pain catastrophizing as well as treating some of the key issues that prevent patients from succeeding with other pain treatments. Clinically, Beth provides psychological services to patients with catastrophic burn, spinal cord injury or amputation. Her desire to specialize in the management of chronic pain was inspired by her clinical experiences and by her own personal experience with chronic pain.

LINKS:

https://bethdarnall.com/
bdarnall@stanford.edu
@bethdarnall
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

68: Strategies and Wins from the Field: Part 4 Jul 26, 2018

It’s the 4th episode in the series of the Strategies and Wins from the Field. Welcome back to Pain Reframed! These stories from the field are powerful and educational. We decided to bring some of you on the show to share your success, lessons learned, and victories from the field, having used the information we share, on Pain Reframed, to help your patients and change their lives.

This week, we welcome Dr. Matt Taylor of Smart Safe Yoga and Dr. Tony Sachse of Bellin Health! Both of these men share, not only inspirational stories, but also share great information you can take and apply in your practice!

LINKS:

https://smartsafeyoga.com/
http://matthewjtaylor.com/
Matthew’s Book - “Yoga Therapy as a Creative Response to Pain”
anthony.sachse@bellin.org
Facebook - @tonysachse
Twitter - @germanboytt
http://ispinstitute.com
http://www.alignconference.com/
http://evidenceinmotion.com
@eimteam

67: “I’m a Man, I’m a Doctor, and I Was Wrong” | Dr. Christian Moher Jul 19, 2018

We have a very special treat for you today on Pain Reframed. Joining us is Dr. Christian Moher, from Tucson, Arizona, who has a passion for Integrated Healthcare: the seamless blending of primary care and behavioral health. He also had an amazing TED Talk at the National Council for Behavioral Health. Dr. Moher is making a huge difference in the treatment of chronic pain and has some powerful, powerful commentary on the use and abuse of opioids.

LINKS:

Dr. Moher’s TED Talk - https://www.youtube.com/watch?v=PbYv0zK6l9g
Escalera Health
https://www.escalerahealth.com/bc/
cmoher@escalerahealth.com
http://ispinstitute.com
http://www.alignconference.com/
http://evidenceinmotion.com
@eimteam

66: Strategies and Wins from the Field: Part 3 Jul 12, 2018

We’re rocking our 3rd installment of the Strategies and Wins from the Field this week on Pain Reframed!! These stories in the field (or in the “trenches” as we like to say) are absolutely incredible. They’re stories from you. You’ve listened to Pain Reframed and become part of the community. You’re out there applying lessons learned and sharing these powerful success stories and victories that you’ve had. Thank you for also being an inspiration to us as well as impacting the lives around you.

This week, we welcome Dr. Rob Precht and Dr. Lisa Arroyo with some amazing stories to share with you!

LINKS:

rwprecht@med.umich.edu
lisa.farrinarroyo@gmail.com
http://ispinstitute.com
http://www.alignconference.com/
http://evidenceinmotion.com
@eimteam

65: Reconciling Biomechanics with Pain Science with Dr. Greg Lehman Jul 05, 2018

Dr. Greg Lehman joins us this week on Pain Reframed. We have a fantastic episode, jam-packed with content, information, and resources about the topic of pain science and how the treatment of pain can become infinitely more simple!

Greg has a course, “Reconciling Biomechanics with Pain Science,” which teaches and discusses some of the debates of physical therapy in conservative musculoskeletal care as well as performance and rehab. Jeff had an opportunity to attend this 2-day weekend and learned a great deal as it is an absolutely amazing and educational course. Greg, Jeff, and Tim will be chatting about, in more detail, Greg’s course and diving deeper into this topic.

LINKS:

64: Strategies and Wins from the Field: Part 2 Jun 28, 2018

This week, on Pain Reframed, we have part 2 of Strategies and Wins from the Field! As we mentioned last week, we have some amazing stories that we’re sharing with you in relation to lessons learned, success stories, and victories that you’ve had out “in the field.” Lives are being changed and powerfully impacted and we want you to hear what’s going on around us!

Next week, we’ll jump back to another conversation/interview (in traditional Pain Reframed style), but we will continue our strategies and wins from the field the following week and throughout July. This week, we welcome Dr. Joe Gravino of Elite Spine & Extremity Physical Therapy!

LINKS:

https://elitesept.com/
joegdpt@gmail.com
Facebook - https://www.facebook.com/elitesept/
http://ispinstitute.com
http://www.alignconference.com/
http://evidenceinmotion.com
@eimteam

63: Strategies and Wins from the Field: Part 1 Jun 21, 2018

We are back from the Align Conference and have some incredible stories to share with you! There’s a wonderful amount of interaction happening in the Facebook Group for Pain Reframed as well as through other channels. Much of this interaction is YOU sharing absolutely powerful stories of success, lessons learned, and victories from the field, having used the information we share, on Pain Reframed, to actually change peoples’ lives!

We wanted to share those stories with you! Over the course of the next month, we will be talking with various people to hear their specific victories from the field. This week, we welcome Dr. Julie Hughes, the Pain Recovery Coach, and Dr. Regina Landrus of Big Stone Therapies!

LINKS:

https://www.juliepainrecoverycoach.com/
juliepainrecoverycoach@gmail.com
regina.landrus@bigstonetherapies.com
http://ispinstitute.com
http://www.alignconference.com/
http://evidenceinmotion.com
@eimteam

62: Pain Reframed PSA | Physical Therapy as a First Point of Care Jun 14, 2018

It’s our second Pain Reframed PSA! Today, we’re discussing an article titled “Physical Therapy as a First Point of Care to Treat Low Back Pain” by Dr. Bianca Frogner (link below). Specifically, there’s also discussion relating to opioids being the first point of contact and care for many patients.

Obviously, a huge goal of Pain Reframed is to keep individuals away from opioids as much as possible. This article showed that individuals who saw a PT first had a significantly lower percentage of opioid use. Enjoy this episode and we hope you check out the article as well!

LINKS:

“Physical Therapy as a First Point of Care to Treat Low Back Pain” by Dr. Bianca Frogner
- https://www.ncbi.nlm.nih.gov/pubmed/29790166
http://ispinstitute.com
http://www.alignconference.com/
http://evidenceinmotion.com
@eimteam

61: Reframed Recap 7 Jun 07, 2018

We’ve got another Reframed Recap episode for you! On this episode, Dr. Tim Flynn and Dr. Jeff Moore will be digging deeper into the conversations and content shared in the episodes with Ash James (episode 59), Lindsay Marth (episode 55), and Mark Cummings (episode 54).

STARTS TOMORROW!!! June 8-10, 2018 in Denver, Colorado, the Align Conference: focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

60: Meditation to Address Persistent Pain with Carolyn McManus May 31, 2018

Today, we are joined by Carolyn McManus, the President of the Pain Management Special Interest Group of the APTA Ortho Section. Carolyn will be sharing amazing tips on utilizing different forms of meditation to help patients with persistent pain. Carolyn’s experience and practices will, not only help your patients, but also you, as a provider, to keep you in optimal health so you can be your best for those you are serving.

It’s NEXT WEEK!!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

59: Reducing Fear with Ash James May 24, 2018

We welcome Ash James to Pain Reframed! This week, we are talking about reducing fear, encouraging a variety of movement, and getting to the root of what’s going on with a patient’s body. We want to ensure patients don’t catastrophize, be afraid of their bodies, nor let negative thoughts and other things get in the way of living and enjoying life and full movement and ability.

Ash has worked in various sectors of musculoskeletal physiotherapy, including private practice, professional sports and occupational health. He is now a Clinical Lead for a large Occupational Health Company, runs external courses and workshops, and is looking at ways to improve the care of people within the community. Ash is also currently studying for his PhD with his research focus on the prevention of occupational back pain.

Don’t forget!! It’s almost here!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

58: Physical Therapists’ Role in Solving the Opioid Epidemic | Dr. Paul Mintken May 17, 2018

This week, we welcome Dr. Paul Mintken to discuss, with us, the role of the physical therapist in solving the opioid epidemic. This viewpoint was recently published in the May edition of the Journal of Orthopaedic and Sports Physical Therapy by Dr. Mintken, Dr. Jeff Moore, and Dr. Tim Flynn.

Dr. Paul Mintken is at the CU Physical Therapy Program in Denver, Colorado where he is a full professor, clinician, and researcher. One of Paul’s main pursuits is to help move the profession forward and educate students and younger PTs entering the field.

Don’t forget!! It’s almost here!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

https://www.jospt.org/doi/abs/10.2519/jospt.2018.0606
@pmintkendpt
paul.mintken@ucdenver.edu
http://ispinstitute.com
http://www.alignconference.com/
http://evidenceinmotion.com
@eimteam

57: Pain in Sensitive Areas with Dr. Sandy Hilton May 10, 2018

Sometimes, there are pain areas that people aren’t always comfortable discussing. Even further, it’s easy for us to compare, for example, our hands to others around us. But some areas… well, let’s just say, we’re not going around comparing those! So we need a safe environment for patients to feel comfortable and confident getting the treatment they deserve.

We welcome back Dr. Sandy Hilton to Pain Reframed! Sandy joined us way back on episode 7! Sandy and her business partner, Sarah Haag, of Entropy Physiotherapy, have made a community out of their clinic due to the forward-thinking environment they have created there, helping to ensure the patients feel welcome and comfortable. We will continue the discussion on how to handle sensitive pain topics and best treat our patients.

Don’t forget!! It’s almost here!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

http://entropy-physio.com/
@sandyhiltonpt
sandy@entropy-physio.com
The Pain Science and Sensibility Podcast
http://ispinstitute.com
http://www.alignconference.com/
http://evidenceinmotion.com
@eimteam

56: Higher Order Skills with Dr. Jessie Podolak May 03, 2018

We have Dr. Jessie Podolak joining us this week to share her story and journey as a physical therapist working with patients who have chronic pain. Jessie shares a wealth of, not only knowledge and great tips, but incredible wisdom that is absolutely helpful to, not only your professional pursuit, but also your personal life.

Jessie talks quite a bit about the need for PT’s to have self-care. Take care of yourself in order to take care of others. Additionally, rather than saying “soft skills” in relation to compassion, empathy, listening, mentorship, etc., say they are “higher order skills.” This is HUGELY important and something, we’ve found, that patients really do, deep down, want.

Don’t forget!! It’s almost here!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

55: Occupational Therapy and Persistent Pain with Lindsay Marth Apr 26, 2018

We are so excited to welcome Lindsay Marth to Pain Reframed! Lindsay is our first Occupational Therapist to be on the show and so Lindsay will discuss what OT has to offer individually as well as from a team perspective.

The discussion with Lindsay, this week, showcases the need for all of us to utilize different resources and tools available at the most appropriate times while dealing with persistent pain. Lindsay shares some fantastic resources with us as well as a really powerful and helpful tool (The VEMA Tool) to really help understand what motivates patients through difficult times.

Don’t forget to save the date: It’s coming up soon!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

54: The Image that Increased the Pain with Mark Cummings Apr 19, 2018

We have a very special and fascinating episode for you this week! Mark Cummings joins us to share his story and also his recent journey of pain. Mark also, specifically, shares how his base level of pain increased significantly and immediately after seeing an image of his fracture, continuing to show how cognitive our pain really is.

Mark is an amazing musician who has a passion for the guitar: specifically his 1980s Martin. Mark also has Multiple Sclerosis and is very close to the release of a new CD, featuring incredible musicians from around Colorado. The proceeds of this album will go to support the National Multiple Sclerosis Society and their research in battling MS. Please check out this project and his new album (links are below)!

Don’t forget to save the date: It’s coming up soon!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

53: A Common Message for Patients | Dr. Becky Vogsland Apr 12, 2018

Sometimes patients will hear mixed messages and contradictory advice, which can be a huge problem in their treatment and faith in the system, especially when they have high concern and fear levels. Thankfully, Dr. Becky Vogsland has been working with an amazing team to create a system where a common message is focused on to truly help patients. Becky’s story and their results are phenomenal!

Becky has practiced at the Minneapolis VA in the areas of traumatic brain injury, polytrauma, orthopedics and chronic pain since 2007. To better serve her patients, Becky has obtained certifications as an Orthopedic Clinical Specialist, Certified Manual Trigger Point Therapist, Certified Spinal Manual Therapist, and in Rehabilitation Pilates and TRX. She is an adjunct faculty member at St. Catherine University teaching about traumatic brain injury and headaches.

Don’t forget to save the date: It’s coming up soon!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

52: Functional MRI with Dr. Paul Beattie Apr 05, 2018

We have a special treat this week on Pain Reframed: Dr. Paul Beattie. Paul’s research is primarily on low back pain as well as the use of technology (primarily MRI) and now moving into the brain and Functional MRI.

Paul’s research is absolutely fascinating in how the brain handles, and even creates, pain based on some various factors. Paul shares some of his research and findings in relation to the “and, not the or” approach of looking at best treatments of chronic pain working with the brain and the tissue.

Don’t forget to save the date: It’s coming up soon!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

51: Population Health and Social Determinants of Health | Dr. Todd Davenport Mar 22, 2018

Certain regions of our country have a particularly challenging time dealing with the opioid crisis. These regions, not only have the challenge of seeing improvements with the crisis, but are also still seeing a rise in opioid use. Dr. Todd Davenport focuses on population health and social determinants of health.

In today’s episode and discussion, we’re looking at what these social determinants of health are that cause these populations to struggle to recover from opioid addiction issues and other related health issues from their quality of life.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

50: Pain Reframed PSA | The Truth About Opioid Effects Mar 15, 2018

We’ve got something new and special for you this week on Pain Reframed! Welcome to the Pain Reframed PSA! In these episodes, we will be taking an important recent finding/article/etc. and talking directly to the public rather than trying to speak only to clinicians. Then we’ll ask you to share this important topic with your communities.

In this first installment of the Pain Reframed PSA, we discuss a pragmatic trial (vs. a prescriptive trial) from the Journal of American Medical Association about moderate to severe chronic back, hip, or knee pain that has been going on for more than six months and the effect of opioid use vs. non-opioid use. We discuss the findings on this information and how you can utilize this in your personal care if this is something you deal with or someone you know deals with.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

49: Project ECHO with Dr. Ron Andrews Mar 08, 2018

Dr. Ron Andrews joins us on Pain Reframed this week! Ron is with the University of New Mexico, which is the only physical therapy school in the state paired with the only medical school in the state. Ron brings a wealth of knowledge and experience working interdisciplinary at the school as well as with UNM’s Project ECHO. Ron will be sharing some of his experiences and advice, as well as all about Project ECHO and how it’s been powerfully impacting patients.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

48: Initiating Change with Dr. Elliot Feldman Mar 01, 2018

Dr. Elliot Feldman joins Pain Reframed this week! Elliot is standing up and taking the initiative, getting inside of the system, and making significant positive change with the treatment of patients. Elliot will share some incredible actions that he’s taken to change the conversation in the system’s delivery on how individuals who are in pain are managed. It wasn’t easy for Elliot but he remained strong so that he could really help those in need with the right treatments and right conversations.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

47: Victories from The Tribe Feb 22, 2018

This week, we are doing something different! We’re extremely excited to bring you stories about how we are 'winning' in physical therapy. We’ll be sharing victories of what past guests have accomplished (think Shark Tank Update) and exciting breaking news in the right direction. It’s always easy to focus on what’s wrong and what we need to fix, but it’s a good thing to also recognize and celebrate the victories taking place right in front of us!

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

Pain Neuroscience Education: Teaching People About Pain
Study from Beth Darnall
@bethdarnall
http://ispinstitute.com
http://www.alignconference.com/
http://evidenceinmotion.com
@eimteam

46: Reframed Recap: Sixth Edition Feb 15, 2018

On location at the Horse and Dragon Brewing Company in Fort Collins, CO, we’ve got another Reframed Recap episode for you! On this episode, Dr. Tim Flynn and Dr. Jeff Moore will be digging deeper into the conversations and content shared in the episodes with John Gribbin (episode 34), Dr. Marta Ceko (episode 38), and Dr. Adriaan Louw (episode 42).

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

45: The Powerful Story of Reframing her own Pain with Liz Peppin Feb 08, 2018

We welcome Liz Peppin to Pain Reframed! Liz is a long-time listener to Pain Reframed and also a Physician Assistant who has suffered from extreme pain for quite some time. Liz shares her extraordinarily powerful story dealing with pain, the frustrations of not finding solutions even after seeing multiple medical professionals, and then the successful side of her journey in how she is now, truly, reframing, not only her own pain, but the pain of the patients she has the privilege of seeing and helping.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

44: Sleep and Physical Therapy with Dr. Catherine Siengsukon Feb 01, 2018

Sleep is SO important. Sure, the topic has been batted around on Pain Reframed, but do we really know and believe that sleep is essential? Today, we’ll be chatting with Dr. Katie Siengsukon about sleep, as well as screening and sleep hygiene tactics that you need as a clinician and also that you need as a patient.

Dr. Siengsukon provides instruction in neuroscience, neurorehabilitation, and sleep health promotion in the physical therapy and rehabilitation science graduate programs. She is currently the director of the Sleep, Health, and Wellness Laboratory and conducts research to better understand how sleep impacts function, learning, and overall health particularly with aging and in those with neurological conditions.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

43: Down in the Trenches Jan 25, 2018

Everything is well and good until that patient is right there in front of you while you are trying to actually implement the concepts that we’ve discussed here on Pain Reframed. Today, we get “down in the trenches” and discuss these types of encounters with actual patient stories and strategies and language used in those sessions. Our goal today is to bring additional clarity and insight in these moments to help you implement these strategies more efficiently and effectively.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

42: Reframing Pain for Children with Dr. Adriaan Louw Jan 18, 2018

Dr. Adriaan Louw rejoins Pain Reframed to discuss talking with children about pain. Specifically, a recent paper studied Middle School education of pain and showed that the paradigms and foundations for pain begin for us when we are kids. Dr. Louw and his team are going into schools to set a correct and healthy foundation for what pain is and what discomfort actually means in order to set these kids on a healthier path throughout their lives. We hope you enjoy this episode and its transformative message of hope and progress!

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

41: Feldenkrais Method with Dr. Stacy Barrows Jan 11, 2018

We welcome Dr. Stacy Barrows to Pain Reframed this week! Stacy is one of the first instructors to teach how to use the foam rollers, and she has lectured extensively to health and fitness professionals on other topics such as the Feldenkrais Method®, treatment of the shoulder and arthritis. Stacy co-authored a study on Feldenkrais and pain management.

Stacy, Jeff, and Tim discuss how PTs can help patients become more aware of their movement patterns as well as learning how to move more effortlessly and enjoying the process of movement. Stacy includes some in-the-moment examples that you can try while listening to Pain Reframed!

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

Twitter - @feldypt
Doidge Brain Science Podcast:http://brainsciencepodcast.com/bsp/2015/bsp-116-doidge
NYT article: https://www.nytimes.com/2017/10/30/well/trying-the-feldenkrais-method-for-chronic-pain.html
Gray Cook's PT site: https://www.otpbooks.com/product/what-is-feldenkrais-by-stacy-barrows/
Huff Post: https://www.huffingtonpost.com/author/stacy-barrows
http://ispinstitute.com
http://www.alignconference.com/
http://evidenceinmotion.com
@eimteam

Happy New Year! To kick off 2018, we want to send a clear message that the patient voice is the most important voice. In order to do that, Dr. Tim Flynn and Dr. Jeff Moore are doing a compilation of some of the most powerful and hard-hitting messages from the patients that we interviewed on Pain Reframed in 2017. We will share clips from Laura Pritchett in episode 3, The Real Brian in episode 8, April Brown in episode 16, Sonya Huber in episode 18, and Dr. Andrew Rothschild in episode 33.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

39: The Greatest Hits of 2017 Dec 28, 2017

This week, on Pain Reframed, Dr. Tim Flynn and Dr. Jeff Moore share some of the most powerful and discussed conversations that have occurred here on Pain Reframed throughout 2017. We’re sharing clips from episodes with Sandy Hilton, Dr. Anna Lembke, Dr. Adam Ryan, Dr. Melissa Cady, Dr. Cheryl Keller Capone, Dr. David Hanscom, Dr. Ben Bobrow, Dr. Adriaan Louw, Dr. Beth Darnall, and Dr. Peter O’Sullivan.

Thank you very much for listening to Pain Reframed this year and joining in on the amazing discussions! We couldn’t have done this without you and appreciate everything you’ve done for us in 2017. We will talk to you next week to kick 2018 off with some exceptional content! Happy New Year!!

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

38: Exciting and Hopeful Research in Neuroplasticity | Dr. Marta Ceko Dec 21, 2017

This week, on Pain Reframed, Dr. Tim Flynn and Dr. Jeff Moore are joined by Dr. Marta Ceko. Tim met Marta at a recent conference in Denver where Marta spoke on some of the updated work on chronic pain and its effects on, not only the structure of the brain, but also the neural networks within the brain. There’s some incredible research going on in this area at CU Boulder and Marta shares some of the excitement and hope with this research in today’s episode!

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

https://canlabweb.colorado.edu/
https://www.colorado.edu/ics/research/wager-lab
@martaceko
http://ispinstitute.com
http://www.alignconference.com/
http://evidenceinmotion.com
@eimteam

37: Q&A with Tim and Jeff Dec 14, 2017

Pain Reframed is still on location at South College in Knoxville, TN. Dr. Tim Flynn and Dr. Jeff Moore are doing something a little different this week: a Q&A episode - taking questions from YOU - that you’ve sent in regarding some of the past episodes and discussions. A lot of discussions have come up around the topics discussed on Pain Reframed and there have been some fascinating perspectives, including the questions, that Tim and Jeff will discuss and answer in today’s episode!

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

36: And, Not Or | Dr. Louie Puentedura Dec 08, 2017

Pain Reframed is on location, this week, at South College in Knoxville, TN. Dr. Tim Flynn and Dr. Jeff Moore are joined by Dr. Louie Puentedura. Last week’s episode with Dr. Tim Tollestrup generated significant, and even passionate, discussion on what Dr. Tollestrup talked about (is there a role for peripheral interventions in tackling persistent pain).

Dr. Puentedura has extensive knowledge in this area as well, so Tim, Jeff, and Louie dive deeper into what was discussed last week to bring even more clarity to the topic. They also bring an “and, not or” call to action while discussing necessary strategies for treating patients with chronic pain in coordination with what was discussed last week.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

35: The Issue is in the Tissue | Dr. Tim Tollestrup Nov 30, 2017

Welcome back to another episode of Pain Reframed! This week, Dr. Tim Flynn and Dr. Jeff Moore are talking with Dr. Tim Tollestrup, a peripheral nerve surgeon in Las Vegas. Tim reached out to Jeff and Tim after hearing some episodes of Pain Reframed in order to bring a different perspective stating that sometimes the issue is “in the tissue.” His perspective fosters some healthy debate and discussion to provide slightly different treatments based on his experiences with his patients. It’s a fantastic discussion that you can learn a significant amount from and also have your viewpoints challenged in a healthy way.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

34: The Mindbody Program for Pain Relief with John Gribbin Nov 16, 2017

Welcome back to another episode of Pain Reframed! This week, Dr. Tim Flynn and Dr. Jeff Moore are chatting with John Gribbin, who is the CEO of CurableHealth.com, a technology company that’s built around providing high-quality neuro education to individuals suffering from persistent pain.

Curable is built by a team of people who have suffered and still suffer from persistent pain, so they know what to provide for those patients suffering today. The science to reframe pain is out there, but unfortunately not accessible to most of society. As a result, Tim, Jeff, and John will discuss what Curable does and how we can integrate it into our practices.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

33: Better Pain Management and Healing with Dr. Andrew Rothschild Nov 09, 2017

Today on Pain Reframed, Dr. Andrew Rothschild joins Dr. Jeff Moore and Dr. Tim Flynn. Andrew shares his story with extensive severe and chronic pain as a patient and also, now, from a PT perspective. Andrew’s experience with pain as a patient was not, unfortunately, the best experience and, as a result, caused him to train to become a PT to do things differently and, as he puts it, better.

It’s a powerful story and contains numerous nuggets along the way worth heeding and applying to our lives as PT’s and/or patients suffering from chronic pain.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

@arothschildpt
asrothschildpt@gmail.com
http://ispinstitute.com
http://www.alignconference.com/
http://evidenceinmotion.com
@eimteam

32: Five Principles of Autonomic Nervous System Rehabilitation with Dr. Ron Gharbo Nov 02, 2017

Welcome back to another installment of Pain Reframed! Dr. Jeff Moore and Dr. Tim Flynn are joined by Dr. Ron Gharbo. As a specialist in physiatry and neurorehabilitation, Dr. Gharbo focuses on maximizing mobility and function after neurologic and orthopedic injuries. He promotes a more mindful approach to chronic pain that requires a partnership utilizing recent electrophysiologic advancements. He enjoys speaking to health providers, staff, risk managers and leaders about how to understand the physiology of psychology to improve health, decision making, performance and culture.

Tim, Jeff, and Ron primarily discuss autonomic nervous system rehabilitation. Ron shares about understanding the sympathetic overdrive and how he has found incredible success in dealing with it. He discusses, in detail, five principles for autonomic nervous system rehabilitation.

LINKS:

31: Reframed Recap 5 Oct 26, 2017

Welcome to the fifth Reframed Recap episode of Pain Reframed! Today, Dr. Jeff Moore and Dr. Tim Flynn are on location in Fort Collins, CO at New Belgium Brewery! They discuss the exceptional content shared in previous episodes and interviews to extrapolate deeper insights to help bring greater learning and mastery!

On today’s Reframed Recap episode, we’ll be examining the conversations and content shared in the episodes and interviews with Dr. Rachna Patel, Dr. Adriaan Louw, and Dr. Beth Darnall.

LINKS:

30: Life-Changing Breathing with Dr. Belisa Vranich Oct 19, 2017

Welcome back to another installment of Pain Reframed! Dr. Tim Flynn and Dr. Jeff Moore are joined by Dr. Belisa Vranich to discuss the life-changing importance of breathing. We’ve all been told to breathe. Perhaps we’ve been told which way to breathe, but do we really know HOW to breathe correctly?

Dr. Belisa has taught and lectured nationwide on topics related to dysfunctional breathing patterns and stress, addressing both physical and psychological problems related to oxygenation that is out of balance, and teaching people to breathe in an anatomically congruous way that maximizes balanced inhales and exhales.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

29: Caring Deeply and Dropping Your Ego with Dr. Peter O’Sullivan Oct 12, 2017

This week, on Pain Reframed, Dr. Tim Flynn and Dr. Jeff Moore are joined by Dr. Peter O’Sullivan. Peter is Professor of Musculoskeletal Physiotherapy at Curtin University, in Perth, Australia. In addition to his teaching and research at Curtin University, he works in clinical practice as a Specialist Musculoskeletal Physiotherapist (as awarded by the Australian College of Physiotherapists in 2005). He is recognized internationally as a leading clinician, researcher and educator in the management of complex musculoskeletal pain disorders.

Tim, Jeff, and Peter discuss being authentic with patients and walking alongside with them in ways the medical industrialized complex doesn’t. Peter shares his success story of deeply caring for patients for a long time and being willing to drop his pride and ego when the patient wasn’t getting better. It’s allowed him to learn, to grow, and to, ultimately, help patients so much more.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

28: We Have Ignored the Pain Psychology of Patients | Dr. Beth Darnall Oct 05, 2017

This week, on Pain Reframed, Dr. Tim Flynn and Dr. Jeff Moore are joined by Dr. Beth Darnall, who is a pain psychologist, clinical scientist, and Clinical Professor at Stanford University. Beth has a focus on pain catastrophizing as well as treating some of the key issues that prevent patients from succeeding with other pain treatments.

Clinically, Beth provides psychological services to patients with catastrophic burn, spinal cord injury or amputation. Her desire to specialize in the management of chronic pain was inspired by her clinical experiences and by her own personal experience with chronic pain. Beth brings a wealth of knowledge to the episode as they discuss some key aspects to managing patients with chronic pain as well as altering systems to maximize positive treatment effects.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

27: Neuroplasticity and Persistent Pain with Dr. Adriaan Louw Sep 28, 2017

This week, on Pain Reframed, Dr. Tim Flynn and Dr. Jeff Moore, once again, reunite with Dr. Adriaan Louw, co-founder and CEO of the International Spine and Pain Institute! We will be diving into the topic of neuroplasticity and how it relates to the management of patients with persistent pain.

Adriaan, Tim, and Jeff discuss what neuroplasticity is, what is going on, neurologically, with the patient when dealing with persistent pain, and some really cool and new evidence-based practices that are currently going on, and in the works, for dealing with neuroplasticity and persistent pain!

Also, save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain. All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

26: Medical Marijuana with Dr. Rachna Patel Sep 21, 2017

This week, on Pain Reframed, Dr. Rachna Patel, the Medical Marijuana Expert, joins Dr. Tim Flynn and Dr. Jeff Moore! Rachna started off as an emergency room physician and moved into the area of medical marijuana to, specifically, help patients with chronic pain, anxiety, and insomnia. Rachna brings a cool perspective of walking with patients through the choices they make and empower them to decrease their use of prescription drugs and get them back living and exercising again.

LINKS:

25: Reframed Recap: The 4th Awakens Sep 14, 2017

It’s another Reframed Recap episode of Pain Reframed: our 4th Reframed Recap episode! Today, Dr. Jeff Moore and Dr. Tim Flynn are on location in Windsor, CO at High Hops Brewery! They are ruminating on previous episodes and interviews to dig deeper and add more commentary and insights learned from these interviews and discussions! As always, these episodes are chock full of wisdom and application.

On this Reframed Recap episode, we’ll be looking back at the conversations and spectacular content shared in the episodes and interviews with Dr. Melissa Cady, Dr. Cheryl Keller Capone, and Dr. David Hanscom.

LINKS:

24: The Pain Project with Dr. Ben Bobrow Sep 07, 2017

This week, on Pain Reframed, Dr. Ben Bobrow of The Pain Project joins Dr. Tim Flynn and Dr. Jeff Moore! Ben has poured his heart and soul into The Pain Project which focuses on helping those who suffer with chronic pain learn to successfully manage the pain and provide support for one another.

Ben shares his experience with pain and The Pain Project. One theme he discusses in the episode is that an abundance of fear and a lack of proper movement really drives most of the problem of chronic pain. It’s a simple solution. Ben, Jeff, and Tim discuss this and quite a bit more, appropriately, following the conversation we had last week with Dr. David Hanscom. Enjoy this episode!

LINKS:

23: Safe and Effective Alternatives to Surgical Management | Dr. David Hanscom Aug 31, 2017

This week, on Pain Reframed, Dr. David Hanscom joins Dr. Tim Flynn and Dr. Jeff Moore! David is an orthopedic surgeon and has an incredible story on how he found success with his own experience of pain. As a result, David has some amazing and effective strategies that he developed and uses with his patients. David is the author of the book “Back in Control.”

David will discuss with Jeff and Tim safe and effective alternatives to surgical management. David will share a successful model you can follow in your practice to put surgery in the appropriate point of the care pathway, still using surgery responsibly, but also using an evidence-based paradigm to get to that point correctly.

LINKS:

22: Successful Mindset and Pain Management Strategies | Dr. Cheryl Keller Capone Aug 24, 2017

Welcome back to Pain Reframed! This week, Dr. Cheryl Keller Capone returns to discuss her success strategies in dealing with chronic pain! She’ll be sharing some very important mindset strategies that has helped her since we last hear from her!

Cheryl joined Tim and Jeff on episode 14 and had significant challenges in her pain journey. She outlined those challenges with pain from early on in her life as well as major challenges going through the healthcare system in episode 14. In today’s episode, Cheryl has continued her growth and pain management in her life and shares her latest success stories!

LINKS:

https://cherylkellercapone.wordpress.com/
@kellercaponephd
Instagram - @cherylkellercapone
https://www.facebook.com/DrCherylKellerCapone/
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

21: PAINDEMIC with Dr. Melissa Cady Aug 17, 2017

Welcome back to Pain Reframed! Today, we are joined by Dr. Melissa Cady, author of “PAINDEMIC: A Practical and Holistic Look at Chronic Pain, the Medical System, and the antiPAIN Lifestyle,” and founder of Pain Out Loud, a website dedicated to optimal health, wellness, and the antiPAIN lifestyle.

Melissa, Jeff, and Tim will be discussing Melissa’s book and her website Pain Out Loud, specifically what Melissa is doing to challenge patients and practitioners to manage and handle pain in healthy ways to overcome or minimized suffering from pain.

LINKS:

20: Reframed Recap the Third from O’Dell’s Brewery Aug 10, 2017

Welcome back to Pain Reframed! Today, we have our third Reframed Recap, live from O’Dell’s Brewery in Fort Collins, Colorado! Dr. Tim Flynn and Dr. Jeff Moore look back at previous episodes and interviews to dig deeper and add more commentary and insights learned from these interviews and discussions!

This week, we’ll be looking back at the conversations and powerful content shared in the episodes and interviews with April Brown, Dr. Adam Ryan, and Sonya Huber.

LINKS:

Pain Reframed Summer Update Aug 03, 2017

Jeff and Tim are out enjoying a little bit of summer, so there’s no episode this week. Just ain’t no cure for the summertime blues…

Jeff and Tim will return next week with a Reframed Recap, broadcasting live from O’Dell’s Brewery in Fort Collins, CO. It’s going to be an amazing episode, chock full of valuable content, so join us next week!

In the meantime, please go check out the International Spine and Pain Institute’s offerings. International Spine and Pain Institute, in partnership with Evidence In Motion, offers pain science and manual therapy CE courses throughout the United States and Canada. In addition, ISPI’s Therapeutic Pain Specialist and Certified Spinal Manual Therapy certifications offer a pain science approach for rehab professionals, teaching the most cutting-edge information and research in pain science. These programs are written by ISPI’s own Dr. Adriaan Louw and have a rolling admission with four cohort starts each year. To learn more, visit their website at www.ispinstitute.com and join the conversation on Facebook and Twitter: @ISPITeam

LINKS:

19: Physical Therapy and the ICF Model for the Older Population | Dr. Ken Miller Jul 27, 2017

Dr. Ken Miller joins us, this week, on Pain Reframed. Ken has more than 20 years of experience working primarily with older adults and more than 7 years teaching other PTs how to, best, do the same. Ken has been an educator, physical therapist and consultant for the home health industry for over 20 years and serves as a guest lecturer, adjunct teaching assistant and adjunct professor in the DPT program at Touro College in Bay Shore, New York. He has presented on a variety of topics including: objective testing, professionalism, interdisciplinary team modeling, osteoporosis, differential diagnosis of dizziness, documentation, patient engagement, student program development and home health regulations.

He serves as Chair of the Practice Committee of the Home Health Section (HHS) of the APTA. As the Chair, he led the development of the Providing Physical Therapy section in the home handbook, Third Edition, Home health student program road map and tool kit and the home health section objective test toolbox. Ken has authored numerous articles for the Journal of Geriatric Physical Therapy, GeriNotes and The Quarterly Report Newsletters.

Ken shares his insights and advice on how to incorporate the ICF model as well as how to focus on key variables like depression, inactivity, and other obstacles that the older population faces when it comes to persistent pain and effective treatment.

LINKS:

18: The Chronicles of Chronic Pain with Sonya Huber Jul 20, 2017

This week, on Pain Reframed, Sonya Huber joins Dr. Jeff Moore and Dr. Tim Flynn to share her story and perspective of chronic pain and how it’s affected her life. She writes about chronic pain, as well as many other topics, on her blog and in her books.

Sonya is the author of five books, including three books of creative nonfiction: Opa Nobody, Cover Me: A Health Insurance Memoir, and Pain Woman Takes Your Keys: Essays from a Nervous System (forthcoming in 2017). Her other books include a textbook, The Backwards Research Guide for Writers: Using Your Life for Reflection, Connection, and Inspiration and The Evolution of Hillary Rodham Clinton.

LINKS:

http://sonyahuber.com
@sonyahuber
Facebook: /sonyahuber
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

17: Overcoming Opioid and Patient Challenges with Dr. Adam Ryan Jul 13, 2017

Welcome back to Pain Reframed! This week, Dr. Adam Ryan joins us to discuss the prescription and regulation of opioids. Adam is an obstetrician-gynecologist in Iron Mountain, Michigan, and was a huge inspiration to Dr. Jeff Moore with his knowledge, communication, patient care, and being present with others.

Adam, Jeff, and Tim discuss where the opioid problem came from and how we got to where we are today. With that, Adam also shares his unique perspective from, not only rural America, but also from a busy practice, not having the time he wishes he could have with the patients. Also, a very interesting commentary on how patients can and sometimes do push back when trying to educate them on opioids.

The conversation moves towards trying to find solutions to addressing this problem effectively when the cards are really stacked against. It’s an excellent, powerful, and necessary conversation in today’s episode!

LINKS:

16: Another Successful Voice of the Patient | April Brown Jun 29, 2017

Welcome back to Pain Reframed! We have another phenomenal episode from the patient perspective! April Brown joins us this week to discuss her journey and experience with persistent pain, how she navigated through it, and how she came out on top of it.

One of the main goals, here at Pain Reframed, is to dive into the perspective of the patient to understand, not only how professionals can up their game, but also some tips and insight into how to manage persistent pain in the best and healthiest way possible.

LINKS:

15: The Second Reframed Recap Jun 22, 2017

Welcome back to Pain Reframed! Today, we have the second Reframed Recap! Dr. Tim Flynn and Dr. Jeff Moore look back at previous episodes and interviews to dig deeper and add more commentary and insights learned from these interviews and discussions!

This week, we’ll be looking back at the conversations and awesome content shared in the episodes and interviews with Sandy Hilton, The Real Brian, and Dr. Anna Lembke.

LINKS:

14: A Long Challenging and Successful Journey with Chronic Pain | Dr. Cheryl Keller Capone Jun 15, 2017

Welcome back to Pain Reframed! Dr. Jeff Moore and Dr. Tim Flynn go back to the patient to get the patient perspective on the pain experience and navigating the medical system. This week, Dr. Cheryl Keller Capone joins us as a patient of, not only chronic pain, but some serious and challenging physical issues that she has had to deal with, manage, and overcome.

Cheryl has had significant challenges in her pain journey, but also some successes. She shares some of the strategies and stories behind her successful journey and, as always, there are some great calls to action to each of us to continually improve in our strategies and journeys.

LINKS:

https://cherylkellercapone.wordpress.com/
@kellercaponephd
Instagram - @cherylkellercapone
https://www.facebook.com/DrCherylKellerCapone/
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

13: Building Trust in Therapeutic Alliance with Dr. Kory Zimney Jun 08, 2017

Welcome back to Pain Reframed! This week, Dr. Kory Zimney joins us from the University of South Dakota (Tim’s old stomping grounds where he grew up!). Dr. Zimney has been practicing physical therapy since 1994, following his graduation from the University of North Dakota with his Masters in Physical Therapy. He completed his transitional DPT graduate from the Post Professional Doctorate of Physical Therapy Program at Des Moines University, Class 2010. He moved into full time academics in 2013. Past clinical work experiences have been with various community-based hospitals working in multiple patient care areas of inpatient, skilled rehab, home health, acute rehab, work conditioning/hardening and outpatient. He also was department manager of rehabilitation services at St. Luke's Health System in Sioux City for 8 years. He still maintains clinical practice one day a week at Mercy Business Health Services in Sioux City, IA working with outpatient work related injuries and providing on-site loss prevention and ergonomics services for local businesses. He also teaches nationally with International Spine and Pain Institute.

Kory discusses the teaching of pain and how we can get better at managing patients with persistent pain. Tim, Jeff, and Kory also have an important discussion about building trust in therapeutic alliance.

LINKS:

kory.zimney@usd.edu
@zimneykj
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

12: Hands On in Pain Science is Better | Adriaan Louw Jun 01, 2017

Welcome back to Pain Reframed! This week, Adriaan Louw, known for his work in pain and pain neuroscience education as well as the head of the International Spine and Pain Institute, joins us, once again, to discuss the idea of pain science and whether it should be hands on or hands off. Adriaan and Dr. Louie Puentedura just published a paper on this topic in the Journal of Manual and Manipulative Therapy.

Also, coming up next Friday, June 9-11, 2017, is the Clinical Conference on Neuroplasticity and Pain in Minneapolis, MN! We are very excited about this conference as it will cover topics including the clinical application of neuroscience, back pain, sensory processing disorders, and motor control just to name a few.

LINKS:

11: Understanding Pain at a Deeper Level with Roger Kerry May 25, 2017

Welcome back to Pain Reframed! This week, Roger Kerry joins us! Roger is an Associate Professor at The University of Nottingham, a Physiotherapist, and Philosopher of Science-in-training. Roger is also a musician, part of an Americana band, and he shares some fun tidbits about that!

Roger will be discussing how we think and how we look at the whole aspect of treating pain, not only from a philosophical point of view, but also in how we NEED to treat our patients and understand where they are at from a fundamental level.

LINKS:

@RogerKerry1
@skiffleshow
http://www.nottingham.ac.uk/healthsciences/index.aspx
http://www.skiffleshow.com/
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

10: The Science Behind the Sermon | Professor Karim Khan | Loading | Agenda-Driven Misinformation May 18, 2017

Welcome back to Pain Reframed! This week, we welcome Professor Karim Khan to the show! Karim’s expertise is on mechanical loading of the musculoskeletal system and he will be discussing musculoskeletal care. He calls out the overutilization of many of the things we see in musculoskeletal care and is instrumental in bringing people together to ensure making a difference in patients’ lives.

Jeff, Tim, and Karim discuss many things in this episode including surgery vs. manual therapy, loading, obesity and nutrition, and how many companies are pushing agendas through misinformation.

LINKS:

9: How to Help the Patient Taper Opioid Addiction Effectively | Dr. Anna Lembke | Drug Dealer, MD May 11, 2017

Welcome back to Pain Reframed! This week, we welcome back Dr. Anna Lembke, by popular demand, to discuss how we can specifically help patients to come down off of opioid addiction in a healthy and attainable manner that the patient can also handle.

Dr. Lembke describes her acronym: B.R.A.V.O. and how it helps providers to help their patients through the tapering process.

B: Brooching the subject
R: Risk-benefit calculator
A: Addiction happens
V: Validation and velocity
O: Other treatments for pain

LINKS:

We are going back to the patient’s perspective this week on Pain Reframed! The Real Brian joins Dr. Jeff Moore and Dr. Tim Flynn to discuss pain and the intense story behind Brian’s experience in dealing with pain and a surgery that didn’t go exactly as expected.

Brian discusses his journey with back and leg pain, starting in 2002, and how it affected him throughout the last decade. In 2013, his lower disc ruptured and he, at that point, had to get “emergency” surgery to remove the disc fragment from pressing up against and traumatizing the sciatic nerve. The surgery should have been a success (with a 1% chance of complications) but the surgery left Brian with no nerve signal down into his leg. Brian shares the story of his journey from debilitating pain to surgical complications to how he has overcome these limitations today.

Additionally, Brian, Tim, and Jeff talk about the transparency of medical professionals in needing to own up to their mistakes and find solutions to the problems at hand. They also discuss the power of physical therapy and the incredible success of pain management from, not only a physical side, but also a mental side.

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7: Turn Pain Science into the “Air We Breathe and not the Thing We Do” | Sandy Hilton | Entropy Physiotherapy Apr 27, 2017

Welcome back to Pain Reframed! This week, we welcome Sandy Hilton of Entropy Physiotherapy to the show! Sandy and her business partner, Sarah Haag, have done some incredible things at Entropy Physiotherapy. They have made a community out of their clinic due to the amazing environment they have created there, helping to ensure the patients feel welcome and comfortable. Sandy is instrumental in the areas of pain management as well and will be discussing her thoughts and expertise on this topic.

Sandy, Tim, and Jeff discuss pain sciences, how much we actually know about it, what we can do to continually learn and grow and treat the patient as a whole, and the idea of turning pain science into the “air we breathe and not the thing we do.”

LINKS:

http://entropy-physio.com/
@sandyhiltonpt
The Pain Science and Sensibility Podcast
http://ispinstitute.com
http://evidenceinmotion.com
@eimteam

6: The Very First Reframed Recap Apr 20, 2017

Welcome back to Pain Reframed! Today, we launch the very first Reframed Recap! During this episode, as well as other Reframed Recap episodes, Dr. Tim Flynn and Dr. Jeff Moore will be looking back at previous episodes and interviews to add even more commentary and insights learned from these interviews.

This week, we’ll be looking back at the nuggets of wisdom dropped in the episodes and interviews with Dr. Adriaan Louw, Laura Pritchett, and Dr. Justin Dunaway.

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5: Drug Dealer, MD | Dr. Anna Lembke Apr 13, 2017

Welcome back to Pain Reframed! This week, we welcome Dr. Anna Lembke who is the Chief of Addiction Medicine and Assistant Professor of Psychiatry and Behavioral Sciences at Stanford University School of Medicine. Anna is also the author of the powerful and eye-opening book “Drug Dealer, MD.”

Dr. Lembke shares her professional journey and what led her to write “Drug Dealer, MD.” The premise behind her book is extremely jaw-dropping and shows a very real perspective to what happens between Doctor and Patient in the medical profession and in terms of the opioid crisis. She reads a passage out of her book and she, Tim, and Jeff discuss just what that looks like and what we, as PT’s need to do to fix this pain problem and help our patients!

On the other hand, Anna is not attacking doctors as she believes they are “trapped in the system” and she, therefore, has a great deal of empathy for them. Her desire is to help them to get them out of the bureaucracy in order to solve the problem for patients. This is a fantastic and intriguing episode worth your time!

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4: Understand the Patient to Understand the Pain | Dr. Justin Dunaway | STAND Haiti Project Apr 06, 2017

Dr. Justin Dunaway joins Pain Reframed this week! Justin has extensive experience in outpatient orthopedics, not only in the United States, but also in Haiti. Justin and his wife, Dr. Morgan Denny, founded and run the organization STAND Haiti. The STAND Haiti Project establishes permanent access to orthopedic rehabilitative services in the country of Haiti through direct patient care and clinical training of its citizens.

Through STAND Haiti, Justin and his team go to Haiti multiple times a year to see patients who have a significantly different relationship with healthcare and different level of resources and education than in the United States. Interestingly, the difference of access to resources and education brings up some fascinating discussion. Jeff, Justin, and Tim share their thoughts on these differences and how having a “blank slate” in treatment and care can actually be beneficial.

Justin shares his experience in going through the ISPI Pain Certification program and how it helped him and changed the way he manages pain. The ISPI Pain Certification Program was instrumental in teaching Justin ways to take the ideas on pain management and apply it in a framework that works for him and his patients.

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3: The Powerful Story of an Author Who Overcame Her Pain | Laura Pritchett Mar 31, 2017

Renowned author Laura Pritchett joins us here on Pain Reframed! Laura is the author of multiple books, including “Stars Go Blue,” “Red Lightning,” “Sky Bridge,” and just recently, “The Blue Hour.” She’s also working on her upcoming book, “The Death Book.” Laura is the first of many guests who will be talking, not from the clinician's perspective, but from the perspective of those who have experienced very serious pain conditions.

Laura shares her journey with physical pain and how she’s learned how to manage that pain through specific and effective thought processes. She, not only discusses the tough times when dealing with the pain, but also what was going through her head and how she was able to combat those thoughts to reduce, or even eliminate, the pain that wasn’t serious or possibly even there at all. Laura also recommends a great program that helped her: Mindfulness-Based Stress Reduction.

LINKS:

2: How to Combat the Opioid Crisis | Dr. Adriaan Louw | International Spine and Pain Institute Mar 30, 2017

The legendary Dr. Adriaan Louw joins us as our first guest here on Pain Reframed! Adriaan is, not only an exceptional speaker, but an expert in pain science and manual therapy. Adriaan looks at pain and physical therapy through the lens of neuroscience. Jeff, Tim, and Adriaan get passionate about helping patients through pain rather than giving in to the opioid crisis. As we listen to this conversation, approximately 72 people will die from opioids. Solutions are discussed on today’s episode.

Adriaan will be a frequent guest here on Pain Reframed to continue to bring you valuable content. Adriaan is also the co-founder and CEO of the International Spine and Pain Institute, which creates and implements cutting edge, high quality, and research based education and resources for physical therapists related to spinal disorders, orthopedics, and neuroscience.

Pain Reframed is sponsored by the International Spine and Pain Institute. Please visit ispinstitute.com to learn more!

LINKS:

1: Introduction to Pain Reframed | Dr. Timothy Flynn and Dr. Jeff Moore Mar 30, 2017

Welcome to Pain Reframed! In our first episode, Dr. Tim Flynn and Dr. Jeff Moore are introducing you to a podcast about pain and how pain is managed in our society. Pain is a large issue right now and we want to bring powerful and helpful insights on how we can manage pain in a much more efficient and effective way.

We’re committed to changing language and practice patterns across disciplines and points of care in order to reduce the unnecessary suffering that results from the propagation of misinformation, insufficient understanding of the pain experience, and the over-medicalization of pain in society.

Throughout this podcast, Tim and Jeff will share their expertise, as well as the expertise from others in the medical and psychological fields, about pain management and our roles in dealing with pain. We want to create a sustainable, multi-disciplinary, international conversation on pain.

In today’s episode, we introduce what Pain Reframed is, why Pain Reframed is needed, who we hope will engage with us here at Pain Reframed, and how this podcast will benefit you.

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