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    Health

    Pain Reframed

    Pain Reframed is a podcast for physical therapists, occupational therapists, physical therapy assistants and other health care providers about pain and how pain is managed in our society. Pain is a large issue right now and we will bring powerful and helpful insights on how we can manage pain in a much more efficient and effective way. Pain Reframed is 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. Dr. Tim Flynn and Dr. Jeff Moore 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.

    Advertise

    Copyright: © International Spine and Pain Institute | Evidence in Motion

    • Apple Podcasts
    • Google Play
    • Spotify

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

    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:

    • http://ispinstitute.com
    • http://evidenceinmotion.com
    • @eimteam

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

    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
    Show notes

    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:

    • jamiechildspt@gmail.com
    • http://physiosportspine.com
    • http://ispinstitute.com
    • http://evidenceinmotion.com
    • @eimteam

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

    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!

    1. Are you guys saying that damaged structures in our body never cause pain?
    2. You hear that pain comes from the brain. How can I manage and even sort of control the pain with my mind?
    3. If the "issue isn't in the tissue" why do treatments that are directed towards the tissue often help temporarily?
    4. 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?
    5. What are the best ways to exercise, move, strength-train, etc?

    LINKS:

    • http://realbrianshow.com
    • http://ispinstitute.com
    • http://evidenceinmotion.com
    • @eimteam

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

    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
    Show notes

    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
    Show notes

    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
    Show notes

    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:

    • https://scholar.harvard.edu/sara_lazar/home
    • http://ispinstitute.com
    • http://evidenceinmotion.com
    • @eimteam

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

    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
    Show notes

    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

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