Pain Science and Sensibility

Latest Episodes:

043 An Interview with Dr Henrik Vaegter Oct 09, 2019

Show notes

In the last episode (42) a systematic review was discussed regarding the value of pre-operative measures in predicting pain post-operatively. In this episode, Dr. Henrik Vaegter, an author of that review joins us to discuss that research as well as several other fascinating topics regarding exercise and pain. In this interview we discuss topics of Exercise Induced Hypoalgesia, Conditioned Pain Modulation, and Temporal Summation of Pain, all of which are among the focus of Dr. Vaegter's research. What do the findings in these phenomenon tell us about how we should or should not address exercise in our patients with pain? Tune it to episode 43 for a very informative discussion!

Are preoperative experimental pain assessments correlated with clinical pain outcomes after surgery? A systematic review. Sangesland A, Støren C, Vaegter HB. Scand J Pain. 2017 Apr;15:44-52. doi: 10.1016/j.sjpain.2016.12.002. Epub 2016 Dec 19.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

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042 Does Preop Pain Predict Postop Pain? Aug 30, 2019

Show notes

In this episode Sandy and Cory discuss a systematic review which investigated what pre operative pain tells us about a person's propensity for post operative pain. Is it predictive? If so, would changing it matter? The discussion gets into these topics and more.

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041 Bedtimes and Pain: Can You Sleep It Off? Jun 12, 2019

Show notes

This study looked at pain score associations between people with "typical" and "atypical" bedtimes. Sandy and Cory discuss the topic of sleep and pain broadly as well. So, perk up and see if you can make through this episode without dozing off.

Does bedtime matter among patients with chronic pain? A longitudinal comparison study. McHugh RK, Edwards R, Ross E, Jamison R. PAIN Reports. May/June 2019 - Volume 4 - Issue 3 - p e747. doi: 10.1097/PR9.0000000000000747.

We also discussed this paper: Effects of sleep changes on pain-related health outcomes in the general population: A systematic review of longitudinal studies with exploratory meta-analysis. Afolalu EF, Ramlee F, Tang NKY. Sleep Med Rev. 2018 Jun;39:82-97. doi: 10.1016/j.smrv.2017.08.001. Epub 2017 Aug 18.

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040 Does Activity Counteract Sitting? May 13, 2019

Show notes

In this month's episode we are examining more of a general health question. But it is one that is very relevant to people in pain. Much has been made of "Sitting is the new smoking" with some indications that the negative effects of sitting may not be able to be undone with exercise and activity. This study looked at that concept in particular. Join us for Episode 40.

Sitting Time, Physical Activity, and Risk of Mortality in Adults. Stamatakis E, Gale J, Bauman A, Ekelund U, Hamer M, Ding D. J Am Coll Cardiol. 2019 Apr 30;73(16):2062-2072. doi: 10.1016/j.jacc.2019.02.031.

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039 Pain Education in Low Back Pain Apr 01, 2019

Show notes

This paper, with results that many find very surprising, has started a bit of a buzz in the PT world. What do we make of the results? Can we trust the results? What does this mean in clinical practice? We were able to discuss these topics and more with the researchers themselves as Adrian Traeger and James McAuley were kind enough to share their time and help us navigate these new findings. Don't miss this episode!

Effect of Intensive Patient Education vs Placebo Patient Education on Outcomes in Patients With Acute Low Back Pain: A Randomized Clinical Trial. Traeger AC, Lee H, Hübscher M, Skinner IW, Moseley GL, Nicholas MK, Henschke N, Refshauge KM, Blyth FM, Main CJ, Hush JM, Lo S, McAuley JH. JAMA Neurol. 2018 Nov 5. doi: 10.1001/jamaneurol.2018.3376. [Epub ahead of print]

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038 Living Well with Chronic Pain Feb 09, 2019

Show notes

Research on chronic pain tends to aim at identifying factors that are in deficit, or are the so called "risk factors" for those who develops chronic pain. In this episode, we discuss a paper that takes a different angle in looking at what factors do those people who are successfully living well with chronic pain share. The primary author is friend of the show, Bronnie Thompson, who has made guest appearances in previous episodes.

Living well with chronic pain: a classical grounded theory. Lennox Thompson B, Gage J, Kirk R. Disabil Rehabil. 2019 Jan 11:1-12. doi: 10.1080/09638288.2018.1517195. [Epub ahead of print]

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2018 PT Podcast Network Holiday Extravaganza Dec 11, 2018

Show notes

That's right everyone! It's that time of year again! All the PT Podcast Network voices (except for Adam) have gathered together to bring you some podcast holiday cheer!

This very special episode is brought to you by My PT Insurance. Head on over to their website at myptins.com/ptinquest to be entered into a drawing for a $250 Amazon gift card (contest ends February 28, 2019). While you are there listeners can get a $20 discount off their already low price for a professional liability policy - starting as low as $149! Click the link for more info!

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037 Brain Representations of Expectancy Violation Nov 14, 2018

Show notes

This episode covers a recent meta analysis looking at differences in brain patterns when an expectancy violation, thought to be important in effectiveness of exposure based therapies (see episodes 12, 15, and 31), occurs passively versus actively. Active expectancy violation is thought to be more likely to bring about a change in behavior. This research looked to see if there was a difference that could be identified in activated brain areas between the 2 conditions.

Learning about Expectation Violation from Prediction Error Paradigms – A Meta-Analysis on Brain Processes Following a Prediction Error. D'Astolfo L and Rief W. Front Psychol. 2017; 8: 1253. Published online 2017 Jul 28. doi: [10.3389/fpsyg.2017.01253]

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036 Mechanism Based Pain Care Sep 28, 2018

Show notes

In this episode, Sandy and Cory discuss a recent paper proposing a "Mechanism Based approach to physical therapy management of pain." This paper proposes 5 mechanisms to consider when managing people in pain and how some common PT interventions may impact these mechanisms. The discussion goes into some of the details of these proposals as well as some of the criticisms that have been generated with regards to the paper.

A Mechanism-Based Approach to Physical Therapist Management of Pain. Chimenti RL, Frey-Law LA, Sluka KA. Phys Ther. 2018 May 1;98(5):302-314. doi: 10.1093/ptj/pzy030.

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035 The Smallest Worthwhile Effect of Physiotherapy Aug 17, 2018

Show notes

How much of an improvement would you need to see in order to feel that physiotherapy was going to be worthwhile for your low back, neck, or shoulder pain? This is the question that this study examines and that is discussed in this episode. Also Sandy considers opening a steak restaurant.

The smallest worthwhile effect of primary care physiotherapy did not differ across musculoskeletal pain sites. Christiansen DH, de Vos Andersen NB, Poulsen PH, Ostelo RW. J Clin Epidemiol. 2018 May 28. pii: S0895-4356(17)31379-3. doi: 10.1016/j.jclinepi.2018.05.019. [Epub ahead of print]

Due to copyright laws, unless the article is open sourcewe cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

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