Summary

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

Takeaways

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

Keywords

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

Chapters

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

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Tim Beames and Bart Van Buchem discuss the myth around posture and pain. They explore the societal belief that bad posture causes pain and how this belief is often ingrained from childhood. They also discuss the influence of social media and marketing on the perception of posture. The conversation highlights the importance of exploring different postures and movements to find what feels comfortable and beneficial for each individual. They emphasise the need for positive language and experiential processes to help people change their posture and alleviate pain.   Keywords posture, pain, myth, bad posture, societal belief, childhood, social media, marketing, exploration, comfort, positive language, experiential processes takeaways

• The belief that bad posture causes pain is a societal myth that is often ingrained from childhood.
• Social media and marketing can influence the perception of posture and create unrealistic expectations.
• Exploring different postures and movements can help individuals find what feels comfortable and beneficial for them.
• Using positive language and experiential processes can be more effective in helping people change their posture and alleviate pain.

Sound Bites

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

Chapters 00:00: Introduction and Common Beliefs about Posture and Pain 11:10: Influence of Social Media and Marketing on Posture Perception 25:04: Positive Language and Experiential Processes for Posture Change  

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Fear and Pain: An Inside Look with Professor Jonas Zaman

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

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

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

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

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

 

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>>https://www.sandiegopainsummit.com/speakers

Professor Romy Parker is the director of the Pain Management Unit at the University of Cape Town. She is an active physiotherapist and researcher focusing on the power of context and culture in treating pain. In this podcast, she shares her experiences on the challenges of pain education and the significance of cultural nuances for effective communication and treatment strategies.

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

 

Professor Romy Parker

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

 

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

 

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

-> lepubscientifique.com

Pain Podcast by Le Pub Scientifique with Dr Felicity Braithwaite

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

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

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

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

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

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

 

Elevate your clinical skills with the Le Pub Pain Podcast

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

 

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

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

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

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

 

Elevate your clinical skills with the Le Pub Pain Podcast

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

 

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

Website: www.lepubscientifique.com/

Email: lepubscientifique@gmail.com

Twitter: @lepubscientifiq

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

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

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

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

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

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

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

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

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

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#lepubscientifique

#exercise

#exercisepain

#pain

#movement

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

 

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

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

 

James McAuley

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

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

A/Professor Melanie Noel discusses the profound connection between early childhood experiences and the way pain is experienced in adulthood.  Melanie Noel, is an Associate Professor of Psychology at the University of Calgary, and she is at the forefront of pain psychology and pediatric pain research. With a wealth of knowledge and expertise, Melanie provides invaluable insights into understanding the intricate relationship between our early life experiences and the pain we encounter later in life. In this captivating discussion, the episode delves into the concept of "pain memories" and how these memories are moulded by early life events. Melanie and Bart discuss the significance of this concept, highlighting its pivotal role in shaping pain management strategies. As the conversation unfolds, the episode explores the practical applications of this knowledge. How can healthcare professionals, therapists, and individuals themselves harness this understanding to craft more effective and personalised pain management strategies? Melanie offers illuminating examples where the integration of early-life experiences into pain management has led to profound improvements in patients' lives. Le Pub Scientifique Pain Podcast offers a platform where science meets compassion and where pain becomes a subject of profound exploration. Subscribe now to embark on a journey through the intricacies of pain science and to stay connected with the experts who are shaping the field.

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

  Takeaways

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

Chapters 00:00 Introduction and the Topic of the Day 02:26 The Importance of Self-Treatments and Productivity Pressure 09:44 Exploring Embodiment and the Impact of Different Environments 16:18 Creating a Context for Positive Experiences and Mindful Exploration 21:54 Empowering Patients to Take Control of Their Recovery 23:12 Conclusion and Announcement of the Pain Pub Quiz  

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

 

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

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

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

  https://pubmed.ncbi.nlm.nih.gov/29852833/

Evidence in Practice: A New Series for Clinicians

 

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

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

Episode Highlights:

1. Understanding Pelvic Pain: Dr. Chalmers takes us on a journey to comprehend the complexities of pelvic pain, shedding light on its diverse causes and manifestations. Gain valuable insights into the wide-ranging challenges faced by individuals dealing with pelvic pain.

2. Societal Implications: We explore the broader societal problem of pelvic pain, examining its often-overlooked consequences on individuals, relationships, and society as a whole. Learn how addressing pelvic pain goes beyond the individual, impacting the community at large.

3. Breaking the Stigma: Dr. Chalmers discusses the pervasive stigma surrounding pelvic pain and how it can hinder proper diagnosis, treatment, and support. Discover strategies for breaking down these barriers and promoting understanding and empathy.

4. Research Advancements: Dive into the exciting world of pelvic pain research with Dr. Chalmers. Explore the latest developments and innovative approaches that hold promise for improving the lives of those affected by pelvic pain.

5. Hope for the Future: This episode offers hope and inspiration to individuals dealing with pelvic pain, as well as their healthcare providers and loved ones. Discover how increased awareness, research initiatives, and collaborative efforts are shaping a brighter future for pelvic pain management and care.

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

About Jane

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

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

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

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

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

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

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

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

Key Points:

1. Quest Cognitive Hypnotherapy: Sheren Gaulbert introduces the concept of Quest Cognitive Hypnotherapy, a potent approach to pain management that combines cognitive therapy and hypnosis. The discussion highlights the empowering aspects of this therapeutic method, which aim to bring about lasting relief.

2. Language and Pain: Tim and Sheren explore the significant impact of language on pain perception. How the words we use to describe our discomfort can influence our overall experience, and how reframing language can play a vital role in the healing process.

3. The Role of Beliefs: Sheren Gaulbert sheds light on the powerful connection between beliefs and pain. Unraveling the relationship between one's mindset and the intensity of their pain, the episode discusses how shifting limiting beliefs can open doors to transformative healing.

4. Pattern Matches in Pain: Delving deeper, the conversation touches upon the intriguing notion of pattern matches in pain experiences. Sheren explains how past experiences and memories can affect the way we perceive pain in the present, and how breaking these patterns can offer relief.

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

 

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Pain researcher and pain specialist Dr. Alessandro Chiarotto discusses the mechanisms behind chronic low back pain and designing effective interventions.

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

#treatment #lowbackpain #Placebo #Regressiontothemean #BIAS #Realtreatmenteffects

 

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

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

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

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

 

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

James recommended two books as further reading:

- How to change your mind, Michael Pollan

- Psychedelics, Prof. David Nutt

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

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

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

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

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

 

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

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

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

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

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

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

#chronicpain #lorimermoseley #complexity

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

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

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

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

If you want to become really confident treating pain join us with Le Pub Premium Membership. Sign up at www.lepubscientifique.com 

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Tim and Bart dive into the challenge of working under time constraints in both public health systems and private practice. They share strategies for setting boundaries, prioritising patient rapport, and delivering high-quality, individualised care despite limited time. The duo discuss the pros and cons of working within a system versus private practice and emphasise the importance of flexibility and challenging the status quo. Packed with practical advice and relatable anecdotes, this episode will help you conquer the clock and thrive in any clinical situation.    Useful Resource A Clinician's Guide to Thriving Under Time Constraints by Le Pub Scientifique & Sandy Hilton. Get your copy now: https://www.lepubscientifique.com/guides   Keywords time constraints, clinical practice, expectations, boundaries, flexibility, individualisation, protocols, efficiency   Takeaways

• Setting expectations and boundaries is important in managing time constraints in clinical practice.
• Flexibility and individualization are key in providing effective treatment within limited time.
• Protocols can be helpful for efficiency, but it is important to adapt them to suit each individual.
• Doing things well and making the most of the available time is crucial in providing quality care.

Sound Bites

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

Chapters 00:00 Introduction and Overview 02:22 Whose Problem is Time Constraints? 04:18 Time Constraints in Different Contexts 06:41 Creating a Treatment Plan 09:07 The Challenge of Making a Difference in Limited Time 13:29 The Therapy Continues Outside the Room 15:23 The Importance of Readiness to Change 20:38 Private Practice vs Public Health System 23:23 Flexibility and Choice in Private Practice 25:45 The Value and Limitations of Protocols 28:09 Managing Time Constraints and Asking the Hard Questions 30:09 Doing Things Well in Limited Time

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

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

#migraine #Somatosensorytesting #bodily disruption #laterality  #QST

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

 

Dr. Ebonie Rio

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

 

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Experimental psychologist Dr Lauren Heathcote shares her expert knowledge about applying a BPS model to cancer pain and other chronic diseases. She talks about what this means for clinical practice, the new treatment opportunities, psychologically wise interventions and how to embed these strategies into existing medical models.  

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

 

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

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

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Specialist Sports Physiotherapist, Leanne Rath discusses how she uses philosophy, phenomenology and anthropology to inform her clinical practice.  Her work in elite sport and with high-performance athletes drove her to explore newer models of thinking, as there was often so much more to pain than just injury. In other words, viewing injury through a broader lens.    Leanne discusses complexity and systems theories and how she incorporates them into her thinking about the injured athlete and how to implement them into rehabilitation strategies.

 

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

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

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

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

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Professor Cormac Ryan delves into the transformative power of the Flippin' Pain campaign, a groundbreaking initiative dedicated to revolutionising the way people think, talk, and treat persistent pain. Through the lens of this public health approach, Cormac explores the critical importance of sharing knowledge, empowering communities, and harnessing the power of lived experiences to bridge the gap between specialists and the vast number of individuals living with persistent pain. Discover the six key messages that lie at the heart of this movement and learn how, by challenging misconceptions and reframing the narrative surrounding persistent pain, Flippin Pain is paving the way for a brighter future where recovery is possible, and no one is left to suffer in silence.   Keywords persistent pain, knowledge, Flipping Pain, public health, generalists, biopsychosocial approach, lived experience, communication, recovery, expectations   Takeaways

• The Flipping Pain initiative aims to boost knowledge and understanding of persistent pain in society.
• Reaching generalists who interact with patients on a daily basis is crucial for disseminating accurate pain-related knowledge.
• The campaign focuses on changing the way people think, talk, and treat persistent pain, promoting a biopsychosocial approach.
• The lived experience of pain is a vital component of the campaign, providing relevant and powerful perspectives.
• Barriers to spreading accurate pain-related knowledge include competing messages and the need to lift expectations and be more optimistic about recovery.

Sound Bites

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

Chapters 00:00Introduction and Overview 01:18The Need to Share Accurate Pain-Related Knowledge 08:13The Six Key Messages of Flipping Pain 18:07Overcoming Barriers to Spreading Accurate Pain-Related Knowledge 21:52Lifting Expectations and Being Optimistic About Recovery 30:35Conclusion and Call to Action  

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

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

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

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

If you'd like to see the video version of this and many more 11 minute-sessions with world-leading pain experts on a huge range of pain-related topics then please go to www.lepubscientifique.com and sign up for free membership.

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

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

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

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

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

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

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

Keywords

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

Takeaways

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

Chapters 00:00 Introduction and Recap 01:35 Elon Musk's Statement and Initial Thoughts 07:11 Surgery for Neurological Problems 09:19 The Role of Clinicians in Informing Patients 13:12 The Potential Effects of Surgery on the Immune and Inflammatory Systems 23:02 The Need for More Research on Placebo Surgery 29:36 Summary and Closing Remarks  

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

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

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

 

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

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

 

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

 

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#opioids #pain #lepubscientifique