Explore every episode of the podcast Pain Science Podcast
| Title | Pub. Date | Duration | |
|---|---|---|---|
| APTA Expands PT Mental Health Role | 26 Jan 2026 | 00:10:22 | |
In this episode, Dr. Joe Tatta discusses the recent policy changes by the American Physical Therapy Association regarding the role of physical therapists in behavioral and mental health. He emphasizes the importance of this policy in legitimizing the role of physical therapists in addressing mental health issues, moving from mere acknowledgment to active inclusion in practice. The discussion covers the historical context of these policies, the implications for physical therapy education and practice, and the ethical responsibilities that come with this expanded scope. Dr. Tatta highlights the need for competence and the importance of viewing physical therapists as whole health clinicians capable of integrating mental health into their practice. Visit integrativepainscienceinstitute.com for CEU training on integrative, psychologically-informed pain care for physical therapists and other practitioners. Thank you for listening, Joe Tatta, PT, DPT | |||
| Nutrition, Rheumatoid Arthritis, and the New Food Pyramid with Sara Brown, PT, DPT, MS | 19 Jan 2026 | 00:58:23 | |
In this episode of the Pain Science Podcast, Joe Tatta, PT, DPT, welcomes Sarah Brown, PT, DPT, MS a doctor of physical therapy and nutritionist, to discuss the intricate relationship between food, the immune system, and chronic joint pain, particularly focusing on rheumatoid arthritis (RA). Dr. Brown shares her unique journey from physical therapy to nutrition, emphasizing the importance of combining movement and dietary changes to manage chronic pain effectively. They delve into the impact of diet on inflammation and pain, highlighting the significance of the Mediterranean diet and the potential benefits of an elimination diet for those suffering from RA. The conversation also explores the pathophysiology of rheumatoid arthritis, including genetic and environmental triggers, and the role of gut health in managing inflammation. Dr. Brown explains how lifestyle factors such as diet, stress, and sleep can influence the immune response and overall health. The episode concludes with practical advice on dietary changes, the importance of understanding food's role in health, and the potential of supplements like omega-3 fatty acids, curcumin, and resveratrol in alleviating symptoms of RA. This insightful discussion aims to empower listeners with knowledge and practical strategies to improve their health through nutrition and lifestyle adjustments. Visit integrativepainscienceinstitute.com for CEU training on integrative, psychologically-informed pain care for physical therapists and other practitioners. Thank you for listening, Joe Tatta, PT, DPT | |||
| Memory and Pain: What Science Reveals About This Surprising Connection with Anna Waisman, PhD Student | 09 Dec 2024 | 00:37:46 | |
In this episode, Joe Tatta, PT, DPT speaks with Anna Weissman, a doctoral student in clinical psychology at York University in Canada. Anna's research focuses on memory and includes developing memory-based interventions to treat chronic pain and further understand how our brains process painful memories. In today's episode, we discuss how past experiences shape the way we perceive pain, what science reveals about the role of memory and chronic pain and the role of emotion in shaping painful memories. For more information, please visit integrativepainscienceinstitute.com For CEU courses, please visit integrativepainscienceinstitute.com/course Love the show? Please subscribe, rate, and review. Thank you for listening, Joe Tatta, PT, DPT
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| Episode 248 | Comparison Of A Multidisciplinary ACT-Based Program Compared To Cognitive Behavioral Therapy For Chronic Low Back Pain With Corinne Cooley, PT, DPT, OCS And Heather Poupore-King, PhD | 06 Oct 2021 | 00:42:10 | |
In this episode, we have two incredible guests. I'm excited to bring two guests with some incredible experience and research behind them to talk about an important topic, which is bringing ACT to a multidisciplinary pain clinic setting. My guests are Physical Therapist Corinne Cooley and Psychologist Heather King. First, I'll tell you about Corinne. She is a Physical Therapist at the Stanford Pain Management Center and a Clinical Residency Faculty Member in the Stanford Orthopaedic Clinical Residency Program in California. She works with pain physicians and pain psychologists to help optimize complex patient care plans, and leads the exercise and movement portion of interdisciplinary outpatient programs.
Psychologist, Heather King, is a Clinical Associate Professor in the Department of Anesthesiology and Peri-Operative Pain Medicine. She also serves as the Director of the Pain Psychology Fellowship at Stanford. Her areas of expertise are Cognitive Behavioral Therapy for pain as well as insomnia, and Acceptance and Commitment Therapy. In this episode, we'll discuss an investigation that Corinne and Heather were both involved in. This study included an outpatient interdisciplinary approach with pain psychology using ACT as well as physical therapy, and compared that to traditional Cognitive Behavioral Therapy. In essence, this was an ACT plus PT intervention compared to a Cognitive Behavioral Therapy intervention alone. They got some interesting data and some results to share. They share how they went about investigating this topic and some of the outcomes as well as the patient population, and how ACT flowed through the psychology as well as the physical therapy part of care.
As you know, I'm a little biased toward mindfulness and acceptance-based approaches, to living life to the fullest, especially with chronic pain. That's why I'm so excited to share Corinne and Heather with you. They also use ACT as their primary form of Cognitive Behavioral Therapy in their treatment. Just a reminder, if you want to learn more about ACT for chronic pain, there are two great resources for you. The first is my book, which is called Radical Relief. The second is our course, ACT for Chronic Pain, here at the Integrative Pain Science Institute.
Take the time to read about some of the topics we're talking about with regard to chronic pain, both on how ACT can help the psychological aspect as well as the physical aspect of pain. Also, how Heather and Corinne worked together as this tight interdisciplinary team, which is important in the study they created. Hopefully, we can see more of this in healthcare settings. I highly recommend if you're a professional to download the paper. It's open access. You can read either the paper and follow along with the show or read the paper after. Without further ado, let's begin and meet Physical Therapist Corinne Cooley and Psychologist Heather King.
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| Episode 247 | Masterclass: Trauma-Informed Pain Care With Jeremy Fletcher, PT, DPT, OCS | 29 Sep 2021 | 00:43:26 | |
In this episode, we're tackling the important but often times not spoken about the impact of trauma and PTSD on the experience of chronic pain. We're going to be sharing a masterclass that was delivered by a physical therapist, Dr. Jeremy Fletcher, on the topic of trauma-informed pain care and why all of us as healthcare professionals should be more sensitive to the needs of people living with trauma and PTSD. Jeremy does share a number of slides. It's got some great data and some beautiful slides to share with everyone.
Let me tell you a little bit about Jeremy before we begin this episode. Jeremy is a Physical Therapist and serves as the Director of Community Integration for a company called Veterans Recovery Resources. This is a non-profit mental health organization, which is located in Mobile, Alabama. He is a former Professor of Physical Therapy. He's also presented at state, national, and international conferences on the topic of chronic pain, health behavior trauma, as well as community health. He's a Major in the US Army Reserve and holds several leadership positions for non-profit organizations throughout Alabama. His service in the Afghanistan war earned him a Bronze Star for working in a combat zone. He's also a veteran, a father, a coach, as well as a husband. I know you'll gain a lot from this episode.
Jeremy talks about the topic of trauma from a clinician's perspective. He also talks about it from his own perspective, as far as being in a war and suffering from his own PTSD. He's also leading our Trauma-informed Pain Care Course at the Integrative Pain Science Institute. That course is open for registration now. It's a five-week course with a mentor and learning session at the end of the course. You can find out more about the Trauma-Informed Pain Care Course that Jeremy is leading on this episode. You can also go over to the website at IntegrativePainScienceInstitute.com. Scroll over to the Courses tab and scroll down, and you'll find the Trauma-Informed Pain Care Course page.
We would love to see you in that course. It is so important that all of us mental health providers oftentimes receive some trauma-informed pain care, but those of us who are physical medicine professionals, PTs, OTs, oftentimes, we need to reinforce that training. This is an incredible course to do that. Without further ado, I welcome you to read this episode of this masterclass. If you have any questions, you can reach out to us at the Institute. Our email is Support@IntegrativePainScienceInstitute.com. Without further ado, let's begin to learn about Trauma-Informed Pain Care with Dr. Jeremy Fletcher.
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| Episode 246 | Resiliency In The Face Of Trauma And Chronic Pain: Using Acceptance And Commitment Therapy In Building A Values-Based Life With Robyn Walser, Ph.D. | 22 Sep 2021 | 00:41:44 | |
The month of September is Pain Awareness Month. In years past, I've done lots of different things for Pain Awareness Month. I've held online summits, which hosted 30 plus experts. I've done courses for professionals and people with pain. In 2021, I was trying to figure out, "What are we not talking about in the chronic pain space that we need to bring more awareness around? What should we be talking about? What can we bring some more disruption around to disrupt our pain care world out there that isn't always as effective for people with chronic pain?" As I started to reflect on my practice and the patients I've seen over many years I've been treating patients looking at research, I said, "We need to talk more about the link between trauma and chronic pain." This September, I've done a couple of different things to raise awareness around the trauma-pain connection. The first is I've done lots of different posts on my Instagram handle. If you can head on over to Instagram and find me, my handle is easy. It's @DrJoeTatta. You can find me on Instagram. Like and follow me. I have lots of great posts and sliders that are perfect for you if you're a practitioner or someone with chronic pain and you want to learn more about the trauma-pain connection. The second is I partnered with a physical therapist this September. His name is Dr. Jeremy Fletcher. He is teaching our first Trauma-Informed Pain Care Course. You can find that by going to IntegrativePainScienceInstitute.com. Head on over to the Courses tab and scroll down and you'll find the Trauma-Informed Pain Care course. That's open now and you can register. It's available for CEs as well as CEUs for physical therapists and other licensed health professionals. It's about seven hours long and has lots of great content. Jeremy is a physical therapy educator. He works for a company called Veterans Recovery Resources, which is a not-for-profit organization, which helps veterans with both their physical well as mental health needs. He is a dad, coach and also a survivor of trauma himself. He is a veteran of the Afghanistan War. He brings lots of professional as well as personal input to this topic. I've learned so much from Jeremy. He and I lectured in 2020 at Combined Sections at the APTA National Conference. I'm going to lecture again in 2021 at the national conference, which is in February. You can meet both of us there if you're around. Finally, I've reached out and partnered with people like our guest, Dr. Robyn Walser, who is an ACT-trained clinical psychologist. She is one of the world's leading experts in treating trauma and PTSD. She is the Director of TL Psychological and Consultation Services. She is also an Assistant Professor at the University of California, Berkeley and works with the National Center for PTSD. As a licensed clinical psychologist, she maintains international training, consulting as well as therapy practice. Robyn is well-known as an expert in Acceptance and Commitment Therapy, specifically for the treatment of trauma and PTSD. She has co-authored seven books, including a book on Learning ACT. Robyn's work spans traumatic stress, depression, substance use and chronic pain. She has written research articles, chapters and books on these topics. She has been doing ACT training and workshops since 1998. Robyn is incredible. I've seen her in action at a couple of national conferences through ACBS. I've also read a couple of her books. They're great. Head on over to Amazon and make sure you check out all of her books. Dive into this episode, read the topics that she and I are talking about around chronic pain and trauma, see if it resonates with you and think to yourself, "How much do I understand about trauma, PTSD, adverse childhood experiences and the social-political contextual aspects of trauma?" All these are important factors when it comes to treating people with chronic pain. Let's begin this episode and meet Dr. Robyn Walser.
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| Episode 245 | Confronting Suffering And Vulnerability In Healthcare Education With Nicole Piemonte, PhD | 14 Sep 2021 | 00:32:52 | |
As always, it's an honor and a pleasure to be spending this time with you. Before we begin, there are a couple of thank yous as we move forward. I wanted to thank OPTP Products for hosting me on their webinar, which was on September 16th. I conducted a webinar for them on mindfulness and acceptance-based approaches for the treatment of chronic pain. Also, I talked about some information from my latest book, Radical Relief, which you can find on their website as well. Thank you for all the great people at OPTP. Make sure you check them out on their website, which is OPTP.com.
On October 21st, I'll be giving a two-hour session on mindfulness and acceptance-based approaches for the treatment of chronic pain at the New York Physical Therapy Association Annual Conference. I hope to see you there. I also want to thank the NYPTA for inviting me. Finally, you can catch me and our guest in this episode at The 2021 Educational Leadership Conference in Atlanta, Georgia. The Excellence in Physical Therapy Education Conference highlights excellence in physical therapy, as well as innovation. It's a collaborative effort by the APTA Academy of Education and the American Council of Physical Therapy.
If you're a PT or PT educator and you're going to be at the 2021 ELC Conference, make sure to visit me and my colleague. We're presenting a session called Mindfulness and Acceptance-based Interventions in Physical Therapy Education. It's time to address the cycle of distress using evidence-based practice. Also, if you're attending the conference, make sure to catch the keynote by our guest, Dr. Nicole Piemonte. It's on Friday, October 22nd at 8:00 AM. She'll be speaking about cultivating the habits of the heart of patient care, including compassion, vulnerability and imagination. Let me tell you about Dr. Nicole Piemonte before we begin. She is the Assistant Dean for Student Affairs and a faculty member in the Department of Medical Humanities at Creighton University School of Medicine. She earned her PhD in Medical Humanities, where she focused on Philosophy and Medical Ethics. Her teaching and research focus on incorporating the humanities into medical education in order to cultivate future practitioners who are tuned to suffering, vulnerability and social justice.
In this episode, we discuss the benefits of confronting suffering and vulnerability, both in healthcare education, as well as its impact on patient outcomes. Once again, I want to thank the New York Physical Therapy Association and the Educational Leadership Conference for inviting me to speak. It's a great honor. I look forward to meeting all of you and without further ado, let's begin. Let's meet Dr. Nicole.
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| Episode 244 | How To Heal And Prevent Common Childhood Illnesses Using Integrative Medicine With Sheila Kilbane, MD | 08 Sep 2021 | 00:41:36 | |
We have an incredible guest and we're discussing ways to heal and prevent common childhood diseases. Our guest is an ear for parents, a voice for children, a resource for other healthcare professionals, and she's on a mission to help one million children get off meds. They may not need it if they were eating the right food for their health system. My guest is Dr. Sheila Kilbane. She is a board-certified pediatrician. Who's also trained in integrative medicine. She practices medicine in Charlotte, North Carolina, and consults with physicians around the globe using her holistic strategies to help parents resolve eight chronic recurring health conditions. Dr. Kilbane, welcome to the show.
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| Episode 243 | Using The Power Of The Mind To Control Pain | 01 Sep 2021 | 00:30:58 | |
By now, you know that I'm a big fan of mindfulness and acceptance-based approaches for the treatment of chronic pain and I'm pretty sure I'm not the only one. If you look at studies, an increasing number of Americans are using some type of integrative or contemplative practice on a daily or a weekly basis to improve upon their physical health, as well as their mental health.
One of the reasons why I love mindfulness and acceptance-based approach so much is because, as practitioners, we're faced with an increasingly complex, more chronic, and more disease professional landscape. The other reason is I believe we've arrived at a place where we can no longer separate the brain from the body or the mind from the body, however you'd like to look at it. Consider for a moment that there's a well-known, backed by evidence and science, strong positive association between living in a state of stress, which then turns into emotional distress and then finally, on to mental illness. There's a bi-directional relationship between mental illness and physical illness that's inseparable.
Currently, 1 in 5 Americans lives with a mental illness, that's about 52 million people and there have been surveys of physical therapists working in the general orthopedic practice where 75% report treating comorbid mental health problems on a daily or weekly basis. Mindfulness and acceptance-based interventions are a family of methods that emphasize a present moment awareness, nonjudgmental stance, and employ values-based living. The techniques and exercises embedded in these methods teach you how to cope with stressful thoughts, stressful emotions, and even painful physical sensations. The goal is not to clear the mind or to prevent difficult emotions or thoughts from occurring. We don't have a great way to do that. It's about learning how to relate differently to all your experiences, even the distressing ones as part of our human experience.
These methods are useful in clinical practice, especially if you're aiming for health promotion, improving physical function, injury prevention, pain management, modulating the immune system, alleviating noncommunicable disease, and even improving sports performance. Mindfulness is much more than meditation. These are thoroughly investigated, science-backed, and proven methods of health behavior change.
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| Episode 242 | Hope: Ways To Overcome Multiple Sclerosis With Mathew Embry | 25 Aug 2021 | 00:32:28 | |
Thanks for joining us. My guest is Mathew Embry. Mathew has a great story of overcoming adversity and a chronic condition. Mathew was diagnosed with a debilitating form of progressive MS where he was offered no cure and few if any solutions. He and his father, who is a PhD trained researcher, set out on a quest to find answers. They dove into the peer-reviewed medical literature and discovered natural ways to halt and reverse the progression of multiple sclerosis. His entire journey can be found in the Amazon documentary called Living Proof, where Mathew shares his story of halting the progression of MS. The documentary also explores the relationship between MS charities and the pharmaceutical industry, their lack of transparency with regard to medical funding, as well as their power, influence, and sometimes their ability to avoid opportunities to raise awareness around lifestyle-based treatments such as nutrition and exercise therapy for the treatment of MS. We discussed this story and how potential conflicts of interest affect those in need of chronic disease treatment. Without further ado, let's begin and meet Mathew Embry. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 241 | How The Health Insurance Industry Perpetuates The Chronic Pain Crisis With Dr. Michael Schatman | 18 Aug 2021 | 00:48:27 | |
In this episode, we are discussing the impact of the health insurance industry on the effective treatment of chronic pain. This is a topic I have been wanting to create some content around for some time. When I look back at the evolution of the show, the episodes typically fall into two buckets. I'm either talking about effective treatments, trying to build, spread awareness around conservative effective treatments for chronic pain or I'm talking about the latest, or some new research that I feel is innovative. In those two buckets, I'm also always looking for where are the problems and the barriers for us as professionals and for people living with pain to access effective pain care. When I look at the problems, there's one big problem that is like a big flashing red light, the elephant in the room. That's the health insurance industry. I asked myself, "How has this changed throughout my career?" As a physical therapist, I started practicing or treating patients in 1997. In 1997, I can't think of too many barriers for me treating a patient. When do I say that I'm talking about how much it costs a patient to access conservative pain care and then is that treatment covered? Those are the two big issues, "How much does it cost? Is it covered?" I can tell you back in 1997, I don't remember any patient having a deductible. If there was a copay or something moderate, it's maybe $5 or $10. I'm not saying as citizens, professionals and people living with pain that we shouldn't be fiscally concerned about the delivery of healthcare because that's important, especially in the United States of America. However, I can tell you in 2021, the average American contributes to their health insurance. Meaning there's typically an employee portion each month as an employee that contributes to your monthly premium. There's also an annual deductible and then there are copays on top of all of that. As people in the United States of America, this may be the most important for those of us who live in the United States but I know this impacts all of us around the world, we are paying a lot of money into our health insurance. We have to ask the question, "What are we getting back? What is the benefit that we are receiving?" The average deductible in New York City, the place where I live, is somewhere between $5,000 and $10,000 for a family plan. I have seen family plan deductibles upwards of $20,000. It's clear that premiums have increased. The second thing for us to consider is copays. When I first started in 1997, copays were maybe $5 or $10. It's not uncommon now. I have seen copays that equal the cost of the PT visits. Copays that run anywhere between $40, $50, $60 and $70 upwards to $100 to receive physical therapy care. We are paying more. However, at the same time, I have also seen visits decrease. In the United States of America, this varies depending on the diagnosis and where people live, the average length of stay for a PT session is about twelve visits. Consider you have to treat someone who has fibromyalgia and you only have two visits per week for six weeks for a total of twelve visits before the insurance company terminates care. Effectively, what large insurance companies have done is have contracted or hired third-party medical management companies, which come in. It's what they call they manage health insurance claims, which I would like to call what it is the aggressively deny claims for conservative care. This includes things like physical therapy, occupational therapy, speech, mental health services, as well as addiction treatment. Not only do they manage that care but oftentimes, insurance companies will not approve a patient seeing multiple providers. For example, insurance companies often regulate if a patient is seeing both a physical therapist and chiropractor or a PT and OT. Any combination of those, they don't like when patients are using their insurance to the fullest extent. Let's carry that over into what is identified as the gold standard for the treatment of chronic pain, which is multidisciplinary or interdisciplinary care. That's when the patient can access multiple providers. In the United States of America, we have one interdisciplinary chronic pain clinic for every million people that focus on chronic pain management. Why do we have that? Insurance companies have identified this as expensive care. It's too expensive to pay multiple providers, at the same time, they have severely cut back on those programs probably since the early '80s somewhere. That's when that trend started. That has come back somewhat but we haven't seen a revitalization of interdisciplinary chronic pain treatment programs in the United States of America specifically because insurance companies won't pay for the care. Lastly, I don't want to just focus on private health insurance companies in the United States. We have things like Medicare and Medicaid, which are government-sponsored plans. Those two have been cut every year it seems. Some emails go out by organizations, such as the American Physical Therapy Association. It's called Stop The Cut. That's where the Medicare fee schedule is reduced. Each year or every couple of years, the national government tries to reduce payments to outpatient physical therapy services. When payments are reduced, it often has an impact on the number of visits that we can see patients for and the quality of care that we can provide in an outpatient setting. The question is, "How does the health insurance industry perpetuate the chronic pain crisis?" Joining me is Dr. Michael Schatman. He is a clinical psychologist who spent many years working in multidisciplinary chronic pain management. He is on the teaching faculty of the Department of Public Health and Community Medicine at the Tufts University School of Medicine in Massachusetts and serves as Director of Research and Network Development for Boston PainCare. He has authored more than 100 journal articles and book chapters on chronic pain management and lectures regularly at the international level. He is also the Editor-in-Chief of the Journal of Pain Research. In this episode, we are going to talk about the health insurance industry and how it impacts the treatment of chronic pain. This is an important episode. Make sure you share this with your friends, families and colleagues all over social media so we can raise awareness on this topic. Let's begin and meet Dr. Michael Schatman.
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| Episode 240| Pain Medication and Exercise: How Analgesic Medications Impair Healthy Muscle Function With Bahar Shahidi PT, DPT, PhD | 11 Aug 2021 | 00:30:48 | |
We're talking about analgesic medications and how they can have both a positive and a negative impact on how your muscles function. Analgesic medications are simply medicines that are used to alleviate pain. You may have seen them marketed as painkillers or pain relievers. Technically the term analgesic refers to any medication that provides pain relief without putting you to sleep or causing you to lose consciousness. There are many different types of medications that have pain, relieving properties. Some people tend to lump these all together, but they're different groups or types of medications.
Some common names you might have heard of are non-steroidal anti-inflammatory medications, such as NSAIDs. These include things like Aleve and Advil. Another group is narcotic opioids, like oxycodone and morphine, and then another common group or non-opioid analgesics typically falls into that category are things like acetaminophen or Tylenol. In many cases, the effect of treatment of chronic pain may include one or more of the analgesic medications I previously mentioned.
However, the use of analgesic medications can be potentially challenging for physical therapists because they're faced with a paradox. On the one hand, an analgesic medication may alleviate pain, which you may think makes it easier for people to move and function. Yet, on the other hand, these medications may negatively impact the physiology of your muscles, nervous system and other parts of your body. Here to talk to us about analgesic medication is Dr. Bahar Shahidi.
Bahar is a physical therapist and a researcher investigating how analgesics impact muscle physiology, pain as well as physical function. She is an assistant professor in the Department of Orthopedic Surgery at the University of California at San Diego. Her academic background includes a Bachelor's in Chemistry, a Doctorate Degree in Physical Therapy and a PhD in Neurophysiology. Her research focuses on muscle physiology changes in the presence of chronic spinal pain.
In this episode, we discuss how analgesic medications impact clinical outcomes in people with chronic low back pain, exercise responsiveness, how to time the use of analgesic medication relative to physical therapy treatment, and balance medication use and exercise for optimizing patient outcomes. Let's begin and meet Dr. Bahar Shahidi and learn about how analgesics impact muscle physiology.
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| Episode 239| How To Use The Body As A Metaphor To Overcome Pain: Yoga-Based Acceptance And Commitment Therapy (ACT) | 04 Aug 2021 | 00:22:11 | |
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| Hypnosis for Pain Relief with David Spiegel, MD | 14 Nov 2024 | 00:34:03 | |
In this week's episode of the Pain Science Education Podcast, we speak with Dr. David Spiegel, a renowned expert in the field of hypnosis. Dr. Spiegel has decades of experience studying the applications of hypnosis in managing chronic pain, non-communicable diseases, and even cancer. Our conversation delved into the evolution of hypnosis from its early misconceptions to its current status as a scientifically-backed therapeutic tool for pain relief. For show notes and additional resources, please visit integrativepainscienceinstitute.com For CEU courses, please visit integrativepainscienceinstitute.com/course Love the show? Subscribe, rate, and review. Here's How »
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| Episode 238| How To Combine Pain Neuroscience With Yoga For Effective Pain Care With Niamh Moloney, PhD, PT And Marnie Hartman, DPT | 28 Jul 2021 | 00:40:16 | |
In this episode, we're discussing how to bridge the gap that exists between a person and pain, their ability to move beyond suffering and back to life through applying both modern pain science principles, and the ancient wisdom of yoga. Yoga is a practice that is more than 5,000 years old, and the field of pain science is probably more than 40 years old. However, when brought together, both of these methods and techniques offer each other enormous resources and wisdom for the treatment of pain and many other chronic health conditions. Joining me to discuss the combination of pain neuroscience with yoga for effective pain care are physical therapists Niamh Moloney and Marnie Hartman. Niamh is a physiotherapist, pain researcher, and yoga teacher. Marnie is a physical therapist, a certified strength and conditioning specialist, and a registered yoga teacher. Both have a special interest in pain neuroscience and how to use yoga for effective pain care. In this episode, we discuss how to apply modern pain or science to yoga and yoga therapy, the similarities between yoga and a modern pain science approach, how to optimize both the mind and the body for effective pain relief, and whether or not mindful movement is more effective than general physical activity for pain management. Together, Niamh and Marnie wrote a great book called Pain Science-Yoga-Life, you can find that on Handspring Publishing, make sure to check that out. Without further ado, let's begin this episode and learn about pain neuroscience and yoga for effective pain care. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 237| Psychological Strategies To Get Unstuck And Find Pain Relief With Diana Hill | 21 Jul 2021 | 00:35:58 | |
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| Episode 236| How To Promote Self-Management Strategies To Reduce Pain And Improve Function With Anne Soderlund, PT, PhD | 14 Jul 2021 | 00:40:42 | |
On this episode, we're discussing patient adherence to treatment as a foundational aspect of pain management. The evidence-base and research in this era tell us that high levels of adherence to things like physical activity or perhaps an exercise program are highly correlated with positive health outcomes, but what about when a patient does not adhere to the agreed upon treatment plan? Do we know how to increase patient adherence? Do we know how to promote the maintenance of pain self-management behaviors? Joining me to discuss adherence to and the maintenance of self-management behaviors in people with musculoskeletal pain is Dr. Anne Soderlund. Anne is a Professor of Physiotherapy in Sweden with a special interest in behavioral medicine.
Her research area is on prevention, treatment and evaluation of health problems from a behavioral medicine perspective embedded within a physiotherapy framework. This includes a strong focus on an individual's behavior, behavior change, and the ability for functioning in everyday life at different ages. On this episode, we discuss the important topic of helping patients adhere to exercise programs and other self-management techniques for the treatment of chronic pain. As a leader in this area, it has some great research with regard to physiotherapy and behavior change. She's definitely someone's work I recommend that you follow. Without further ado, let's begin and let's meet Dr. Anne Soderlund.
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| Episode 234| How Yoga, Mindfulness, And Meditation Can Help Relieve Chronic Pain With Stephanie Carter Kelley, PT, PhD | 07 Jul 2021 | 00:44:55 | |
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| Episode 234| How Mindfulness Meditation Can Help You Live Well With Pain With Vidyamala Burch | 30 Jun 2021 | 00:38:48 | |
We're discussing how to use mindfulness and acceptance-based approaches to overcome chronic pain. My guest is Vidyamala Burch. She is a mindfulness and compassion teacher with years of helping people with pain, illness or stress live fuller and more meaningful lives. At the early age of seventeen, she sustained a spinal injury that required multiple surgeries and left her with chronic low back pain and partial paraplegia. After experiencing a period of hopelessness as well as helplessness, she discovered mindfulness as a way to ease the mental torment associated with physical pain.
She's the author of two books, teaches and trains on the topics of mindfulness as well as compassion. Vidyamala was also awarded an honorary membership from The British Pain Society for outstanding contributions to the field of pain management. In this episode, we discuss how Vidyamala has used mindfulness to overcome chronic pain and how she teaches people with chronic pain to live fuller lives through mindfulness meditation. Without further ado, let's begin. Let's learn about mindfulness and acceptance-based approaches to chronic pain.
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| Episode 233| Promoting LGBT Health Equity And Wellbeing: Applications For Physical And Mental Health With Karla A. Bell, PT, DPT, GCS | 23 Jun 2021 | 00:27:49 | |
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| Episode 232| The Worlds Top Pain Science Innovators and Leaders | 16 Jun 2021 | 00:26:04 | |
The words pain science and pain education are used so frequently nowadays in professional circles that we rarely take the time to explain the difference between the two or reflect on what clinical practice was like before these advancements came into our life. What was it like for people living with pain without this knowledge? Pain science is a part of a larger field of neuroscience, which investigates nociception and the lived experience of pain. It is most often taught in University Physical Therapy programs but over the years, it's begun to show up in the training of many licensed healthcare professionals. Pain education is one component of an overall cognitive-behavioral intervention, which teaches people how to effectively self-manage chronic pain. It focuses on the components of each individual's pain experience and how it affects their daily lives. Research shows that when people have a better understanding of how pain works in the body, it can ease fear, anxiety and create hope. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 231| MasterClass: Pain Science Education With Carey Rothschild, PT, DPT, OCS, SCS, CSCS | 09 Jun 2021 | 00:21:50 | |
Joining me is one of our faculty members, Dr. Carey Rothschild. She's going to talk to you all about the importance of pain science and pain education in practice, whether you are a physical medicine or mental health professional. Let me first introduce Carey to all of you. Dr. Carey Rothschild is an Assistant Professor in the Doctor of Physical Therapy Program at the University of Central Florida. In addition to earning her DPT, she's Board-Certified in Orthopedic Physical Therapy and Sports Physical Therapy. She earned a Certificate of Achievement in Pelvic Physical Therapy. Her research related to running and the female athlete has been published in the Strength & Conditioning Journal, the Journal of Strength and Conditioning Research, Sports Health and the Journal of Women's Health Physical Therapy. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 230| How To Create A Pain Education Course For Health Professionals With Carey E. Rothschild, PT, DPT, OCS, SCS, CSCS | 02 Jun 2021 | 00:31:57 | |
It's a pleasure to be spending this time with you. In this episode, we're talking about the latest in pain science and pain education with our expert guest Dr. Carey Rothschild. Carey is an Assistant Professor in the Department of Physical Therapy at the University of Central Florida. In addition to earning her DPT degree, she is also board certified in Orthopedic Physical Therapy and in Sports Physical Therapy and earned a certificate of achievement in Pelvic Physical Therapy. Her research related to running and the female athlete has been published in The Strength & Conditioning Journal, The Journal of Strength and Conditioning Research, Sports Health and the Journal of Women's Health Physical Therapy. In 2019, Carey received the award for Excellence in Academic Teaching from the Florida Physical Therapy Association. A big part of that was for her innovation in developing and teaching one of the nation's first pain mechanisms and treatment and rehabilitation courses for both physical therapists as well as other healthcare professionals. In this episode, we'll discuss the foundational and important aspects of pain science, pain education and the steps Dr. Rothschild took to create a course on pain science education at the university level. Also, how she has expanded the delivery of pain education not only for physical therapy students but also for other healthcare professionals such as social workers. Before we begin, I wanted to let you know that Dr. Rothschild has joined the Integrative Pain Science Institute as a faculty and educator. As part of her joining, she has two offerings that I want to share with you. The first one is a free masterclass on pain science education. If you like what you read, stick around or if you're on our mailing list, be on the lookout for an email with regard to a pain science education masterclass. It's a 40-minute masterclass where Dr. Rothschild reviews a case study on a 45-year-old female with chronic pelvic and lower back pain. This is appropriate for both physical medicine professionals as well as mental health professionals. Keep an eye out for a unique course offering that Carey's delivering through the Integrated Pain Science Institute. It is called Pain Education for the Health Care Professional. This is a six-week, seven-hour CEU activity where you learn the latest in pain science, as well as pain education and how to effectively assess and treat the multi-dimensional nature of pain. That's a six-week course. It's worth seven CEs/CEUs. It's called Pain Education for the Healthcare Professional. Make sure you're on the mailing list too. Go over to IntegrativePainScienceInstitute.com and hop on our mailing list. You can opt-in anywhere to receive our emails and you'll receive updates both on the pain science education masterclass, as well as the Pain Education for the Healthcare Professional CEU course and activity. Without further ado, let's begin and let's meet Dr. Carey Rothschild. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 229| Why Are Physical Therapists Burned-Out? (And What To Do About It) With Ellen Zambo Anderson, PT, PhD, GCS | 26 May 2021 | 00:38:52 | |
We are joined by Dr. Ellen Zambo Anderson, who is an Associate Professor in the Doctor of Physical Therapy Program at Rutgers University. In addition to earning a PhD in Health Sciences, she's an Assistant Director of the Rutgers Community Participatory Physical Therapy Clinic and serves as the Special Olympics Global Advisor for Young Athletes. Dr. Anderson is the co-author of the textbook, Complementary Therapies for Physical Therapy and the Co-owner of YogiAnatomy, a company that provides continuing education on the topics related to complementary approaches for managing well-being, health and function. In this episode, we examine professional burnout in the physical therapy profession and provide suggestions for individuals and institutions to address and decrease burnout. It's an important topic for all of us in the profession of physical therapy and other health professions as well. Make sure to share this episode with your friends and colleagues. Let's get ready and meet Dr. Ellen Zambo Anderson.
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| The New Science of Pain Science Education with Professor Lorimer Moseley, AO | 29 Jul 2024 | 01:00:03 | |
In this episode, we speak with globally renowned pain researcher, Professor Lorimer Mosley. Lorimer is a clinician, scientist and educator whose investigates the role of the brain and the mind in chronic pain. He's a professor of clinical neurosciences and a foundation chair in physiotherapy at the University of South Australia. He has authored over 400 research articles and seven books on pain. He also leads a nonprofit organization called Pain Revolution, which you can learn more about by going to the website PainRevolution.org. On today's episode, we discuss new ways a clinician can deliver pain science education and how impactful this approach can be for people living with pain. For show notes, articles, and additional resources, please visit integrativepainscienceinstitute.com For CEU courses, please visit integrativepainscienceinstitute.com/course Love the show? Subscribe, rate, and review. Here's How » | |||
| Episode 228| MasterClass: Motivational Interviewing For Chronic Pain With Rose Pignataro, PT, PhD, DPT | 19 May 2021 | 00:51:21 | |
Thanks for joining me for this special episode of the show masterclass where we're discussing the impact of motivational interviewing on chronic pain. In this episode, I'm joined by Dr. Rose Pignataro, who is a doctor of physical therapy and an expert on how to use motivational interviewing specifically in physical therapy, chronic pain and non-communicable disease. In this masterclass, Rose will discuss what motivational interviewing is, how motivational interviewing can be used alongside other treatments such as exercise, pain neuroscience education, CBT or ACT, and how to bill and code for this intervention in clinical practice. Finally, she'll go through a case study of a woman with diabetic peripheral neuropathy who is ambivalent to start and exercise or change her nutrition patterns. Make sure you hang on for that case study toward the end of this episode. Dr. Pignataro has joined the Integrative Pain Science Institute as a faculty and educator. You can check out her latest course, which is Motivational Interviewing for Chronic Pain. You can find it on the website at IntegrativePainScienceInstitute.com. Scroll over to courses. Go through our course list and you'll find it there. Without further ado, enjoy this masterclass with Dr. Rose Pignataro.
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| Episode 227| Unwinding Anxiety, Trauma, And Chronic Pain With David Hanscom, MD | 05 May 2021 | 00:43:03 | |
In this episode, you'll get to meet my friend and colleague, David Hanscom, MD. He is an orthopedic surgeon whose practice at one time focused on patients with failed back surgeries. He eventually quit his spine surgery practice to pursue his passion and present his insights into solving chronic pain, which evolved from his own battle and struggles with it. Dr. Hanscom has written two books on the topic of chronic pain and now guides patients more clearly through the complexities of solving chronic pain. In this episode, we explore the connection between anxiety, PTSD and chronic pain. It's a great episode to share with someone who is struggling with chronic pain but healthcare practitioners, specifically orthopedic surgeons and primary care physicians. Let's get ready and let's meet David Hanscom, MD. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 226| Dropping An Anchor: A Simple And Powerful Technique For Pain Catastrophizing, Mindfulness, And Cognitive Defusion | 29 Apr 2021 | 00:13:12 | |
In this episode, we're going to do something different. Instead of me interviewing someone, I'm going to share a simple yet powerful technique that will help you whether you're someone living with pain or a practitioner who treats people. This exercise is called Dropping an Anchor. It's typically one of the very first techniques that I teach patients who suffer from pain or pain catastrophizing, having problems with difficult emotions, emotion dysregulation, anxiety or any challenge that's coming up in the therapy room. Before we begin, we probably should revisit the term pain catastrophizing and review and identify what that means. Pain catastrophizing is the tendency to magnify the threat value of pain, feel helpless in a context of pain or the inability to inhibit pain-related thoughts in anticipation of a painful encounter. The last part, the inability to inhibit pain-related thoughts in anticipation of a painful encounter, is what I would like you to think about as we go into this episode. Think about someone who has chronic pain. Each time they come into your clinic, each time they come into the therapy room with you, they are in some way in anticipation that there may be some pain during that session. We're going to talk about pain. I may be moving or moving your arm. You may be experiencing pain. It's a lot of pain-related thoughts that are happening in anticipation of a treatment session. That's why we're going to go through this Dropping an Anchor exercise. If you've taken my ACT for Chronic Pain Course or my Mindfulness-Based Pain Relief Certification, you'll be able to identify that this type of exercise fits squarely in the psychological process of contacting the present moment. You'll also be able to identify some degree of cognitive defusion. Cognitive defusion is the idea of distancing or separating from thoughts. You'll definitely see aspects of both of those during this exercise. There are lots of different ways you can drop an anchor. You can drop an anchor by focusing on your breath, by stretching, focusing on the rise and fall of the diaphragm, looking around the room and fixating on a point or listening to sounds in the room. You're going to hear all of those flavors now because I'm going to share a session that I had with a client that I worked with virtually. This whole encounter here that I'm going to share with you with my client, Barbara, I have her permission to share this. At the end of that exercise, I gave Barbara a while to debrief so we can talk through what she noticed and experienced during the activity. Probably the most common mistake I see both therapists, as well as patients, make with this type of exercise is they attempt to use it as a control or a distraction technique. Control and distraction techniques are very opposite of what happens in mindfulness and acceptance-based approaches to pain. Mindfulness and acceptance-based approaches involve helping you turn toward what's in the present moment with an openness and a curiosity and not necessarily to distract, eliminate, control or avoid what's present. I invite you to participate and play patient. If you're at home, find a comfortable chair to sit in. Any chair will do. You can do this as an eyes-open or eyes-closed exercise. It doesn't matter. I personally enjoy eyes-closed exercises like most people do with regard to cognitive and mindfulness exercises like this. If you're seated, all you have to do is place your palms down on your lap, relax your arms at your sides and gently begin to close your eyes. Let's get ready. I invite you to drop an anchor with us. Let's get started. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today:
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| Episode 225| Training Physical Therapists To Address The Opioid Epidemic From A Public Health Perspective With Anne K. Swisher PT, PhD, FAPTA | 22 Apr 2021 | 00:29:58 | |
We're discussing how to train entry-level physical therapists to address the opioid epidemic. My guest is Dr. Anne Swisher. She is a Professor and Director of Scholarship for the West Virginia Division of Physical Therapy. She's been a Board-Certified Cardiopulmonary Clinical Specialist for several years and has taught in the area of cardiopulmonary physical therapy, exercise prescription and pathophysiology. She's also a Catherine Worthingham Fellow of the American Physical Therapy Association and has published over 80 peer reviewed publications. We focus on a paper Anne published called the Physical Therapist Roles During the Opioid Epidemic in Rural Appalachia: Preparing Students to Educate Communities. Anne is working to address opioid misuse in what some may consider an unconventional way. She's enhanced physical therapy instruction at West Virginia University to emphasize the physical therapist's role in preventing and treating opioid use disorder. The reason why this is such an important topic is because the nexus of America's opioid epidemic isn't where most people would expect. It's not in the big city such as New York, Chicago or Los Angeles. Instead, the hub of the epidemic is in rural states such as West Virginia. West Virginia has more than double the rate of opioid deaths in the national average and a 20% higher rate of opioid prescriptions written by providers. On this episode, we discuss how to prepare future physical therapists to embrace advocacy roles related to opioid use disorder, the educational model and develop to guide physical therapy students regarding their roles across the spectrum of opioid use disorder. Also, how this model can serve as a guide for educating a variety of communities negatively impacted by the opioid epidemic, without further ado, let's begin. Let's meet Anne and learn how we can train entry-level physical therapists to address the opioid epidemic.
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| Episode 224| Is Pain Education Enough? With Rilind Shala, PT | 14 Apr 2021 | 00:26:24 | |
We're diving deeper into the utility of Pain Neuroscience Education and investigating if it's enough to help people overcome pain when used as a single treatment modality or should it be folded into a more comprehensive multimodal pain treatment program? My guest is Rilind Shala who is a young scientist and a physical therapist from Kosovo. He conducts research with the prestigious Body and Mind Group and has earned many international accolades for his work in both physical therapy as well as pain management. In this episode, we cover how Pain Neuroscience Education is used in clinical practice, the clinical impact of Pain Neuroscience Education on outcomes such as kinesiophobia and pain catastrophizing, and the essential tools and techniques you can combine with Pain Neuroscience Education to prove its impact on quality of life. Let's get ready, let's begin and let's learn about Pain Neuroscience Education.
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| Episode 223 | Nutrition, Pain, And Chronic Disease For The Physical Therapist With Joe Tatta, PT, DPT, CNS | 07 Apr 2021 | 00:17:07 | |
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| Episode 222 | Understanding Posttraumatic Stress Disorder (PTSD) And Chronic Pain With Deepak Ravindran, MD | 31 Mar 2021 | 00:43:27 | |
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| Episode 221 | Using Telerehabilitation To Treat Pain And Promote Physical Activity With Bruno Saragiotto, PhD | 25 Mar 2021 | 00:31:40 | |
As you know in 2020, many states, countries and in some ways, the entire globe went into lockdown from the Coronavirus pandemic. With that, many professionals, practitioners and people living with pain were introduced for the first time to telemedicine and telerehabilitation. I wanted to explore some of the research and the applications with you and invite a special guest who can help us talk about some of those topics. Joining us is physiotherapist and researcher, Bruno Saragiotto. He is an Assistant Professor at the City University of São Paulo in Brazil. He's also a Research Affiliate at the University of Sydney and Co-leader of the Centre for Pain, Health and Lifestyle. Bruno has published over 70 research articles that focus on telehealth, healthcare innovation and access to technology. In this episode, we discuss how you can use telerehabilitation to treat those with chronic pain, as well as how you can use it as an effective tool for the promotion of physical activity. Without further ado, let's begin and meet Bruno. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 220 | Emotions And Pain: Advances In Neuroscience And Psychology With Lisa Feldman Barrett, PhD | 17 Mar 2021 | 00:55:07 | |
We have a very special and distinguished guest joining us to discuss the topic of emotion and how emotion relates to chronic pain. If you follow this show or up-to-date on the latest pain science, you know that the definition of pain is that it's both a physical as well as an emotional experience. Joining us is Dr. Lisa Feldman Barrett. Lisa is among the top 1% Most Cited Scientists in the world for her revolutionary research in psychology as well as neuroscience. She is a University Distinguished Professor of Psychology at Northeastern University with appointments at Harvard Medical School and Massachusetts General Hospital. She is also the Chief Science Officer for the Center of Law, Brain & Behavior at Harvard University. In addition to the books Seven and a Half Lessons About the Brain and How Emotions are Made, Dr. Barrett has published over 240 peer-reviewed scientific papers appearing in Science, Neuroscience, and other top journals in psychology and cognitive neuroscience, as well as six academic volumes published by Guilford Press. She has also given a popular TED Talk, which has over 6 million views on the topic of how emotions are made. Dr. Barrett has also received a National Institutes of Health Director's Pioneer Award for her revolutionary research on emotions in the brain. In this episode, you'll learn about some of the essential and new science behind how our brain perceives our experience and how that relates to how emotions are made. We'll also discuss the neuroscience behind interoception and how it relates to the creation and perception of emotions, as well as how we can take these lessons and use them to cultivate pro-social values and improve global health care. I'm excited to share this guest with you. Lisa was extremely generous with her time. This is a little bit longer episode than normal but you'll find lots of important tidbits and enjoy every moment of this interview. Without further ado, let's begin and let's meet Dr. Lisa Feldman Barrett.
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| Episode 219 | Pain Education And Psychosocial Interventions In Physical Therapy Practice With Carolyn Vandyken, PT | 10 Mar 2021 | 00:42:17 | |
We're joined by physiotherapist Carolyn Vandyken and we're discussing how to implement effective pain education and other psychosocial interventions into the practice of physical therapy and others who are helping people with chronic pain. Carolyn has been a practicing physical therapist specializing in orthopedics and pelvic health for decades. In addition to being a licensed physiotherapist, Carolyn is also certified in the McKenzie method and acupuncture as well as a certificate in cognitive behavioral therapy. In addition to clinical practice, Carolyn is heavily involved in postgraduate pelvic health education, research in lumbopelvic pain, speaking at numerous international conferences as well as writing books and chapters on pelvic health, orthopedics, and pain science. In this episode, you'll learn why pain education is essential for the treatment of chronic pain as well as how to implement other bio-psychosocial interventions such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and mindfulness for the treatment of chronic pain. Without further ado, let's begin, and let's meet Carolyn Vandyken. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| How Pain Resilience Can Help People Living With Chronic Pain with John (Drew) Sturgeon, PhD | 15 Jul 2024 | 00:47:52 | |
On this week's episode of the Pain Science Education Podcast, we explore the concept of pain resilience with our expert guest Dr. Drew Sturgeon. Dr Sturgeorn is a fellowship-trained licensed clinical psychologist and clinical assistant professor at the University of Michigan School of Medicine Department of Anesthesiology. Dr. Sturgeon shares his journey into pain resilience, influenced by his mentor Dr. Alex Zoutra's work on adult resilience and adaptation in chronic pain. We discuss the growing interest in pain resilience and its distinction from pain vulnerability. Dr. Sturgeon emphasizes that resilience should be viewed as a process rather than a trait, highlighting the importance of sustainability, recovery, and growth in the face of chronic pain. We explore the idea that resilience involves actively pursuing meaningful goals despite pain, rather than merely tolerating it. Dr. Sturgeon explains how positive emotions, acceptance, and cognitive-behavioral strategies can enhance resilience by helping individuals reframe their pain experience and maintain functionality. For show notes, articles, and additional resources, please visit integrativepainscienceinstitute.com For CEU courses, please visit integrativepainscienceinstitute.com/course Love the show? Subscribe, rate, and review. Here's How » | |||
| Episode 218 | Bridging The Gap Between Mind And Body In Pain Medicine With Rachel Zoffness, PhD | 03 Mar 2021 | 00:46:08 | |
We're discussing how to bridge the gap between the mind and body in Pain Management and Pain Medicine. My expert guest is Pain Psychologist, Rachel Zoffness. Rachel is a Practicing Clinical Psychologist and an Assistant Clinical Professor at the University of California San Francisco School of Medicine, where she teaches Pain Education for medical residents. She serves on the boards of the American Association of Pain Psychology, the Society of Pediatric Pain Medicine, and as a 2020 Mayday Fellow. In this episode, we'll discuss the essential role of Pain Education, how health providers of different disciplines can use Pain Education in practice, and how to apply the Biopsychosocial Model Framework for the treatment of chronic pain. Let's begin, bridge, or eliminate that gap between the mind and body. Let's meet Dr. Rachel Zoffness.
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| Episode 217 | Mindfully Approaching Perfectionism, The Patriarchy And Pain With Andrea Moore, PT, DPT | 24 Feb 2021 | 00:35:08 | |
This is our last episode in The Radical Relief series. It's bittersweet for me to end this series because I enjoyed speaking to these great clinicians, researchers and academics that are using Pain Neuroscience Education, mindfulness, and Acceptance and Commitment Therapy. I want to take a moment to express my deepest gratitude to each speaker who appeared during this series and share their great information starting with Adriaan Louw, Davide Lanfranco, Mary Doyle, Annette M. Willgens, Lilian Dindo, Mary Grant, and our guest, Andrea Moore. If you've missed any episode in this series, make sure you go back to December 30th, 2020, with episode 209. You can start there and then work all the way through each episode until you arrive at this episode. I'm joined by Andrea Moore, who is a physical therapist and a recovering health perfectionist. Early in her career, she focused on trying to fix everything that seemed to be wrong with her. She's dealt with chronic pain, post-concussive syndrome, anxiety, depression, and ADD. She now helps other overwhelmed women suffering from chronic pain to achieve a healthy and active lifestyle. In this episode, you'll learn all about chronic pain and how perfectionism contributes to chronic pain, as well as Andrea's evolution from becoming a doctor of physical therapy, implementing nutrition, and now informing her practice with Acceptance and Commitment Therapy. If you're interested in learning how to combine these multimodal approaches that we discuss on this episode, including Pain Neuroscience Education, mindfulness, and Acceptance and Commitment Therapy, make sure to check out my latest book, Radical Relief: A Guide to Overcome Chronic Pain, which is available on Amazon. Let's begin and meet Dr. Andrea Moore, and learn all about the connection between perfectionism and chronic pain. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 216 | The Role Of Pain Acceptance, Pain Self-Efficacy And Positive Psychological Factors In The Treatment Of Pain With Javier Martinez-Calderon, PT, PhD | 17 Feb 2021 | 00:24:21 | |
As always, it's a great pleasure and honor to be spending this time with you. In this episode, we're discussing the role of positive psychological factors and the association of chronic pain with a specific emphasis on pain acceptance, pain self-efficacy and optimism. My expert guest is Dr. Javier Martínez-Calderón. Javier is a Spanish pain researcher and a physical therapist who completed a PhD in which he explored how psychological factors impact people with chronic shoulder pain. He's an assistant professor at the University of Granada in Spain and a pain researcher in the Biomedical Research Institute of Malaga. His postdoctoral research is focused on the role that cognitions and emotions play in people with chronic pain. In this episode, you'll learn all about the importance of positive psychological factors, and how they impact recovery for people with chronic pain with a specific emphasis on pain acceptance and pain self-efficacy. If you're interested in learning more about pain acceptance, make sure to check out my book called Radical Relief: A Guide to Overcome Chronic Pain, which is based on the principles of acceptance and commitment therapy. You can order it on Amazon. Without further ado, let's begin and let's meet Dr. Javier Martínez-Calderón and learn all about how psychological factors impact chronic pain. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 215 | Combining Cognitive Functional Therapy and Acceptance and Commitment Therapy with Mary Grant, PT, BPhysio, MMT, MISCP | 10 Feb 2021 | 00:43:25 | |
We're discussing how to combine two evidence-based and effective methods for the treatment of chronic pain, which are Cognitive Functional Therapy and Acceptance and Commitment Therapy. My expert guest is Mary Grant. Mary is a Senior Physiotherapist at the Rheumatic and Musculoskeletal Disease Unit at Our Lady's Hospice in Ireland where she's developed extensive skills in musculoskeletal rehabilitation with a particular emphasis on arthritis and persistent pain problems. She's a guest lecturer at the University of College Dublin in the physiotherapy program where she trains student physiotherapists on the assessment and treatment of arthritis and has been involved in the development of a new program with Arthritis Ireland. In addition to her physiotherapy degree, Mary has also earned a Master's of Manual Therapy and has a keen interest in combining pain neuroscience education, Cognitive Functional Therapy, and Acceptance and Commitment Therapy for the treatment of chronic pain. In this episode, you'll learn about the similarities, differences, and complementary approaches of Cognitive Functional Therapy and Acceptance and Commitment Therapy, how they help people with persistent pain, and how physiotherapists can go about employing these methods and techniques in clinical practice. If you're interested in learning more about Acceptance and Commitment Therapy and how you can combine it with other pain neuroscience education or Cognitive Functional Therapy, make sure to check out my latest book, Radical Relief: A Guide to Overcome Chronic Pain. It is available on Amazon. Inside, you'll learn all about ACT or Acceptance and Commitment Therapy and how you can combine it with pain neuroscience education. Let's get ready and let's meet Mary Grant and learn about combining Cognitive Functional Therapy with Acceptance and Commitment Therapy. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 214 | How To Develop An Effective 1-Day Workshop And Improve Mental Wellbeing For People With Pain, Anxiety, Depression And PTSD Using Acceptance And Commitment Therapy With Lilian Dindo, PhD | 03 Feb 2021 | 00:44:08 | |
We have another incredible interview in our Radical Relief series, which has been running all through the month of January and February. The Radical Relief series focuses on practitioners, academics and researchers who are using three times tested and evidence-based approaches for the treatment of both physical and mental wellbeing with the focus on chronic pain. Recovering pain neuroscience education, mindfulness, acceptance and commitment therapy. In this episode, we're zeroing in on acceptance and commitment therapy for the treatment of mental wellbeing. You'll meet ACT Psychologist, Dr. Lilian Dindo. Her career has been focused on developing pragmatic and innovative ways to improve the mental health and functioning of patients suffering from psychiatric and chronic medical conditions. Through her research and development of applying a one-day transdiagnostic acceptance and commitment training presented as a workshop, she has found this to be less stigmatizing than traditional therapy. Also, ensures treatment adherence and completion for people suffering from both physical as well as mental health issues. Dr. Dindo has been involved in several clinical trials, examining the efficacy of one day ACT treatment workshops, which have included those who are suffering from chronic pain, traumatic brain injury, orthopedic surgery, migraines, depression and anxiety, as well as a post-traumatic stress disorder. You'll learn how to conduct a one day ACT workshop, the acceptability of this type of approach, as well as the positive outcomes and why this approach may be soon competing for the evidence-based gold standard treatment for the effective treatment of mental health due to its amazing completion rate. If you are a mental health professional or a physical medicine professional and you're interested in learning more about acceptance and commitment therapy and how you can create your own workshop, make sure to check out my book, Radical Relief: A Guide to Overcome Chronic Pain, which is deeply rooted in the principles of acceptance and commitment therapy. One of the key reasons I wrote Radical Relief is so that you, the clinician, or the practitioner would have a manual for employing this type of work in your clinical practice or for delivering it in workshop or community settings as Dr. Lilian Dindo did. You can pick up your copy of Radical Relief available now on Amazon and in most countries. Without further ado, let's begin, and let's meet Lilian and learn all about ACT-based workshops. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 213 | How To Nurture The Next Generation Of Mindfulness-Based Physical Therapists With Annette Willgens, PT, EdD | 27 Jan 2021 | 00:34:06 | |
This marks about the halfway point in Our Radical Relief series. We are recovering three-time tested and science-backed approaches for the treatment of chronic pain, which include pain neuroscience education, mindfulness and acceptance and commitment therapy. This episode focuses on the evolution and the nurturing of mindfulness-based physical therapists. Starting to train and embed mindfulness, both as a process as well as a treatment approach for physical therapists. I'll be speaking with Dr. Annette Willgens about mindfulness. She is a Clinical Associate Professor in the Department of Health and Rehabilitation Sciences in the Program of Physical Therapy at Temple University. As Director of Admissions, her scholarly agenda includes physical therapy student success, resilience to stress and effective domain skills across the curriculum. That has published two papers on mindfulness for the student physical therapist and its impact on resiliency and usefulness in clinical practice. In this episode, you'll learn about the neuroscience supporting mindfulness, how mindfulness works and why training in mindfulness is important for both the student physical therapist, as well as a licensed physical therapist out in the field. This is a pivotal episode in Our Radical Relief series with regards to mindfulness, for physical therapists and other licensed health professionals. Let's begin and let's meet Dr. Annette Willgens. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 212 | Physical Therapy Informed By Acceptance And Commitment Therapy In A Correctional Facility With Mary Doyle, PT | 20 Jan 2021 | 00:38:42 | |
You'll learn about a physical therapist who has evolved her work through Pain Neuroscience Education onto Cognitive Behavioral Therapy using Acceptance and Commitment Therapy in the unique environment of a prison. My guest is Mary Doyle, who has been a practicing physical therapist since 1995. Her career started out in outpatient orthopedics. She eventually moved to home care where she treated both geriatric and pediatric patients in the home. Looking for a change from driving and the ever-increasing hurdles of insurance, she moved to correctional facility work in 2016. She functions in a primary care physical therapy practice within a prison environment. She combines physical therapy with Acceptance and Commitment Therapy for the treatment of pain and other chronic lifestyle conditions. You'll learn how Mary uses Acceptance and Commitment Therapy to target the important psychosocial variables for prisoners in the prison environment. If you're interested in learning about combining Pain Neuroscience Education, mindfulness, and ACT like Mary does, make sure to check out my latest book, Radical Relief: A Guide to Overcome Chronic Pain. It is available on Amazon and in most countries. Without further ado, let's begin and let's meet Mary Doyle and learn about combining ACT with physical therapy. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 211 | How to Apply Cognitive Defusion Techniques To Target Pain Catastrophizing In Physiotherapy Practice With Davide Lanfranco, PT, MCSP | 13 Jan 2021 | 00:51:55 | |
We're discussing how to target pain catastrophizing by using a core process of acceptance and commitment therapy called cognitive diffusion. My expert guest is physiotherapist Davide Lanfranco. Davide is an Italian physiotherapist who works in London. He is a member of the Chartered Society of Physiotherapy and is one of the Founders of FisioScience International, an online platform which aims to spread evidence-based knowledge about pain. In this episode, you'll learn how pain catastrophizing impacts both physical and mental wellbeing, all about the cognitive change process of cognitive fusion, how it's different from other cognitive interventions and how we can teach patients unhook from unpleasant or unwanted thoughts about pain. Cognitive fusion is a time-tested, science-backed approach that has helped thousands of people experiencing chronic pain, as well as those suffering from stress, depression, anxiety, trauma, and addiction. Cognitive fusion is a key part of my latest book, Radical Relief, which is rooted in the principles of acceptance and commitment therapy. Radical Relief, which is written for both practitioners and for people living with pain uses metaphors, colorful imagery and includes more than 40 mindfulness activities to help you identify the blocks that may be keeping you stuck and offers tools for taking meaningful action toward a more fulfilling life. It's available on Amazon and in most countries. Let's begin and let's learn about cognitive fusion techniques and how it can help pain catastrophizing with physiotherapists Davide Lanfranco. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 210 | Pain Neuroscience Education Plus With Adriaan Louw, PT, PhD | 06 Jan 2021 | 00:29:02 | |
Happy New Year and welcome to this first episode of the Healing Pain Podcast in the year 2021. We are starting the year off on a strong note with one of the world's experts with regard to pain neuroscience education. My guest is Professor Adriaan Louw. Adriaan is a physical therapist, pain scientist and author in the field of pain neuroscience, Director of the Therapeutic Neuroscience Research Group and Director of Pain Science for Evidence in Motion. His main area of research focuses on teaching patients and healthcare providers more about pain. He has years of experience teaching pain neuroscience education to health professionals. He's authored numerous books on the topic and published over 70 peer-reviewed papers related to pain science. In this episode, we discuss pain neuroscience education plus why it is important for both practitioners and people living with pain. What types of clinical outcomes can you expect when you deliver effective pain neuroscience education? Whether or not it should be delivered as a standalone intervention or part of a larger multimodal treatment approach coupled with other cognitive interventions such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy or mindfulness. Throughout the interview, we discuss how you can effectively use pain neuroscience education and couple it with other cognitive interventions. If you're interested in combining pain neuroscience education with Acceptance and Commitment Therapy, make sure to check out my latest book available on Amazon. It's called Radical Relief: A Guide To Overcome Chronic Pain. Inside, he goes deep into the principles of Acceptance and Commitment Therapy and includes over 50 cognitive and mindful exercises you can use with your patients as well as a little bit of pain neuroscience education. Without further ado, let's begin with the great Adriaan Louw. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 209 | How To Use The Mind To Overcome Chronic Pain By Combining Pain Education, Mindfulness, And Acceptance And Commitment Therapy With Joe Tatta, PT, DPT | 30 Dec 2020 | 00:19:23 | |
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| Psychedelic Medicine: Exploring Their Pain Management Potential with Maya Armstrong, MD | 01 Jul 2024 | 01:22:17 | |
In this week's episode of the Pain Science Education Podcast, we delve into the intriguing and emerging field of psychedelic medicine for pain management. Our guest, Dr. Maya Armstrong, a board-certified physician in addiction and family medicine, shares her insights and research on this topic. Dr. Armstrong discusses her background and how her personal experience with chronic pain and her professional journey in addiction medicine led her to explore the potential of psychedelics in treating chronic pain. We explore the concept of pain as an emergent property of a complex system, emphasizing the importance of understanding pain beyond the traditional biopsychosocial model. For show notes, articles, and additional resources, please visit integrativepainscienceinstitute.com For CEU courses, please visit integrativepainscienceinstitute.com/course Love the show? Subscribe, rate, and review. Here's How »
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| Episode 208 | Heart Rate Variability For Mind-Body Health And Athletic Performance With Karen Mueller, PT, DPT, PhD | 23 Dec 2020 | 00:29:51 | |
We're discussing heart rate variability for mind-body health, as well as athletic performance. Our expert guest is Professor Karen Mueller. Karen is a professor in the Department of Physical Therapy at Northern Arizona University and the author of the book, Communication from the Inside Out: Strategies for the Engaged Professional. With a career-long interest in the promotion of mind-body health throughout the lifespan, she has published and presented in the areas of mindfulness and brain-based communication strategies to support optimal living. Karen's current research involves the study of compassion among healthcare students and burnout among physical therapy students. You'll learn all about the importance of measuring heart rate variability, how training heart rate variability can help improve athletic performance, and the importance of heart rate variability for both physical and mental wellbeing. Before we begin, I wanted to let you know that my newest book called Radical Relief: A Guide to Overcome Chronic Pain, is available for pre-order on Amazon. Radical Relief is based on three science-backed methods, including pain, neuroscience education, Acceptance and Commitment Therapy and mindfulness, a topic which we'll be discussing on this episode. Radical Relief is perfect for practitioners who treat chronic pain or for people living with pain, and it's filled with brief exercises that use the power of the mind as well as easy to read chapters with full color illustrations. Without further ado, let's meet Professor Karen Mueller and learn all about heart rate variability. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 207 | Cash Pay Pain Management And Improving Outcomes With Aaron LeBauer, PT, DPT | 16 Dec 2020 | 00:37:32 | |
I want to let you know that my latest book, Radical Relief: A Guide to Overcome Chronic Pain, is available on Amazon for preorder. Radical Relief is based on three science-backed methods including pain neuroscience education, acceptance and commitment therapy and mindfulness. Radical Relief is perfect for practitioners or for people living with pain. It's filled with brief exercises that use the power of the mind as well as easy to read chapters with full-color illustrations. You can preorder your copy on Amazon. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||
| Episode 206 | Moving Beyond The Biopsychosocial Model To An Enactive Approach To Pain With Peter Stilwell, PhD | 10 Dec 2020 | 00:30:34 | |
We're talking about a paradigm shift from the biopsychosocial model to what's being termed an enactive approach for the treatment of pain. Joining us is Dr. Peter Stilwell. He is a Canadian researcher and is on faculty at the School of Physical Medicine and Occupational Therapy at McGill University. In addition to being the Ronald Melzack Fellow in Pain Research, his current research projects involve conceptual and qualitative work on persistent pain and related suffering. In this episode, you'll learn all about the biopsychosocial model for pain, why the time is ripe to switch to an enactive approach toward pain, and how this new emerging approach can help you reconceptualize pain and provide more effective pain education. Without further ado, let's begin and meet Peter Stilwell, and learn all about an enactive approach toward the treatment of pain. Love the show? Subscribe, rate, review, and share! Join the Healing Pain Podcast Community today: | |||