Pain Reframed | Physical Therapy | Pain Management

It’s been a while since we’ve done a Reframed Recap. We’re excited to get back together and dive deeper into the nuggets shared on a couple episodes over the past few months. Dr. Tim Flynn and Dr. Jeff Moore discuss, first of all, some key takeaways and lessons learned from attending the Colorado Health Education Summit! This ties in with episode 76 with Dr. Jamie Childs Everitt. Make sure to listen that episode with Jamie if you haven’t already. They also dig deeper into the conversation and content shared in the episode with Eric Chaconas and Ahmed Rashwan (episode 73). There are some great nuggets of wisdom shared in this episode! LINKS: http://ispinstitute.com http://evidenceinmotion.com @eimteam

Today, we are looking at large data sets, from a population standpoint, asking if there are ways we can figure out why people actually seek out healthcare and solutions to their pain. We welcome Dr. Derek Clewley, from Duke University, who has been researching behavioral attributes towards healthcare services. His goal has been to use this information to predict healthcare utilization, which, of course, can help us to better understand and serve patients with persistent pain. Derek, Tim, and Jeff discuss Derek’s findings and how we can understand where the patient is coming from, what their expectations are, and what their experiences have been. They’ll discuss how we measure these findings and ensure we’re utilizing correct comparisons so we can best treat our patients. LINKS: Twitter - @djclewpt derek.clewley@duke.edu http://ispinstitute.com http://evidenceinmotion.com @eimteam

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

We have the top five commonly asked questions from patients today! Dr. Tim Flynn is out celebrating his 35th anniversary with his wife, so The Real Brian fills in to help Dr. Jeff Moore answer some of these commonly heard and very important questions that patients typically ask. Our discussion today culminates a lot what we talk about on Pain Reframed into one episode, hitting on some of the essentials! Are you guys saying that damaged structures in our body never cause pain? You hear that pain comes from the brain. How can I manage and even sort of control the pain with my mind? If the "issue isn't in the tissue" why do treatments that are directed towards the tissue often help temporarily? I’m wanting to take a more conservative approach to my treatment. How do I talk to my doctor if she seems biased towards medication and surgery? What are the best ways to exercise, move, strength-train, etc? LINKS: http://realbrianshow.com http://ispinstitute.com http://evidenceinmotion.com @eimteam

We strive to continue to bring different perspectives and disciplines of practice on to Pain Reframed to help balance our approach in helping patients. This week, we have an occupational therapist, Megan Doyle, joining us! Megan will be sharing her systems approach in how, why, and when we approach patients with specific information. Using words that help and not harm, for example. The goal is to keep the control in the patient’s hands, but yet to continue to arm them with the right information they need to achieve health and victory and prevent recurrence. The conversation today is fantastic. Megan, Tim, and Jeff discuss the massive message for each of us to first ask what we are doing and what our approach is. Non-pharmacological management is the FIRST step. Let’s get our patients healing correctly and fully! LINKS: Facebook - @meganosgooddoyle meganosgooddoyle81112@gmail.com http://ispinstitute.com http://evidenceinmotion.com @eimteam

A need exists to address the physical aspect of addiction recovery. That’s the specialty of Advanced Therapy and Wellness. Today, we welcome Eric Chaconas and Ahmed Rashwan to discuss their work and passion in helping individuals recovering from substance use disorder by improving physical function, reducing pain and improving a sense of well being. On this week’s episode, Ahmed, Eric, Tim, and Jeff discuss their conference, APTA Next, the role of physical therapists in regards to addiction, the physical component on addiction (which is, surprisingly, not normally addressed), and how we can, sometimes, underestimate what physical therapy brings to the market. It’s an incredible discussion and something you will definitely find valuable as well as, possibly, some new opportunities! LINKS: https://www.advancedtherapyandwellness.com/ Ahmed’s e-mail: dra@atandw.com Ahmed’s phone: 561-632-4369 http://ispinstitute.com http://evidenceinmotion.com @eimteam

It’s been quite some time since we’ve had an episode focused on the patient side of things. Today’s episode with Leda McDaniel, however, is a bit different as she brings, not only the patient perspective, but also the PT perspective. Leda is a physical therapy student, having access to numerous treatment resources and learning how to deal with pain along her personal journey. She has a powerful story dealing with years of persistent pain and, yet, victories in the long run. Leda wrote a book, recently, about her journey dealing with the pain, lessons learned, and healing experienced. Her book is called “Moments From a Year of Healing.” She also has a wealth of experiences and resources she shares in this week’s episode. Whether you’re someone dealing with persistent pain or treating those who experience long-term pain, this episode will, not only encourage you, but give you some great nuggets of wisdom. LINKS: Leda’s Book: https://www.amazon.com/dp/069212120X?ref_=pe_870760_150889320 https://sapiensmoves.wo

This week, we welcome Dr. Sara Lazar, a neuroscientist from Harvard University. Her research focuses mainly on yoga, meditation, and mindfulness-based cognitive therapy to ascertain neural changes that occur with these types of therapy. Dr. Lazar has studied a wide-variety of problems including bipolar disorder, persistent pain, and depression. She will share some exciting information about the research of the cognitive therapies and their effects on persistent pain. Dr. Lazar’s research results suggest that meditation can produce experience-based structural alterations in the brain. They also found evidence that meditation may slow down the age related atrophy of certain areas of the brain. It’s very exciting research and we hope you enjoy this discussion! LINKS: https://scholar.harvard.edu/sara_lazar/home http://ispinstitute.com http://evidenceinmotion.com @eimteam

We have our final episode in the series of Strategies and Wins from the Field. Today, we welcome Stephanie Carter Kelley to Pain Reframed! Stephanie will be sharing how she incorporated Yoga into her Physical Therapy practice and why it’s been so important and helpful for her patients. Stephanie also shares how this incorporation of yoga and PT has been immensely helpful in the treatment of her own chronic pain. Stephanie brings, not only a wealth of knowledge and experience helping others, but also some very personal experiences of pain and victory to the table. Whether or not you decide to incorporate yoga into your PT practice, Stephanie will share a number of key principles that can be applied to your treatment plans as well as some tips on helping patients, who deal with chronic pain, to endure for the long haul and see and experience eventual victory, no matter how long the treatment process may take. There are wonderful gems in this episode and we hope you get a lot out of this fantastic discussion! LI

We welcome back, to Pain Reframed, Dr. Beth Darnall, who is a pain psychologist, clinical scientist, and Clinical Professor at Stanford University. Beth has such a passion and commitment to making a difference in the management of persistent pain as well as reducing the opioid epidemic. In episode 28 with Beth, we discussed the fact that we tend to ignore the pain psychology of patients. Today, we’re continuing that discussion and getting also into the topic of pain catastrophizing and what to do about it. Beth has a focus on pain catastrophizing as well as treating some of the key issues that prevent patients from succeeding with other pain treatments. Clinically, Beth provides psychological services to patients with catastrophic burn, spinal cord injury or amputation.  Her desire to specialize in the management of chronic pain was inspired by her clinical experiences and by her own personal experience with chronic pain. LINKS: https://bethdarnall.com/ bdarnall@stanford.edu @bethdarnall http://ispinstitute.

It’s the 4th episode in the series of the Strategies and Wins from the Field. Welcome back to Pain Reframed! These stories from the field are powerful and educational. We decided to bring some of you on the show to share your success, lessons learned, and victories from the field, having used the information we share, on Pain Reframed, to help your patients and change their lives. This week, we welcome Dr. Matt Taylor of Smart Safe Yoga and Dr. Tony Sachse of Bellin Health! Both of these men share, not only inspirational stories, but also share great information you can take and apply in your practice! LINKS: https://smartsafeyoga.com/ http://matthewjtaylor.com/ Matthew’s Book - “Yoga Therapy as a Creative Response to Pain” anthony.sachse@bellin.org Facebook - @tonysachse Twitter - @germanboytt http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

We have a very special treat for you today on Pain Reframed. Joining us is Dr. Christian Moher, from Tucson, Arizona, who has a passion for Integrated Healthcare: the seamless blending of primary care and behavioral health. He also had an amazing TED Talk at the National Council for Behavioral Health. Dr. Moher is making a huge difference in the treatment of chronic pain and has some powerful, powerful commentary on the use and abuse of opioids. LINKS: Dr. Moher’s TED Talk - https://www.youtube.com/watch?v=PbYv0zK6l9g Escalera Health https://www.escalerahealth.com/bc/ cmoher@escalerahealth.com http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

We’re rocking our 3rd installment of the Strategies and Wins from the Field this week on Pain Reframed!! These stories in the field (or in the “trenches” as we like to say) are absolutely incredible. They’re stories from you. You’ve listened to Pain Reframed and become part of the community. You’re out there applying lessons learned and sharing these powerful success stories and victories that you’ve had. Thank you for also being an inspiration to us as well as impacting the lives around you. This week, we welcome Dr. Rob Precht and Dr. Lisa Arroyo with some amazing stories to share with you! LINKS: rwprecht@med.umich.edu lisa.farrinarroyo@gmail.com http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

Dr. Greg Lehman joins us this week on Pain Reframed. We have a fantastic episode, jam-packed with content, information, and resources about the topic of pain science and how the treatment of pain can become infinitely more simple! Greg has a course, “Reconciling Biomechanics with Pain Science,” which teaches and discusses some of the debates of physical therapy in conservative musculoskeletal care as well as performance and rehab. Jeff had an opportunity to attend this 2-day weekend and learned a great deal as it is an absolutely amazing and educational course. Greg, Jeff, and Tim will be chatting about, in more detail, Greg’s course and diving deeper into this topic. LINKS: http://www.greglehman.ca/ @greglehman greglehmanphysio@gmail.com http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

This week, on Pain Reframed, we have part 2 of Strategies and Wins from the Field! As we mentioned last week, we have some amazing stories that we’re sharing with you in relation to lessons learned, success stories, and victories that you’ve had out “in the field.” Lives are being changed and powerfully impacted and we want you to hear what’s going on around us! Next week, we’ll jump back to another conversation/interview (in traditional Pain Reframed style), but we will continue our strategies and wins from the field the following week and throughout July. This week, we welcome Dr. Joe Gravino of Elite Spine & Extremity Physical Therapy! LINKS: https://elitesept.com/ joegdpt@gmail.com Facebook - https://www.facebook.com/elitesept/ http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

We are back from the Align Conference and have some incredible stories to share with you! There’s a wonderful amount of interaction happening in the Facebook Group for Pain Reframed as well as through other channels. Much of this interaction is YOU sharing absolutely powerful stories of success, lessons learned, and victories from the field, having used the information we share, on Pain Reframed, to actually change peoples’ lives! We wanted to share those stories with you! Over the course of the next month, we will be talking with various people to hear their specific victories from the field.  This week, we welcome Dr. Julie Hughes, the Pain Recovery Coach, and Dr. Regina Landrus of Big Stone Therapies! LINKS: https://www.juliepainrecoverycoach.com/ juliepainrecoverycoach@gmail.com regina.landrus@bigstonetherapies.com http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

It’s our second Pain Reframed PSA! Today, we’re discussing an article titled “Physical Therapy as a First Point of Care to Treat Low Back Pain” by Dr. Bianca Frogner (link below). Specifically, there’s also discussion relating to opioids being the first point of contact and care for many patients. Obviously, a huge goal of Pain Reframed is to keep individuals away from opioids as much as possible. This article showed that individuals who saw a PT first had a significantly lower percentage of opioid use. Enjoy this episode and we hope you check out the article as well! LINKS: “Physical Therapy as a First Point of Care to Treat Low Back Pain” by Dr. Bianca Frogner https://www.ncbi.nlm.nih.gov/pubmed/29790166 http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

We’ve got another Reframed Recap episode for you! On this episode, Dr. Tim Flynn and Dr. Jeff Moore will be digging deeper into the conversations and content shared in the episodes with Ash James (episode 59), Lindsay Marth (episode 55), and Mark Cummings (episode 54). STARTS TOMORROW!!! June 8-10, 2018 in Denver, Colorado, the Align Conference: focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: http://www.apta.org/PTinMotion/News/2018/05/24/PTFirstForLBP/?_zs=jHFfV1&_zl=UiFr4 http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

Today, we are joined by Carolyn McManus, the President of the Pain Management Special Interest Group of the APTA Ortho Section. Carolyn will be sharing amazing tips on utilizing different forms of meditation to help patients with persistent pain. Carolyn’s experience and practices will, not only help your patients, but also you, as a provider, to keep you in optimal health so you can be your best for those you are serving. It’s NEXT WEEK!!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: http://carolynmcmanus.com carolyn@carolynmcmanus.com http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

We welcome Ash James to Pain Reframed! This week, we are talking about reducing fear, encouraging a variety of movement, and getting to the root of what’s going on with a patient’s body. We want to ensure patients don’t catastrophize, be afraid of their bodies, nor let negative thoughts and other things get in the way of living and enjoying life and full movement and ability. Ash has worked in various sectors of musculoskeletal physiotherapy, including private practice, professional sports and occupational health. He is now a Clinical Lead for a large Occupational Health Company, runs external courses and workshops, and is looking at ways to improve the care of people within the community. Ash is also currently studying for his PhD with his research focus on the prevention of occupational back pain. Don’t forget!! It’s almost here!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will