Pain Reframed | Physical Therapy | Pain Management

"Has anyone ever explained pain to you?" Rachel Zoffness, PhD, always asks her patients this one question in order to bridge the gap between her patient's understanding of their own pain and what other health care providers have told them about their pain. On today's episode of Pain Reframed, Dr. Zoffness joins Tim Flynn, PT, PHD, OCS, FAAOMPT, and Jeff Moore, PT, DPT, OCS, FAAOMPT, to discuss her new workbooks that she created to help bridge that education gap that patients have of their understanding of what their pain is telling them about their bodies. Dr. Zoffness wrote these workbooks for her own practice as a psychologist treating adolescents and young adults and is now ready to share this incredible resource with other providers. Links: https://www.zoffness.com/ The Chronic Pain and Illness Workbook for Teens The Pain Management Workbook @DrZoffness @jeffmooredpt @timothywflynn @EIMteam

On this week's episode of Pain Reframed, Tim Flynn, PT, PHD, OCS, FAAOMPT, and Jeff Moore, PT, DPT, OCS, FAAOMPT, discuss how to regroup and focus in 2021 on how clinicians can help their clients and patients during the global pandemic, by building up their immune systems through fitness, lifestyle choices and nutrition alongside social distancing and masks. They also talk about the rise of overdoses, the COVID-19 vaccines and how to move forward in 2021. Links: Rest, Relaxation, and the Immune System 11/13/2020 Is older age associated with COVID-19 mortality in the absence of other risk factors? General population cohort study of 470,034 participants The Hidden Epidemic of Opioid Overdoses During the Coronavirus Disease 2019 Pandemic

On this week's episode of Pain Reframed, David Clawson, MD, joins Tim and Jeff to discuss holistically approaching neck and back pain and spinal deformity, breaking down how Dr. Clawson has used that approach his field of physical medicine and rehabilitation. Dr. Clawson categorizes the threats that patients are up against -physical and mental, then dives into the review of systems to inform and determine his plan of care. Dr. Clawson also discusses in depth how to transition from the physical evaluation to the mental or spiritual evaluation that plays such a large part of pain. Links: @jeffmooredpt @timothywflynn

On this week's episode of Pain Reframed, Tim Flynn and Jeff Moore talk with Andrew Pugh, MD and Keith Roper, DPT to discuss their new research paper "Dedicated emergency department physical therapy is associated with reduced imaging, opioid administration, and length of stay: A prospective observational study" and how this research affects their practice in emergency medicine. Links: Dedicated emergency department physical therapy is associated with reduced imaging, opioid administration, and length of stay: A prospective observational study @DrAEPugh @KeithRoperDPT @jeffmooredpt @timothywflynn  

On this week's episode Liz and Jeff speak with Dr. Kirsty Bannister, a renowned researcher on conditioned pain modulation, about what we know, what we’re studying, and what we can look forward to in the future of this topic. Kirsty completed BSc, MRes and PhD degrees at University College London and and Imperial College before returning to UCL for a decade-long postdoctoral research position in the laboratory of Professor Anthony Dickenson. In 2017 Kirsty gained her faculty position upon joining King’s College London where she now runs her research group investigating the central modulation of pain. Specifically Kirsty's research team bridges the gap between bench and bedside pain research by conducting exploratory experiments that seek to molecularly, anatomically and/or functionally define descending control pathways in rodent and man using electrophysiology and human psychophysics respectively. Kirsty has led multiple symposia at world pain congresses including IASP and EFIC and she also performs Section Editor duties for multiple pain-related journals.  Links: kirsty.bannister@kcl.ac.uk @bannister_lab Kirsty Bannister's Lab address: Wolfson CARD, King’s College London, London, SE1 1UL @jeffmooredpt @LizPeppin

In this episode, Liz and Tim speak with Dr. Heidi Jannenga PT, DPT, ATC, physical therapist and co-founder of WebPT, regarding the difficult topic of inequity in health care for people of color. We discuss the problems of implicit bias, systemic racism, and the 90% problem in the PT profession. Heidi also provides some small ways we can all work to improve.   Links: Justice In June Why We Cannot—And Do Not—Serve Our Patients Equally Bridging the PT Diversity Gap Connect with Heidi via LinkedIn Some books regarding these topics: The New Jim Crow (Michelle Alexander) So You Want to Talk About Race (Ijeoma Oluo) How to be an Antiracist (Ibram X Kendi) Just Mercy (Bryan Stevenson) White Fragility (Robin DiAngelo)

In this episode, Liz and Adam talk to artist and educator Emily Lanctot about how art and pain cross paths. She discusses the ethics of museums accepting donations from families such as the Sacklers, who were largely responsible for the devastation of the opioid crisis. Emily also gives her insight on how to cope with grief, anxiety and pain through art and creativity. Links: emilylanctot.com @eimly_lanctot DeVos Art Museum @LizPeppin @adampaulryan Opioid Addiction Helpline: 1-800-662-HELP (4357)

On this week's episode of Pain Reframed, Colorado Attorney General Phil Weiser joins Tim Flynn to discuss how trauma affects every part of your life. His own family history of trauma has driven his mission as the Attorney General to fight the opioid epidemic by first, stopping and listening to his constituents, then addressing those issues through lawsuits and opioid-related task forces.  Links: @COAttnyGeneral coag.gov/about-us/colorado-attorney-general Opioid Unit Connect on Facebook

On this week's Pain Reframed episode, Tim and Jeff are joined by Danesh Mazloomdoost, MD the author of Fifty Shades of Pain: How to Cheat on Your Surgeon with a Drug-Free Affair and fellowship-trained and dual board certified clinician in Anesthesiology and Pain Management. Dr. Mazloomdoost discusses different chapters in his book that cover topics like how pain medications can cause more pain in the long-term, how people should view surgery to relieve pain and how powerful hope can be.   Links: Get the Top 5 Questions to ask your health care provider here: http://wellwardmed.com/book/ http://wellwardmed.com/team/drdanesh/ @wellwardmed @jeffmooreDPT @timothywflynn @EIMteam

Chris Johnson, MPT, ITCA, joins Liz and Jeff to discuss the unique challenges of treating pain in athletes. Chris worked at the world-renowned Nicholas Institute of Sports Medicine and Athletic Trauma of Lenox Hill Hospital as a physical therapist and researcher. In 2014, he opened Zeren PT to provide unparalleled physical therapy and performance coaching for multi-sport athletes in the Pacific Northwest. Chris is also the co-founder and CEO of RunCadence LLC, which is an IOS app that helps runners apply step rate manipulation to their training. Outside of his professional work, Chris races triathlon at the amateur elite level. He is a five-time USAT All American, three-time Kona Qualifier, and one of the dominant age group athletes in long course triathlon. Chris is also extensively published in the medical literature and is a sought after international public speaker. Links: chrisjohnsonpt.com @zerenpt chris@zerenpt.com 347.433.6789 @LizPeppin @jeffmooreDPT

In this episode, Liz and Jeff talk to Laura Seago, co-founder and Head of Content at Curable, about using the mind-body connection to treat pain. Laura focuses on creating virtual, neuroscience-based recovery programs for chronic pain. Her passion for creating these programs stems from her personal experience of recovery from migraines, sciatica, and chronic knee pain. She is an alumna of BuzzFeed and Google, both of which helped her to develop the digital storytelling skills Curable uses to engage chronic pain sufferers with bite-sized audio lessons and easy-to-use techniques. Links: www.curablehealth.com info@curablehealth.com https://www.curablehealth.com/podcast @curablehealth

Liz and Jeff chat with Dr. Leonard Van Gelder, DPT, CSCS, TPS, CSMT about relational frame theory, the most empirically-studied theory of human language and cognition and how this relates to the psychological flexibility of patients' ability to incorporate new concepts into their existing stories, and prognosis for recovery. Leonard Van Gelder has been involved in the movement and rehabilitation field for over 15 years. During this time, he has studied, published research, and presented at regional and international conferences on the science of stretching, strength and conditioning, and therapeutic pain science interventions. He has explored a diverse spectrum of manual therapy and movement approaches, and emphasizes a biopsychosocial approach to manual therapy, movement, and education in his practice. He owns and practices clinically at Dynamic Movement and Recovery (DMR) in Grand Rapids, MI.    Links: www.dynamicprinciples.com www.dmrmove.com leonard@dynamicprinciples.com @LizPeppin @JeffMooreDPT   Recommended resources: Learning RFT by Niklas Torneke ACT Made Simple by Russ Harris

In this episode, Liz and Jeff chat with Walt Fritz. Walt has been a physical therapist since 1985 and has integrated manual therapy into that model ever since 1992. He trained with many traditional tissue-based instructors, including myofascial release and craniosacral therapy, but became dissatisfied with the narratives used to describe the work and effects and began to move into a more biologically plausible explanation. While continuing to use a hands-on approach that visibly resembles those earlier models, he has neutralized the implied message by now referring to the work he uses and teaches as "manual therapy." Building on concepts firmly grounded in the biopsychosocial model, as well as the possibly undervalued third leg of the evidence-based practice model (patient preferences and values), his model of intervention and professional education stresses a patient-led experience. He believes that manual therapy need not be a passive modality, one that fosters patient dependency, but a subset of therapeutic intervention that reduces fear of movement and encourages self-efficacy, one well-grounded in evidence-based practice. Links: www.LimaPainRelief.com www.WaltFritz.com @jeffmooredpt @LizPeppin @eimteam

On this episode of Pain Reframed, Liz and Jeff talk with Evan Parks, Psy. D., a clinical psychologist on staff at Mary Free Bed Rehabilitation Hospital and an adjunct assistant professor at Michigan State University College of Human Medicine.  He is also the host of the Pain Rehab podcast and writes a regular column for Psychology Today. We discuss the 10-week outpatient chronic pain program at Mary Free Bed, explaining pain to patients, and more! Links: www.PainRehabSource.com  https://www.maryfreebed.com/  https://www.psychologytoday.com/us/blog/pain-rehabilitation    @DrEvanParks https://www.facebook.com/painrehabsource     www.linkedin.com/in/drevanparks  @eimteam @jeffmooredpt @LizPeppin

Dr. Justin Dunaway joins Pain Reframed this week! Justin has extensive experience in outpatient orthopedics, not only in the United States, but also in Haiti. Justin and his wife, Dr. Morgan Denny, founded and run the organization STAND Haiti. The STAND Haiti Project establishes permanent access to orthopedic rehabilitative services in the country of Haiti through direct patient care and clinical training of its citizens. Through STAND Haiti, Justin and his team go to Haiti multiple times a year to see patients who have a significantly different relationship with healthcare and different level of resources and education than in the United States. Interestingly, the difference of access to resources and education brings up some fascinating discussion. Jeff, Justin, and Tim share their thoughts on these differences and how having a “blank slate” in treatment and care can actually be beneficial. Justin shares his experience in going through the Therapeutic Pain Specialist Certification program and how it helped him and changed the way he manages pain. The certification was instrumental in teaching Justin ways to take the ideas on pain management and apply it in a framework that works for him and his patients. LINKS: http://www.standhaitiproject.org/ http://evidenceinmotion.com @eimteam

Sleep is SO important. Sure, the topic has been batted around on Pain Reframed, but do we really know and believe that sleep is essential? Today, we’ll be chatting with Dr. Katie Siengsukon about sleep, as well as screening and sleep hygiene tactics that you need as a clinician and also that you need as a patient. Dr. Siengsukon provides instruction in neuroscience, neurorehabilitation, and sleep health promotion in the physical therapy and rehabilitation science graduate programs. She is currently the director of the Sleep, Health, and Wellness Laboratory and conducts research to better understand how sleep impacts function, learning, and overall health particularly with aging and in those with neurological conditions.   Links: @KatieSleepPT csiengsukon@kumc.edu https://sleepfoundation.org/ @eimteam

We have Dr. Jessie Podolak joining us this week to share her story and journey as a physical therapist working with patients who have chronic pain. Jessie shares a wealth of, not only knowledge and great tips, but incredible wisdom that is absolutely helpful to, not only your professional pursuit, but also your personal life. Jessie talks quite a bit about the need for PT’s to have self-care. Take care of yourself in order to take care of others. Additionally, rather than saying “soft skills” in relation to compassion, empathy, listening, mentorship, etc., say they are “higher order skills.” This is HUGELY important and something, we’ve found, that patients really do, deep down, want.   LINKS: jessiepfreedompt@gmail.com http://www.alignconference.com/ @eimteam @jeffmooredpt @timothywflynn

In this episode of Pain Reframed, hosts Tim Flynn and Jeff Moore are joined by Dr. Britt Smith, PT, DPT, OCS, FAAOMPT, a physical therapist and private clinic owner, to discuss the importance of taking a historical perspective during challenging times. Dr. Smith has spent his life studying history and the humanities and bringing that mindset into the care of his patients and into the care of society. His research focuses on back pain through a historical perspective and this discussion centers on President John F. Kennedy’s struggles with chronic back pain. Links: @brittmsmith @timothywflynn @jeffmooredpt

Dr. Marc Ringel joins us on Pain Reframed to discuss the humanistic perspective on healthcare. Dr. Ringel has served in so many different aspects of the healthcare profession, but his perspective on the humanistic side is very powerful. This week, Marc, Jeff, and Tim will be talking about what it is to be human and how to deliver kind care. The power of touch and face-to-face communication can’t be replaced with technology, no matter how helpful technology is for us. Also, as a philosophy major, Dr. Ringel became interested in the history of science and in the "mind-body problem." For most of his career Dr. Ringel has written, spoken, and consulted on issues related to medical informatics and telemedicine. LINKS: Marc’s Book: Digital Healing: People, Information, and Healthcare marcringelmd@google.com Pain Reframed Facebook Group http://evidenceinmotion.com @eimteam

Dr. Marc Rubenstein is the owner of Jersey Physical Therapy and Jersey LiveWell, a health management company that works with individuals to reduce chronic disease burden and partners with companies to save on healthcare costs. A long-time listener of Pain Reframed, Marc is dedicated to helping chronic pain patients throughout his community. LINKS: Twitter - @EIMTeam Twitter - @MarcRubyDPT Twitter - @BethDarnall Listen to Dr. Beth Darnall's episodes - Pain Catastrophizing and We Have Ignored the Pain Psychology of Patients

Scott Mann, a retired U.S. Army Special Forces officer, story-teller and human connections coach is joining Tim and Jeff to talk through how finding your personal story can help you overcome trauma and find healing. Scott discusses his time in the military and how that has affected his life moving forward, including his organization, Rooftop Leadership; his play, Last Out: Elegy of a Green Beret; his book, Game Changers; and his non-profit, The Hero’s Journey. Scott also gives his recommendations for healthcare providers treating patients that have lost trust in the healthcare system, from his personal experience creating relationships in challenging environments.   Links: http://www.rooftopleadership.com/ Scott Mann http://www.theheroesjourney.org/ https://www.amazon.com/Game-Changers-Abridged-Citizens-Extremists/dp/1978442971 http://www.lastoutplay.com/ @timothywflynn @jeffmooredpt

Listen in for an update from your Pain Reframed host, Tim Flynn, PT, PhD, on how COVID-19 will be affecting new episodes of the podcast. We appreciate your continued support, and we hope we can continue to add value to your practice and to your lives.

On this week's episode of Pain Reframed, Jarod Hall, PT, DPT, OCS and Jim Heafner, PT, DPT, OCS join Jeff and Tim to discuss a pamphlet called "Wrinkles on the Inside: The Good News about Aging."  This pamphlet talks about how the relationship between imaging and aging to educate patients and health care providers at clinics. Links: Wrinkles on the Inside: The Good News about Aging @Jarod_Hall @jheafner @timothywflynn @jeffmooredpt

Sophia L. Thomas, DNP, APRN, FNP-BC, PPCNP-BC, FNAP, FAANP, is president of the American Association of Nurse Practitioners® (AANP). A family and pediatric nurse practitioner (NP) at the Daughters of Charity Health System in Kenner (New Orleans), Louisiana, Dr. Thomas’ clinical practice has focused on providing care to the medically underserved families. Dr. Thomas is active within several professional organizations, including the Louisiana Association of Nurse Practitioners (LANP). She has served in elected and appointed leadership and committee positions, including as president of LANP, and previously in AANP as Region 6 Director. Dr. Thomas was inducted as a Fellow in both the AANP in 2012 and the National Academy of Practice in Nursing in 2013. In addition to her advocacy, Dr. Thomas impacts NP education as clinical faculty for Georgetown University’s FNP program as well as through publications and presentations on multiple clinical topics. As AANP President and spokesperson, her multimedia reach includes print, radio and television. She also speaks extensively throughout the U.S. and internationally, advocating for NP scope of practice legislation and for improving patient access to quality, affordable health care.   Links: @AANP_NEWS @PresidentAANP @WeChooseNPs @LizPeppin @adampaulryan @EIMTeam The American Association of Nurse Practitioners

In this episode of Pain Reframed, Liz and Adam interview Robert North, MD, PhD regarding a study published in Brain, "Electrophysiological and transcriptomic correlates of neuropathic pain in human dorsal root ganglion neurons." This study provides important foundational evidence for spontaneous firing observed in dorsal root ganglia from symptomatic dermatomes, and sets the stage for future investigations which may lead to novel clinical treatments for peripheral neuropathic pain. North is Chief Neurosurgery resident at Baylor College of Medicine (Houston, TX) and its affiliated hospitals, including MD Anderson Cancer Center.   Links: Original study: https://www.ncbi.nlm.nih.gov/pubmed/30887021 Email Dr. North: north@bcm.edu @LizPeppin @adampaulryan @EIMTeam

What is the relationship between food and pain? On this week's episode of Pain Reframed, Joe Tatta, PT, DPT, joins Jeff to talk through how nutrition affects pain and the nervous system and how a licensed health care professional can address nutrition with their patients. Links: Can a Physical Therapist Give Nutrition Advice? What the law says about a PT counseling on nutrition Heal Your Pain Now @DrJoeTatta joe@integrativepaininstitute.com @JeffMooreDPT

Jeff, Liz and Adam candidly talk about the results of a recent study that looks at the proportions of patients with new chronic musculoskeletal pain condition that were prescribed nonopioid medication, opioids, PT, counseling and other nonpharmacologic treatments. This has generated a lot of discussion in the medical community and in this episode we bring in three disciplines to talk about it. Links: Patients with newly diagnosed musculoskeletal pain are prescribed opioids more often than recommended Management of Patients with a Musculoskeletal Pain Condition that is Likely Chronic: Results from a National Cross Sectional Survey @jeffmooredpt @LizPeppin @adampaulryan @EIMTeam

On this week's episode of Pain Reframed, Dr. Adriaan Louw and Aaron Gani join Liz and Adam to discuss how BehaVR is using virtual reality to add education, activation and motivation to your pain neuroscience education.  Links: Interdisciplinary Pain Neuroscience Continuing Education in the Veterans Affairs: Live training and live-streaming with 1-year follow-up BehaVR @BehaVR_al Adriaan Louw @eimteam Can pain beliefs change in middle school students? A study of the effectiveness of pain neuroscience education

As we near the end of the year, we want to share some of our favorite episodes from 2019. First on the list, Dr. Lisa Holland joins Tim and Jeff for Part 2 of their conversation on blending the Eastern and Western models of treatment. If you haven't listened to their first conversation, check out Episode 113. Lisa, Tim and Jeff talk about a "Human Systems Model of Care" that focus on the human that is in your clinic. They discuss what exactly that model of care looks like, how that affects your patients and what that will look like to your patients.   Links: Connect with Lisa Holland https://www.linkedin.com/in/lisaholland/ @EIMTeam @timothywflynn @jeffmooredpt

Julliard graduate, Soo Yeon Kim joins Liz and Adam on this week's episode to talk about how pain affected her as a performer and artist in a culture where weakness must be hidden away. Join Soo Yeon as she talks through how she finally came to a point in her life that helped her breakthrough the cycle of pain and stress. Links: Soo Yeon Kim @EIMTeam @LizPeppin @adampaulryan

Rachel Zoffness, PhD is a pain psychologist in the San Francisco Bay Area who specializes in treating teens and children dealing with persistent pain. She is also an Assistant Professor at the UCSF School of Medicine where she teaches pain neuroscience. Through her practice, she developed a workbook, The Chronic Pain & Illness Workbook for Teens, gives youth, parents and healthcare providers a guide to working through chronic pain. Links: https://www.zoffness.com/ Rachel Zoffness' Book: The Chronic Pain & Illness Workbook for Teens @DrZoffness @EIMTeam @timothywflynn @jeffmooredpt

Lauren Elliott, South College DPT Student, joins Jeff and Tim to talk about her story of persistent pain, how her pain started, how her healthcare team addressed her pain and how she was able to overcome it. Lauren is pursuing her passion of helping others who are in persistent pain by becoming a physical therapist herself. Listen in to Lauren's five year journey and where she's going next. Links: lauren.26.elliott@gmail.com @EIMTeam @timothywflynn @jeffmooredpt

Dr. Lisa Holland joins Tim and Jeff for Part 2 of their conversation on blending the Eastern and Western models of treatment. If you haven't listened to their first conversation, check out Episode 113. Lisa, Tim and Jeff talk about a "Human Systems Model of Care" that focus on the human that is in your clinic. They discuss what exactly that model of care looks like, how that affects your patients and what that will look like to your patients.   Links: Connect with Lisa Holland https://www.linkedin.com/in/lisaholland/ @EIMTeam @timothywflynn @jeffmooredpt

John Seip, DPT, CSMT, and Peter Drinkwine, DPT, have the unique positions of working as PT's in the Emergency Department at a trauma hospital in Duluth, Minnesota. John and Peter join Liz and Adam to share their experiences helping patients with acute, chronic, and acute-on-chronic pain find hope and direction in some of the most desperate times in their lives.   Links: Research in Physical Therapy: https://academic.oup.com/ptj/article/99/9/1150/5554395 Research in American Journal Emergency Medicine: https://www.ncbi.nlm.nih.gov/pubmed/29853343 @PeterDrinkwine @EIMTeam @LizPeppin @adampaulryan http://www.apta.org/NSC/  John and Peter’s upcoming NSC 2019 presentation: https://apta.confex.com/apta/nsc2019/meetingapp.cgi/Session/1752

In this episode, Sahar Swidan, Pharm.D., R.Ph., ABAAHP, FAARFM, FMNM, FACA, joins Liz, and Adam discuss all things medication treatments for persistent pain, including some exciting up-and-coming medication treatments, new trials, tapering and more. Listen in for details on low-dose naltrexone (LDN), ketamine, oxytocin, and CGRP inhibitors for various persistent pain conditions.   Links: https://sahar.world/ @Sahar_Slyngshot @EIMTeam @LizPeppin @adampaulryan painreframed.com

Scott Mann, a retired U.S. Army Special Forces officer, story-teller and human connections coach is joining Tim and Jeff to talk through how finding your personal story can help you overcome trauma and find healing. Scott discusses his time in the military and how that has affected his life moving forward, including his organization, Rooftop Leadership; his play, Last Out: Elegy of a Green Beret; his book, Game Changers; and his non-profit, The Hero’s Journey. Scott also gives his recommendations for healthcare providers treating patients that have lost trust in the healthcare system, from his personal experience creating relationships in challenging environments.   Links: http://www.rooftopleadership.com/ Scott Mann http://www.theheroesjourney.org/ https://www.amazon.com/Game-Changers-Abridged-Citizens-Extremists/dp/1978442971 http://www.lastoutplay.com/ @timothywflynn @jeffmooredpt

Todd Hargrove joins Dr. Tim and Dr. Jeff on today's episode to talk through how Todd went from practicing attorney to a Feldenkrais Method practitioner and certified rolfer. Todd' discusses his book, Playing with Movement which delves into how environment affects your movement and how to bring enjoyment back to exercise. Using his unique perspective, Todd answers the questions: Is there a way to integrate the Feldenkrais Method into more traditional musculoskeletal health care? How can the Feldenkrais Method affect pain? Links: Playing with Movement @ToddHargrove @EIMTeam @timothywflynn @jeffmooredpt

In this episode, Liz and Adam talk with Lynne Greenberg, PhD, about her personal experience with pain. Her poignant memoir, The Body Broken, tracks her experience with pain from misdiagnosis and misunderstanding to connection and realization. Lynne teaches at Hunter College in New York City, where she specializes in 17th century British literature. Lynne, Liz and Adam talk about her journey into the desert of pain and back out again, including some of the ways she now co-exists with pain, despair, and hope.   Links: The Body Broken lagreenb@hunter.cuny.edu @EIMTeam @LizPeppin @adampaulryan painreframed.com

On this week's episode, Jodi Young, PT, DPT, OCS, FAAOMPT, joins Dr. Tim and Dr. Jeff to discuss her latest research article from JOSPT, Nonoperative Management Prior to Hip Arthroscopy for Femoroacetabular Impingement Syndrome, and how it addresses the question of how imaging can affect a patient's perspective.  Join Jodi, Tim and Jeff as they answer the questions: How should patients synthesize the research for their own situation? What do PTs need to do to insure patients understand the role of imaging? And, where will Jodi go next in her research?   Links: Nonoperative Management Prior to Hip Arthroscopy for Femoroacetabular Impingement Syndrome Jodi.young@bellincollege.edu @jlyoung2 @EIMTeam @timothywflynn @jeffmooredpt      

On today's Pain Reframed podcast, Casey Gunderson, CTRS, joins our hosts Liz Peppin, PA-C, TPS, and Adam Ryan, MD, to discuss her role as a Recreational Therapist in a diverse, interdisciplinary pain treatment team at the Minnesota Department of Veterans Affairs.  Join Casey, Liz and Adam as they discuss how she helps veterans have fun to assist them on their path toward healing. Casey shares a shares a powerful story of a veteran who nervously started the veteran climbing program. His fears and disabilities were overcome through connection and trust in just three short weeks climbing with Casey and the group. Links: @EIMTeam @LizPeppin @adampaulryan Casey Gunderson painreframed.com

On this week's episode of Pain Reframed, Dr. Lisa Holland joins Dr. Tim and Dr. Jeff as she discusses integrating Eastern and Western approaches to healthcare. She addresses what's missing in western medicine and how eastern medicine can bring an allopathic approach to healthcare.   Join Lisa, Tim and Jeff as they talk motivational interviewing, changing general vernacular and addressing trauma at all levels to build resilience.   Links: @EIMTeam @timothywflynn @jeffmooredpt Lisa Holland  

On this week's episode of Pain Reframed, Kathy Travnicek, MD joins Adam Ryan, MD and Liz Peppin, PA-C to discuss her own journey through the healthcare system when an ED clinician misdiagnosed a subarachnoid hemorrhage as a wine headache. As a pain management and rehabilitation specialist at Pain Institute of Nevada, fortunately, Kathy was able to advocate for herself and has now fully recovered. Join Liz, Adam and Kathy as they talk through what went wrong in Kathy's experience, how healthcare professionals can better take care of their patients, and the pain scale.   Links: @EIMTeam @LizPeppin @adampaulryan Kathy Travnicek  painreframed.com

Jeff Hathaway, PT, DPT, the CEO of Breakthrough Physical Therapy in North Carolina, joins hosts Dr. Tim Flynn and Dr. Jeff Moore to discuss his brainchild, VR for Pain Neuroscience Education. Since VR hasn’t been widely implemented in traditional healthcare settings, Jeff Hathaway discusses his strategy for educating the public and other healthcare providers about the benefits of VR, and about how he made VR a reality in his clinics. Listen in as Jeff Hathaway, Tim Flynn and Jeff Moore talk through how VR enhances pain neuroscience education, how other patient stories play a key role and the future of VR in the clinic.    Links: @EIMTeam @timothywflynn @jeffmooredpt @ProActivePT Jeff Hathaway: 607.227.6366 https://www.evidenceinmotion.com/ https://www.ispinstitute.com/  

This week, on Pain Reframed, Dr. Tim Flynn and Dr. Jeff Moore are joined by Dr. Peter O’Sullivan.  Peter is Professor of Musculoskeletal Physiotherapy at Curtin University, in Perth, Australia. In addition to his teaching and research at Curtin University, he works in clinical practice as a Specialist Musculoskeletal Physiotherapist (as awarded by the Australian College of Physiotherapists in 2005). He is recognized internationally as a leading clinician, researcher and educator in the management of complex musculoskeletal pain disorders. Tim, Jeff, and Peter discuss being authentic with patients and walking alongside with them in ways the medical industrialized complex doesn’t.  Peter shares his success story of deeply caring for patients for a long time and being willing to drop his pride and ego when the patient wasn’t getting better.  It’s allowed him to learn, to grow, and to, ultimately, help patients so much more. Don’t forget to save the date: 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: @peteosullivanpt http://www.pain-ed.com/ http://www.alignconference.com/ http://ispinstitute.com http://evidenceinmotion.com @eimteam

This week, on Pain Reframed, Dr. Tim Flynn and Dr. Jeff Moore are joined by Dr. Beth Darnall, who is a pain psychologist, clinical scientist, and Clinical Professor at Stanford University.  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.  Beth brings a wealth of knowledge to the episode as they discuss some key aspects to managing patients with chronic pain as well as altering systems to maximize positive treatment effects. LINKS: https://bethdarnall.com/ @bethdarnall http://ispinstitute.com http://evidenceinmotion.com @eimteam

Welcome back to Pain Reframed!  This week, we welcome back Dr. Anna Lembke, by popular demand, to discuss how we can specifically help patients to come down off of opioid addiction in a healthy and attainable manner that the patient can also handle. Dr. Lembke describes her acronym: B.R.A.V.O. and how it helps providers to help their patients through the tapering process. B: Brooching the subject R: Risk-benefit calculator A: Addiction happens V: Validation and velocity O: Other treatments for pain LINKS: Drug Dealer, MD on Amazon http://ispinstitute.com http://evidenceinmotion.com @eimteam

Welcome back to Pain Reframed!  This week, we welcome Dr. Anna Lembke who is the Chief of Addiction Medicine and Assistant Professor of Psychiatry and Behavioral Sciences at Stanford University School of Medicine.  Anna is also the author of the powerful and eye-opening book “Drug Dealer, MD.” Dr. Lembke shares her professional journey and what led her to write “Drug Dealer, MD.”  The premise behind her book is extremely jaw-dropping and shows a very real perspective to what happens between Doctor and Patient in the medical profession and in terms of the opioid crisis.  She reads a passage out of her book and she, Tim, and Jeff discuss just what that looks like and what we, as PT’s need to do to fix this pain problem and help our patients! On the other hand, Anna is not attacking doctors as she believes they are “trapped in the system” and she, therefore, has a great deal of empathy for them.  Her desire is to help them to get them out of the bureaucracy in order to solve the problem for patients.  This is a fantastic and intriguing episode worth your time! LINKS: Drug Dealer, MD on Amazon http://evidenceinmotion.com http://ispinstitute.com @eimteam

Pain Reframed has some exciting episodes coming up, but we are taking a short summer break. During the break, we will repost some of our biggest hits, and can't wait to bring you brand new episodes soon!

We're excited to have Keith Meldrum on this week's episode of Pain Reframed! He shares his journey with chronic pain, what led him to the biopsychosocial model in particular, and how a simple statement changed the path of his recovery. A civil engineer by trade, Keith has been living with chronic pain for over 30 years, after a near-fatal car accident in 1986. Years of surgeries eventually ended in being told that his pain was all in his head. Since then, he's taught himself about the biopsychosocial model and began advocating for it. He continues to speak out about the importance of pain science through social media, his blog, and other avenues.  LINKS: Twitter - @ISPITeam Twitter - @keith_meldrum Keith's blog - A Path Forward Learn pain science techniques you can immediately use with your patients here

We have the pleasure of welcoming Dr. Judy Grisel for a particularly emotional episode of Pain Reframed this week. She shares her personal struggle with addiction, the havoc it wreaked on her life and relationships, and what it was that eventually got through to her and convinced her to get sober. She also discusses how she's helping her own daughter avoid making the same mistakes, using techniques we can all implement, both in our clinics and in our personal lives. Dr. Judy Grisel is a behavioral neuroscientist whose research focuses on determining root causes of drug addiction. She studies sex differences in the role of stress and endorphins on drug reward and works to identify innate factors that contribute to individual differences in the liability toward addiction.  In addition to being a professor and researcher, Judy is a New York Times bestselling author. Her book, Never Enough, uses her past as an addict to explore the neuroscience behind how drugs work, the changes they cause in the brain, and where we might be able to find the cure to today's addiction epidemic. It's a powerful piece that we recommend for all clinicians who work with current or recovering addicts.  Do you have a question for Judy that you'd like her to answer on another episode of Pain Reframed? Send us a DM on Twitter, post it in the Pain Reframed Facebook group, or email Liz Peppin at lizpeppinmqt@gmail.com. LINKS: Twitter - @ISPITeam Join the Pain Reframed Facebook group Order Never Enough on Amazon here https://www.ispinstitute.com

Tim and Jeff are joined by Dr. Roger Chou on this week's episode of Pain Reframed! A professor and physician at Oregon Health & Science University (OHSU), Dr. Chou was part of the team that developed the CDC's Guideline for Prescribing Opioids for Chronic Pain in 2016. More recently, he co-published an editorial in the New England Journal of Medicine, examining the current state of opioid prescribing in the United States. Tim, Jeff, and Dr. Chou discuss the impact of both of these works and the steps we can take in our clinics to make sure we're always putting the patient first.  Dr. Roger Chou is a Professor in the Departments of Medicine, and Medical Informatics & Clinical Epidemiology at Oregon Health & Science University (OHSU) School of Medicine, and Staff Physician in the Internal Medicine Clinic at OHSU. He has served as Director of the Pacific Northwest Evidence-based Practice Center since 2012. He has conducted systematic reviews in a number of areas, including chronic pain and musculoskeletal conditions, screening and prevention, diagnostic testing, and prognosis. He has served as Director of the American Pain Society clinical guidelines program, the GRADE methodologist for the World Health Organization’s Division of Reproductive Health, is a member of the Cochrane Back Review Editorial Board, and co-chair of the National Quality Forum Musculoskeletal Standing Committee. Dr. Chou is on several journal editorial boards and is an author on numerous scientific articles published in peer-reviewed journals. LINKS: Twitter - @ISPITeam No Shortcuts to Safer Opioid Prescribing (New England Journal of Medicine) Learn more about the roles that physical therapists and physical therapy assistants can play in reducing the opioid epidemic