Pain Talk

Part two: We continue our discussion with Dr's Allan and Korownyk on the simplified guidelines for cannabis and opioid use disorders in primary care. The post Episode 76 : Dr. Tina Korownyk – Psychological Solutions for Lower Back Pain first appeared on Pain Talk.

Today we are delighted to be joined by Dr. Jen Potter to speak about a recent body of work done by her and her colleagues, primarily exploring the evidence of psychological interventions specifically looking at mindfulness based stress reduction and cognitive behavioral therapy in the management of lower back pain. The post Episode 75 : Dr. Jen Potter – Psychological Solutions for Lower Back Pain first appeared on Pain Talk.

We are pleased today to be joined by Dr. Joshua Rash, an assistant professor in the department of psychology in Memorial University of Newfoundland as well as a director of Memorial University of Newfoundland Behavioral Medicine Center.  Dr. Rash will be sharing his expertise as a clinical health and rehab psychologist on a number of related subjects such as behavioral medicine, health behavior change, chronic disease management and cardiovascular psychophysiology. The post Episode 74 : Dr. Josh Rash – Part 2 first appeared on Pain Talk.

We are pleased today to be joined by Dr. Joshua Rash, an assistant professor in the department of psychology in Memorial University of Newfoundland as well as a director of Memorial University of Newfoundland Behavioral Medicine Center.  Dr. Rash will be sharing his expertise as a clinical health and rehab psychologist on a number of related subjects such as behavioral medicine, health behavior change, chronic disease management and cardiovascular psychophysiology. The post Episode 73 : Dr. Josh Rash – Part 1 first appeared on Pain Talk.

Join us for the conclusion of our 2 part series talking to Dr. Cecily Havert.  She is a primary care practitioner based in North Virginia, and she brings her extensive background in both preventative health and mental health into the discussion about chronic pain, having a special interest in those who have had a lived experience with it. The post Episode 72 : Dr. Cecily Havert – Part 2 first appeared on Pain Talk.

Join us for the first of a 2 part series talking to Dr. Cecily Havert.  She is a primary care practitioner based in North Virginia, and she brings her extensive background in both preventative health and mental health into the discussion about chronic pain, having a special interest in those who have had a lived experience with it. The post Episode 71 : Dr. Cecily Havert – Part 1 first appeared on Pain Talk.

Today we continue talking to Dr. Sam Hickcox - Medical Director and Shelley LeDrew - Program Lead of the Atlantic Mentorship Network for Pain and Addition as they talk about how the Network is improving the care of those living with pain or addiction in Atlantic Canada.  https://www.atlanticmentorship.com/ The post Episode 70 : Atlantic Mentorship Network for Pain and Addiction – Part 2 first appeared on Pain Talk.

Today we're talking to Dr. Sam Hickcox - Medical Director and Shelley LeDrew - Program Lead of the Atlantic Mentorship Network for Pain and Addition as they talk about how the Network is improving the care of those living with pain or addiction in Atlantic Canada. https://www.atlanticmentorship.com/ The post Episode 69 : Atlantic Mentorship Network for Pain and Addiction – Part 1 first appeared on Pain Talk.

After a long hiatus, Paintalk returns and wants to start off the new year strong with a look at new and interesting developments in how we understand and manage chronic pain.  We first want to take what we'll call is a chronic pain update, mainly focusing on some of the skills that are being advocated for in regards to Pain Reprocessing Therapy (PRT).  In particular we'll talk in relation to a new book released by Alan Gordon, an individual who has a lived experience with chronic pain.  The book is called The Way Out, and was written together with Alan Gordons' colleague. The post Episode 68 : Pain Reprocessing Therapy (PRT) – Part 4 first appeared on Pain Talk.

After a long hiatus, Paintalk returns and wants to start off the new year strong with a look at new and interesting developments in how we understand and manage chronic pain.  We first want to take what we'll call is a chronic pain update, mainly focusing on some of the skills that are being advocated for in regards to Pain Reprocessing Therapy (PRT).  In particular we'll talk in relation to a new book released by Alan Gordon, an individual who has a lived experience with chronic pain.  The book is called The Way Out, and was written together with Alan Gordons' colleague. The post Episode 67 : Pain Reprocessing Therapy (PRT) – Part 3 first appeared on Pain Talk.

After a long hiatus, Paintalk returns and wants to start off the new year strong with a look at new and interesting developments in how we understand and manage chronic pain.  We first want to take what we'll call is a chronic pain update, mainly focusing on some of the skills that are being advocated for in regards to Pain Reprocessing Therapy (PRT).  In particular we'll talk in relation to a new book released by Alan Gordon, an individual who has a lived experience with chronic pain.  The book is called The Way Out, and was written together with Alan Gordons' colleague. The post Episode 66 : Pain Reprocessing Therapy (PRT) – Part 2 first appeared on Pain Talk.

After a long hiatus, Paintalk returns and wants to start off the new year strong with a look at new and interesting developments in how we understand and manage chronic pain.  We first want to take what we'll call is a chronic pain update, mainly focusing on some of the skills that are being advocated for in regards to Pain Reprocessing Therapy (PRT).  In particular in relation to a new book released by Alan Gordon, an individual who has a lived experience with chronic pain.  The book is called The Way Out, and was written together with Alan Gordons colleague. The post Episode 65 : Pain Reprocessing Therapy (PRT) – Part 1 first appeared on Pain Talk.

Today we'll be talking about how the PEER approach can be used to tackle osteoarthritis or degenerative disease.  We'll be talking about where you can find some more great references to excellent and compelling research, and differing osteoarthritis and what is a degenerative disease. The post Episode 64 : A PEER Approach to Osteoarthritis or Degenerative Disease first appeared on Pain Talk.

Today we'll discuss the review of common interventions for chronic low back pain by Dr's Kirkwood, Allan and Korownyk from the PEER simplified decision rule. Listeners can access this review at Canadian Family Physician January 2021, pages31-2.  https://www.cfp.ca/content/67/1/31 The post Episode 63 : PEER Approach to Lower Back Pain first appeared on Pain Talk.

Today we continue our discussion on the intricacies of pain in the human body, everything from how we interpret pain and use that knowledge to help us emphasize with our patients and others dealing with pain. The post Episode 62 : The Science Behind Pain – Part 2 first appeared on Pain Talk.

Today we will be discussing an incredibly interesting topic in the Science of Pain. We won't be diving into the minute details of how our bodies and brains interpret pain, instead we want to look at the basic overview of how we interpret pain and use that knowledge to help us emphasize with our patients and others dealing with pain. The post Episode 61 : The Science Behind Pain – Part 1 first appeared on Pain Talk.

We now shift to a different expert in Acute Pain Natasha Rodney-Cail.  We will be talking about pharmacotherapy in the management of acute pain with a deep dive into the efficacy of opioid analgesics. The post Episode 60: Acute Pain w/ Natasha Rodney-Cail – Part 2 first appeared on Pain Talk.

We now shift to a different expert in Acute Pain Natasha Rodney-Cail.  We will be talking about pharmacotherapy in the management of acute pain with a deep dive into the efficacy of opioid analgesics.  The post Episode 59: Acute Pain w/ Natasha Rodney-Cail first appeared on Pain Talk.

We continue  our conversation with Pam exploring the evidence regarding common pharmacotherapy in the management of acute pain. The post Episode 58: Acute Pain w/ Pam McLean-Veysey – Part 2 first appeared on Pain Talk.

Today we dig into the literature that exams the evidence for pharmacotherapy in the management of acute musculoskeletal pain with Pam McLean-Veysey. The post Episode 57: Acute Pain w/ Pam McLean-Veysey – Part 1 first appeared on Pain Talk.

Acute pain is the normal physiological response to a chemical, thermal or mechanical stress.  The goal of pain management is to make pain more tolerable and reduce the risk of chronic pain developing.  We will discuss many commonly used tactics including using medication such as ibuprofen. The post Episode 56: The Management of Acute Pain first appeared on Pain Talk.

Today we continue our discussion of CHS and it's management.  Stopping cannabis is the only known treatment as of the posting of this episode, however many harm reduction strategies to minimize symptomatology such as lowering the THC content can be considered. Therapies that manage acute episodes such as topical capsaicin and atypical antiemetics will be discussed. The post Episode 55: Cannabinoid Hyperemesis Syndrome – Part 2 first appeared on Pain Talk.

CHS is a paradoxical response to chronic cannabis use.  Individuals describe severe, intense, colicky belly pain with vomiting. Relief frequently comes from hot showers and baths which is indicative of the syndrome.  Although the cause is unknown, recent studies have identified the TRPV 1 receptor as the culprit and the ever-rising THC content in the cannabis bud. The post Episode 54: Cannabinoid Hyperemesis Syndrome – Part 1 first appeared on Pain Talk.

We continue our discussion on an approach to taper opioids.  When to do it, how to do it and why tapering may be necessary. The post Episode 53: Tapering Opiods – Part 2 first appeared on Pain Talk.

Today we discuss the tapering of opioid analgesics. The ultimate goal of opioid tapering, that is to say gradually reducing dosage, is to make the patient feel better. Tapering an opioid has the ability to reduce pain intensity and to improve mood and function. However, there is no single tapering strategy to fit all patients. The longer the patient has been on opioids, the longer the tapering process should be. The 2017 Canadian Opioid Guidelines recommend 5-10% every 2-4 weeks as a reasonable rate for chronic pain patients. The post Episode 52: Tapering Opiods – Part 1 first appeared on Pain Talk.

Today we continue to talk about Jen and the experience of total body pain and how to help patients move forward in their life with purpose and connection. The post Episode 51: When Pain Becomes Widespread first appeared on Pain Talk.

Today we continue with our discussion on chronic pain and multiple unexplained symptoms. We delve into how to talk with patients about this complex clinical presentation and the role of central sensitization. The post Episode 50: Trauma Informed Care – Part 2 first appeared on Pain Talk.

All humans experience life differently. Our journeys are as unique as the habits and behaviors we use to navigate the challenges we will inevitably meet along the way. For some, that journey can be influenced by events that cause intense physical and psychological stress reactions.  These events are often referred to as traumatic. Traumatic events change a person and can create turmoil especially if these events occur in childhood. What science tells us is that the consequences of trauma are far-reaching and can be directly or indirectly linked to mental illness, chronic disease, suicide, and overall failure to thrive. A trauma-informed approach to healthcare acknowledges the existence of significant trauma (past and present) and the role it plays in the health and recovery of the individual. Today we will explore the role of trauma in chronic pain and how important a SAFE approach to care is paramount.  The language we use, the movement we suggest, and the pharmacotherapy we dispense need to be based on minimizing fear and potential harm in order to allow these individuals to thrive. The post Episode 49: Trauma Informed Care – Part 1 first appeared on Pain Talk.

Insomnia is a common sleep problem for adults. The National Institutes of Health estimates that roughly 30 percent of the general population complains of sleep disruption, and approximately 10 percent have associated symptoms of daytime functional impairment consistent with the diagnosis of insomnia. Although many factors contribute to sleep disruption, opioid analgesics, in particular short-acting, are some of the biggest culprits. This week we look at how opioids contribute to sleep disruption and how to avoid the trap of adding sedative-hypnotics to an already high-risk pharmacological soup.

Dr. Flusk is a pain physician and anesthesiologist practicing in St. John's Newfoundland. He is actively involved in medical education at the undergraduate and postgraduate levels. Today he shares with us his experience as a lead reviewer on the Associations of Faculties of Medicine curriculum development.

Childkind certification recognizes the commitment of an institution to evidence guided pediatric pain management.  Dr. Allen Finley and Erin Aubrey talk with us this week about what Childkind certification is, how health care institutions can put steps in motion to achieve this recognition, and how health care providers within the institution can come together with a common goal; compassionate pediatric pain management.

Part 3: Dr. Trudy Taylor is a respected Rheumatologist practicing in Halifax NS. Today we conclude our discussion with Dr. Taylor and our conversation on the management and diagnosis of inflammatory arthritis and what to do when it co-exists with central sensitization or chronic pain.

In this week's podcast, Dr. Taylor helps us break down the challenges of interpreting and using biomarkers to monitor and identify inflammatory arthritis.  A biomarker is a measurable indicator of the severity or presence of some disease state.

Living with inflammatory arthritis and chronic pain can be challenging. Dr. Trudy Taylor, a rheumatologist practicing in Halifax will help us breakdown how these two painful conditions can co-exist and how to improve the quality of life for individuals using pharmacological and non-pharmacological therapies.

Today, we welcome back Virginia McIntyre who is someone who knows chronic pain all too well.  This week we want to see how COVID-19 has impacted her life as she navigates a new normal and the challenges of living with chronic pain during a pandemic.  She shares with us some strategies that can help build resiliency during this time of uncertainty and unpredictability.

We cannot change how COVID-19 has impacted our lives, but we can change how we respond to the uncertainty that it creates. We have a choice to focus on how vulnerable we are as a people or to begin the task of building resiliency to the virus and the uncertainty we feel.  Resiliency is our ability to THRIVE in times of change and uncertainty. It is not a natural skill, rather it is something we learn. Today we continue our discussion on how to build resiliency. Remember, you are not alone. We are in this together. Stay strong, stay safe.

One of the aspects not often considered when talking about COVID-19 is the impact on people suffering from chronic pain.  Today we're talking about how COVID-19 has impacted the lives of individuals living with Chronic pain, and how to manage the uncertainty to find ways to calm pain.

Today we finish our conversation with Dr. Vincent Adams, a chiropractor with an interest in providing care to patients living with chronic pain.

Today we are talking with Dr. Vincent Adams who is a chiropractor practicing in Prince Edward Island. Vince shares some of the challenges that come with providing care to individuals living with complex pain, but also some of the benefits that present themselves.

Today we've reached out to Don Daniel Ocay who is a Ph.D. candidate with an interest in pediatric pain. Daniel will share with us the good work his team is undertaking in Montreal at McGill University, and his work with the Quebec Network of Junior Pain Investigators a Quebec-wide forum of student researchers in the field of pain.

We conclude our discussion with Dr's Allan and Korownyk, exploring the challenges of urine drug monitoring in clinical practice.

Today we continue our discussion with Dr's Allan and Korownyk on the simplified guidelines for cannabis and opioid use disorders in primary care.

Dr.'s Mike Allan and Tina Korownyk are trailblazers in their field of primary care research. Both have contributed to practice-changing guidelines on the use of cannabis in clinical practice and the management of opioid use disorders in primary care.

Today's podcast will look at the forces that drive persistent pain. In Session 6 we started the conversation about Neuro Inflammation and Central Sensitization. Today we will discuss pain protective behaviours as well as the messengers that contribute to ongoing pain.

Today we finish our discussion about Methadone, a strong, unique synthetic opioid analgesic used to manage pain and opioid use disorders. We'll break down common myths and misconceptions as we discuss the role of Methadone in clinical practice.

Methadone is a synthetic opioid developed by the Germans in the second world war as an alternative to morphine.  It is widely used in the management of complex pain often seen in palliative care patients and as well it is recognized as an effective treatment for the management of opioid use disorders.

The World Health Organization is a specialized agency of the United Nations that is concerned with international public health. It was established on 7 April 1948, and is headquartered in Geneva, Switzerland. The WHO is a member of the United Nations Development Group. May 2019 the WHO designated Chronic pain as a disease in its own right. This helps to legitimize and validate chronic pain as a legitimate disease.

In part two of the Canadian Pain Task Force, we continue the conversation regarding the work of the Canadian Pain task Force and dig into how Canadians can get involved and participate in the data gathering.

Today we welcome the two co-chairs of the Canadian Pain Task Force, Maria Hudspith and Dr. Fiona Campbell. The release of Phase 1 of 3 marks a formal commitment by the Government of Canada to better understand and address the needs of people living with chronic pain.

Ritalin is not an amphetamine. It will not show up in a urine immunoassay unless it's designed to pick up methylphenidate. Today is the third in a series of podcasts on urine drug screening. We're going to continue the conversation regarding some of the most common challenges we run into and discuss some of the challenges.

Today is the second of three podcasts on urine drug screening.  We'll explore specific drug immunoassays, specifically about some of the many challenges present with the interpretation of immunoassays as well as the role of gas chromotography.