The Modern Pain Podcast

Send us a textPain Practice OS Waiting List Matt Erb returns to the show for an insightful and wide-ranging conversation on the future of physical therapy. We cover the limitations of the biopsychosocial model, practical mindbody strategies, billing within the system, trauma-informed care, and how clinicians can advocate for real change—both in their practice and the communities they serve.

Send us a textIn this episode, I sit down with Ben Whybrow, a pain specialist physio in the UK and new community manager for Modern Pain Care, to discuss the critical role of communication in modern healthcare. We break down why the traditional, paternalistic approach to patient interaction falls short and explore how guided discovery can lead to better outcomes for people in pain. If you're a clinician looking to improve your communication skills and create more meaningful connections with your patients, this conversation is for you.

Send us a textIn this episode, I sit down with Cameron Faller, co-founder of the Institute of Contextual Health, to discuss the future of healthcare. We explore the challenges of traditional, siloed care models and why a more interconnected, person-centered approach is essential for better patient outcomes. Cameron shares insights on process-based care, complexity science, the role of EMRs, and the potential for AI to revolutionize the patient experience. If you're a clinician or healthcare provider looking to make a real impact, this episode is for you.

In today's episode, we tackle one of the biggest tensions modern clinicians face:How do you keep your schedule full and patients engaged without fear-mongering or overselling?I share how to reframe “sales” from manipulation to alignment, why selling your services is an ethical obligation, and how to transition from just treating pain to guiding patients toward long-term health and resilience.If you've ever felt stuck between wanting to do right by your patients and keeping your business thriving — this one's for you.➡️ Learn how to out-value, not out-volume, the competition.➡️ Find out why selling real wellness is the future.➡️ Hear real-world strategies to build relationships, not dependency.**Timestamps**00:00 Introduction and Episode Overview00:09 Listener's Message and Common Struggles00:44 Reframing Sales in Healthcare01:10 Personal Journey with Sales02:20 Ethical Sales and Value Exchange04:54 Challenges with the Fix Model07:13 Broadening the Scope of Care14:08 Practical Tips for Ethical Sales17:12 Conclusion and Call to ActionSubscribe for more episodes:  https://youtube.com/@modernpainpodcastConnect with me:Website: https://modernpaincare.comInstagram: @modernpaincareEmail: mark@modernpaincare.com*********************************************************************

What if more treatment isn't the answer?In this episode, we explore Creative Hopelessness—an ACT-based exercise that helps patients with persistent pain reflect on the real impact of their symptom management strategies.You'll learn how to guide patients to see their patterns, validate their efforts, and gently open the door to a new, values-based direction.

Participate in our research study  Amy's First Episode ✅ Ever battled with chronic pain or long COVID symptoms? Discover Amy Eicher's remarkable journey from being dismissed and misdiagnosed to becoming her own best advocate. In this episode of the Modern Pain Podcast, Amy shares her personal story of dealing with chronic pain, understanding long COVID, and navigating the intricacies of the healthcare system. Expect eye-opening insights, practical takeaways on resilience, pacing, and self-advocacy, and much more. Stick around for an engaging conversation that healthcare professionals, patients, and anyone interested in the human side of chronic illness should not miss!Restoring Venus - https://restoringvenus.com/Restoring Venus Facebook - https://www.facebook.com/RestoringVenus/Restoring Venus TikTok - https://www.tiktok.com/@restoringvenuspaincoachRestoring Venus YouTube -  @restoringvenusamyeicher  *********************************************************************

In this episode of the Modern Pain Podcast, host Mark Kargela challenges clinicians to rethink their approach to pain treatment. He discusses how the pursuit of certainty can lead practitioners to rely too heavily on specific tools, neglecting the complexity and individual nature of pain. Using the parable of the blind men and the elephant, he illustrates the pitfalls of mistaking partial perspectives for the whole truth. Mark advocates for a values-based approach, emphasizing the importance of understanding patients' personal goals and experiences to provide meaningful care.*********************************************************************

In this episode of the Modern Pain Podcast, host Mark Kargela discusses the evolution of pain treatment from a solely biomechanical model to a more holistic biopsychosocial approach. Initially rooted in biomechanics, Mark shares his journey of realizing the limitations of this model and the rise of psychologically informed care. He emphasizes the importance of integrating both biomechanics and psychological strategies for effective pain management. Through various patient case studies, Mark illustrates the need for balance and the middle ground in modern pain treatment. He also urges clinicians to move beyond outdated narratives and adopt a more comprehensive approach tailored to individual patient needs.*********************************************************************

In this episode of the Modern Pain Podcast, join Mark Kargela as he discusses the challenges in pain care and the gaps in clinician education. Discover how to provide psychologically informed care and learn about a new comprehensive community-based program designed to empower clinicians as pain management leaders. Mark shares insights on the need for a paradigm shift from quick fixes to lasting, meaningful change and invites you to be part of this transformative journey. Join the waiting list and stay updated on when you can bring your community the pain management it deserves - https://modernpaincare.com/painprogram *********************************************************************

In this episode of the Modern Pain Podcast, host Mark Kargela sits down with Jim Stark, an insightful and experienced physical therapist with over 30 years in the field. Jim discusses the limitations of our current 'illness care system' and shares his journey of integrating holistic and spiritual approaches into physical therapy, focusing on chronic and persistent pain. Learn about the importance of being authentic, the concept of narrative medicine, and powerful, practical strategies like breathing exercises for durable impact. Jim also highlights the significance of seeing patients outside the confines of conventional treatment and creating a supportive environment for true healing. Don't miss his valuable advice and resources for clinicians aiming to enrich their practice and transform patient care.00:00 Introduction to the Illness Care System01:06 Jim's Path to Physical Therapy02:20 Spiritual Growth and Patient Healing Stories03:47 Changing the Narrative in Healthcare07:55 The Role of PTs and OTs in Pain Management12:36 Breathing Techniques for Pain Relief19:18 Strategies for Patient Empowerment31:34 Conclusion and Final ThoughtsFree resources from Jim *********************************************************************

Join us in this episode of the Modern Pain Podcast as we sit down with Brian Pulling to explore groundbreaking research on why people with knee osteoarthritis avoid physical activity despite its known benefits. Brian shares insights from a study using the Implicit Association Test (IAT) to uncover subconscious beliefs associating movement with danger. We delve into how these implicit threat associations differ from explicit beliefs and the implications for clinical practice. Brian also shares his personal journey from physical therapy training in the U.S. to becoming a leading researcher in Australia. This episode is packed with valuable information for clinicians looking to improve pain management strategies and help patients move more confidently.ARTICLE*********************************************************************

In this episode of the Modern Pain Podcast, host Dr. Mark Kargela interviews physical therapist Chris Hughen. Chris shares his journey from aspiring strength coach to established physical therapist, highlighting the importance of mentorship, the pitfalls of chasing certifications, and the value of embracing uncertainty in clinical practice. Chris also discusses how his background in coaching influences his patient interactions and the necessity of maintaining good professional relationships. Tune in for valuable lessons on pain management and building a successful career in physical therapy.Chris' InstagramChris' PodcastE3 Rehab*********************************************************************

Join us for an insightful episode where host Mark Kargela engages with expert Jen Uschold, a physical therapist and lifestyle medicine coach. Delve into the integration of traditional physical therapy with coaching and mental fitness to foster stronger client-therapist relationships in pain management. Discover the significance of motivational interviewing, emotional intelligence, and 'mental fitness' principles covering positive psychology, performance science, CBT, and neuroscience. Explore the synergistic relationship between Positive Intelligence (PQ) and Physical Therapy (PT), the impact of Acceptance and Commitment Therapy (ACT), and innovative approaches to managing chronic pain. Learn how to address both manual therapy and cognitive strategies, promoting meaningful activities beyond mere pain control. This episode is a treasure trove for clinicians seeking to improve patient care through a holistic and personalized approachLinks:Jen's Website for PTWebsite for Mental Fitness and Divorce Prep -Code for your listeners to get 20% off the Mental Fitness 7 week course: IRISE20Jen's LinkedInJen's Instagram*********************************************************************

In this episode of the Modern Pain Podcast, Mark Kargela explores the false dichotomy of passive versus active care in pain management, emphasizing that neither is inherently detrimental. He discusses the unique roles of passive care techniques like manual therapy and active care, which encompasses more than just exercise. Mark highlights the importance of personalized, patient-centered approaches that consider the patient's values and life circumstances. The episode underscores the significant impact of communication skills, advocating for meaningful clinician-patient dialogues to better understand patients' stories and barriers. This approach aims to foster a therapeutic alliance and guide patients back to meaningful lives.*********************************************************************

In this episode of the Modern Pain Podcast, host Mark Kargela explores the intersection of environmental considerations and physiotherapy with Filip Maric, Founder of the Environmental Physiotherapy Association, and Jessica Stanhope, a Research Fellow at the University of Adelaide. The discussion delves into the environmental blind spots in physiotherapy practice, emphasizing the importance of incorporating natural environments into treatment settings. The episode highlights research linking green spaces to better health outcomes, such as reduced pain and arthritis, and examines how physiotherapy education can integrate environmental awareness. The conversation invites clinicians to contemplate the physical environments patients interact with, both inside and outside clinical settings, and consider innovative ways to make impactful changes in their practice.***Helpful LInks***Environmental Physiotherapy Association  *********************************************************************

In this episode of the Modern Pain Podcast, host Mark Kargela is joined by Mathilde Kehler to explore the transformative shift from a 'fixer' to a 'coach' in helping patients manage chronic pain. They delve into the importance of positioning the patient as the main character, focusing on their goals, and leveraging their resources rather than just diagnosing and treating symptoms. Mathilde shares her journey from physiotherapy to creating a pain coach program, emphasizing the need for personalized, patient-centered care. The episode highlights the critical role of communication, listening, and effective questioning in pain management, aiming to build patient self-efficacy and meaningful change. They also discuss the challenges and strategies for clinicians transitioning to this approach and the potential future of pain coaching in healthcare systems.***LINKS***Mathilde's WebsiteSmerteguiden Instagram *********************************************************************

In this episode of The Modern Pain Podcast, host Mark Kargela interviews Trevor Barker, a remarkable individual who transitioned from battling chronic pain with a medicalized approach to living well despite the pain. Trevor shares his compelling journey from relying on heavy medications and invasive treatments to embracing a holistic and human-centric approach that significantly improved his quality of life. He details his involvement with Pain Revolution and how community support and shared experiences have played a pivotal role in his ongoing journey. Clinicians and patients alike will find valuable insights into the power of social and psychological factors in managing chronic pain. This episode underscores the importance of empathy, patient voices, and the impactful role of supportive relationships in the healing process.Chronic Pain Champions Facebook GroupPain Revolution*********************************************************************

n this episode of the Modern Pain Podcast, host Mark Kargela discusses the philosophy of science as it pertains to pain research with philosophers Rani Lill Anjum and Elena Rocca. The conversation revolves around their book, which critiques traditional scientific approaches and emphasizes the importance of understanding philosophical biases in research. The trio explores how empirical methods often fail to address the complexity of individual pain experiences, the ethical dilemmas in excluding certain populations from research, and the significance of patient stories in clinical practice. This episode aims to provide clinicians with a deeper understanding of the philosophical underpinnings of the science they use in their own practices.NEW TEXTBOOK - Philosophy of ScienceCauseHealth Book - Rethinking Causality, Complexity and Evidence for the Unique PatientUnpacking the Complexity of Evidence YouTube Playlist*********************************************************************

In this episode of the Modern Pain Podcast, host Mark Kargela sits down with Emily Rich, an occupational therapist and POTS specialist, to discuss Postural Orthostatic Tachycardia Syndrome (POTS) and related conditions like Ehlers Danlos Syndrome and Mast Cell Activation Syndrome. Emily shares her personal journey with POTS, her PhD research, and offers practical tips for clinicians to better identify and manage these complex conditions. Emily emphasizes the importance of humility in clinical practice, the use of occupationally specific exercises, and supportive care strategies. This episode is packed with insights and actionable advice for healthcare professionals looking to improve their treatment approach for patients with POTS and related syndromes. Be sure to check out the show notes for additional resources.***HELPFUL LINKS***Utah ADAPT program POTS Providers Course POTS Providers ListDysautonomia International*********************************************************************

In this episode of the Modern Pain Podcast, host Mark Kargela sits down with clinician and long COVID experiencer, Daria Oller. Daria shares her journey from contracting COVID-19 in March 2020 to becoming an advocate for education and understanding about long COVID. This discussion delves into the complexities of treating long COVID, the importance of listening to patients, the need to move beyond traditional exercise biases, and tips for clinicians on managing the fluctuating symptoms of this condition. The conversation highlights the significance of seeing the patient as a whole person and the crucial role of multidisciplinary approaches in improving care for long COVID sufferers. Daria also talks about resources available for clinicians and patients alike. Tune in to gain valuable insights into the ongoing challenges and strategies for addressing long COVID in clinical practice.**RESOURCES**Long Covid Physio  World Physiotherapy Briefing Paper  Ed Yong's Works *********************************************************************

In this episode of the Modern Pain Podcast, host Mark Kargela dives into the complex relationship between exercise and pain management. He explores traditional beliefs about exercise, discusses graded exposure and graded activity techniques, and emphasizes the importance of personalized, patient-centered approaches. Mark highlights the need to tailor exercise to individual patient preferences and values rather than imposing generic fitness routines. He also discusses the role of narrative and patient mindset in successful pain therapy. Perfect for clinicians seeking to enhance their understanding and methodologies in helping patients with chronic pain*********************************************************************

In this episode, we explore the critical role of empathy in clinical settings. As a clinician, acknowledging a patient's pain by simply listening and validating their feelings can be profoundly impactful. Learn the importance of saying 'I hear you' and offering sincere apologies to foster a deeper connection and support for those in need.A Path Forward - Keith's Facebook BlogKeith's X Profile*********************************************************************

In this episode, we welcome Paul, a former massage therapist turned scientific writer, who shares his journey from clinical practice to founding the PainScience.com website. Paul discusses the evolution of his career, the challenges of transitioning to science writing, and the importance of maintaining ethical standards in a field often dominated by simplistic solutions. He also delves into the misconceptions around pain science and the need for a deeper understanding of physiology. Whether you're a healthcare professional or someone interested in pain management, this episode offers valuable insights into the complexities of pain and the science behind it.Paul's website  Paul's membership ***TIMESTAMPS***00:00:00 Intro to Episode00:02:25 Interview Start00:03:13 Paul's journey00:05:13 What brought Paul to a career in scientific writing?00:09:43 How has Paul handled critical comments on his work?00:14:21 Did he have to sacrifice followers for integrity?00:17:15 Paul's evoluation as an online writer00:24:05 Paul's biggest influences in his writing00:28:13 Paul's key resources his development00:33:43 Skepticism versus nihlism00:39:42 Paul's concern over current approaches to pain science00:45:45 Limitations in professional boundaries and emerging fields00:48:48 Where to find Paul and his current project*********************************************************************

Mark welcomes pain coaching expert Richmond Stace to discuss his journey from nursing to becoming a pioneer in pain coaching. Richmond shares his multidisciplinary background, touching on the psychological and physical aspects of dealing with chronic pain. They talk about the importance of connecting with patients, understanding their beliefs, and guiding them through meaningful change. Richmond also delves into the role of motivational interviewing and the broader philosophy of pain management, emphasizing the need for high standards in practice. Aspiring pain coaches and healthcare professionals will find valuable insights and practical advice on improving patient care through a compassionate and individualized approach. *********************************************************************

If you have struggled to balance what you feel is best practice  in pain care and the business demands of the setting you're in then this episode is for you.  We had Andrew Rothschild in for a chat and we discussed this and how you can maintain high value care and meet the demands we all face in the business of healthcare.   We talk about when it may be time for you to leave and find a better fit for you as well.*********************************************************************

Join us for an enlightening episode with Nick Rainey as we delve into modern strategies in pain management and their transformative potential for your clinical practice. Learn about the importance of mentorship in developing your pain management expertise and how integrating sales techniques can enhance patient engagement and outcomes. Whether you're a seasoned professional or just starting out, this episode is packed with valuable insights to elevate your approach to pain care. Tune in and learn from one of the leading experts in the field.**Helpful Links**​Rainey Pain and Performance​​OMPT definition paper*********************************************************************

Episode Summary:In this episode of the Modern Pain Podcast, host Mark Kargela is joined by Brett Neilson, a physical therapist and professor at Hawaii Pacific University. Recorded live at the Pain Science in Motion conference in Las Vegas, the episode delves into the crucial intersection between sleep and chronic pain management. Brett shares insights from his scoping review on the integration of sleep measures in chronic low back pain research, highlighting a significant gap in current practices. The conversation covers the impact of sleep on pain, the role of wearables, and practical advice for clinicians on how to incorporate sleep assessments and interventions into their practice. Brett emphasizes the importance of understanding individual sleep needs and using tools like the CBTI Coach app to help patients improve their sleep quality.CBT-i Coach App Scoping Review TIMESTAMPS:00:00:00 Episode begins00:01:43 Interview Start00:02:53 Brett's Work on Sleep00:05:04 What did they find in their systematic reveiw?00:08:25 Clinical pearls gained in pre-conference course00:10:43 What apps or tools are out there for clinicians?00:13:46 Can tracking sleep excessively become anxiety generating?00:14:57 How do we determine the right amount of sleep for the individual?00:19:47 Mindulness or meditation for sleep00:23:12 How do we get this in curriculum?00:26:20 How do we get this as every day practice?00:31:59 Sleep as a part of the big picture in painKey Takeaways:Sleep and Chronic Pain Connection: There is a strong link between poor sleep and chronic pain. Addressing sleep issues can potentially alleviate pain symptoms.Research Findings: A scoping review revealed that less than 10% of chronic low back pain trials include sleep measures, highlighting an area for improvement in research practices.Role of Wearables: While wearables can provide useful sleep data, they should be used cautiously to avoid causing anxiety. It's best to view sleep data in the context of long-term trends rather than daily fluctuations.Screening and Interventions: Simple questions about sleep quality can help identify patients who may benefit from further sleep assessment. Tools like the CBTI Coach app, developed by the VA, can assist clinicians in guiding patients through cognitive behavioral therapy for insomnia.Individualized Approach: Quality of sleep is more important than quantity. Clinicians should tailor their recommendations based on the individual needs and experiences of their patients.Practical Tips for Clinicians: Incorporate basic sleep questions into patient assessments, use validated sleep measures, and educate patients on sleep hygiene practices. Encourage patients to find relaxation strategies that work for them, whether it's mindfulness, reading, or other calming activities.Educational Integration: Teaching about sleep and its impact on health should be integrated into PT education to better prepare future clinicians.*********************************************************************

Diego Hidalgo a Spanish physiotherapist and osteopath discusses their recent paper - ‘It's all connected, so it all matters' - the fallacy of osteopathic anatomical possibilism.In the podcast they discuss:• Anatomical Possibleism in Osteopathy and PT• Anatomy, Pathologization, and Pain Discussion• Pain Treatment and Cultural Differences• Concerns Over Over-Diagnosing and Anatomical Possibleism• Addressing Chronic Pain Challenges•  Holistic Approach to Pain Management•  Evidence-Based Approach and Transition to Modern Practice Challenges‘It's all connected, so it all matters' - the fallacy of osteopathic anatomical possibilismJarvik studyThe doors are open to Modern Pain Pro! Check out https://modernpainpro.com for all the details and to join us inside!*********************************************************************

In this conversation, Mark Kargela interviews Michael Shacklock about his journey and influences in the field of neurodynamics. They discuss the transition from the traditional view of neural tension testing to neurodynamics, the influence of pain science on clinical practice, and the importance of integrating the biological examination with psychosocial factors. Michael also shares his focus on lumbar radiculopathy in his PhD research, specifically looking at unloading the nerve root for pain relief. In this conversation, Michael Shacklock discusses the use of neurodynamic techniques in the treatment of radiculopathy. He explains that movement-related pain should respond quickly to movement, and shares his favorite patient profile for this type of treatment. Shacklock emphasizes the importance of ruling out contralateral tests if they provoke pain, as this indicates reduced cord movement. He also discusses the role of radiology in diagnosing radiculopathy and the challenges of interpreting radiology reports. Shacklock addresses the misconceptions around neurodynamic tests and highlights the need for a comprehensive approach that integrates neurodynamics with musculoskeletal function. He concludes by discussing the application of neurodynamic techniques in acute radiculopathy and the importance of adapting treatment to the individual patient's needs.If you are looking to go deeper on topics, get training, and become a better pain care clinician, then check out our community at https://modernpaincare.com**TIMESTAMPS**00:00:00 Start00:02:04 Interview Begin00:07:15 The movement to neurodynamics versus neural tension00:10:37 How has pain science influenced MIchael's approach00:14:40 There is a time to specifically treat the tissues00:18:51 Michael's PhD focus00:23:32 Crossed straight leg raising as treatment00:26:50 Differneces between mechanical compresison and inflammtory nerve root issues00:32:05 Difficulties with radiolgy00:34:16 Where physios are missing the mark in application00:38:51 Use of neurodynamics in irritable patients00:42:04 Michael's view on other movement approaches00:45:09 Michael's courses and where to find him nextThe doors are open to Modern Pain Pro! Check out https://modernpainpro.com for all the details and to join us inside!*********************************************************************

To go deeper and get support in your practice make sure you check out our community In this conversation, Mark Kargela interviews Jason Silvernail about the definition and description of Orthopedic Manual Physical Therapy (OMPT). They discuss the misconceptions and misunderstandings surrounding manual therapy and how OMPT differs from other forms of manual therapy. They also highlight the distinguishing characteristics of OMPT, including advanced subspecialty training, focus on clinical judgment, expertise in examination and treatment, and a patient-centered long-term mindset. The conversation emphasizes the importance of evidence-based practice and the need for a nuanced understanding of OMPT. In this conversation, Jason Silvernail and Mark Kargela discuss the value and benefits of OMPT (Orthopaedic Manual Physical Therapy) fellowship training. They highlight the importance of clinical judgment and critical thinking in the practice of manual therapy. They address the misconception of elitism associated with advanced training and emphasize the need for accurate information and informed decision-making. The conversation provides insights into the distinguishing characteristics of OMPT and its role in providing high-quality, evidence-based care for patients.Helpful Links:Link to paper  Clinical reasoning paper in OMPT Jason's website Jason's X profile *********************************************************************

In this conversation, Mark Kargela interviews Ian Harris, an orthopedic surgeon and researcher, about the challenges and problems in healthcare. Ian discusses his journey from being a practicing surgeon to becoming interested in the scientific method and evidence-based medicine. He talks about the resistance he has faced in challenging the status quo and the difficulties in changing the way surgeons think. They also discuss the placebo response in surgery, the blurring of normal and disease states in healthcare, and the overuse of procedures like spinal fusion and regenerative medicine. Ian shares his projects on placebo studies for rotator cuff repair and spine fusion, which aim to provide high-quality evidence to change practice.TakeawaysThe scientific method and evidence-based medicine are crucial in improving healthcare practices.Surgeons often face resistance when challenging the status quo and trying to change the way they think.The placebo response in surgery is complex, and contextual factors play a significant role.The blurring of normal and disease states in healthcare leads to unnecessary interventions and medicalization of normal conditions.Procedures like spinal fusion and regenerative medicine are often overused despite limited evidence of their effectiveness.Placebo studies for rotator cuff repair and spine fusion aim to provide high-quality evidence to guide practice.Books (Affiliate Links)Surgery: The Ultimate PlaceboHippocrasy: How Doctors are Betraying Their Oath*********************************************************************

In this episode, physiotherapist Adam Dobson discusses lumbar radiculopathy and its management. He highlights the challenges in assessing and diagnosing lumbar radiculopathy, emphasizing the importance of precise terminology and understanding mixed presentations. Dobson also explains the role of the neurological examination and the stepped-care approach in managing lumbar radiculopathy. He emphasizes the need for an economical approach to treatment, focusing on patient preferences and activities that are meaningful to them. Dobson also discusses the role of physiotherapy in supporting patients' recovery and the importance of balancing tissue-based and biopsychosocial approaches.Schmid AB, Tampin B, Baron R, et al. Recommendations for terminology and the identification of neuropathic pain in people with spine-related leg pain. Outcomes from the NeuPSIG working group. *Pain*. 2023;164(8):1693-1704. doi:[10.1097/j.pain.0000000000002919](https://doi.org/10.1097/j.pain.0000000000002919)Konstantinou K, Lewis M, Dunn KM, et al. Stratified care versus usual care for management of patients presenting with sciatica in primary care (SCOPiC): a randomised controlled trial. *Lancet Rheumatol*. 2020;2(7):e401-e411. doi:[10.1016/S2665-9913(20)30099-0](https://doi.org/10.1016/S2665-9913(20)30099-0)Stynes S, Konstantinou K, Ogollah R, Hay EM, Dunn KM. Clinical diagnostic model for sciatica developed in primary care patients with low back-related leg pain. *PLoS One*. 2018;13(4):e0191852. doi:[10.1371/journal.pone.0191852](https://doi.org/10.1371/journal.pone.0191852)*********************************************************************

Simon Kelly discusses his journey as a healthcare professional and his exploration of the role of physiotherapy in pain management. He questions the necessity of physiotherapy for every individual and the challenges of building a virtual practice. Simon also delves into the limitations of the biomedical model of medicine and the need for a more holistic approach.*********************************************************************

SummaryIn this conversation, Mark Kargela interviews Seth Peterson about various topics in physical therapy practice and education. They discuss the challenges of PT education, the role of manual therapy, the influence of social media on PT practice, the importance of mentorship, the value of communication in PT practice, the state of continuing education in PT, and the role of PTs as primary care musculoskeletal practitioners.Takeaways- PT education should focus on developing safe clinicians and providing mentorship to help clinicians become skilled practitioners.-  There is value in manual therapy, but it should be used in conjunction with other interventions and tailored to the individual patient.-  Social media can create idea cults and confusion for young clinicians, but mentorship and critical thinking can help navigate these challenges.-  Communication skills are essential for PTs and should be emphasized in education and practice.-  Continuing education in PT should be evidence-based and focus on developing clinical reasoning and case management skills.-  PTs have the potential to serve as primary care musculoskeletal practitioners, but there are barriers that need to be addressed, such as expanding PTs' scope of practice.Check out Seth on X*********************************************************************

Dr. Howard Schubiner discusses the link between childhood trauma and pain, as well as the brain's role in creating pain. He highlights the challenges in training healthcare professionals to understand and address mind-body pain. Dr. Schubiner introduces the symptom perception model and explains the process of pain reprocessing therapy. He emphasizes the importance of ruling out structural problems and using the FIT criteria to determine if the pain is functional, inconsistent, and triggered. This conversation explores the revolutionary data on non-structural pain and the importance of transitioning to understanding the emotional piece of chronic pain. It delves into the role of emotional awareness and expression in pain management and the challenges clinicians face in incorporating a mind-body approach. The conversation also highlights the healthcare system challenges and available resources for clinicians and patients. Finally, it discusses the future of mind-body approaches and training opportunities.***Helpful Links***Dr. Sarno's BooksDr. Schubiner's WebsiteJAMA Psychiatry Study on Pain Reprocessing Therapy*********************************************************************

In this conversation, Derek discusses his journey in pain rehabilitation and the challenges faced in providing comprehensive care. He emphasizes the need for prevention and early intervention in pain management, as well as the importance of addressing the biopsychosocial factors that contribute to pain. Derek also shares strategies for introducing new narratives to patients and overcoming barriers to implementing a multidisciplinary approach. The conversation concludes with a discussion on the frontier of pain care and the potential impact of understanding the neuroimmune system on patient care. In this conversation, Derek Griffin discusses the complexity of pain and the challenges of understanding its underlying mechanisms. He emphasizes the importance of bringing complex topics to the patient's context and using relatable examples, such as allergies and the flu, to explain the body's protective responses. Derek also highlights the limitations of pain neuroscience education and the need for a more comprehensive approach to treatment. He discusses the skill set required for psychologically informed care, including active listening, dealing with uncertainty, and acknowledging the patient's expertise. Derek concludes by emphasizing the importance of continuous learning and collaboration in improving patient care.Derek's X Profile - https://twitter.com/DerekGriffin86*********************************************************************

Join the Modern Pain Pro communityIn this conversation, Mark Kargela and Logan Buckley discuss the importance of communication in physiotherapy and how improv can enhance patient care. Logan shares his journey from being a physical therapist to discovering improv and how it has impacted his communication skills. They explore the role of communication in working with persistent pain patients and the influence of improv on navigating uncertainty and complexity. They emphasize the importance of authenticity and finding one's own voice in communication. The conversation concludes with a discussion on the complexity of communication compared to interventions and the power of purposeful curiosity. In this conversation, Mark and Logan discuss the importance of being authentic and vulnerable in patient interactions. They highlight the value of admitting when you don't have all the answers and being a real person rather than a paternalistic authority figure. *********************************************************************

This episode dives into the shifting paradigms around strength exercise in managing shoulder pain and what is behind the positive effects we see clinically.  Jared Powell, a Ph.D. candidate, and shoulder physio specialist, joins us to discuss this and helps us get an understanding of the current state of evidence and how he positions exercise in his practice along with how he communicates it.  Jared's Publications Mentioned in the EpisodeThe Shoulder Physio WebsiteJoin the Modern Pain Pro Community*********************************************************************

Join our exclusive Modern Pain Pro community where we go deep on all things pain In the episode "Beyond Techniques: Transforming Pain Care" of the Modern Pain Podcast, the focus is on the limitations of relying solely on new techniques in pain management. It emphasizes the importance of understanding the broader context of a patient's life and experiences. The discussion revolves around integrating holistic approaches into patient care, highlighting the need for long-term strategies that go beyond immediate pain relief techniques. This approach aims to foster more sustainable and effective pain management, offering a deeper insight into the complexities of pain care.*********************************************************************

Join our exclusive Modern Pain Pro community - where we go deep on all things pain This episode offers insights for physical therapists, especially new graduates, on thriving in professional environments where colleagues may have differing treatment philosophies. It emphasizes the importance of understanding clinic culture, respecting diverse treatment approaches, and integrating evidence-based methods into traditional practices. The video provides practical advice on building professional relationships, adapting to various physical therapy techniques, and effectively managing complex pain cases. It encourages open communication and continuous learning from peers to enhance patient outcomes and personal career growth.*********************************************************************

Go deeper in our Modern Pain Pro Community The Client Experience CompanyIn this conversation, Mark and Jerry discuss the need for upstream thinking in healthcare and the barriers that prevent clinicians from seeing beyond the clinic. They emphasize the importance of managing expectations and building alliances with patients. They also explore the value of consumer-facing resources and the resistance to change in the healthcare system. The conversation highlights the potential impact of giving more than you get and the need for a shift from illness care to wellness care. Jerry discusses the importance of charging for services and the challenges of pricing. He emphasizes the need for the work to be on him to find ways and people that can benefit the consumer. Jerry also mentions the work he does with his company, Client Experience Company, which focuses on managing the patient journey and setting expectations. He highlights the importance of moving conversations upstream and ensuring that information travels with the patient. Jerry shares the results of his work, including increased patient success and improved business outcomes. He also mentions his current research on misalignment in organizations and the impact on patient care.*********************************************************************

The PRISM Model The Integrative Pain Science InstituteThe Modern Pain Pro Community SummaryIn this conversation, Joe discusses the development of the PRISM model, a comprehensive approach to pain management. He explains the evolution of the biopsychosocial model and the need for a more expansive model that addresses the complexities of pain. Joe also highlights the importance of a process-based approach to pain care and the domains and processes of the PRISM model. He discusses the barriers to integrating a holistic approach and the discomfort that clinicians may experience when moving away from traditional interventions. Joe emphasizes the importance of resilience in pain care and provides contact information for further inquiries. In this conversation, Mark Kargela interviews Joe about chronic pain and its treatment. They discuss the importance of understanding chronic pain, the biopsychosocial model, and various treatment approaches. The conversation provides valuable insights for both clinicians and patients struggling with chronic pain.TakeawaysThe PRISM model is a comprehensive approach to pain management that addresses the complexities of pain and incorporates a process-based approach.The biopsychosocial model has evolved over time, and the PRISM model aims to build upon it by incorporating new research and understanding.The PRISM model consists of six domains: person context, purpose, pain literacy, pain mindset, physical activity, and physiology.There are 18 processes within the PRISM model that support the domains and help guide the treatment and management of pain.Barriers to integrating a holistic approach to pain care include education, reimbursement systems, and individual resistance to change.Embracing discomfort and uncertainty is necessary for clinicians to expand their thinking and provide more effective care.Resilience is a key component of the PRISM model, and helping patients access their own resilience can lead to positive growth and recovery. Chronic pain is a complex condition that requires a comprehensive understanding of its underlying causes and contributing factors.The biopsychosocial model emphasizes the interaction between biological, psychological, and social factors in the experience of chronic pain.Treatment approaches for chronic pain should be multidimensional, addressing physical, psychological, and social aspects of the condition.Collaboration between clinicians and patients is crucial in developing effective treatment plans for chronic pain.*********************************************************************

Be part of the Modern Pain Pro Community Jamie's Website Had an enlightening chat with Jamie Johnston on our latest Modern Pain Podcast episode. From his journey in embracing pain science to the integration of mental health in therapy, Jamie's insights are a great example for any healthcare practitioner. Tune in to discover how we can revolutionize pain management together!*********************************************************************

Join the community waitlist Welcome to another episode of the Modern Pain Podcast. In this episode, Dr. Mark Kargela discusses the shortcomings of continuing education (Con Ed) in pain management and proposes solutions for clinicians.Key Topics:• Mismatch Between Con Ed and Clinical Practice: the environments of Con Ed courses often don't resemble real clinical settings, limiting their applicability in managing complex pain cases.• Isolation in Clinical Practice: Many clinicians find themselves isolated when applying modern pain science and techniques, lacking peer support and mentorship in their practices.• Logistical and Financial Challenges: Con Ed often imposes financial and lifestyle burdens on clinicians, making it difficult to integrate continuous learning into their lives.*********************************************************************

Join host Mark Kargela as he and Dr. Liebenson dive deep into the evolution of pain care and reveal strategies they both used and teach to help them transform their practices and those of their students..Craig shares his journey from traditional chiropractic methods to a revolutionary, holistic approach. He illuminates the often-overlooked psychological and physiological aspects of pain, challenging conventional wisdom and opening new pathways for treatment.Whether you're a healthcare professional seeking to enhance your practice, or someone struggling with pain, this video offers invaluable insights. Learn about the future of healthcare, the importance of patient-centered care, and the clinician's evolving role in this dynamic field.Helpful Links:First Principles of Movement (Craig's website) Craig's threads profile Craig's X profile Youtube *********************************************************************

Have you felt like you've rode the pendulum of manual therapy? If you listen to social media it either sucks or it remains the bedrock of good pain care.Which is it?Well in this episode you'll hear Mark talk to Dr. E (Erson Religioso) about the transformation his views and use of manual therapy have made throughout his career. Listen in and find out how we have grown from traditional theory of jedi hand skills to a more person-centered approach.You'll come out of this episode with a better view on manual therapy and where it may fit in modern pain care. Check out Dr. E and Modern Manual Therapy at:InstagramFacebookXYouTube*********************************************************************

This episode features a conversation with Ben Whybrow, a physiotherapist specializing in pain management at an NHS pain clinic. Ben discusses the multidisciplinary approach to treating complex pain cases, emphasizing the importance of patient communication and empathy. He shares insights into managing difficult conversations around ingrained beliefs, the effectiveness of group dynamics in treatment, and strategies for addressing emotional challenges in the clinical setting. The discussion also explores the evolution of physiotherapy in the context of pain management, offering valuable perspectives for clinicians in this field.HELPFUL LINKS:Ben's InstagramBen's TIkTokBen's X *********************************************************************