Podcasts about explain pain

“We have no business treating pain If we don't treat both the sensory and emotional components .” Carolyn Vandyken Our guest is Carolyn Vandyken PT, Cert. MDT.  Carolyn is a physiotherapist, educator, researcher and advocate in the areas of low back pain, pelvic health and pain science.  She became an MDT credentialled therapist in 1999. Carolyn holds a CBT certificate from Wilfred University, and has been practicing in the field of pelvic health for the past 25 years.  She has been practicing as a physiotherapist for 39 years teaching post-graduate pelvic health courses that are steeped in pain science. Carolyn won the Medal of Distinction from the Canadian Physiotherapy Association in 2021, the distinguished Education Award from the OPA in 2015 and the YWCA Women of Distinction Award in 2004.  Carolyn presents extensively at international conferences and has co-authored multiple chapters and papers on central pain mechanisms and pelvic pain.  She is actively involved in research with Dr. Sinead Dufour (McMaster University, Canada) and Dr. Judith Thompson (Curtin University, Australia) and has published multiple studies on the connection between low back pain and pelvic floor dysfunction. Carolyn co-owns a multi-disciplinary teaching company called Reframe Rehab and is engaged in breaking down the barriers internationally between pelvic health, orthopaedics and pain science. Carolyn practices locally in the areas of pelvic health and chronic pain at Physio Works Muskoka in Huntsville, Ontario with her daughter/physiotherapist, Brittany Vandyken.

“We have no business treating pain If we don't treat both the sensory and emotional components .” Carolyn Vandyken Our guest is Carolyn Vandyken PT, Cert. MDT.  Carolyn is a physiotherapist, educator, researcher and advocate in the areas of low back pain, pelvic health and pain science.  She became an MDT credentialled therapist in 1999. Carolyn holds a CBT certificate from Wilfred University, and has been practicing in the field of pelvic health for the past 25 years.  She has been practicing as a physiotherapist for 39 years teaching post-graduate pelvic health courses that are steeped in pain science. Carolyn won the Medal of Distinction from the Canadian Physiotherapy Association in 2021, the distinguished Education Award from the OPA in 2015 and the YWCA Women of Distinction Award in 2004.  Carolyn presents extensively at international conferences and has co-authored multiple chapters and papers on central pain mechanisms and pelvic pain.  She is actively involved in research with Dr. Sinead Dufour (McMaster University, Canada) and Dr. Judith Thompson (Curtin University, Australia) and has published multiple studies on the connection between low back pain and pelvic floor dysfunction. Carolyn co-owns a multi-disciplinary teaching company called Reframe Rehab and is engaged in breaking down the barriers internationally between pelvic health, orthopaedics and pain science. Carolyn practices locally in the areas of pelvic health and chronic pain at Physio Works Muskoka in Huntsville, Ontario with her daughter/physiotherapist, Brittany Vandyken.

Jon Mulholland is a Chiropractor and Clinic Owner at Ideal Athlete Chiropractic.  He's been a Consultant for the US Olympic Training Center in Lake Placid, NY as well as a Consultant to the New Zealand Olympic Cycling Team and Consultant for the USA Bobsled and Skeleton Teams.   Books and Items Mentioned "Why Zebras Don't Get Ulcers" https://www.amazon.com/Why-Zebras-Dont-Ulcers-Third/dp/0805073698/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=1706713766&sr=8-1   "Explain Pain" https://www.amazon.com/Explain-David-Butler-Lorimer-Moseley/dp/0987342665/ref=sr_1_1?crid=38UPHOA569HFT&keywords=explain+pain&qid=1706713814&sprefix=explain+pain%2Caps%2C155&sr=8-1&ufe=app_do%3Aamzn1.fos.006c50ae-5d4c-4777-9bc0-4513d670b6bc   "80/20 Running" https://www.amazon.com/80-20-Running-audiobook/dp/B071D4481W/ref=sr_1_1?crid=2D13E7FEX09HA&keywords=80%2F20+running&qid=1706713867&sprefix=80%2F20+runn%2Caps%2C100&sr=8-1   Strava https://www.strava.com/    

Welcome to today's episode where we are taken on an incredible journey across the world to hear Alina's story. Alina is from Russia, her husband; the Netherlands and now they currently reside in New Zealand with their three children. We cover a range of topics including: ✨Having three children each in a different country (one just to give birth and then return home again). ✨Overcoming the hurdles in wanting to have a home birth ✨Having her newborn go into a coma with a brain bleed, being in intensive care for 9 days where she wasn't able to be with him... ✨Navigating systems and organisations with a child with special needs. ✨Her journey into learning about Feldenkrais, how this practice helped her and completely changed the path she is now on. Here is a little more about Alina and the offerings she has to share with the world... "I will help you to move without pain and discomfort: while living with persistent pain, during pregnancy or after giving birth. I work in Waikato, New Zealand and online.   I've been teaching Feldenkrais® group classes and workshops since 2018 and giving individual Feldenkrais® sessions since 2019. I learned this at the internationally accredited training in New Zealand (Auckland). In 2020 I took the Explain Pain course from Neuro Orthopaedic Institute Australasia (Australia), and since then I help you learn how pain is made and what to do to make it hurt less. For the last few years, I've been collaborating with a local OBGYN and a pelvic health physio so that my clients can be sure we are not missing anything important.    I believe chronic pain can be significantly reduced, pregnancy can be more comfortable, and a lot can be done to solve your health issues before resorting to surgery.   =======================================   Fun facts... https://www.instagram.com/p/CU8brRzBQNp/   How to find me: www.korumovement.co.nz https://www.facebook.com/KoruMovement https://www.instagram.com/korumovement_nz/ Connect with Maria: Email: maria@parentingwithsoul.com https://www.instagram.com/parenting_with_soul Facebook: https://www.facebook.com/maria.adlam.7 https://www.facebook.com/calmwithin Join our Soul full Mamas Facebook group: https://www.facebook.com/groups/934624827805325/   --- Send in a voice message: https://podcasters.spotify.com/pod/show/mariaadlam/message

Yes, your pain is all in your head - but that doesn't mean it's not "real". Dr. Lorimer Moseley, author of the best selling classic "Explain Pain" is a trailblazer in the field of contemporary pain science.   In our next episode he explains how all pain is real, but you can train your mind to understand what each pain "means", and choose how to experience it.  

It's been an interesting journey learning about pain. We were both exposed to it at different times and we think about it differently. If pain has been something you've found interesting or perhaps you've struggled to understand its origins, you'll enjoy this podcast.Book link:https://www.noigroup.com/product/explain-pain-second-edition/Upgrade your clinical skills and become a patreon:https://patreon.com/SportsMedicineProject?utm_medium=clipboard_copy&utm_source=copyLink&utm_campaign=creatorshare_creator&utm_content=join_linkSign up for a free weekly Research review about topics related to Sports Medicine straight to your email: https://gmail.us14.list-manage.com/subscribe?u=c3dca95db0740390c605a128e&id=b41f1293caRead through our already written blogs:https://achievepodiatry.com.au

After her 40 days old first born had a stroke, Alina developed a growing understanding of brain growth and function, and the part that movement plays in this. She now helps people to move without pain and discomfort, including in pregnancy or after giving birth, using her Feldenkrais® training, and the additional skills she developed from the Explain Pain course she did with the Neuro-Orthopaedic Institute Australasia. For the last two years, Alina has been collaborating with a local Waikato OBGYN and a pelvic health physio, Bev Hampton, so that her clients can be sure that nothing important is missed. Alina believes that chronic pain can be significantly reduced, pregnancy can be more comfortable, and a lot can be done to solve our health issues before resorting to surgery. In this episode of the podcast, we hear about Alina's home birth history, where she gave birth in three different countries; about the horrors of her newborn's stroke and the surgery and recovery that followed; and about the journey this has taken Alina on with regards to the work that she now does. Want to know more about Alina and her work? Here's her website: www.korumovement.co.nz Her Facebook page: https://www.facebook.com/KoruMovement Her Instagram page: https://www.instagram.com/korumovement_nz/ Alina's current offerings are: Downloadable postpartum care guide: https://www.facebook.com/KoruMovement/posts/pfbid0qLbmQtTfMfBg6CCuLr56NR6vpe7Rka53vWQ6i1cF3FozfKyEmoFR4eDPWQcXGc9zl  Online classes: Lengthening Without Stretching - Mondays 7-8 pm  Movement for Pregnancy and Labour - 6 weeks course at River Ridge - Thursday nights, next round starting on August 3 https://www.korumovement.co.nz/events   Individual sessions in-person / online, read more on initial consultation here: https://www.korumovement.co.nz/initial-consultation People Alina mentions in the podcast:   Claire Eccleston's video on somatic consent: https://www.instagram.com/p/Ct9siGQKOK1/   Genevieve Simperingham & Peaceful Parent Institute: https://www.peacefulparent.com/about-peaceful-parent-institute/   Pelvic Health Physiotherapist, Bev Hampton: https://www.pelvicphysiotherapy.co.nz/   Feldonkrais method: https://www.feldenkrais.org.nz/

We explore what pain clinician and educator (and host of this podcast!) Bart thinks about his ongoing educational journey in pain. Including, the deliberate techniques that he employs to facilitate this learning journey Bart van Buchem has been an integral part of Noigroup since 2012, initially leading the translation and teaching of Explain Pain in the Dutch language – Begrijp de Pijn. Ten years on, Bart is now Director of Noigroup European Operations, and is driving for broader access to courses and publications on the European continent. A physiotherapist by background, Bart specialises in chronic pain-related conditions through his clinic in The Netherlands Praktijk Noorder Spaarne. This continued clinical contact allows Bart to educate in Explain Pain with a genuine knowledge of applying the principles to practice. Bart is an integral part of the Le Pub Scientifique team, initially taking live events to the Netherlands and more recently developing this Pain Podcast.  

In this episode, Andrew talks about his favorite metaphors and examples to decrease fear avoidance and Explain Pain to patients. It's an art, just like comedy, your favorite comedians are always practicing their craft and the more you practice with different patients (like an audience) the easier and smoother the delivery becomes. We hope these episodes help with updating your Pain Science Toolkit. Untold Physio Stories is sponsored by ⁠The Eclectic Approach Network⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking. Check out ⁠EDGE Mobility System⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com ⁠Curv Health⁠ - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! ⁠Click to join Dr. E's new Virtual Clinic Collective⁠ to help promote best online practices.  --- Send in a voice message: https://podcasters.spotify.com/pod/show/untoldphysiostories/message Support this podcast: https://podcasters.spotify.com/pod/show/untoldphysiostories/support

Welcome to the Practice Leadership Podcast. This season we're digging ever deeper into the PT industry's biggest movers and shakers. Join us, your co-hosts, Tim Reynolds and Bryan Guzski, the authors of Movers & Mentors, as we deep-dive with the big guns – answering the big questions every future and current PT wants to know. From Confluent Health and Evidence In Motion, The Practice Leadership Podcast's Movers & Shakers Season will go straight to the source, asking our industry heavyweights for their wisdom, deconstructing influential quotes and learning a thing or two along the way. This week we are connected with David Butler, a physiotherapy graduate of the University of Queensland (1978). He has a graduate diploma in advanced manipulative therapy (1985), a masters degree by research from the University of South Australia (1996) and a doctorate in education from Flinders University (2010). David is a clinician, an international freelance educator, an Adjunct Associate Professor with the University of South Australia and an Honoured Lifetime Member of the Australian Physiotherapy Association. His professional interests focus on the integration of neurobiology into clinical decision making and public and professional education in pain, stress and performance management. Food, wine and fishing are also research interests. Author of numerous book chapters and articles and the texts Mobilisation of the Nervous System (1991), The Sensitive Nervous System (2000), David has also co-authored of Explain Pain (2003, 2nd Edn 2013), The Graded Motor Imagery Handbook (2012) and The Explain Pain Handbook: Protectometer (2015). More Links:  Email: david@djsyt.com

Neen suffers from chronic pain due to mixed connective tissue disease, with features of rheumatoid arthritis, lupus, scleroderma and myositis. In this discussion, she talks about some of her frustrations when seeking help from physiotherapists. Neen feels that Explain Pain and Pain Neuroscience Education type approaches have been harmful, rather than helpful, to her and others with secondary pain. She calls on physiotherapists to carefully listen to their patients and to seriously consider whether PNE will be welcome or helpful in each individual case. Evie on twitter: @onlinephysios https://twitter.com/OnlinePhysios Neen on twitter: @ArthriticChick https://twitter.com/ArthriticChick Full blogpost at: https://physiosonline.co.uk/2022/12/dont-explain-pain/ Video at: https://youtu.be/EmqYfK5oitQ

In episode 380 of the Mechanical Care Forum, we're continuing with season 12 and we're spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Lorimer Moseley and his book, Explain Pain, a book to educate patients about their pain. We talk about where the idea of this book came with his coauthor David Butler, the principles found within the book, who needs to hear it, some related projects, and other books associated with this effort to help people make their way out of persistent pain and plenty more. To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com

Amelia "Millie" Mardon is a full time PHD student at The University of South Australia working to improve our understanding of persistent pelvic pain. Millie and her amazing colleagues have published a systematic review of the efficacy of self management strategies for females with endometriosis, and more recently a systematic review on the treatment recommendations for the management of persistent pelvic pain. She shares with us the insights she has learnt from her research, and how we can benefit from these as clinicians. She has a vision to write an “Explain Pain” style book for women with persistent pelvic pain - which we wait for excitedly. We loved talking to Millie and we hope you enjoy the show.  Jo, Tam, and Lori   Other links: "The accessibility of physiotherapy for adolescents with persistent pelvic pain: a qualitative study", Mardon et al PDF "Persistent pelvic pain – what do the guidelines recommend?" Blog with Millie Mardon and Hayley Leake (who should know who she is if you live in Australia

This is a replay of the listener-favourite podcast with the pioneer Professor Lorimer Moseley to supplement the other podcasts released on chronic pain.  Enjoy! Professor Lorimer Moseley is a clinical scientist investigating pain in humans. After posts at The University of Oxford, UK, and the University of Sydney, Lorimer was appointed Professor of Clinical Neuroscience and Chair in Physiotherapy at the University of South Australia. He is also Senior Principal Research Fellow at NeuRA and an NHMRC Principal Research Fellow. He leads the Body in Mind Research Group, based at the University of South Australia which investigates the role of the brain and mind in chronic pain.  He has published over 310 papers, six books for clinicians and patient workbooks, and numerous book chapters/. He is a strategic adviser for PAIN, associate Editor for the Journal of Pain, the European Journal of Pain and the British Journal of Sports Medicine. More "pain" info, including websites mentioned, videos, images and courses at https://thegpshow.com/bookshelf/painmedicine/ Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing?  Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master.  If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated. If you would like to provide feedback or request a topic, please contact me via thegpshow.com  Thank you for listening and your support.

Sometimes having pain seems very straightforward - you have a tear/bulge/strain in X so it hurts. But what about when you have surgery to fix that thing… and you still have pain? Or if you have pain, but nothing is structurally wrong? The link between pain and the body isn't a straight line, so I'm grateful to be joined by physical therapist Dr. Ashley Mak to help us understand the science of pain. Because if getting out of pain were as simple as stretching your hamstrings, you wouldn't need either of our services. Dr. Ashley has been a licensed physical therapist for 10 years and is the founder of ifixyoursciatica.com, a platform for people suffering from low back pain and sciatica. We share the belief that you can live pain-free without the use of surgery and medications. So if you have tried all the things, but are still struggling with pain, today's episode is for you. You'll learn: Why pain isn't just structural - and the role of the brain in pain How tissue healing happens and why you might still have pain, even if there's nothing “wrong” All the links: IFixYourSciatica.com [Ashley's website] @ifixyoursciatica on Instagram The Sciatica Protocol [free 7-day text support] Explain Pain by by David Butler & Lorimer Moseley Motor Homonculus Illustration 30 days to more strength + flexibility with the Mobility Mastery Toolkit Movement Mavens has the tools and strategy to support you on your path to enjoying life without pain - www.aewellness.com/mavens www.aewellness.com/podcast - Show notes, links and more. Come hang out with me on Instagram @hollaformala : https://instagram.com/hollaformala/ TikTok @ aewellness Bodywork Starter Guide - learn the 6 places you need to roll right now for quick relief, plus the reason why what you've tried so far has only given you a temporary fix. Download the guide for free now at www.aewellness.com/bodywork 818-396-6501 is the Body Nerd Hotline - how do you build consistency and/or where are you getting stuck? Drop me a line and let me know your body nerd hacks - you might just hear your voice on a future episode! Today's episode is brought to you by Mobility Mastery Toolkit. Forget icing and stretching - and get a simple program you can do on your own that actually works. The Toolkit includes 30-days of exercises so you know exactly what to do to improve the mobility of your hips, lower back, feet, neck and shoulders. With video demos and a full-body mobility workout calendar, you're just 15-mins a day from feeling stronger and more flexible. Save 50% when you use the code MASTERY at www.mobilitytoolkit.co  

Welcome to Episode 7 of the Movement Logic podcast! In this solo episode, Sarah tackles the tricky subject of pain, and whether it's always bad if our clients and students have pain. She discusses the situations in which pain might be acceptable, and gives concrete tools and approaches for you to use with your clients who are having pain. What's the difference between acute and chronic pain?When might it be ok - and when would it not be ok - for your students to have pain?How to avoid generating fear for your students around their pain experienceHow much pain would be acceptable for someone to have?How to tease out different sensations to help your client have greater discernment around what they're feeling in their bodyReference links:Smith BE, Hendrick P, Smith TO et al. Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis. Br J Sports Med 2017;51:1679–87.Malay MR, Lentz TA, O'Donnell J et al. Development of a comprehensive nonsurgical joint health program for people with osteoarthritis: a case report. Phys Ther 2020;100(1): 127-35.Explain Pain by David Butler and Lorimer  MoseleyPain is Really Strange by Steve Haines and Sophie Standing Sign up here for the Movement Logic Newsletter for course discounts and sales and receive a free mini Pelvic Floor course!Watch the video of this conversation at: www.movementlogictutorials.com/podcast

Evie from PhysiosOnline speaks with Asaf Weisman, pain researcher at Tel-Aviv University. We discuss some of Asaf's reflections around the subject of pain and pain science, including: Pain is not a thing Pain is a sensation, not a perception The brain as an "overstressed blue-collar worker" Is pain neuroscience education (PNE) based on a fairytale His study finding that a majority of people do not like being told "Explain Pain" material PNE is metaphysical conjectures, not truth The concept of "Coming Back To The Answer". In Judaism, people who are secular and want to go back to religion; they call this process "Coming Back To The Answer" because if you believe in God, you always have an answer for everything. The importance of neuroinflammation on human disease and health Reductionism Asaf's "Doomsday Prophecy" - "Within 5 decades, physiotherapists are not going to treat persistent pain states any more. We've got nothing to offer for these patients."Why am I in pain?" I cannot answer this question, and no-one will ever be able to answer this question. - Asaf Weisman View the video at Youtube and follow us at: https://youtu.be/j_0di-4Vaw4 Follow Asaf at: https://twitter.com/AsafKlaf Visit his website at: https://painlosophy.wordpress.com

Dr. Lauryn welcomes physiotherapist Jessica Maguire to the podcast to talk about the Vagus nerve.  They discuss the nature of pain, the effect of perception on pain / recovery, bridging the “woo-woo” gap, the vagal brake, recovering from traumatic stress, breathwork, and so much more. To learn more about Jessica and her work go to https://www.jessicamaguire.com/ Or follow @repairing_the_nervous_system The book she mentions at the end is called “Explain Pain” by David Buttler & Lorimer Moseley Rate & subscribe wherever you get your podcasts! Join the Weekly Slay mailing list HERE To get the exclusive sheslays savings go HERE If you have a question or feedback, make sure to tell us: Website Instagram Facebook

"Du redest ja nur mit deinen Patienten. Behandelst du die gar nicht?" "Möchtest du deinen Patienten denn nicht helfen?" Ist das reine Erklären und Sprechen in der Therapie sinnvoll? Was bringt es? Wie lernen Menschen tatsächlich dazu? Darüber haben wir uns in dieser Folge unterhalten. Reinhören lohnt sich! Natürlich wieder mit dem Nocebo der Woche! Viel Spaß beim anhören! Quellen: Dauer der Wirkung von Explain Pain: https://pubmed.ncbi.nlm.nih.gov/29443723/ Lass deinen Patienten seine Story erzählen: https://pubmed.ncbi.nlm.nih.gov/30831273/ Du möchtest dazu beitragen, dass wir gemeinsam betroffenen Menschen noch besser helfen können? Dass deine Therapie noch besser und gezielter werden kann? Nimm jetzt an unserer Umfrage teil unter: https://survey.lamapoll.de/BEST-Interview Jede einzelne Folge von "Autsch - der Schmerztalk" als Podcast findet ihr auf den gängigen Plattformen wie Spotify, Apple Podcasts etc. Alle unsere Plattformen findet ihr unter: https://linktr.ee/besttherapie Besucht uns auch auf unserer Homepage: www.best-therapie.com #BEST #basiseffektiverschmerztherapie #schmerz #autsch #schmerzen #schmerztherapie #physiotherapie #ergotherapie

‘Learn to live with your pain.' How many times have you heard this statement? For people with chronic pain, this is common but unhelpful advice. Pain is more than just mechanical damage. Context and the expectations you have around it play a significant role in how you experience pain. Remember, it's possible to recover from pain. But you must be aware of the proper chronic pain treatment. Pain expert Dr Kal Fried joins us in this episode to discuss how pain is more complicated than we think. If we want to recover from pain, we must first understand how it works. He also shares the role of medication and lifestyle changes and how chronic pain treatments work differently for each person. What's important is to become active and involved in your recovery process. If you want to learn more about chronic pain treatment and how to break free from chronic pain, this episode is for you.  Here are three reasons why you should listen to the full episode: Learn how pain works and why it's more complicated than just a mechanical function of your body.  Understand how we can deal with and recover from pain through lifestyle changes and other chronic pain treatments.  Discover the importance of taking charge of your healing and recovery.  Resources Gain exclusive access and bonuses to Pushing the Limits Podcast by becoming a patron!  A new programme, BOOSTCAMP, is coming this September to Peak Wellness! Pain Revolution  Programmes that came out from Pain Revolution: Brain Changer | Permission to Move  Exsurgo  Explain Pain by David Butler and Lorimer Moseley Connect with Dr Kal: Website | The Rehabilitation Medicine Group | Phone: +613 9555 7769 | Fax: +613 8738 1504 | Email     Get Customised Guidance for Your Genetic Make-Up For our epigenetics health programme, all about optimising your fitness, lifestyle, nutrition and mind performance to your particular genes, go to  https://www.lisatamati.com/page/epigenetics-and-health-coaching/. Customised Online Coaching for Runners CUSTOMISED RUN COACHING PLANS — How to Run Faster, Be Stronger, Run Longer  Without Burnout & Injuries Have you struggled to fit in training in your busy life? Maybe you don't know where to start, or perhaps you have done a few races but keep having motivation or injury troubles? Do you want to beat last year's time or finish at the front of the pack? Want to run your first 5-km or run a 100-miler? ​​Do you want a holistic programme that is personalised & customised to your ability, goals, and lifestyle?  Go to www.runninghotcoaching.com for our online run training coaching. Health Optimisation and Life Coaching If you are struggling with a health issue and need people who look outside the square and are connected to some of the greatest science and health minds in the world, then reach out to us at support@lisatamati.com, we can jump on a call to see if we are a good fit for you. If you have a big challenge ahead, are dealing with adversity or want to take your performance to the next level and want to learn how to increase your mental toughness, emotional resilience, foundational health, and more, contact us at support@lisatamati.com. Order My Books My latest book Relentless chronicles the inspiring journey about how my mother and I defied the odds after an aneurysm left my mum Isobel with massive brain damage at age 74. The medical professionals told me there was absolutely no hope of any quality of life again. Still, I used every mindset tool, years of research and incredible tenacity to prove them wrong and bring my mother back to full health within three years. Get your copy here: https://shop.lisatamati.com/collections/books/products/relentless. For my other two best-selling books Running Hot and Running to Extremes, chronicling my ultrarunning adventures and expeditions all around the world, go to https://shop.lisatamati.com/collections/books. Lisa's Anti-Ageing and Longevity Supplements  NMN: Nicotinamide Mononucleotide, an NAD+ precursor Feel Healthier and Younger* Researchers have found that Nicotinamide Adenine Dinucleotide or NAD+, a master regulator of metabolism and a molecule essential for the functionality of all human cells, is being dramatically decreased over time. What is NMN? NMN Bio offers a cutting edge Vitamin B3 derivative named NMN (beta Nicotinamide Mononucleotide) that can boost the levels of NAD+ in muscle tissue and liver. Take charge of your energy levels, focus, metabolism and overall health so you can live a happy, fulfilling life. Founded by scientists, NMN Bio offers supplements of the highest purity and rigorously tested by an independent, third party lab. Start your cellular rejuvenation journey today. Support Your Healthy Ageing We offer powerful third party tested, NAD+ boosting supplements so you can start your healthy ageing journey today. Shop now: https://nmnbio.nz/collections/all NMN (beta Nicotinamide Mononucleotide) 250mg | 30 capsules NMN (beta Nicotinamide Mononucleotide) 500mg | 30 capsules 6 Bottles | NMN (beta Nicotinamide Mononucleotide) 250mg | 30 Capsules 6 Bottles | NMN (beta Nicotinamide Mononucleotide) 500mg | 30 Capsules Quality You Can Trust — NMN Our premium range of anti-ageing nutraceuticals (supplements that combine Mother Nature with cutting edge science) combats the effects of aging while designed to boost NAD+ levels. Manufactured in an ISO9001 certified facility Boost Your NAD+ Levels — Healthy Ageing: Redefined Cellular Health Energy & Focus Bone Density Skin Elasticity DNA Repair Cardiovascular Health Brain Health  Metabolic Health My  ‘Fierce' Sports Jewellery Collection For my gorgeous and inspiring sports jewellery collection, 'Fierce', go to https://shop.lisatamati.com/collections/lisa-tamati-bespoke-jewellery-collection. Episode Highlights [04:10] Dr Kal's Career Dr Kal is trained as a sports and exercise physician. He oversees the medical needs of athletes and regular people.  Through his work and experience, he observed that the severity of injuries could not predict the outcome. There were cases of minor injuries leading to terrible outcomes and vice versa.  These experiences led him to learn more about the science of pain and work with the organisation Pain Revolution.   [06:52] Why Pain is Complicated We're taught that pain is mechanical. But, bodies do not produce pain, per se.  The body only produces electrical signals that our sensory nerves pick up.  Your pain response is dependent on how much danger your brain thinks you're in.  Injuries are not always proportionate to pain. Pain has physical, contextual and sociological contributing factors.  Listen to the full episode to hear two stories about people who ignored — and created! — pain based on their circumstances! [13:42] How Pain Works  Pain is more complicated than we think. Thresholds don't explain pain completely either.  Your context plays a significant role in how you perceive and experience pain. There are other factors that contribute to you experiencing more pain, such as stress, living through a pandemic, your beliefs and expectations.   [14:52] Responding to Pain Lisa shares how there are various kinds of pain in her life. These include the changes women undergo at different times in their cycles.  Learn to accept that there is a lot involved with pain. Understanding and acceptance will help you change your pain response. Pain can become a habit. Injuries create a direct channel to the brain, which can remain even after someone's body heals. This is called sensitisation. While there are medications designed to stop this direct channel, the best method is to develop habits for desensitising this pain pathway.   [21:09] The Role of Distractions and Neurotransmitters  We often experience higher levels of pain at night because nothing distracts us from the pain. This then leads to sleep deprivation and fatigue, creating a cycle of pain.  People naturally develop intuitive strategies like distracting themselves from pain.  You can transform your pain experience by manipulating your neurotransmitters through a re-adaptive program.  Through this process, you change people's thoughts and actions.  [23:51] Medication is Not Always the Answer for Chronic Pain Treatment The brain naturally contains morphine-like chemicals.   Pain medication doesn't work for everyone. Some people are pain-sensitive and medication-resistant.  Too much medication can also lead to addiction and negatively impact your health.  [28:50] The Hardships of People with Chronic Pain People find it easier to empathise with those whose sicknesses are visible.  People with chronic pain often end up in a vicious cycle of social breakdown because there's little understanding and compassion for the condition.  Not only that, pain makes people more irritable.  [31:06] Options for Chronic Pain Treatment Meditation as a chronic pain treatment is slowly becoming more mainstream in the medical profession.  One method will not work for everyone as people relate to different things. It's vital to build an individualised program for chronic pain treatment or management.  Remember that pain is not harmful. It's just a protective mechanism.  It's common to hear that we need to learn to live with the pain, but this may not be effective for everyone.  Tune in to the full episode to hear Dr Kal talk about his work with Pain Revolution and the graded exposure program.  [34:56] Find What Works for You  It's difficult for doctors to understand your situation and condition fully. It would be best for you to take charge of your health by doing your research.  Question treatments and methods. Don't blindly accept answers.  However, when you start to read online resources, you also need to be wary of false information.  Be careful how you interpret science and research.   [44:01] Seeking Science-Backed Treatments Your health is an interconnected system. Pain can be a signal for many things.  Become more involved in your health; start with lifestyle changes.  Be careful with placebo treatments. There are cases where sugar pills seem to work because the brain believes that they will.  Placebo treatments' effectiveness will wane eventually and lead people to seek more aggressive types of interventions.    What's most important is understanding what methods work, their benefits and safety concerns before applying anything. [47:24] The Pain Revolution Approach Learn how pain works. There are a lot of reliable resources available that you can consult.  Pain Revolution has an annual outreach cycling tour. They also have a two-year course for local pain educators. Dr Kal hopes for the community to grow and focus on non-interventional techniques for chronic pain treatment. Know that you can adapt to pain. There is a way to recover.     7 Powerful Quotes ‘I like to think of pain in terms of not causes but contributors. The physical side is important… but it's only one contribution of many.' ‘By just getting people to conceptualise their pain properly, we can make a difference.' ‘The best model exists for understanding pain is that anytime we feel pain, or for that matter, all the sensations we feel, which are essentially produced by our brain, there are a lot of things going on at the same time.' ‘When pain persists, it takes a lot less contribution from the physical component to produce the same pain. Sometimes, no contribution at all and people remain in pain.' ‘I think the key thing is to try and avoid being too passive in your own health because reliance on external fixes can be a problem. A lot can be achieved by lifestyle changes.' ‘The people who do well in things like pain or recovery from injuries are often the people who have elected not to listen to the things they have been told.'  ‘If you've got a problem, you just need to create that adaptation pathway for yourself, which doesn't just involve the injury.' About Dr Kal Dr Kal Fried is a proud member and Medical Director of Pain Revolution. Before being recruited, he was involved in the group's first Rural Outreach Tour in 2017. Dr Kal is an independent medico-legal examiner who has consulted with the Transport Accident Commission and WorkSafe as a medical advisor. He was admitted as a Fellow of the Australian College of Sports and Exercise Physicians in 1995. Ever since then, he's helped sporting teams at all levels and across disciplines.  From his experience, Dr Kal observed how the context of pain consistently predicted clinical outcomes. He often shares his findings and observations on pain science and chronic pain treatment on his website. He is also part of the Rehabilitation Medicine Group focused on creating re-adaptive programs for people in pain.  Interested to learn more about Dr Kal's work? Check out his website. You can also reach him on The Rehabilitation Medicine Group through phone (+613 9555 7769), fax (+613 8738 1504), and email.        Enjoyed This Podcast? If you did, be sure to subscribe and share it with your friends! Post a review and share it! If you enjoyed tuning in, then leave us a review. You can also share this with your family and friends so they can learn more about pain and chronic pain treatment.  Have any questions? You can contact me through email (support@lisatamati.com) or find me on Facebook, Twitter, Instagram and YouTube. For more episode updates, visit my website. You may also tune in on Apple Podcasts. To pushing the limits, Lisa The information contained in this show is not medical advice it is for educational purposes only and the opinions of guests are not the views of the show. Please seed your own medical advice from a registered medical professional

Thanks for reading the 38th edition of my newsletter. This newsletter tracks my research as I write a book about lumbar radicular pain!This edition, it’s my pleasure to bring you my conversation with Ash, a project manager from Chennai, India, who has a long history of back pain and sciatica but has nevertheless pursued his powerlifting goals and, to a great extent, recovered from pain. Ash is deeply insightful about his journey and about his pain. During our conversation, he told me not only about how he approaches training with pain, both practically and psychologically, but also how he has found that things like sleep, stress, work and friendship all have a bearing on how his back pain and sciatica feel.One thing that struck me during our conversation was how much work Ash has put in to teaching himself about pain and exercise. He showed me piles of notebooks and, on his laptop, reams of pdfs. He’s a skilled and tenacious autodidact. This is greatly to his credit, but it did also serve as a reminder to me of how hard it is for all of us - laypeople and clinicians - to get our heads round this pain thing. I think this episode will be useful for clinicians who want a reminder of the power of education and of the right approach to training. I also think that, like my conversations with triathlete Kate Charlton (here and here), this episode will be useful for athletes with sciatica who want to get back to training.Finally, here are some links to the resources Ash mentions during our conversation (asterisk = particularly strong endorsement from Ash):The Gift of Injury book by McGill and Carroll*Austin Baraki lecture*Explain Pain book*Barbell Medicine*Recovery Strategies by Greg LehmanMuscle Strength Pyramid approachStronger by Science websiteStrength System, biopsychosocially enlightened gym in ChennaiBack Pain talk by Mark Rippetoe*Aches and Pains article by Austin Baraki Subscribe at tomjesson.substack.com

Today's guest is Tina McIntosh the founder of Brain Changer. After over a decade of suffering chronic pain, Tina was desperate for a solution, when she stumbled upon the work of Professor Lorimer Moseley and Dr David Butler and their book, Explain Pain.After reading their book, something clicked and after further research - Tina developed Brain Changer - as a digital self-management system that put neuroscience into pain management. The idea: to help people rethink their way to a pain-free existence. Brain Changer was the ACT winner of our Innov8rs competition and Tina is here today to share a little of her journey.

Today's guest is Tina McIntosh the founder of Brain Changer. After over a decade of suffering chronic pain, Tina was desperate for a solution, when she stumbled upon the work of Professor Lorimer Moseley and Dr David Butler and their book, Explain Pain. After reading their book, something clicked and after further research - Tina developed Brain Changer - as a digital self-management system that put neuroscience into pain management. The idea: to help people rethink their way to a pain-free existence. Brain Changer was the ACT winner of our Innov8rs competition and Tina is here today to share a little of her journey.

Welcome back yangsters! We're finally back after a short... 6-month break! Unfortunately, B and Nick won't be able to join us for a while but it's going to amazing as they begin their journey as Chinese Medicine Practitioners! (yay for them!) In this week's episode, we cover the book called "Explain Pain" by David S. Butler and G. Lorimer Moseley.  Imagine an orchestra in your brain. It plays all kinds of harmonious melodies, then the pain comes along and the different sections of the orchestra are reduced to a few pain tunes. All pain is real. And for many people, it is a debilitating part of everyday life. It is now known that understanding more about why things hurt can actually help people to overcome their pain. Explain Pain discusses how pain responses are produced by the brain: how responses to injury from the autonomic motor and immune systems in your body contribute to pain

Professor Lorimer Moseley is a clinical scientist investigating pain in humans. After posts at The University of Oxford, UK, and the University of Sydney, Lorimer was appointed Professor of Clinical Neuroscience and Chair in Physiotherapy at the University of South Australia. He is also Senior Principal Research Fellow at NeuRA and an NHMRC Principal Research Fellow. He leads the Body in Mind Research Group, based at the University of South Australia which investigates the role of the brain and mind in chronic pain.  He has published over 310 papers, six books for clinicians and patient workbooks, and numerous book chapters/. He is a strategic adviser for PAIN, associate Editor for the Journal of Pain, the European Journal of Pain and the British Journal of Sports Medicine. FORWARD to 15:15 to get to the interview. The first section is about the history of the treatment and understanding of pain. If you find this podcast valuable, rating it 5 starts and leaving a review on iTunes, Spotify or Facebook is a huge help. You can find more podcasts, information and social media at www.thegpshow.com  If you would like to provide feedback or request a topic, please Contact Us. Thank you for listening and supporting.

Endurance Innovation is now on Patreon! Have a peek at our page and show us some love.3:00 Brodie’s introduction to pain science7:15 pain in a new light: pain as threat perception8:15 pain is generated entirely in the brain10:30 the role of historical context in perception of pain12:00 Michael’s lax ankle ligaments16:30 is it possible to ‘unlearn’ pain?19:00 Brodie’s hypothesis on how kids process pain22:15 pain signals and motor control24:15 the memories of past injuries27:30 persistent pain triggered by an associated movement / motor action31:45 phantom pain33:00 how to decouple chronic pain from chronic tissue damage?36:15 the longer a patient experiences a specific pain, the more of an influence the pain itself - as opposed to the structural damage - on ongoing pain. 41:00 the power of language43:00 what can we do about chronic pain?47:00 why do we experience delayed onset muscle soreness (DOMS)?If you haven't already, subscribe to Brodie's Run Smarter Podcast. Learn a little more about pain in this short video, or dive deeper by picking up the Explain Pain book.

Today we chat about pain.  Chronic pain is a major public health problem with 1 in 5 Americans reporting chronic pain.  More than 30% of Americans who are prescribed a medication for their pain end up addicted.  There is science to suggest that mindfulness-based practices can help self-manage pain (e.g, imagery, meditation).  Building on what we talked about with self-love the body and our beliefs, Doug and Jen share their personal journey with pain, how they have learned to shift their perspective and feel better and make suggestions for the listener.  We hope you enjoy. We mentioned the book Explain Pain and/or Explain Pain Supercharged in the show.  Head on over to Amazon if that is of interest to you!As always we so appreciate you tuning into the show!Please follow us at https://www.instagram.com/mindfulvibin/Subscribe on itunes, spotify, or any of the other podcast hubs we are on.  The list is located here https://mindfulvibin.buzzsprout.comShare with all of your friends and family!Also remember to email us at mindfulvibin@gmail.com for questions, comments or requests for podcast topics.

In this episode, we interview Dr. Cody Weisbach about pain science, a topic that can be overwhelming and confusing for many musicians and music educators. Cody is a Boulder, CO based physical therapist with an interest in the prevention and treatment of playing related musculoskeletal disorders in musicians. He is additionally the founder of Musicians' Maintenance, a series of weekly exercises and podcast on musicians' health issues. Cody additionally has years of experience as a teacher in training for a group called NOI, the Neuro Orthopaedic Institute, which looks at pain science and how to give patients, clients, clinicians, and practitioners resources on pain. We talk about what pain is, different approaches to pain, how to find a clinician to help, how to progressively load or build practice time to prevent injury, and some great resources currently out there for helping to educate clinicians.Resources mentioned:For more on the Neuro orthapaedic institute, go here: https://www.noigroup.com/about/ Explain Pain, by David Butler and Lorimer MoseleySound Practice Health Handbook for Orchestral MusiciansEvidence-informed physical therapy management of performance-related musculoskeletal disorders in musicians, by Bronwen Ackermann and Clifton ChanHand therapy for Musicians with Dr. Aviva WolffMusicians' Maintenance with Cody WeisbachPerforming Arts Medicine AssociationYou can find Dr. Janice Ying at www.opuspt.com and Kayleigh at www.musicianshealthcollective.com

Today we're continuing our conversation about pain, and in particular we're asking the question - why do we feel pain? What is the point of this unpleasant sensation and why, if it's so important, does it seem that we all experience it differently?Pain is, at its core, our body's way of signaling a real or perceived threat. That threat is most commonly one that could cause damage to the physical structure of the body. We experience pain as a way of breaking the pattern and creating a sensation so acutely unpleasant that our attention is drawn almost immediately away from whatever else we may be doing to address whatever the source of the pain is. Remember, at the end of the day our brain's only job is to keep the body alive at all costs. It might be useful to think of pain as the smoke detectors in your house. They go off when there is smoke in the air, and then it is your job to determine the source of that smoke and what to do about it. The smoke detector doesn't tell you if your house is on fire or if you simply had a steak cooking on a stove that was too hot. It's simply - sense smoke, trigger alarm. Obviously, our bodies are more complex but it can be helpful to think about this in those same terms - perceive threat, trigger pain.I liken it to fear - we're not born afraid, we learn to be fearful based on our experiences and from the experiences of those around us. You don't have to get bit to be afraid of dogs. Maybe your grandma got bit when she was a little girl, and every time you were out she saw a dog, she grabbed you tight and told you to “watch out for dogs, they'll bite.”Tune in next week for a conversation about how we can start to re-train the brain when the alarm system has gotten way to sensitive.Catch ya'll next week!FNX Fitness Supplements To Fuel Your Greatness - - Use code ESSENTIAL for 20% at check-outDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.

On this episode of the Healthy, Wealthy and Smart Podcast, I welcome Sandy Hilton, David Butler and Bronnie Thompson on the show to discuss persistent pain during COVID-19.  In this episode, we discuss: -Shifting current healthcare curriculum to better educate clinicians on persistent pain -Can passive modalities empower people to pursue more active treatment options? -How to create more SIMS during the COVID-19 pandemic -Can telehealth appointments adequately address persistent pain? -And so much more!   Resources: International Association for the Study of Pain Website Factfulness Book David Butler Twitter Sandy Hilton Twitter Bronnie Thompson Twitter   A big thank you to Net Health for sponsoring this episode!  Learn more about Four Ways That Outpatient Therapy Providers Can Increase Patient Engagement in 2020!                                                                      For more information Bronnie: I trained as an occupational therapist, and graduated in 1984. Since then I’ve continued study at postgraduate level and my papers have included business skills, ergonomics, mental health therapies, and psychology. I completed by Masters in Psychology in 1999, and started my PhD in 2007. I’ve now finished my thesis (yay!) and can call myself Dr, or as my kids call me, Dr Mum.   I have a passion to help people experiencing chronic health problems achieve their potential. I have worked in the field of chronic pain management, helping people develop ‘self management’ skills for 20 years. Many of the skills are directly applicable to people with other health conditions.   My way of working: collaboratively – all people have limitations and vulnerabilities – as well as strengths and potential. I use a cognitive and behavioural approach – therapy isn’t helpful unless there are visible changes! I don’t use this approach exclusively, because it is necessary to ‘borrow’ at times from other approaches, but I encourage ongoing evaluation of everything that is put forward as ‘therapy’. I’m especially drawn to what’s known as third wave CBT, things like mindfulness, ACT (Acceptance and Commitment Therapy) and occupation.   I’m also an educator. I take this role very seriously – it is as important to health care as research and clinical skill. I offer an active knowledge of the latest research, integrated with current clinical practice, and communicated to clinicians working directly with people experiencing chronic ill health. I’m a Senior Lecturer in the Department of Orthopaedic surgery & Musculoskeletal Medicine at the University of Otago Christchurch Health Sciences.   I also offer courses, training and supervision for therapists working with people experiencing chronic ill health.   For more information Sandy: Sandy graduated from Pacific University (Oregon) in 1988 with a Master of Science in Physical Therapy and a Doctor of Physical Therapy degree from Des Moines University in December 2013. She has worked in multiple settings across the US with neurologic and orthopaedic emphasis combining these with a focus in pelvic rehabilitation for pain and dysfunction since 1995. Sandy teaches Health Professionals and Community Education classes on returning to function following back and pelvic pain, has assisted with Myofascial Release education, and co-teaches Advanced Level Male Pelvic Floor Evaluation and Treatment. Sandy’s clinical interest is chronic pain with a particular interest in complex pelvic pain disorders for men and women. Sandy is the co-host of Pain Science and Sensibility, a podcast on the application of research into the clinic.   For more information on David: Understanding and Explaining Pain are David’s passions, and he has a reputation for being able to talk about pain sciences in a way that everyone can understand. David is a physiotherapist, an educationalist, researcher and clinician. He pioneered the establishment of NOI in the early 1990’s. David is an Adjunct Associate Professor at the University of South Australia and an honoured lifetime member of the Australian Physiotherapy Association.   Among many publications, his texts include Mobilisation of the Nervous System 1991 The Sensitive Nervous System (2000), and with Lorimer Moseley –  Explain Pain (2003, 2013), The Graded Motor Imagery Handbook (2012), The Explain Pain Handbook: Protectometer (2015) and in 2017, Explain Pain Supercharged. His doctoral studies and current focus are around adult conceptual change, the linguistics of pain and pain story telling. Food, wine and fishing are also research interests.   Read the full transcript below: Karen Litzy (00:00:23): Hello everyone. And thank you for joining us today for this webinar. For those of you who are here live, you got to hear a little bit of pre-conversation which is great. And of course in that pre-conversation we were talking about all the things happening in the world today, specifically here in the United States with a lot of unrest and protests for very, very good reasons, in my opinion. And so we just want to acknowledge that and that we see it and that we are trying to learn, and we are doing our best to be allies to our fellow healthcare workers and citizens across the country and across the world for all of the other countries who have been showing solidarity. So I'm Karen Litzy, I'm going to be sort of moderating this panel of minds and I'm going to now go round and just have each of them say a little bit about themselves. So Sandy I’ll start with you.   Sandy Hilton: Okay. Hi, I'm Sandy Hilton. I'm a physiotherapist here in Chicago, Illinois with Sarah Haag. We have entropy physiotherapy and our clinic is predominantly working with pain. It's like a hundred percent of my case load is people in pain and about 80% of that is pelvic pain in particular. But I still see, you know, the rest of humans. David Butler (00:01:49): Hi, I'm David Butler from Adelaide Australia. I'm a physio, although I'm completely a professional and I believe everybody has the exact same role in treating pain. I'm trying to hire, but I can't retire. And then in world, our changing knowledge and our changing potential just keeps me, keeps me on track. So yeah, any sort of pain I'm happy to talk about. Bronnie Thompson (00:02:16): I’m Bronnie Thompson, I'm an occupational therapist by original training with some psychology thrown in, and I'm an educator and clinician as well, but a teeny tiny bit of research, but not much. And I'm a painiac and quite proud of it actually.   Karen Litzy: Excellent. So again, everyone, like I said, if you have questions as we go along, please feel free to put them in the Q and a part. And I will be looking at that as we're going through now, like I said, we've got some questions ahead of time, but before we get to some of the questions that some of the listeners and viewers have wanted to ask, I also want to just quickly acknowledge that we've got a bit of a mixed audience, so we've got healthcare practitioners and clinicians and we've also got people living with pain. Karen Litzy (00:03:11): And so as a clinician for me, it's a great opportunity. I think to address people in pain who maybe don't have the access or the ability to kind of get this information that's in their town or where they're living. So I am really, I'm really looking forward to this discussion, especially for those people that are watching that are living with persistent pain. So the first question I'm going to ask is and I'll ask this of all of you. If you were to give a piece of advice to a new professional or a healthcare professional that is sort of newly working with people with persistent pain, what would that piece of advice be? Sandy Hilton (00:04:11): I'm in Chicago. I'm just going to take it. I really like to stress, especially to students that, you know, we get this concept that the longer you've been in the field, the better you are at it. And, I think that maybe we make different mistakes, but everyone is learning this. And there's so much about pain that we're learning. And so if you're just starting in, I don't know that you might have an easier time because you have less bad habits to get rid of and can start with some of the better newer research and avoid some of the mistakes we made. Bronnie Thompson (00:04:50): So she's doing the popcorn approach. She looks at me. And so I think my advice would be, listen, listen very carefully to what people tell you and trust that they're telling you your experience. Don't try and read stuff into it, just listen and reflect, show that you're listening by reflecting what you've heard. So you can give that you've understood one another, because it's really easy to come out of school with all of this knowledge packed up and your brain thinking, Oh, I've got to do an info dump just like that. And it's not that great for the person, stop and listen. David Butler (00:05:37): They are lovely comments. I'd add. I would welcome anybody to the most new and exciting area of health. And there is a true pain revolution out there. And I would say to anybody, when you come in to just lift your expectation of outcome or what, might've been five or 10 years ago, because the clinical trials and our knowledge of the potential for humans to change is just increasing so dramatically. And I say, now we can say think treatment, not necessarily management because for many people recovery or some form of recovery is on the cards and what's leading the charge is the talking and the movement therapies. It's not the drug therapies for chronic pain. And, I just like to reflect as an older therapist now, patients who maybe 10, 15 years ago with maybe complex post pain surgery or Phantom limbs or complex regional pain syndrome would have thought, and I can't really help here. Now we welcome them through the door and you can get such pleasure, pleasure from treating these people no matter how long they've had the problem. Karen Litzy (00:06:48): Great. And, I would echo what Bronnie said is, you know, really listen and also believe, you know, they're giving you their experience. So try and take your bias out of it and believe what they're telling you and try not to talk them out of it because you see this quite a bit of, Oh, I have pain with this. And well, do you really have pain with that? Or is your pain really that much? And as the patient, it's very frustrating to have someone try and tell you what your pain is. So I'm looking at it from the person who has lived with the really chronic and at times debilitating neck pain is just listen, which is good. Believe them, and try not to talk people out of their experiences because it's very frustrating and it's very sort of dehumanizing for the patient, you know? Karen Litzy (00:07:54): And when I look back at when I first met David and went up to him at an APTA event and said, would you like to be on my podcast? And he said, yeah, sure, but I'm going to New York. I said, Oh, well, that's great. Cause that's where I live. And so then he met me at my, where I was working at the time and spent two hours with me. And I just, after that felt like, Whoa, like this is the first time that someone really listened and didn't interrupt and believed what I was saying and really set me on a path that just changed my life. Like, I don't know where I would be, had I not had that encounter with David. I think it was like 2011 or 2012. And so I always reflect on that and try and be that person, because I know what it felt like. Karen Litzy (00:08:45): And then when someone does come in and, and gives you their full attention and their time and their understanding, and then says, well, challenges your beliefs in a positive way, it was something for me that, you know, and I've talked about it many times that just completely changed my pain and my life. And so, you know, try and be that person is what I would say to people.   Bronnie Thompson: It's like, we've got to remember that people with pain and I live with fibromyalgia, those of you that don't know that's my reality, it's our experience and what it's like to live without pain. You know, what it feels like to know the things that sit at off things that settle it down and our relationship to it, to that pain and conditions. We come in with a whole lot of knowledge about other people and what we've seen. So we are experts and a whole lot of stuff, but what we're not experiencing as this person's life, their experience via what they're wanting from us even, what's important to them. And that's where when we meet and we can kind of share the hidden paradigms things that we don't know about each other, then we've got a chance to make a huge change and that as we know, I just feel so good about what I do. I just love it. I'm such a pain geek. Sandy Hilton (00:10:09): And I think the pain science or the science of pain really gives as a clinician, a lot of comfort to the listen to them, believe them, you don't have to prove it. You don't have to go. And like they say, I hurt here. You don't have to go poke it to reproduce the symptoms to believe it. And that's how I was taught of you have to reproduce the symptoms so that you can document that it's true. And it was like, that's a giant piece of unnecessary that we don't even have to do anymore, which really saves us a lot of time, not to mention establishing that trust and not being one more person. That's poked them in the sore spot. But, that's the thing that I was taught in school. Bronnie Thompson (00:10:58): So the question is, do you think that all chronic pain patients were not treated particularly when they were having the first or second episodes of their acute pain or are they in any way destined to become chronic pain patients? Well, my story is I hurt my back. I was what, 21, 22, doing a tango with the patient and a doorway patient was bigger than me. I landed on the floor on my back and I had all the best evidence based treatment at the time, maybe not, maybe not all the ultrasound, but you know, they didn't lie. They're really and relax a bit. Bronnie Thompson (00:11:48): But I didn't recover. I was then seeing the Auckland regional pain Center with amazing dr. Mike Butler, who is a rheumatologist and founded, and basically was one of the first in this initiations of bringing the international association for the study of pain to New Zealand, good friend of Patrick Wall knew her stuff very well. Gave me the book the challenge of pain to read. So essentially an explain pain paradigm back in the eighties, I know pain pretty well. My pain has not gone away. So there are some people who will not have a complete recovery of all of their pain, but because none of our treatments provide a hundred percent abolition of pain and actually I'm comfortable with it. I live with the pain and it gives me some stuff that some other people don't have access to. I know what it's like to have every bit of my body feeling really rotten. Bronnie Thompson (00:12:53): At the same time. I'm not limited by my pain. And I think sometimes we look at pain removal is that end goal. But I think our end goal is to help people live full, productive, satisfying, joyful and enriched lives. And some people will bring the pain along with them and many people won’t have to and that's amazing. Let's let the person make that decision about what is the most important outcome. But yeah, sometimes we can do all the right things, but if you have a spinal cord injury and you've got a smashed up spine, probability is that at the moment, our technology doesn't give us a solution. We can help, but we can't always take it all away.   Karen Litzy: David, what are your thoughts on that, that sort of movement from acute pain to chronic pain? You know, what are your feelings on that is, is like you said, are you destined to have it are I know, cause I get this question a lot from people like, well, you know, it started out with like an ankle sprain or it started out with a knee sprain and now it's turned into this. So did I do something wrong or was something not done? David Butler (00:14:12): I think you’re not destined to have it, but I think our treatment or therapies and the politics of treating acute pain probably gets in the way. And I also think if someone's hurt their back or any part of their body bad enough to see a health professional, the data is that 50 or 60 or 70% will have a recurrence in the following year. Now most health professionals think a recurrence is a reinjury, but if they really explored what happened, that reoccurance probably happened at a time when they would look at down and flat the immune system's a bit out of balance and they might've just done something simple, lifted up and picked something we would now from pain science, reconceptualize that as well, that's quite good. It's your body testing yourself out like a fire alarm with all the stuff you've been through in the past. It's no wonder your brain. Wouldn't want to play it again to check out how your systems are working, but that just simple piece of knowledge and usually should check to make sure nothing serious has gone on because you check and you can normally say, well, that should ease in a couple of days. That's an example of a little bit of knowledge dampening down. They don't have to go through the old acute process again of more, x-rays more tests, more power. David Butler (00:15:31): I think if that's correct, that observation was seen for many years, it could save governments Billions. Bronnie Thompson (00:15:37): Oh, absolutely. We've got a great thing. The language we use don't we, is it an injury or is it just a cranky body? David Butler (00:15:46): That whole linguistics? And for me and my treatment, you're now a physio by trade. I feel it says important to help someone change the story, to have a story, to take their experience out into society and let it go. That to me is as important as having healthy movement, although they obviously like go together. Sandy Hilton (00:16:07): I was gonna say that the saving of money for systems, for sure, but also the saving of time for people and the saving in our healthcare system. Every test you go do is going to cost you a lot of money. And, that time that it takes to get it in a time away from work and family and the concern of what the test results will be. If we can divert them wisely to not do that when it's not really indicated, that's just so good.   Bronnie Thompson: Yeah. And then I also for, you know, I've had a test now I'm going to wait for the results and now I'm going to wait for what are they going to do as a result of those results? And then, Oh, it's the same. And it just feels very demoralizing to people. And I think that's something we need to think about with make the decision about when and we to stop doing investigations often. That's the sense of the clinician worrying that something, are they going to sue me? It’s not a good way to practice.   Karen Litzy: Yeah. here's another, we'll do this from Louise. She says, picking up on something David had said earlier, how do we move towards being more, a professional? How do we move the pain industry toward this goal? Excellent question Louise. David Butler (00:17:51): There's a lot of answers to it, but a couple would be, I think you just got a quite badly out there would know sports trainers who could deliver an equally good management strategy to some physios, to some doctors, et cetera, right? This pain thing is across all spectrums, which is why the national pain society meetings are so good. And why everybody there is usually humbled and talks to all the other professionals because they realize the thing we're dealing with is quite hard. And we need all the help that that's a weekend get, but it ultimately comes back to provision of pain education throughout all the professions and that pain education should be similar amongst all the professions it's not happening yet. We've tried pushing it, but it's not out there. And it's incredible considering the cost of pain is to the world is higher than cancer and lung diseases together. Karen Litzy (00:18:51): Yeah. The burden of care is trillions of dollars across the world. And, you know, even in the United States, I think the burden of care of back pain is third behind heart disease, diabetes. And then it was like all cancers put together, which, you know, and then it was back pain. So, and, and even I was in Sri Lanka a couple of years ago and I did a talk on pain and I wanted to know what the burden of disease of back pain was in Sri Lanka. And it was number two. So it's not like this is unusual even across different, completely different cultural and socioeconomic countries. And, you know, David kind of what you said, picks up on a question that we got from Pete Moore. And he said, why isn't it mandatory that pain self management and coaching skills isn't taught in medical schools? Is it because there isn't expertise to teach it? Well, I mean, David's right here. He's semi retired. David Butler (00:19:58): Why isn’t that mandatory? That's a big, big question. I would say that the change is happening. Change is happening. I would say that at least half of the lectures or talks I give now are to medical professionals and out of my own profession or even more than half. So yeah, change is happening, but it's incredibly slow. It needs a bloody revolution, quite frankly. A complete reframing of the problem and awareness that this problem that we can do something about it and awareness that there's so much research about it let's just get out and do it now. Sandy Hilton (00:20:40): The international association for the study of pains curriculum and interdisciplinary curriculum would be a nice place to start. And I know some schools here in the States are using it in different disciplines to try and get at least a baseline.   Bronnie Thompson: The way we do it as the core for the post grad program, that I am the academic coordinator for it. Doesn't that sound like a tiny, tiny faculty. But anyway the other thing that we know is that looking at the number of hours of pain, education, Elizabeth, Shipton, who's just about completed. If she hasn't already completed her PhD, looking at medical education and the amount, the number of hours of pain, it's something like 20 over an entire education for six to six or more years. In fact, veterinarians get more time learning about pain then we do then doctors medical practitioners do, which suggests something kind of weird going on there. Bronnie Thompson (00:21:50): So I think that's one of the reasons that it's seen as a not a sexy thing to know about and pain is seen as a sign of, or a symptom of something else. So if we treat that something else in pain will just disappear, but people carry the meaning and interpretation in their understanding with them forever. We don't unlearn that stuff. So it makes it very difficult, I think for clinicians to know what to do. Because they're also thinking of pain is the sign of something else not is a problem in its own, right? Persistent pain is a really a problem in its own right. Karen Litzy (00:22:29): Yeah. And wouldn't it be nice if we were all on the same page or in the same book? I wouldn't even say the same chapter, but maybe in the same book, across different healthcare practitioners, whether that be the nurse, the nurse practitioner, the clinical nurse specialist, the physician, the psychologist, the therapist, physical therapist, it would be so nice if we were all at least in the same book, because then when your patient goes to all these people and they hear a million different things, it's really confusing. I think it's very, very difficult for them to get a good grasp on their pain. If they're told by one practitioner, Oh, see, on this MRI, it's that little part of your disc. And that's what it is. So we just have to take that disc out or put it back in or give a shot to this. Karen Litzy (00:23:25): And, and then you go to someone else and they say, well, you know, you've had this pain for a couple of years, so, you know, it may not be what's on your scan. And then the patient's like, who am I supposed to believe? What am I going to do? And, and you don't blame the patient for that. I mean, that's, you'd feel this that's the way I, you know, I had herniated discs and I say, you just get a couple of epidurals and the pain goes away and then it didn't. And I was like, Oh, okay, now there's so my head, I was thinking, well, now there's really something wrong.   Sandy Hilton: That's the problem. Because yeah, if you think it's the thing you did that helped you or didn't help you, then you lose that internal control. Karen Litzy (00:24:13): Yeah, yeah. Yeah. So I think, I think it's a great question and, and hopefully that's a big shift, but maybe it'll start to turn with the help of like the international association for the study of pain and some curriculum that can maybe be slowly entered or David can just go teach it virtually from different medical schools, just throwing it out. There is no pressure, no pressure. Okay. Speaking of modalities, we had a question. This is from someone with pain and it's what can be the appropriate regimen for usefulness of tens, for acute and chronic cervical and lumbar pain of nerve origin. So Bronnie, I know that you had said you had a little bit of input on this area, so why don't we start with you? And then we'll kind of go around the horn, if you will. Bronnie Thompson (00:25:24): I think of it in a similar way to any, any treatment, really, you need to try it and see whether it fits in your life. So if you are happy and tens feels good and you can carry it with you and you can tuck it in your pocket and you can do what you want to do. Why not just is, I would say the same about a drug. If you try a drug and it helps you and it feels good and you can cut the side effects, there's nothing wrong with it. Cause we're not the person living life. It's more to think about it in a population. How effective does this? And my experience with tens is that for some people it does help and it gives a bit of medium, like a couple of hours relief, but often it doesn't give long sustained relief and you have to carry this thing around. That's prone to breaking down and running out of batteries, right when you need it. So to me, it's agency, but then I put the person who's got the pain and the driving seat at all times to say, how would this fit in your life? Do you think you want to try this one out? It's noninvasive it's side effects. Some people don't like the experience and sometimes the sticky pads are a bit yuck on your skin, but you know, that's more bad. So yeah, that's my, my take on it. David Butler (00:26:44): I haven't used it for 40 years after the second world war. When you start to stop, when they, I was friendly with the guy who invented it and I'm thinking it'd be happy pet we'll would be happy to, with these comments that I agree with what Bonnie said. Absolutely. I would also say that, hi, wow, you have got something there which can change your pain by scrambling some of the impulses coming in. You can change it, let's add some other things which can change the impulses coming in or going out as well. So let's use that. Let's get you building something, maybe something repetitive or something contextual or something as well. So you you've shown change you're on the track. So I would use it as a big positive to push them on keep using it, but on the biggest things. Sandy Hilton (00:27:32): Yeah, the advantage is it's. So it's gotten so inexpensive. So for something that has minimal to no side effects and has the potential of helping them to move again, which I think is always the thing that we're aiming for. It's not very expensive. But now like several hundred dollars, right? You can order it online. Now you don't even need a prescription or approval or anything like that. Karen Litzy (00:27:59): Yeah. Yeah. That's true. And something that I think is also important is, you know, you'll have people say, Oh, those passive modalities, that's passive. You know, I had a conversation with Laura Rathbone Muirs. Is that how you say the last name? I think that's right. Laura. And we were talking about this sort of passive versus active therapies and, you know, her take on, it was more from that if they're doing these passive modalities, they're giving away their control. And, she said something that really struck and, kind of what the three of you have just reinforced is that no, they still have that locus of control. Cause they're making that conscious effort, that conscious choice to try this, even though it's a passive modality, they still made the choice to use it. Karen Litzy (00:29:03): And I think that coupled with what David said, Hey, this made a difference. Maybe there's some other things that can make a difference that I think that I don't think they're losing that locus of control, or I don't think that they're losing they're reliant on passivity, right.   Sandy Hilton: When they have their own unit and they're not coming into the clinic to have it put on you. And you lie there on the bed while you do it.   Bronnie Thompson: It's something that you have out in the world. It's not different to sticking a cold compress on your forehead when you're feeling a bit sick, you know, we did it. That's just another thing that we can do. So I see it as a really not a bad thing. And it is in the context, you know, if you can do stuff while you've got it on, then it's the hold up problem, as long as you like.   Karen Litzy: Great, great. Yeah. As long as you like it. Exactly. Yep. Okay. so we've got another question that we got ahead of time and then there's some questions in the queue. So one of the questions that we got ahead of time was how do we explain pain responses like McKenzie central sensitization phenomenon in modern pain science understanding. David Butler (00:30:35): I'd answer that broadly by saying that the definition that we've used and shared with the public in the clinical sense is that we humans hurt when our brains weigh the world. And judge consciously subconsciously that there's more danger out there than safety. We hurt equally. We don't hurt when there's more safety out there, then danger. So somebody who's in a clinic and is bending in any way and it eases pain. There will never be one reason for it. So it might just be, that might just be the clinic. It might be the receptionist. It might be all adding up. It might be the movement. They might've done one movement. And so, Oh, I can do that. And then all safety away, we go again, the next movement helps within that mix. There may be something structural. You've done to tissues in the back and elsewhere that might have eased the nociceptors that barrage up. But by answer will always be that when pain changes, it's multiple things are coming together, contributing to them. And they'll never never just be related to nociception. Sandy Hilton (00:31:49): I have to say this to say, I am not McKenzie certified. So this is my interpretation of that. I like the concept of you can do a movement. That's going to help you feel better. And we're going to teach you how to do that throughout the day. Maybe as a little buffer to give you more room, to challenge yourself a little more knowing that you'll have a recovery. And I just pick that part and use that.   Bronnie Thompson: I heard the story of how it all came about and it, and it's you know, it's an observation that sometimes movement in one direction bigger than another. And that's cool. It's like, you're all saying, let's make this little envelope a little bigger and play with those movements because we're beasts of movement. Bronnie Thompson (00:32:50): We just forget that sometimes we think we've got to do it one way. And you know, I can't tell my plumbers who crawl under houses. Look, you've got to carry things the way, you know, the proper safe handling thing. And I wasn't, I was the same safe handling advisors like me. But you know, there's so many ways that we can do movements and why can't we celebrate that? And the explanation, sometimes we come up with really interesting hypotheses that don't stand the test of time. And I suspect it might be some of the things that have happened with the McKenzie approach. It's same time. What McKenzie did that very few people were doing at the time was saying, you can do something for yourself that as we are the gold ones, that's what changed. David Butler (00:33:40): Bronnie, what's really helped us to start the shift away from poking the sore bit, come on, do it yourself. And, and I always give great credit to Robin McKenzie for that shift in life. Sandy Hilton (00:33:53): Yeah. And an expectation that it's going to get better. Right. David Butler (00:34:00): You think that’s showing something in the clinic that helps. Wow. Let's ride let's rock. Karen Litzy (00:34:07): Yeah. And oftentimes I think patients are surprised. Do you ever notice that Sandy, like, or David, or, you know, when you're working with patients, they're like, Oh, Oh, that does feel better. And they're just sort of taken aback by, Oh, wait a second. That does feel better and it's okay. I can do it. Yeah. And then you give them the permission to do so. And like you said, is it's certainly not one single thing that makes the change. But I think everything that you guys just said are probably the tip of the iceberg of all of the events surrounding that day, that time, that movement, that can make a change in that person. And I think that's really important to remember. That's what I sort of picked up from the three of you.   Bronnie Thompson: But the stories like that kind of convenient ways of, for us to think that we know what we're doing, but actually within what this person by what this person feels and how they experience it. And the context we provide us safety, security. And I'm going to look after you, that's, you know, changes, motivations about how important something is and how confident you are that you can do it. We can provide the rationale important part. The person ultimately drives that. So we can also provide that sense of safety and that I'm here. I'm going to hang around while you do this stuff. Let's play with it. Let's experiment. And if we can take that experiment, sort of notion of playing with different movements in, we've got a lot more opportunity for people in the real world to take that with them. We can't do that. Or forgive people are prescribed. You will do this movement. And this way perfectly I salute, but the old back schools, Oh, I know scary, And they did get people seeing the other people were moving. And that's a good thing that we can take from it. It's always good and not so good about every approach. Karen Litzy (00:35:11): Now I have a question for David and then out to the group, but you know, we've been talking about Sims and dims and safeties and dangers. And so for people who maybe have no idea what we're talking about, when we're talking about Sims and dims, can you give a quick overview of what the Sims and dims, what that is so that people understand that jargon that we're using? David Butler (00:36:40): Okay, it's a model we use. There's lots of other similar models out there. So basically based on neuro tag theory, the notion of a network that there's danger danger in me networks out there, and there's safety in me networks, rather simple, structured thinking here, and we've looked at these this has emerged due to the awareness, the pain science that we have a network in our brain. But me as an old therapist, when the brain mapping world came in and we realized, hang on pain, isn't just a little nest up there. There could be thousands of areas of the brain ignited indeed the whole body ignited in a pain experience. And one of the most liberating bits of information for me and my whole professional career, because what it meant was that many things influence a pain experience and a stress experience, move experience lab experience, and many things can be brought in to actually try and change it. David Butler (00:37:39): And all of a sudden means that everything matters. So this is where dims danger in me, safety sims in me, it was just a way to collect them. So an example of a dim with categorize them could be things you hear, see, smell, taste, and touch. So for one person, it could be the smell of something burning or looking at something or hearing something noise. The things you do could be a dim. It could be just doing nothing, but then there's Sims, gradually exercising, gradual exposure seems in things you hear, see, smell, taste, and touch could be going out. One of my most common exercises I now give somebody is to go down to our local market and find four different smells, four different things to taste, four different things to touch. And then they'll say, why should I do that? Because you can sculpt new safety pathways in your brain, which will flatten out some of them, some of the pathways they're linked to pain and it comes to of the things you say important. David Butler (00:38:37): You know, I can't, I'm stuffed, I'm finished. I got mom's knees. We try and change that language too. I can, I will. I've got new flight plans. I can see the future, the people you meet, the places you're with. So it's a way of categorizing all those things in life into either danger or safety, we try for therapy, we try and remove the dangerous. It is often via education. What does that mean? And we try and help them find safety and health professionals out there are good at finding danger, but we're not used to getting out there and finding those liberating safety things. And of course the DIMS SIMS thing. It's also closely linked in, we believe to immune balance. So the more dims you have, the more inflammatory broad immune system, the more sims you have, you move more towards the analgesics or the safety. And so it's the way to collect them. It's a way to collect as we try and unpack and unpack a patient's story listing to it within to unpack it and then to re-pack it again with them in a different way. Did that make sense? Karen Litzy (00:39:49): Absolutely. Yes. I think that made very good sense. And I believe you, there is a question on it, but I believe you answered it in that explanation. It says, have you had patients that cannot find Sims or it's difficult to identify and if so, how can you teach them what a SIM is? But I think you just answered that question in that explanation. David Butler (00:40:11): Once they get it. They're on their way. And we send people on SIM hunting homework. So for example, the same might be places you go, okay, if you can get out, just walk in the park or walk somewhere, then power up the SIM by feeling the grass, touching the box, spelling something. And we pair it up by letting them know that if you do that, your immune system gets such a healthy blast, that it can also help dampen down some of the pain response. Bronnie Thompson (00:40:39): And with regard to our current situation, sort of around the world COVID-19 and all the subsequent stuff. And also the situations in the U S at the moment, is it any wonder that lots of people are feeling quite sore because we’re eating this barrage of messages to us. And so I would argue that at the moment it might be worthwhile if you're a bit vulnerable to getting fired up with the stuff said, it's a good idea to ration, how much time you're spend looking at the stuff, not to remain ignorant, but to balance it with those other things that feel good, that make you feel treasured and loved and committed. And for me, it's often spending some time in my studio, walking the dog, going outside, doing something in nature. And there is some really good research showing that if you're out in the green world nature, that there is something that our body's really relish, kind of makes sense to me. Sandy Hilton (00:41:42): So taking that concept into what's going on right now, there's been a challenge clinically of the things that helped people balance that out, got taken away from them. Yeah. So it was a complicated it still is. It was a complicated thing where it wasn't your choice to stop going to the swimming pool because it made you happy and it gave you exercise and balance this out. Someone closed the pool and told you, you couldn't go. And so there's all different layers of loss in that and lost expectations and loss of empowerment and all of these things. So we have had to help people rediscover things that they could access that could be those positives. And that's been hard and really working my muscles of how to help people find joy or pleasure or happiness or safety in an unsafe environment to really get that on a micro level when you've lost the things that used to be there. And, it's been like a lot, but you can do it. It just takes concentration. David Butler (00:42:57): An important thing. That's so important. I think a question for therapists health professionals should be a sane question should be, you know, what's your worldview at the moment. And I would ask that, and it's usually not good, but I chat and have a chat. And actually I'd like to take people through some graphs that the world is not as bad as it really is. And if you look at I've been reading a book by Hans Rosling called factfulness. And really over time, our world is getting better. There's less childhood diseases, a whole range of things, getting better, bad, and bad things, getting better. This is a hiccup. This, for example, I had a musician recently and I had a graph I could show her that say that there's now 22,000 playable guitars to a million people in the world. But 12 years ago, there was only 5,000. All right, this is just one little thing. All right, cool. There's a lot of stats that show that our world is improving, you know, children dying, amount of science, a whole range of things. And this hiccup we have that I'm hopeful humanity can get, can get through, but just a little message I pass on is therapy. Bronnie Thompson (00:44:13): Even though we can't do stuff, we can't access places. What can't be taken away as our memory of being there. So it's really easy to take a moment to back a memory that feels good to say, actually, you can't take that one away from me. I might not be physically getting there, but I can remember it, feel those same feelings. And then being mindful.   Sandy Hilton: This is funny because if you look at Bronnie's background, that's one of the memories I've been using. When I lost the lakefront, I was like, okay, I'm just going to sit there and pretend that I'm not at that beach by that pier. So it's, it's fabulous. And even pictures or recordings of things that you've done before is like, okay, now there is still good stuff. I might not have it right here, but they're still good stuff. So that's really funny. As soon as I saw the picture, I'm like, yeah. And gratitude and just, yeah. Bronnie Thompson (00:45:05): The other thing as well, we've always got something that we can be grateful for all that. It might feel trite, you know, I'm living in winter, but I've got a roof over my head. I can have a damn fine cup of coffee and probably a nice craft. I'll at the end of the day, these are things that I can do and can have any way. So we can create the sense of safety insecurity inside ourselves without necessarily having to experience it. David Butler (00:45:38): Right. Just a quick comment. I would share that with patients who can't get out are saying the things you do when you're still can be as important as the things you do when you move. Right? So let's explore. If you can't do things, you can still really work you yourself with the things you do. And you're still calm. The introspection reading, thinking, contemplation memory enhancement, go through the photo album, et cetera. And I'd also like to always say to someone to link that in that is a very, very healthy thing to do to your neuro immune complex. Karen Litzy (00:46:13): And that sort of brings, I think we answered this question. This was from a woman who is living with chronic pain and at high risk with COVID-19. So how do we get past the fear of going out where people are crowding areas to get the exercise we need to maintain our fitness and muscle tone to reduce our pain. She said, even though I'm doing exercises and stretching, I've lost the ability to walk unaided on uneven grounds through weeks of lockdown. And the hydrotherapy pool is closed. She said, she knows, I need to get out and walk more, but shopping centers, which are the best place to find level floors are out. And a lot of places that she used to go are now very crowded because people are, don't have the access to gyms and things like that. Are health professionals able to suggest options when she lives in a hilly area with only a few but all uneven footpaths or sidewalks. And she has a small house. Sandy Hilton (00:47:18): That's the kind of thing that we've been doing since it's like, okay, let's problem solve this out. Because yeah, you have your carefully set way to get through this and then it's disrupted.   Bronnie Thompson: Yeah, boy, I like having lots of options for movement opportunities. So we don't think of my exercise, but we think of how can I have some movement today and bring that sense of, we are alike to be like, if I can imagine I'm walking along the beach while I'm standing and doing something and, you know, doing the dishes or watching TV or something that still can bring some of those same neuro tags it's same illusion, imaginary stuff activating in my brain. And that is a really, really important thing because we can't always the weather can be horrible, especially if you're in Christchurch and you can't go out for a walk. Bronnie Thompson (00:48:27): Yeah. But you know, we can think novelty is really good. So maybe this is a really neat opportunity to try some play. And I've been watching some of the stuff that our two chiropractor friends do with you put, let's put, at least try some obstacle courses and the house so that it's not we're not thinking of it as exercise. And I've got, do three sets of 10, please physios change that. Let's do something that feels like a bit of fun. There's some very cool inside activities that are supposed to be for kids. I haven't grown up yet. I'm still a baby. Sandy Hilton (00:49:16): Yeah. A lot of balance and things like that you inside that would help when you have your paths back outside. Yeah, yeah.   Karen Litzy: Yeah. Great. And then sticking with since we're talking about this time of COVID where some places are still in lockdown, some places are opening up. Bronnie and David are in an area of the world where they have very, very few cases, very, very few cases, Sandy and I are in a part of the world where we have a lot more than one. So what a lot of practitioners have had to do is we've had to move to tele-health. And so one of the questions David Pulter, I believe, as I hope I'm saying his name correctly is do we perceive that our ability to be empathetic and offer effective pain education is somehow diminished by a tele-health consult. So are we missing that? Not being in person.   Sandy Hilton: I have found it equally possible in person or telehealth cause you're still making that connection. We do miss stuff. We can't read the microexpressions in people as easily. So we as therapists have to work harder, but for the person on the other end, think about what the alternative is. Sandy Hilton (00:50:46): And it's been really cool for the people with pelvic pain, that every single time they've gone to a physio it's been painful. And on tele-health it's the first time she has been able to talk to someone about all of her bits and pieces without being afraid that it's going to hurt because there was no way to see somebody inside somebody's home.   Bronnie Thompson: You get to know something more about me. I've met more pets than ever thought. It was wonderful. This is a privilege that occupational therapists have had for a long time. And I'm so pleased that other other clinicians are getting that same opportunity, because we know so much more about a person when we can see the environment that they live with. That's just fantastic, but it's harder. David Butler (00:51:39): I find I've come back into clinical practice. I thought I was going to retire because I wanted to go, but also doing it. I was hopeless at first, but I'm really enjoying it. And I actually believe, I actually believe for the kind of therapies we're doing it's equal or better than face to face. Ideally, I think I'd like to have one face to face or maybe two but then to continue on with the tele health, particularly for people are in rural areas and it's almost no this kind of therapy was coming anyway, but the COVID has hastened it. So I found myself getting anecdotally here a much more emotional, closer, quicker link to patients by the screen. They were in a safe place. They're in their house. That's number one. They're not in a clinic you're there. And you can actually look at that face in the screen, as we're doing now, I'm looking at your faces, maybe one or two feet away, and I'm just keep looking at you. David Butler (00:52:46): And there's this connection, which is there. And there's also these other elements it brings in like, you start at 10 o'clock and you finish at 10:45. So there's open and closure, which isn't really there in some of the, in some of the clinics, the difficulty I'm having with it though is I was never in face-to-face practice a very good note taker. I used to make notes at the end. I was talking too much, but what you have to do here, my suggestion with face to face is you really need to plan and make your notes straight after. What did I tell that one on the screen, last clinical context, to sort of remind you of all the little juicy bits that we've got in the interaction. So it's really, for me, it's coming back to curriculum and mind you, I'm glad I'm not doing dry needling or just manipulating it with the talking therapy, but my suggestion is to have the habit curriculum. David Butler (00:53:44): So I've got my key target concepts. I know that I've addressed them in that particular session in the next session. I know I've gone back and I've done teach them the self reflection as well. Then to come back to see if I can get it all, or if I've translated my knowledge into something functional or some change. So I'm really, I'm really loving it. And I think there's something rather new and special with this, with this interaction. But maybe that's just me as a physio who sort of used to the more physical stuff. Maybe this is something more natural to the psychologist, its perhaps, but I'm with it. Bronnie Thompson (00:54:22): I’ve been doing the group stuff. And I found that has been, I've seen, I like it because they don't have to go and travel someplace. It does mean that we can offer it to people who otherwise can't get here. You know, they can't seek people, especially rural parts of New Zealand, low broadband is not that great in many parts as well. So it gets that it's an opportunity. I'd like to see the availability of it as an option. So we can use like we do with our therapies, we pick and choose the right approach or the right piece at the right time and the right place that doesn't have to be one or the other, like you said, you could see him a couple of times in person and then a couple tele-health and then maybe they come back again and then you do mix and match.   Karen Litzy: We have time for one more question here, maybe two. So David, this was one you might be able to answer it really quickly. As a practitioner, what is the utility of straight leg raise slump and prone knee bend test and the assessment of chronic back pain. Is it still relevant? David Butler (00:55:38): Oh gosh. Oh gosh. I'm going to dodge that question and would say it, it would depend on the client who comes in so I think those neurodynamic tests, which I still do. I think the main principle from them is you're testing movement. You're not testing a damaged tissue and anytime you're doing a physical examination, the deeper thing is the patient is testing you. You're not testing them. So what that patient, what that patient offers back in terms of movement or pain responses or whatever, depends on so many things. I might however, have a client and they are out there who do have maybe a specific stickiness or something or something catchy, whatever that may well, the scar around it might well be polarized by action, where I might spend a little bit more time taking a closer look at it. Now that might be relevant. Someone might have, for example, someone might come out of hospital and have had a needle next to the IV drip, next to their musculocutaneous or radial sensory nerve there where it's really worthwhile. Let's explore all the tissues here and see that that nerve can move or slide or glide. But in the second case, I'd made a clinical decision that we probably have issues out in the tissues, which are with a closer evaluation. That's a really broad answer. Karen Litzy (00:57:11): I think it's a tough question to answer because it, sorry, got a cat behind me. I felt my chair moving and I was like, what's going on? Just a large cat. So last question. So how to manage tele-health when the patients may be kind of embarrassed of their house or context or spaces or family it's very common in low socioeconomic patients. So they may not want to turn on their camera.   Sandy Hilton: Yeah. I've had that shaking well, and I've had people in their car or very clearly like I'm kind of angled cause there's a lot going on in my house and I don't have a green screen. So where it's like, and there's just a wall behind me and it's one of the reasons like I'll talk to him ahead of time of if I'm in the clinic, it's clearly the clinic, but I'll tell them I'm at my house. Sandy Hilton (00:58:12): Cause of COVID. So, you know, no judgment, you're going to see a wall and probably a cat and just kind of be up front in the beginning of this as a thing, I've had people that start with the phone on or turn it off or whatever, you just, you roll with it. But I have those conversations ahead of time, before we even do the call.   Bronnie Thompson: It's about creating a safe space for people. You know, if somebody feels, you know, was not having the video, it won't be that long before. I hope we've got some rapport and it feels better. I'm just, I'm doing a bit of a chuckle because the reason I've got my green screen behind me as my silversmith studio, which has an absolute shambles because it's a creative space. So I'm just disguising it because it's works. David Butler (00:59:07): There is something about delivering a story of some talking in the patient's room and there's cupboard doors open and you're looking in their cupboard at the same time. And you know, looking at that, then I just look at that thing. We’re safe here. Karen Litzy (00:59:26): Well, listen, this has been an hour. Thank you so much. I just want to ask one more question or not even a question, more like a statement from all of you that, what would you like the people who are listening and they're, like I said, there were clinicians, there were non-clinicians on here. And I think from the comments that we're seeing in the chat is very valuable and very helpful. So what do you want to leave people with?   Sandy Hilton: I'm gonna echo how I started. We're learning more every single week. I'd say, day but I'm not reading that often. So even if you've gone or you've treated someone and you couldn't quite figure out a way to help them, don't give up because there's more information and more understanding and more ways to get to this all the time. And I don't think you're stuck if you hurt. David Butler (01:00:26): I'd like to mirror those comments, explore the power of tele health, lift your expectations of outcome for those patients, people who are suffering and in pain, who are listening for those who are getting into pain treatment there's a science revolution and a real power in that revolution behind what you do. So just go for it. Bronnie Thompson (01:00:52): I think don't be hung up on with the pain changes or not, be hung up on does this person connect with me. We create trust. Am I listening? Can I be a witness? Can I be there for you? Because out of that will come this other stuff. There are some people whose pain doesn't get better. It doesn't go away. And that's a reality, but it doesn't mean that you have to be imprisoned or trapped by your pain. That means you develop a different relationship with your pain. And I think that's a lot of what we are doing is creating this chance to have some wiggle room, to begin to live life. That's what I'm looking for. Karen Litzy (01:01:53): Beautiful. Well, you guys thank you so much. And for everyone that is here listening, I just want to say thank you so much for giving up an hour of your time. I know that time is valuable, so I just want to thank you all and to Bronnie and to David and to Sandy. Thank you. Thank you. Thank you. And kind of on the fly. So I just want to thank you so much and to everyone. I guess the thing that I would leave people with is, if you're a clinician or if you are a patient, the best thing that you can do, if you are in pain is reach out to someone who might be able to help you, find a mentor, find a clinician, ask around Google, do whatever you can try and find someone who like Bronnie and David and Sandy I'll echo everything. You said that number one first and foremost, you connect with and that you feel safe with. You want them to be your super SIM, you know, like Sandy's my super SIM. Karen Litzy (01:02:48): So you want them to be your super SIM. And, if you can find that person, that clinician just know that that there can be help, you know, whether you're struggling as the clinician to understand your patients or your the patient struggling to find the clinician, I think help is out there. You just have to make sure that you be proactive and search for it. Cause usually they're not going to come knock on your door. So everybody thank you so much for showing up. Thank you, everyone who is on the call and to everyone who is watching this on the playback I hope you enjoyed it. If you have any questions, you can find us we're on social media and various websites and things like that. So we're not hard to find. Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram  and facebook to stay updated on all of the latest!  Show your support for the show by leaving a rating and review on Apple Podcasts

Professor Lorimer Moseley is a clinical scientist investigating pain in humans. After posts at The University of Oxford, UK, and the University of Sydney, Lorimer was appointed Professor of Clinical Neuroscience and Chair in Physiotherapy at the University of South Australia. He is also Senior Principal Research Fellow at NeuRA and an NHMRC Principal Research Fellow. He leads the Body in Mind Research Group, based at the University of South Australia which investigates the role of the brain and mind in chronic pain.  He has published over 310 papers, six books for clinicians and patient workbooks, and numerous book chapters/. He is a strategic adviser for PAIN, associate Editor for the Journal of Pain, the European Journal of Pain and the British Journal of Sports Medicine.   FORWARD to 20:30 minutes if you want to avoid my introduction about the history of the treatment and understanding of pain.   More "pain" info, including websites mentioned, videos, images and courses at https://thegpshow.com/bookshelf/painmedicine/ If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help. For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com Facebook: @TheGPShow.podcast Twitter/Instagram: @drsammanger (new) Youtube: DrSamManger (new) If you would like to provide feedback or request a topic you can contact us or complete a quick survey at www.thegpshow.com Thank you for listening and supporting.  

This is the 18th episode of the Paindora Podcast. Dr. Kevin Cuccaro and Dr. Melissa Cady (The Challenge Doctor) discuss common misconceptions of the Explain Pain education delivered by Lorimer Moseley and David Butler. Melissa Cady, DO (aka The Challenge Doctor) is board-certified in anesthesiology and pain medicine and is the author of PAINDEMIC: A Practical and Holistic Look at Chronic Pain, the Medical System, and the antiPAIN Lifestyle (https://amzn.to/3aUY6Ju) Kevin Cuccaro, DO is also trained and board-certified in anesthesiology and pain medicine.Subscribe to The Paindora Podcast on Soundwise

Hello and welcome back to the Injured to Elite Podcast with your host me, Dr. David Meyer Dream Coach and Performance Physical Therapist!  Are you faced with a challenge in the way of your dream?  Well then this podcast is for you.  Today the Abstract Physio, Jordan Seda joins the show to discuss coaching people through fear and the power of community.  Jordan and I met at a round table discussion recently talking about paradigm shifts in the Rehab and Performance industry alongside several other innovative colleagues. Jordan and I talk about...Coaching People in Fear Through Validation & AcknowledgementPain ScienceThe Importance of Community The Book Explain Pain By David Butler and Lorimer MoseleyThe #1 Tool After Experiencing Your Time Zero EventJordan can be reached on instagram @theabstractphysio and www.theabstractphysio.com where he shares great blog postsHit me up on instragram @davemmeyer now and let me know how you are coaching and or coping with fear in pursuit of your dreams!

As part 2 of the Affirmations Episode, John Denney and I go deep into though viruses talking about both positive and negative thought viruses.  A thought virus is defined by the author's of the book "Explain Pain" as a thought which indicates extreme danger in you and can be expressed amongst your senses, things you say, and things you think and believe.  Others have defined thought viruses as "subconscious patterns that become ingrained in our being.”We take a positive thought virus and call it a thought vaccine to cure these negative thought viruses and teach you how to cue yourself to use these at critical moments in journey when going from injured to elite.  Head over to www.theharmonyexercise.com to learn a way of life made up of many thought vaccines!  To win a free MYTSTRAP head over to my IG page now at @davemmeyer!Enjoy !

We are back with a QnA episode where we curate a handful of questions sent in from listeners and take a stab at providing some valuable answers. We appreciate your feedback as always! Rate, review, shares, and comments all help us grow the show! Tim Walcott Info: Website: www.motusstrength.ca/personal-training Facebook: www.facebook.com/MotusStrengthHealthClub Email: tim@motusstrength.ca Instagram: www.instagram.com/tim_mshc Facebook: www.facebook.com/tim.walcott Tyler Paterson Info: Website: www.motusstrength.ca/massage-therapy Email: tyler@motusstrength.ca Instagram: www.instagram.com/tyler_mshc Facebook: www.facebook.com/tyler.paterson.96 Tyler Morrow Info: Website: http://motusstrength.ca/performance-coaching Email: tmorrow@cmcc.ca Instagram: www.instagram.com/tyler_morrow_mshc Facebook: www.facebook.com/tdawg93

Susan Stralka PT, DPT, MS has information which will revolutionize the way you treat pain patients. Susan shares ideas and concepts in our interview to help you understand if your patient may have central pain and some effective strategies for intervention. These are the books Susan recommends during this podcast: • Butler David. (2000) The Sensitive Nervous System: Pain Mechanisms and Peripheral Sensitivity, NOI Group Publication • Buter David. ( 2013) Explain Pain 2nd Edition, NOI Group Publication • Sluka, Kathleen (2016). Mechanisms and management of pain for the physical therapist: Second edition. International Association for the Study of Pain • Louw, Adriann et al. (2018) Pain Neuroscience Education: Teaching People About Pain, Orthopedic Physical Therapy Products, 2nd edition Here are the current courses Susan has on liveconferences.com Pain: Whats My Brain Got To Do With It? Mirror Mirror on the Wall: Motor Imagery Program Brachial Plexus: Secrets of Treating TOS If you want the evaluation tool Susan discussed please email us at: info@handtherapy.com and let us know and we will send you the PDF document. Thank you everyone - Please share our podcast with your network and give us a 5 star review.

Thought I would document my health journey from not being able to walk for 9 months due to chronic pain, to being diagnosed with Hashimotos, an autoimmune disease, to where I am now, largely pain free and on the verge of reversing the autoimmune disease. In this episode I share my journey and more importantly share all the things I did to try and get better. I have no idea whether one thing has had the most impact or whether it is a culmination of many things, but here's my story. I hope if you're experiencing anything similar, my story might be helpful to you or someone you love.   This is a long video, so here are the top 10 things I did that I feel had an impact:   1. Change in diet. Switching to an anti-inflammatory lifestyle. Going dairy-free + grain-free. 2. Accepting the pain, not getting caught up in the emotion around being in pain. Allowing the as-is (Michael A Singer type thinking) 3. Meditating 4. Writing morning pages (see The Artist's Way by Julia Cameron) 5. Educating myself on Neuroplasticity (see NOIgroup, David Butler, Prof Lorimer Mosely and the book Explain Pain and the Protectometer handbook) 6. Faith. I believed I would get better or find a way to live a fulfilling life despite the debilitating pain. Faith that life is always working for me and not against me. 7. Talking to people about my health challenge, which often lead people to link me to other people who could help me. 8. Walking. Bravely walking and putting what I learned about Neuroplasticity into practise. Being brave believing pain can't hurt me, walking cam't make it worse and despite huge fear doing it anyway. 9. Listening to people talking about Neuroplasticity and great mindsets when my mindset took a dip, in order to strengthen my belief. 10. Accepting the as-is. On flare up days, no catastrophizing, just allowing and looking for the lessons or the opportunity for growth on the other side of the pain boulder! I would add my coach Jacqueline Hurst helped me enormously on this journey by teaching me how to have a great relationship with food and therefore feel no restriction around my new inflammatory lifestyle. Feel free to hop on over to Instagram and join in the conversation with my community about this topic!

In this episode, Trina Altman talks about her beginnings in Yoga and Pilates, her trip to India, how she created Pilates Deconstructed® and Yoga Deconstructed®. We also discuss the state of Yoga, how much it has evolved through exposure to social media, about the importance of connecting and sharing opinions and of evolving beyond the black and white perspective. We discussed her interdisciplinary approach, the importance of practicing a variety of movements and learning from teachers that encompass the big picture. I asked her what does yoga postures mean to her, and we talked about Matthew Remsky's new book and the subject of abuse in the yoga world. Books discussed in the talk: Explain Pain. David Butler & G. Lorimer Moseley Mindful Movement: The Evolution of the Somatic Arts and Conscious Action. Martha Eddy Practice and all is coming. Matthew Remski

Pain is a feeling we’re conditioned to heal without fully understanding it first. This leads us to taking the wrong medication that we suffer more from in the end. Pain master David Butler explains not only what pain is but dives deeper into the psychosocial model of pain care. He wrote a book called Explain Pain where he went beyond the traditional way of explaining pain by tapping into the emotional, mental, and physical state of a person. David also provides examples that relate pain to numerous parts of the bodies, providing us the knowledge to take into consideration how we tend to view CBT as opposed to how it should be understood. David sheds light on the importance of education as part of treating your pain by giving scenarios and thorough yet understandable reports on pain science. Sign up for the latest episode at www.drjoetatta.com/podcasts.   Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: drjoetatta.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn

How can occupational therapy practitioners help our older adult patients that have chronic pelvic pain? Guest Allison Landry OT, gives some practical examples and tools to help you better serve older adults.  Subscribe here on: iTunes or Stitcher Resources from the Show: OPTP Smart Roller Sits Pads for prolonged sitting Squatty Potty Voiding Diary  Bladder Irritants Prelief takes acidic content out of foods/liquids  Calm & Headspace free apps for mindfulness/breathing    Simplify Your Documentation Podcast   Explain Pain by David Butler    More OT Fun:  Click here for more info and join the FREE 5 day Occupation Based Challenge today! Starts Monday, March 19, 2018  Thanks for Listening! I appreciate you taking the time to join me this week. If you have ANY suggestions on OT podcast topics focusing on the older adult, I'd love to hear your suggestions. Head on over to SeniorsFlourish.com/podcast. And don't forget to subscribe to the show on iTunes to get automatic updates and be sure to not miss an episode. Plus, it's free!

Dr. Tasha Stanton’s background in physiotherapy and pain science means her research is very clinically relevant. BJSM’s Liam West discusses with Dr. Stanton the pain experienced by patients with osteoarthritis, how fear and emotions can alter this pain and where the future of osteoarthritis pain management might lie. Related Articles: Evidence of central sensitisation, impaired pain inhibition, enhanced pain facilitation in OA: Edwards et al. BMC Musculoskeletal Disorders 2016; 17:284 Perception of harm influences pain: Wiech et al J Neurosci 2010; 30:16324-31 What people with OA think about exercise/harm: Holden MA, et al. Role of exercise for knee pain: what do older adults in the community think? Arthritis Care Res. 2012;64:1554-64. Somers et al. J Pain Symptom Manage. 2009;37:863-72. Pouli N, et al. The experience of living with knee OA. Disabil Rehabil. 2014;36:600-7 Modulation of pain by vision: Longo et al. J Neurosci 2009; 29: 12125-30; Longo et al. J Neurosci 2012; 32: 2601-7 Alterations in body perception in people with OA: Nishigami et al. PLoS ONE 2017; 12:e0179225 Gilpin et al. Rheumatology 2015; 54:678-82 Body illusions in people with pain: Bosch et al. PAIN 2016; 157:519-29. Altering sounds alters feelings of back stiffness: Stanton et al. Scientific reports 2017; 7: 9861. Associated Podcasts: Prof Hunter on OA and exercise - http://bit.ly/2DQAd9z OA in the spotlight - http://bit.ly/1Frwnxt Prof Moseley on the brain and mind in chronic pain - http://bit.ly/1u33pPY Pain coach and first patient contact for pain management - http://bit.ly/2DHCaGa Am I safe to move? Prof Moseley on understanding pain and focusing on the patient - http://bit.ly/2nmCAqu Podcast Quotes: “Give your patient the locus of control” “Knowledge helps you frame what is happening in your world” “People with osteoarthritis often hold beliefs that movement is harmful”

This week on the Healing Pain Podcast, I had the privilege of interviewing Professor Lorimer Moseley. Whether you're a practitioner or a patient, you may very well be aware of his work, as he is one of the global leaders in the revolution to change the current paradigm around chronic pain. Professor Moseley is a Clinical Scientist investigating pain in humans. After posts at the University of Oxford and the University of Sydney, Lorimer was appointed Foundation Professor of Neuroscience and Chair in Physiotherapy at The Sansom Institute for Health Research at the University of South Australia. He's a Senior Principal Research Fellow at NeuRA and an NHMRC Principal Research Fellow. He has published over 280 articles and five books. He has given over 140 keynote or invited presentations at interdisciplinary meetings in 30 countries and has provided professional education in pain sciences to over 15,000 health professionals as well as lectures to the public. He consults to both government and industry bodies. He was awarded the outstanding mid-career clinical scientist working in a pain-related field by the International Association for the Study of Pain, was a runner up for the 2012 Australian Science Minister's Prize for Life Sciences and won the 2013 Marshall & Warren Award from the NHMRC for Best Innovative and Transformative Project. He was made a Fellow by the Australian College of Physiotherapist in 2011 and Honored Member of the Australian Physiotherapy Association at their highest level in 2014. Today, we spoke about the biopsychosocial model of pain and he describes it in his words. We took a mini tour of psychologically performed physical therapy practice and how a practitioner can develop psychoeducational programs for their patients and contrasted some of the key differences between Explain Pain; CBT, which is Cognitive Behavioral Therapy and ACT, which is Acceptance and Commitment Therapy. It was a great lecture and a great talk with Dr. Moseley on the podcast. Make sure to share it out with your friends and family on social media. Sign up for the latest episode at www.drjoetatta.com/podcasts.   Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: drjoetatta.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn

Today we welcome Dr. David Butler onto the show for a discussion into Conceptual Change Science. Conceptual Change is a branch of educational psychology focusing on learners having well developed existing misconceived knowledge. David discusses effective strategies for the public and professional misconceived knowledge, his take on where educational psychology research needs to focus more on, how to use conceptual change for a patient for a case study, conceptual change with teaching students, and much more! Bio: Dr. David Butler is an Author and the director of the Neuro Orthopedic Institute out of Adelaide, Australia. He attended The University of Queensland where he obtained a Bachelors of Physiotherapy, and a graduate diploma in Advanced Manipulative Therapy. He then went on to get his Masters at the University of South Australia on the sympathetic Nervous System, and then an eventual Doctorate in Education from Flinders University. David is a clinician, an international freelance educator, an Adjunct Associate Professor with the University of South Australia and an Honoured Lifetime Member of the Australian Physiotherapy Association. His professional interests focus around the integration of neurobiology into clinical decision making and public and professional education in pain, stress and performance management. Food, wine and fishing are also research interests. Author of numerous book chapters and articles and the texts including “Explain Pain”, “Explain pain Supercharged”, and many more. NOI Group- http://www.noigroup.com/en/Home  Micki Chi's Research Page- http://chilab.asu.edu/publish.html  Explain Pain- https://www.amazon.com/Explain-Pain-David-Butler/dp/0987342665/ref=sr_1_1?ie=UTF8&qid=1506819412&sr=8-1&keywords=explain+pain    Explain Pain Supercharged- https://www.amazon.com/Explain-Pain-Supercharged-Lorimer-Moseley/dp/0648022706/ref=sr_1_1?s=books&ie=UTF8&qid=1506819437&sr=1-1&keywords=explain+pain+supercharged 

Happy New Year to the Healthy Wealthy and Smart family! To start off 2017, I had the pleasure of welcoming Dr. David Butler to the show to chat about his work, Explain Pain Supercharged, co-written by Dr. Lorimer Moseley. David is a clinician, an international freelance educator, an Adjunct Associate Professor with the University of South Australia and an Honoured Lifetime Member of the Australian Physiotherapy Association. His professional interests focus around the integration of neurobiology into clinical decision making and public and professional education in pain, stress and performance management. In this episode, we discuss: -David’s patient centered updates in Explain Pain Supercharged -How the immune system and nervous system interact and impact pain symptoms -David explains SIMS and DIMS and how to treat the patient more holistically -Evidence for opioid alternatives that everyone possesses in their brain -And much, much more!   Reconceptulizing pain as a protective signal instead of a marker of injury or disease is an important target concept to improve pain outcomes for persistent pain patients. David states, “The primary root metaphor out there has been pain is enemy. Therefore you see pain killers, war against pain, shotgun approach. It’s a big battle but we’re trying to change the primary metaphor to pain is protector so therefore pain softener, you can be sore but safe, hurt not harm and to get metaphors coming off this deeper, deeper conceptual metaphor.”   One of David’s goals of Explain Pain Supercharged is to create a digestible curriculum for patient education. David believes, “Knowledge is the greatest pain liberator of all.”   Physical therapists are at the forefront of empowering chronic pain patients with effective alternatives to pharmaceuticals. David stresses, “Your own drug cabinet in the brain can be more powerful than anything else.”   For more information on David: David Butler is a physiotherapy graduate of the University of Queensland (1978).  He has a graduate diploma in advanced manipulative therapy (1985), a masters degree by research from the University of South Australia (1996) and a doctorate in education from Flinders University (2010).  David is a clinician, an international freelance educator, an Adjunct Associate Professor with the University of South Australia and an Honoured Lifetime Member of the Australian Physiotherapy Association. His professional interests focus around the integration of neurobiology into clinical decision making and public and professional education in pain, stress and performance management. Food, wine and fishing are also research interests. Author of numerous book chapters and articles and the texts Mobilisation of the Nervous System (1991), The Sensitive Nervous System (2000), David has also co-authored of Explain Pain (2003, 2nd Edn 2013), The Graded Motor Imagery Handbook (2012) and The Explain Pain Handbook: Protectometer (2015).   Resources discussed on this show: noi group website noi jam blog Protectometer   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Take advantage of the Warby Parker offer here!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my latest blog post on the The Best Advice you Need to Know from Top Physical Therapists!  

Professor Lorimer Moseley holds the Inaugural Chair in Physiotherapy at the University of South Australia as well as being a Professor of Neurosciences. He completed his PhD in 2002 and has both learned and shared wisdom at the Universities of Queensland, Sydney and Oxford before settling in Adelaide. He leads the Body in Mind Research Group and coauthored the best-selling ‘Explain Pain’. In this podcast he answers questions from Ebonie Rio, Department of Physiotherapy, Monash University, covering the important difference between pain and nociception, and sharing thoughts on how pain science can help clinicians working in sports medicine. You’ll hear him share the best, and worst, ways to explain pain to patients. He predicts how low back pain management will look in 100 years’ time. As always with Lorimer Moseley. expect thoughtful reflections shared with big dob of humour and humility. See also: TEDx talk ‘Why things hurt’: http://www.youtube.com/watch?v=gwd-wLdIHjs Acupuncture applied as a sensory discrimination training tool decreases movement-related pain in patients with chronic low back pain more than acupuncture alone: a randomised cross-over experiment http://goo.gl/zaNX8s Are children who play a sport or a musical instrument better at motor imagery than children who do not? http://goo.gl/Xv9Qum Exercise is medicine, for the body and the brain: http://bjsm.bmj.com/content/48/12/943.full Chronic traumatic encephalopathy in sport: a systematic review: http://bjsm.bmj.com/content/48/2/84.full

This show is based on the Explain Pain course by David Butler. I discussed the importance of the features of the therapist, patient, message, and context/environment when explaining pain to the patient. The importance of letting the patient speak and really hearing their story and using that when explaining pain. I also gave some helpful […]