Podcasts about healing pain podcast

A lot of things have changed since we started the Healing Pain Podcast five years ago. From our conversations with leading names in the pain management and related fields, we have gone down the rabbit hole of no return, exposing us to the wide, wonderful, and in many ways, untamed world of pain science. What exactly is pain science? There is a lot to unpack about this concept, and we're excited to announce that that is going to be the focus of this podcast moving forward. In this episode, Dr. Joe Tatta, PT, DPT, announces the rebrand from Healing Pain Podcast to Pain Science Education Podcast. He explains the rationale behind the move and the new direction this whole initiative is taking. Exciting things are on the horizon starting this year, and it all starts here. Tune in!   Love the show? Subscribe, rate, review, and share! Here's How »   Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

Did you know it is possible to rehabilitate pain with three active practices using the brain, body, and spirit? Join me and my guest, Dr. Joe Tatta, to learn more about how you can take small steps toward your healing, and how you can do what resonates with you to help yourself to live a pain-free life. In this episode, you'll learn: ⏰ 2:56 The difference between acute and chronic pain ⏰ 4:55 Why the nervous system is related to chronic pain ⏰ 9:18 Three-part pain rehabilitation program ⏰ 27:45 Types of brain-based therapies ⏰ 30:58 Mindfulness-based movement therapies ⏰ 34:31 Spiritual approaches to resolving pain ⏰ 37:08 The one thing you can do today to support your body's ability to heal Listen to Wellness By Design on the go with these apps: Apple Podcasts Spotify iHeart Radio Check out Dr. Joe Tatta's Bio: Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development.  For 25 years he has supported people living with pain and helped practitioners deliver more effective pain management. His research and career achievements include scalable practice models centered on lifestyle medicine, health behavior change, and digital therapeutics. He is a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and Acceptance and Commitment Therapy trainer. Dr. Tatta is the author of two bestselling books Radical Relief and Heal Your Pain Now and host of The Healing Pain Podcast. Connect with Dr. Joe Tatta: Website: https://integrativepainscienceinstitute.com/  Facebook: https://www.facebook.com/DrJoeTatta/  Twitter: https://twitter.com/DrJoeTatta  YouTube: https://www.youtube.com/user/joetatta   ***** Hi there! I am Jane Hogan, the Wellness Engineer, and the host of Wellness By Design. I spent 30 years designing foundations for buildings until the pain and inflammation of rheumatoid arthritis led me to hang up my hard hat and follow my heart. Now I blend my backgrounds in science and spirituality to teach people how to tap into the power of their mind, body and soul. I help them release pain naturally so they can become the most wonderful fine version of themselves.  Wellness By Design is a show dedicated to helping people achieve wellness not by reacting to the world around them but by intentionally designing a life based on what their own body needs. In this show we explore practices, methods and science that contribute to releasing pain and inflammation naturally. Learn more at https://thewellnessengineer.com  Would you like to learn how to release pain by creating more peace and calm?  Download my free guided meditation audio bundle here: https://thewellnessengineer.com/audiobundle  Connect with Jane:  Facebook: https://www.facebook.com/JaneHoganHealth/ Instagram: https://www.instagram.com/janehoganhealth DISCLAIMER: The information contained in this podcast is for educational purposes only and is not intended to treat, diagnose, cure or prevent any disease. You should always seek the advice of your physician or other qualified healthcare provider with any questions you have regarding a medical condition before undertaking any diet, exercise, supplement, health program, or other procedure discussed in this podcast.

Male pelvic health is something that not a lot of people talk about, even in medical circles. A lot of people experiencing male pelvic pain don't even consult a specialist until it gets unbearable enough that they have no choice. Pelvic health isn't a female thing. In fact, the male and female pelvic floors are essentially the same structurally, and both are prone to dysfunction. But because of toxic masculinity culture, many men suffering from any disorder related to the pelvic floor feel reluctant to talk about it or seek professional help. In this episode of Healing Pain Podcast, Dr. Joe Tatta talks to a pelvic health specialist to clear things up around this sensitive topic. Lance Frank, PT, DPT, helps us understand the different aspects of pelvic floor dysfunction, how it is related to conditions like male pelvic pain, prostatitis, and erectile dysfunction, and how it can be alleviated with stress management techniques and physical therapy.

In this episode, I am joined by Dr. Ginger Garner and Dr. Joe Tatta to discuss Integrative & Lifestyle Medicine in Physical Therapy. They are the co-editors of the book of the same name. They explain what integrative and lifestyle medicine encompasses and that physical therapists are uniquely positioned to implement integrative and lifestyle medicine effectively.  Show notes:  00:05:30 Practice intentional health promotion. 00:07:05 Integrate lifestyle into care. 00:19:57 Engage in healthy movement. 00:20:11 Empower patients to choose. 00:30:39 Model healthy lifestyle behaviors. 00:38:36 Behavior change is empowering. 00:40:00 Integrative medicine heals holistically. 00:53:15 Trust your instincts and succeed. 00:54:13 Cultivate diverse skills.   More about Dr. Ginger and Dr. Joe:  Dr. Ginger Garner PT, DPT, ATC/L is a therapist, author, educator, and advocate for improving access and equity to pelvic health physical therapy services. She is the founder and CEO of Living Well Institute, which certifies healthcare providers in Functional; Integrative Lifestyle Medicine and also offers wellness classes to the public on the same topics. She is also the creator of the Medical Therapeutic Yoga; Professional Yoga Therapist Certification, the only certification of its kind worldwide for medical professionals. Dr. Garner practices at Garner Pelvic Health, which she founded to offer integrative telehealth and in-person pelvic and orthopaedic care. Ginger is the author of multiple books and book chapters published in several languages. She has presented internationally at over 20 conferences, teaching on a range of topics about pelvic and orthopaedic health. Ginger is an active member of APTA, APTA North Carolina, APTA Private Practice, and Academy of Pelvic Health. She lives in Greensboro, NC with her family. Visit Ginger at www.integrativelifestylemed.com and on Instagram and YouTube. Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development. For 25 years he has supported people living with pain and helped practitioners deliver more effective pain management. His research and career achievements include scalable practice models centered on lifestyle medicine, health behavior change, and digital therapeutics. He is a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and Acceptance and Commitment Therapy trainer. Dr. Tatta is the author of two bestselling books Radical Relief and Heal Your Pain Now and host of The Healing Pain Podcast.   Resources from this Episode:  Dr. Ginger's website Dr. Joe's website Buy Integrative & Lifestyle Medicine in Physical Therapy Free Therapeutic Yoga Video Library   Subscribe to Healthy, Wealthy & Smart: Website:                      https://podcast.healthywealthysmart.com Apple Podcasts:          https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264 Spotify:                        https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73 SoundCloud:               https://soundcloud.com/healthywealthysmart Stitcher:                       https://www.stitcher.com/show/healthy-wealthy-smart iHeart Radio:               https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927

How does language and logic impact the management and experience of chronic pain? Asaf Weisman, PT, Phd(c), joins Dr. Joe Tatta on the Healing Pain Podcast to discuss this topic. Asaf is a physical therapist, a PhD candidate, and a lab manager of the Spinal Research Laboratory at Tel Aviv University. He has 20 years of clinical experience as a full-time musculoskeletal physical therapist and studies musculoskeletal medicine, spinal health, as well as chronic pain. He discusses how language impacts pain, unpacks the positive and the negative aspects of cognitive approaches to chronic pain, and shares his thoughts around some of the more popular pain neuroscience analogies or metaphors and how they may not be so acceptable to people living with pain. Most crucially, he clearly defines pain as an experience and its relation to nociception. Tune in for more!

In today's episode of Healing Pain Podcast, Dr. Joe Tatta is joined by Laverene Garner, PT, DPT, to discuss how to treat comorbid chronic pain, orthopedic conditions, and neurologic conditions. Dr. Gardner is a board certified neurologic clinical specialist, and currently works as an assistant professor in the Department of Physical Therapy at Winston-Salem State University. Prior to her role as professor, Dr. Gardner developed the vestibular therapy, mindfulness and integrated health components of a concussion recovery clinic at Camp Lajune, where she treated individuals with chronic neurologic conditions. On today's episode, we discuss how Dr. Gardner's passion for integrative healthcare shaped her early career and research interests, why exercise intensity matters in neurologic conditions, how to prescribe physical activity for individuals with neurologic problems, and a lot more. Love the show? Subscribe, rate, review, and share! Here's How »   Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development. For 25 years he has supported people living with pain and helped practitioners deliver more effective pain management. His research and career achievements include scalable practice models centered on lifestyle medicine, health behavior change, and digital therapeutics. He is a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and Acceptance and Commitment Therapy trainer. Dr. Tatta is the author of two bestselling books Radical Relief and Heal Your Pain Now and host of The Healing Pain Podcast. https://integrativepainscienceinstitute.com/

Chronic persistent pain is an issue for people of all ages across the world; and although there has been decades of pain science research most people don't realise that pain doesn't always equal tissue damage or injury. This episode is all about chronic persistent pain and how we can all be more able to deal with pain of all kinds. Understanding pain is something all people can benefit from, because we will all feel pain of some kind in our life and even if not, understanding how to empathise or validate others pain experiences is essential. Mentioned in this episode: Explain Pain (Butler & Moseley, 2017); Body by Science: A Research Based Program to Get the Results You Want in 12 Minutes a Week (Little & McGuff, 2008); Tame the Beast - It's time to rethink persistent pain: https://youtu.be/ikUzvSph7Z4; Healing Pain Podcast (#232) - The World's Top Pain Science Innovators and Leaders: https://www.integrativepainscienceinstitute.com/latest_podcast/the-worlds-top-pain-science-innovators-and-leaders/. Toy Division Episodes: Sleep isn't just the brain switching off (#35); Wasting money on pharamceuticals and hospital visits (#51). - Music by Frenic This One Records: http://www.thisonerecords.com/ @djfrenic (IG) Podcast logo photograph by Alex Bartsch: http://www.alexbartsch.com/ @alex.bartsch (IG) This podcast is not the usual Banksy book reading fan, it's about letter based graffiti writing. But if you like street art, then you'll probably want to learn more about graffiti culture, because that's where street art began. Join us for a conversation about writing on things and other related subjects.

Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development. For 25 years he has supported people living with pain and helped practitioners deliver more effective pain management. His research and career achievements include scalable practice models centered on lifestyle medicine, health behavior change, and digital therapeutics. He is a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and Acceptance and Commitment Therapy trainer. Dr. Tatta is the author of two bestselling books Radical Relief and Heal Your Pain Now and host of The Healing Pain Podcast. Learn more by visiting www.integrativepainscienceinstitute.com.

Dr. Joe Tatta joins the Clinical Leadership Podcast today. Dr. Tatta is a best selling author, a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and an Acceptance and Commitment Therapy trainer. Dr. Tatta  is the Founder of the Integrative Pain Science Institute, a healthcare company focused on evidence-based treatment, research, and professional development for chronic pain and pain management. He is the author of two bestselling books Radical Relief and Heal Your Pain Now and host of The Healing Pain Podcast. Find more information about Dr. Tatta:TwitterInstagramintegrativepainscienceinstitute.comVideo episodes of The Clinical Leadership Podcast are also uploaded on Youtube. Subscribe today!As always, find out more information about Midwest Rehabilitation courses at http://www.mwri.co

In this episode, Dillon sits down with Dr. Joe Tatta to discuss the topic of acceptance and commitment therapy from his new book Radical Relief: A Guide to Overcome Chronic Pain. The episode dives into the importance of identifying your values, psychological flexibility, mindfulness or present moment awareness, putting life before pain vs pain before life, and the role of self-forgiveness to treat chronic pain.  Enjoy!   -Team [P]Rehab   Learn More About Dr. Joe Tatta, PT, DPT, CNS   Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development. For 25 years he has supported people living with pain and helped practitioners deliver more effective pain management. His research and career achievements include scalable practice models centered on lifestyle medicine, health behavior change, and digital therapeutics. He is a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and Acceptance and Commitment Therapy trainer. Dr. Tatta is the author of two bestselling books Radical Relief and Heal Your Pain Now and host of The Healing Pain Podcast. Learn more by visiting https://www.integrativepainscienceinstitute.com/   Link to Radical Relief Book: https://www.amazon.com/Radical-Relief-Mindfulness-Acceptance-Commitment/dp/1942798229   Free ACT Masterclass: https://www.integrativepainscienceinstitute.com/act-for-chronic-pain-masterclass/   Facebook: @DrJoeTatta Twitter: @DrJoeTatta Instagram: @DrJoeTatta LinkedIn: https://www.linkedin.com/in/joseph-tatta-pt-dpt-cns-60564047   Read About Chronic Pain Treatment Strategies Learn About [P]Rehab Programs Submit Questions/Topics Connect with Team [P]Rehab info@theprehabguys.com [P]Rehabbers thank you for listening and let us know what to talk about next. We hope to help you take control of your health through education! Did you enjoy this? Please rate, review, share, and subscribe. Every bit of feedback, comments, subscriptions, and sharing helps!!!  

Key Takeaways: Did you know one out of three people suffers from chronic pain? How did Dr. Joe get his start in this line of work? How should we be rethinking pain and how we react to it? Our brain generates the pain; not our body! Dr. Joe clarifies what he means by this. What are some of the best ways you can reduce your pain? It first starts with changing your lifestyle and diet. Doctors are just not having the right conversations with their patients nor are they looking at the right biomarkers to gauge pain and health. Stress impacts the enzymes and function of your gut. What’s new in the world of pain? Have you had pain for decades? Here’s how you can fix it. What are telomeres? You can slow down the deterioration of your telomeres by working with your mind and being in a calm state. We can’t help optimize the way the brain is functioning if you have an inflamed nervous system. People underestimate the value of hydration and its impacts on the body. The joint is about 96% water! What were some of the biggest “aha” moments when Dr. Joe was researching his book? It’s important to be present with your thoughts and to be able to take a more mindful approach when a negative thought passes through us. Don’t feel guilty if you have negative thoughts or emotions, we are human after all! How does Dr. Joe manage his negative thoughts?   Episode Summary: Dr. Joe is out with a new book called, Radical Relief, where he shares his tips on how to overcome chronic pain. He provides insight into how the mind works and how we can let go of unwanted thoughts that affect our aging and our pain receptors on this week’s episode!   Guest Bio: Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development.   For 25 years, he has supported people living with pain and helped practitioners deliver more effective pain management. His research and career achievements include scalable practice models centered on lifestyle medicine, health behavior change, and digital therapeutics. He is a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and Acceptance and Commitment Therapy trainer. Dr. Tatta is the author of two bestselling books Radical Relief and Heal Your Pain Now and host of The Healing Pain Podcast. Learn more by visiting integrativepainscienceinstitute.com.   Resources for a Younger Lifestyle: Dr. Robyn Benson’s Free Youthful Aging eGuide FREE GIFT: Robynbenson.com/gift Connect with Dr. Joe: Integrativepainscienceinstitute.com   Quotes:   “Stress impacts our gut/brain relationship. When you impact your vagus nerve, you’re impacting how you digest your food and the hormones and neurotransmitters that go along with that.”   “Did you know that a negative thought can cause inflammation in your body? And a positive or neutral thought is as equally as good as taking two Advils.”   “What we have to do is sort of distance ourselves from our thoughts. You may still feel those thoughts, but you can take action. Thoughts don’t have to impact your behavior.”

In this episode, Dr. David Hanscom continues his discussion with Dr. Joe Tatta, author of the best-selling book Radical Relief, about the details of his approach to treating chronic pain. He uses a combination of patient education, mindfulness and Acceptance Commitment Therapy.He stresses the importance of the doctor-patient relationship and understanding the patient's values and motivations as part of the healing process. Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development. For 25 years he has supported people living with pain and helped practitioners deliver more effective pain management. His research and career achievements include scalable practice models centered on lifestyle medicine, health behavior change, and digital therapeutics. He is a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and Acceptance and Commitment Therapy trainer. Dr. Tatta is the author of two bestselling books Radical Relief and Heal Your Pain Now and host of The Healing Pain Podcast. Learn more by visiting https://www.integrativepainscienceinstitute.com.

In this episode, Dr. David Hanscom continues his discussion with Dr. Joe Tatta, author of the best-selling book Radical Relief, about the details of his approach to treating chronic pain. He uses a combination of patient education, mindfulness and Acceptance Commitment Therapy.He stresses the importance of the doctor-patient relationship and understanding the patient's values and motivations as part of the healing process.Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development. For 25 years he has supported people living with pain and helped practitioners deliver more effective pain management. His research and career achievements include scalable practice models centered on lifestyle medicine, health behavior change, and digital therapeutics. He is a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and Acceptance and Commitment Therapy trainer. Dr. Tatta is the author of two bestselling books Radical Relief and Heal Your Pain Now and host of The Healing Pain Podcast. Learn more by visiting https://www.integrativepainscienceinstitute.com.

In this episode, Dr. David Hanscom talks with Dr. Joe Tatta, a global leader in integrative pain care and author of the best-selling book Radical Relief, about his 5 step framework for treating chronic pain based on Acceptance Commitment Therapy. He focuses on helping patients develop psychological flexibility as a way to change behavior and give up their struggle with pain so they can heal. Learn more by visiting https://www.integrativepainscienceinstitute.com.Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development. For 25 years he has supported people living with pain and helped practitioners deliver more effective pain management. His research and career achievements include scalable practice models centered on lifestyle medicine, health behavior change, and digital therapeutics. He is a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and Acceptance and Commitment Therapy trainer. Dr. Tatta is the author of two bestselling books Radical Relief and Heal Your Pain Now and host of The Healing Pain Podcast.

In this episode, Dr. David Hanscom talks with Dr. Joe Tatta, a global leader in integrative pain care and author of the best-selling book Radical Relief, about his 5 step framework for treating chronic pain based on Acceptance Commitment Therapy. He focuses on helping patients develop psychological flexibility as a way to change behavior and give up their struggle with pain so they can heal. Learn more by visiting https://www.integrativepainscienceinstitute.com. Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development. For 25 years he has supported people living with pain and helped practitioners deliver more effective pain management. His research and career achievements include scalable practice models centered on lifestyle medicine, health behavior change, and digital therapeutics. He is a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and Acceptance and Commitment Therapy trainer. Dr. Tatta is the author of two bestselling books Radical Relief and Heal Your Pain Now and host of The Healing Pain Podcast.

Happy New Year and welcome to this first episode of the Healing Pain Podcast in the year 2021. We are starting the year off on a strong note with one of the world's experts with regard to pain neuroscience education. My guest is Professor Adriaan Louw. Adriaan is a physical therapist, pain scientist and author in the field of pain neuroscience, Director of the Therapeutic Neuroscience Research Group and Director of Pain Science for Evidence in Motion. His main area of research focuses on teaching patients and healthcare providers more about pain. He has years of experience teaching pain neuroscience education to health professionals. He's authored numerous books on the topic and published over 70 peer-reviewed papers related to pain science. In this episode, we discuss pain neuroscience education plus why it is important for both practitioners and people living with pain. What types of clinical outcomes can you expect when you deliver effective pain neuroscience education? Whether or not it should be delivered as a standalone intervention or part of a larger multimodal treatment approach coupled with other cognitive interventions such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy or mindfulness. Throughout the interview, we discuss how you can effectively use pain neuroscience education and couple it with other cognitive interventions. If you're interested in combining pain neuroscience education with Acceptance and Commitment Therapy, make sure to check out my latest book available on Amazon. It's called Radical Relief: A Guide To Overcome Chronic Pain. Inside, he goes deep into the principles of Acceptance and Commitment Therapy and includes over 50 cognitive and mindful exercises you can use with your patients as well as a little bit of pain neuroscience education. Without further ado, let's begin with the great Adriaan Louw.  Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainsciencinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

On this episode of the Healthy, Wealthy and Smart Podcast, I welcome Dr. Joe, Tatta, PT, DPT to talk about using acceptance and mindfulness-based interventions to build resilience and overcome chronic pain. Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development.  In this episode, we discuss: 1. Psychological variables associated with chronic pain 2. What is Acceptance and Commitment Therapy (ACT)  3. How is ACT different from traditional cognitive behavioral approaches and pain education? 4. How is ACT different from mindfulness, like the kind we encounter in popular culture? 5. How does ACT help physical therapists’ function better and prevent professional burnout?  6. Dr. Tatta's latest book “Radical Relief: A Guide to Overcome Chronic Pain   Resources: Radical Relief Book  ACT for Chronic Pain Professional Training Course:  Mindfulness-Based Pain Relief Practitioner Certification RELIEF: and online mindfulness community for pain care. Facebook: @drjoetatta Instagram: @drjoetatta Twitter: @drjoetatta A big thank you to Net Health for sponsoring this episode! Learn more about the Redoc Patient Portal here.    More about Dr. Joe Tatta:  Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development. For 25 years he has supported people living with pain and helped practitioners deliver more effective pain management. His research and career achievements include scalable practice models centered on lifestyle medicine, health behavior change, and digital therapeutics. He is a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and Acceptance and Commitment Therapy trainer. Dr. Tatta is the author of two bestselling books Radical Relief: A Guide to Overcome Chronic Pain and Heal Your Pain Now: The Revolutionary Program to Reset Your Brain and Body for a Pain-Free Life and host of weekly Healing Pain Podcast. Learn more by visiting www.integrativepainscienceinstitute.com.   Subscribe to Healthy, Wealthy & Smart: Website:                      https://podcast.healthywealthysmart.com Apple Podcasts:          https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264 Spotify:                        https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73 SoundCloud:               https://soundcloud.com/healthywealthysmart Stitcher:                       https://www.stitcher.com/show/healthy-wealthy-smart iHeart Radio:                https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927   Read the full transcript here: Speaker 1 (00:00:01): Hey, Joe. Welcome back to the podcast. I'm happy to have you on again. Speaker 2 (00:00:06): Hi Karen. Thanks for inviting me. I'm excited to be here. Speaker 1 (00:00:08): Yes. And today we're going to be tough. Well, let's not let's, let's roll it back for a second. So it seems like each time you've come on, we've talked about some different aspects of pain, right? We're both in that chronic pain world, we love treating people with chronic pain and talking about chronic pain or persistent pain. And we've done that quite a bit. We've talked about the psychological variables associated with persistent pain and how psychologically informed physical therapy is so important. So let's talk about which variables we should be most concerned about with regard to effectively treating pain, big question right out of the gate. Speaker 2 (00:00:52): It is, and it's a, it's a great place to start. And that's a question that all of us are asking ourselves and researchers are asking this question more and more and we're trying to figure out, okay, what is like the key variable? Is there one key variable that we should be paying attention to? And it's interesting if you look at the evolution of chronic pain and I think both you and I have been practicing for about 25 years. So we've really have seen things transitioned from this biomedical biomechanical model, right? And the core of that was let me figure out, let's try and figure out or identify what's wrong with the physical body. Right. Pretty easy. Speaker 1 (00:01:34): And then the pain goes away. Speaker 2 (00:01:36): Exactly. And we were all there at one point, then this bio-psycho-social model comes in and we're like, okay, there was there a psychological variables that we should pay attention to. And what's interesting is when I talked to physical therapists about the psychological variables, they bring in a little bit of that older biomedical model in the sense of how can I identify what's wrong. And then if I know what's wrong, then I can fix it. And it makes sense. And that even shows up in some of our mental health colleagues as well when they approach people with pain. So when we look at, you know, there's kind of like five big ones pink catastrophizing, can you see your phobia, fear, avoidance, depression, anxiety, those five persistently show up in the literature as variables that are associated with poor outcomes with regards to chronic pain. So you see them all the time and we have ways we can test for it, right? Pain, catastrophizing scale Tampa kinesiophobia scale, et cetera, et cetera, evolve are well aware of these. And we all use them. What I want people to consider for a moment is these are all what we would call vulnerability processes. So this is what makes someone vulnerable to transitioning, let's say from acute pain to chronic pain and they may be important and they are important, but I would like people to consider for a minute. If you flip the coin over, what's the opposite side of vulnerability. Speaker 2 (00:03:13): And this is really important when we think about chronic pain, because our job as professionals is not necessarily to identify here's, what's wrong. You physically, here's, what's wrong with you psychologically or emotionally. And now I'm going to fix, modify or change those variables. We want to focus on as professionals. The other side of that coin is how can I help someone be more resilient? How do I develop, build or foster a sense of resiliency. So that other side of the coin, which is really what has interested me the most, I'd say in the past 10 years is looking at those positive, psychological factors that are associated with resiliency. There's three of them. We can kind of talk about them a little bit each but there are pain, self-efficacy pain, acceptance, and then values based living. Speaker 1 (00:04:01): Okay. So let's dive into each of those. So let's start with pain. Self-Efficacy what the heck does that mean? Speaker 2 (00:04:09): Yeah. And we hear the word self-efficacy used a lot, and I want to make sure that we tag on the word pain with that because just normal quote unquote self-efficacy you can measure self efficacy, but really as a pain professional, whether you're a physical therapist or another licensed health, professional, or certified actualize professional someone's confidence or their ability and their confidence in themselves to function and figure out what the cause of their pain isn't to overcome. It is basically what we identify as pain self-efficacy. Now you can actually have good self efficacy and have poor pain self-efficacy so it's important as professionals that we look at him as, okay, how can I help someone with pain self-efficacy with regard to their rehabilitation and overcoming pain. Speaker 1 (00:05:04): And so say that one more time for me, I'm going to edit some of this out, but I just want to get that into my own brain. Speaker 2 (00:05:15): No, no problem. So paint, self efficacy is one's confidence regarding their ability to function while they experience a while they have pain. Speaker 1 (00:05:24): Okay. Got it. Got it. All right. That makes sense. And that is coming from someone, the long history of chronic pain. That's not easy. Can I say that? Is it okay to say that that's not easy? Speaker 2 (00:05:41): Absolutely. And it does go back to what I mentioned a little bit earlier, where okay. If I have pain, it's this message this signal, if you will, that something's wrong. And it's perfectly normal that your mind goes to the place of, I want to stop. I want to eliminate, I want to resolve this pain with acute pain. That's fine. With chronic pain. It's something very different. And if someone gets kind of caught up in that Whirlpool, if you will, of constantly spinning and trying to figure out, okay, what is the cause of this? And they go down that biomedical route, that's where people wind up in trouble and where they don't find a solution for their pain and why pain persists. So pain self-advocacy is interesting because it's like, okay, do I have the knowledge? Do I have the tools? I have the ability in myself, right? Speaker 2 (00:06:36): Because if we're not looking at vulnerability for looking at resiliency, really what we're saying is somewhere within, inside you deep inside you actually, you have the ability to contact something that you haven't contacted yet, or maybe you've only contacted a piece of it. But if I can help you with that, if I can help you along that path, if I can help you along that journey, then we can improve your pain, self efficacy. And it's potentially the research is still kind of unclear, but it's potentially the number one factor, the number one resiliency factor with overcoming chronic pain. Speaker 1 (00:07:13): Oh gosh. As you're, you're saying that I, in my head, I'm going back, you know, 10, 15 years to when I was in pain all the time. And yes, I was searching for that fix. And what I found when my pain started to recede, I started to feel better was that I was always looking for that external fix. When in fact I had to look into myself to see how, what I can do to overcome this and, and to kind of move forward and make the best decisions I can at the time, the information that I have and be okay with it and then move forward. And that was the thing that really helped to kind of flip the switch for me. Speaker 2 (00:08:00): That's right. And there's, there's two really important things embedded in what you just said. The first is, as physical therapists were very aware of pain, avoidance painted warnings is almost when I look at pain avoidance now after studying acceptance and commitment therapy, I look at painted. William says, it's too simple. So it's like, if the, you know, if you put your hand over the flame, I pull my hand away. I avoid pain. If there's a rock in your shoe, you want to walk differently or take the rock out. What you're saying in your experience, Karen, which is common in many, people's almost every single person's experience you've had chronic pain. Is that the pain persisted for so long that not only did I avoid pain, but I started to move away from everything that was important in my life. And I moved toward only those potential areas on the, on, toward the potential causes that could alleviate my pain. Speaker 2 (00:09:00): Now in the act that's called experiential avoidance. And again, it's a little bit different than regular pain avoidance because experiential avoidance means the entire experience. The entire capsule of my life what's encased in there is only to seek out the elimination or the control of pain. And when that happens, that's when people go down sometimes sad and sometimes very scary routes of things like surgeries that don't work and one medication or multiple medications, or we see, you know, behaviors lead to passive treatments you know, leaving work and disconnected from personal relationships, all the things that we see that our patients struggle with. So it's what you say is really important. And to try to make those distinctions for therapists, I think are also important as well, because we can skim along the surface of pain, avoidance, so to speak. But I really believe if we want to be effective with pain, we need to go on this deeper level with people looking at that pain, self efficacy, looking at pain acceptance. And then the last one looking at values based living, which is what ha, which is actually the flip side of experiential avoidance. Speaker 1 (00:10:15): And something that you just said that sort of avoidance becomes all encompassing. And, and I will agree. That's exactly what would happen. Like I can remember doing things like going to an acupuncturist and having them put all these needles in my ear. And then I had to walk around the plinth counterclockwise three times. I mean, when you think about that, you're like, what? But I was so desperate. Like I was doing anything and everything for that fix. When I knew even as a physical therapist that walking counterclockwise around uplift three times doesn't really make a difference. But yet here I am doing it and doing that instead of, I don't know, meeting up with friends, right. Relaxing, going to the gym. Like I was avoiding all that other stuff because I was so laser focused on finding this cure, so to speak Speaker 2 (00:11:21): That's right. And as you're talking to me and I'm imagining what it's like for YouTube and in that experience, and you're talking about going to an acupuncturist with which, you know, I tell people, look, if you have one passive treatment that you engage in each week as a, as a means of, stress-relief totally fine by me. I have those as well. So we're not suggesting that people avoid anything that's passive, but as I listened to you, and at first you started, well, I went to the acupuncture was for my pain, but you continue to talk what you actually revealed was most important. The real pain was, yes, it was physical, but the real pain was what, it's, what it's stolen, what it Rob for my life. Right. I think you mentioned relationships. That's kind of like, all right, there's pain avoidance here, but what's the real pain underneath that. Speaker 2 (00:12:16): Cause that's what I'm curious to talk to people about. And that's what I'm curious to learn about patients when they come to me and they say they're suffering and they say, they're struggling. I want to know, okay. What about your life? Do you miss? Who do you miss in your life? What aspects of your life do you miss? Because the truth is Karen. If we look at the, the vast body of research that reaction now have with regards to chronic pain, most things, no matter what it is, if you apply just one, intervention works minimally and the outcomes are not spectacular. So they're minimal and they're not spectacular. But when you start to combine different things together, then you see more moderate improvements in clinical studies and you see a change in someone's quality of life. But ahead of all of that, some of the most important outcomes that we're looking for is to look at, okay, what's meaningful in your life. And how do I help you reconnect with that? And I really believe that the resiliency processes that are out there, they exist in all of our practices and an acceptance that can move therapy kind of has a bunch of different processes that really lend well to this. But if we can engage people with these positive psychological responses and move away from the negative sodas, because people are aware that they realize they're scared, hell of pain, there is trouble. Speaker 1 (00:13:45): Oh yeah, yeah. When I had pain, like I totally understood. Yeah, I have it. I don't want to I'll avoid anything to have it that yes, we totally, 100% get that. Speaker 2 (00:14:00): Right. They realized, they realized, they think about it a lot. They realize they're a little sad or depressed about it or anxious about it. They realized that it consumes their time, but they really want to know is how do I get my life back? There's a whole chunk of my life over here. Yes. When you sit down with somebody who has pain, the first thing they're going to talk about is physical pain and that's Norma. And we should, we should make an attempt to validate that for them. But later on, as you're working on their self-advocacy and as you're working on that third week relationship, which really needs to start like the first 10 minutes of the treatments, it really does. Doesn't it doesn't start like three weeks later. What's the first five minutes. These are the questions that we should be asking ourselves. And these are the questions that we should be asking our patients to help them navigate what's happened to them. Speaker 1 (00:14:48): Okay. So let's, let's talk about that. So you're Speaker 3 (00:14:52): The physical, I'm the physical therapist, right? How do I broach these topics or these questions with the patient without offending them without coming across, as you know, you may have patients say, Oh, that's too personal. Do you know what I mean? So how as physical therapist, and this is where, you know, you had mentioned acceptance and commitment therapy, right? So how has physical therapists, can we incorporate, act into our treatment practice? How can we do this without being offensive, Speaker 2 (00:15:34): The best place to, and I'd like, I like the word offensive because I do believe as even though I'm a big fan of psychologically informed physical therapy, and I've talked about this on podcasts and everything, I've done books, et cetera. We have to realize as physical therapists, there's a cognitive dissonance there, which means when someone comes to see us, they don't expect that we're going to be talking about psychological variables. They don't expect that. And nor should they, we have a long, long, long way to go. Not only in our own profession, but in the entire healthcare system, before we get there. Speaker 2 (00:16:15): When you're talking about interviewing someone or evaluating someone or assessing someone during the evaluation, which is really where you should start to talk about values based living, there are a couple of just simple questions that you can add into your evaluation. So again, this is psychological informed care, right? We're not becoming psychologists. We're just using principles of to inform our care so that our outcomes are better. So for example, one of the most important questions, which I always get positive responses from, and people never feel taken aback by this is if you didn't have pain right now, what would you be doing with your life? Speaker 2 (00:17:00): And it's an open-ended question, right? What kind of weaving in like, you know, principles of motivational interviewing. It allows someone to think, wow, if I didn't have pain, what would I be doing? And you, and I may be able to, to kind of access that very easily or rapidly. However, someone who's had pain for a long time. It's like, there's been a smoke screen in front of their eyes. They're no longer able to see that. Okay. There's another aspect of life for me, somewhere that I can begin to kind of work on. Another really simple one kind of a nice metaphorical one is if I had a magic wand and I can wave the magic wand and make your pain go away, what would you do? What would you do tomorrow? Or who would you visit? Who would you go see and spend your time with? So a couple of just really simple open-ended questions that you include an initial valuation. And I recommend, you know, when people first start training with me, I give them lots of different handouts with regard to values, because you can spend a whole hour on this, but if you're new, just seeding this into your practice just a little bit, day by day or session by session. So to speak, it's a nice way for you to change because there's behavior change. That's involved for us as professionals as we start to use these new interventions. Speaker 1 (00:18:20): Yeah. And I think as the, the healthcare professional, the physical therapist, like you said, there is still that unconscious bias of I got to fix it. Right. So I think I would imagine you can correct me if I'm wrong, but the more patients that we see and the more that we ask these questions, the more that I think we'll be able to kind of delve into this other part of the person sitting in front of us. Because the one thing that comes to mind when you said if you didn't have the pain, what would you be doing? What if someone's like, I don't know. I can't even picture it. You just put, I don't know. I can't picture it and move on to the next question. What, what, what happens next? Speaker 2 (00:19:11): Well, there's a couple of different parts there. Karen. the first part I just want to mention, so physical therapist and other health professionals who work in rehab are excellent at goal setting. And in fact, I think physical therapists and probably OTs are the best at goal setting, probably in the profession, in the, in the healthcare professions. Historically, we've not been very good at talking about meaningful or value based activities. What if I told you as a professional, that it's more important to help clarify someone's cloudy values instead of setting really precise short-term and long-term goals like we've been trained. So what I'm really saying is we have to challenge ourselves and look at our own practice and say, okay, what am I doing? That's effective and what am I not doing? That's effective. Now, the reason why it's called acceptance and commitment therapy is because with regard to pain, acceptance, that's, one's willingness to acknowledge pain as part of their life experience. Speaker 2 (00:20:15): And with that acknowledgement, they avoid the, they avoid the attempts to control or eliminate it. Now pain acceptance is important for people living with pain, pain. Acceptance is also vitally important for practitioners who treat people with pain because of the research is clear that we don't have a really spectacular way right now to eliminate someone's pain. I'm not saying that we can't do that. I believe it does happen, but what I'm proposing. So people who are listening to this episode is that in many ways, we put the cart before the horse, and we've said, I'm going to make your pain go away first. So we have all these ways to make your pain go away. And then you'll return to life. Speaker 2 (00:21:03): When in essence, we have to say, let's talk about how we can start to clarify what was important to you in life. Take little steps toward that. And then with that, your pain will start to go away. They're very different messages and they're also very different ways to approach a patient. So if someone turns to you Karen and says, I have no idea. I've had pain for 10 years. It's affected me so badly. I lost my job. I've lost my personal relationships. Let that person talk about their loss because just like that vulnerability process, right? They're talking about how they're vulnerable. Well, on the opposite side of that, they're really saying, I want to, I want to maintain relationships. I want to get back to work. So allow people some room, actually many times when, when questions like that come up, this is going to sound strange to people. Speaker 2 (00:21:56): But I just sit there in silence. I maintain eye-contact. I maybe move a little bit closer to the person. And I just give them some space to process that and to process the, the idea that someone's asking them, someone's interested in their life beyond just pain relief. And that can be really difficult, especially for physical therapists, because we went to school. And even if you go to like DPT program websites right now, it says like, you will learn how to like resolve someone's pain. And then we get out into the world. We got out into, you know, the profession. I mean, we figure out, Hmm, maybe I'm not as good at this. As I thought, Speaker 1 (00:22:36): This is, this is really hard. Am I missing something? I must have, they didn't teach me this in school. Am I, what do I need to learn to do this? Speaker 2 (00:22:46): That's right. So the question is, you know, what, if the way to help someone contact her values is to just sit with them and allow them some space to start to think about that. Because chances are, if someone's wrapped up in experiential avoidance, they're not thinking about that on a daily basis. They're thinking about, I need to take my medication this morning. I need a hot bath. I need to take my magnesium. I need to take my nap. I need to do some distraction activities. So I don't think about pain. That's what their mind is preoccupied with. Speaker 1 (00:23:26): Yeah. Or yeah, a hundred percent. A hundred percent. Yeah. Everything you're saying, I'm like, yep. I can remember like, Hmm, okay. I have to figure out what pillow I'm going to use. I have to figure out how much I'm going to put my bag. So it's not that heavy. When I walk around, do I have a break during the day? Did I take Advil? Did I? Yeah. So on and so forth, but that is, that's all encompassing during your day. And, and I don't think I had, well, yeah, well, when I sat with David Butler, he's like, well, what, what would you be doing? Right. And I, my answer is, I don't know. I, I never thought about it. Right. You know, and, and, and being able to send, he did exactly what you just said. He's like, well, think about it. Speaker 2 (00:24:17): And I w I want to, you know, reinforce what you're saying is that for some people it's extremely difficult for them to think about it. Yeah. Speaker 1 (00:24:24): Yeah. It's and it's really uncomfortable and it's uncomfortable. So just think of it's in control for the patient. And you're the therapist on the other end, is it uncomfortable for you as the therapist to watch someone be uncomfortable and wiggle in their chair, so to speak? Speaker 2 (00:24:41): Yeah. I love that. And my response to that is empathy for the people we work with involves a little bit of us feeling uncomfortable and sharing that unpleasantness with the person that's in front of you. And in many ways we mirror people actually. So as they're struggling and suffering as a human, who cares about someone we're struggling and suffering too, because ultimately, ultimately every physical therapist I've ever met. And, you know, I've interviewed a lot of therapist. Karen, when I asked him, why did you want to become a physical therapist? And they would say, well, I want to, to help people. And if I always dig, dig in there more, there's always a story of, well, when I was in high school, my, you know, my grandfather had a stroke and he wound up living with us and I saw the PT come in the house, or I was an athlete and I had an ACL repair. And I saw all these people in this PT place and how I could help them. So, you know, there's a, there's an aspect of human resiliency built in with that. I lost my train of thought. Sorry. one thing you can try for people who are having a hard time connecting to their values, their personal values is to ask them, Hey, if I were to share some information with you about how we can alleviate pain, who would you share that with in your life? Speaker 1 (00:26:13): That's nice. So then Speaker 2 (00:26:15): It takes it off of, it takes a little bit of the pressure off the person or off the patient. Speaker 1 (00:26:20): Yeah. Yeah. It takes a little bit off them and puts it onto someone else. Right. Speaker 2 (00:26:25): Right. And in general, we all want to help other people. And especially people with pain, they really do care about other people. And they really have an interest in not seeing other people's struggle the way, the way they've been struggling. So it's a nice way to just kind of shift the conversation a little bit. And if you continue with that, what you'll eventually see kind of like in ourselves when we learn things right. And when we teach things, we actually wind up implementing it into our life in a way that's more effective. Speaker 1 (00:26:52): Yeah. Yeah. That reminds me of Sharon Salzberg, loving kindness, meditations. So when she does those meditations, she sort of starts with, you know, think of someone else and, you know, offer them like a life of ease, a life of love, a life of serenity or kindness. And you kind of repeat that mantra for awhile and then just say, offer it to the world and you offer it to the world. And she's like, okay, now offer it to yourself. So that you've practiced someone else you've practiced the world. And then you can turn it back onto yourself. And it's, I always felt like, Oh, this is nice. Now I don't feel bad. Wishing myself a life of ease or a life of ex you know, love or XYZ. Right. Cause I think sometimes when you, I think a lot of people feel this way. They have a hard time being kind to themselves and allowing themselves to not suffer. Speaker 1 (00:27:50): Even though with chronic pain, you are suffering and you don't want to be suffering yet. It's hard to recognize that in yourself. You'd rather put it onto someone else or wish that for someone else. But it's just so hard to wish it for ourselves because maybe if, if you've had chronic pain and I'm just, I don't know if this is true or not, but you can't, it's hard to see yourself out of it. Right? And so it's hard to even think of yourself, elevating yourself up to something that maybe you'll never get to. So then you'll, won't be disappointed. Speaker 2 (00:28:25): That's right. I, I talk about this in my book, in the, in the sense of self-compassion, which can be difficult, as you said, it's a little bit easier to be compassionate toward other people. And it can be more challenging to be compassionate toward ourselves. Where I see this show up with regard to chronic pain is people have been taught. You have to fight pain. Yes. You have to overcome pain and you see this online people even come in, I'm a pain warrior. Speaker 1 (00:28:50): Yeah. Right. You gotta be tough. Speaker 2 (00:28:52): Right. You have to be tough. You have to fight it out. You have to struggle with it. And my question really with regard to that is, okay, there's definitely some work that we have to do here. There's some effort that we have to put into this and there's some behavior change. We know that as professionals, but if you enter into a battle with pain, what kind of message is that sending your mind? Speaker 1 (00:29:17): You're always on guard. You're always on high alert. And that's kind of the opposite of really what we want when we're working with people with chronic pain. That's right. Speaker 2 (00:29:25): And even, even Karen, because I can see you on video right now, as you do that, you're stiffening your whole body up. Right. And we know that things like spasm, muscle spasm, tightness is an outcome of some of these psychological variables. We're talking about being a warrior. Imagine you see holding a gun or holding like a spear they're stiff and very contracted, right. Really what we do with act. And many of the mindfulness and acceptance based approaches is we start to soften to the idea that maybe I don't have to fight this. And that may be my fighting. This maybe the battle with this is the worst, worst, worst part of this. And if I can just let this go just a little bit and allow it to be that maybe not only will my physical body soften, but also my mind will start to release a little bit with regard to some of the things that I've been struggling with or some of the things that I've been grappling with with regards to pain. Speaker 2 (00:30:21): And we know that when that happens, people work toward more pain acceptance. Not only does the quality of their life improve, but as I mentioned before, or that kind of cart before the horse, that's also when pain relief happens, why does pain relief happen with that? And that's, I think it's an important point to talk about, well, we have a reward system in our brain, right? That produces its own opioids. When you engage in activities that are meaningful and important to you, it kind of, you know, twinges that reward system in your brain over meaning it makes you feel good. Right? So engaging in things that make you feel good or rewarding or engaging in things that are rewarding, make you feel good, they bring you pleasure. Right. They bring you joy. And with that, it alleviates pain. So yes, there are ways for us to help with pain control. And there are ways for us to help people be a little bit more willing to engage in their life, even with a little bit of pain and both work effectively and both work synchronistically together to help people. Speaker 1 (00:31:35): Yeah. I know. I always look back and think, you know, there were days where I couldn't turn my neck from side to side, like I would be crying during the week, but then on Saturdays I pitch a double header and I was a windmill pitcher. No pain felt great, really good because I loved pitching. I love being with my team win or lose. It was awesome. Even if I got like hit with a line drive or something, I just, like, I was hit with a line drive in the shoulder. Didn't bother my neck at all. Didn't even think about it, no problems doing that. Right. And people would always, that's why, when you have someone with, in my case, like chronic neck pain or chronic back pain, and you see them doing something like pitching a double header, a fast pitch softball game, well, there's no way they could have pain because they're doing this. Right. Right. And so it's, it's from what you just said for me, this was really valuable in my life was meaningful. It gave me joy. So I was able to do it with Speaker 3 (00:32:40): Very little, if any pain, but on the outside, people are thinking she's faking it. Right. So what, what, what do you do in that respect? Yeah. Speaker 2 (00:32:51): Well, I just want to what you're saying resonates well with me, it takes me back really to like the first year I was practicing, which is like 25 years ago before I studied anything about acceptance and mindfulness based approaches. And I had a, a young woman who was, she was the same age as me at the time she was 26 and she was walking down one of the beautiful tree line Brown street, brownstone streets of Brooklyn on it's on a Saturday evening and a drunk driver. Kim wants to the curb and pinned her between the car and the steps of the brownstone. And instantly she was an above knee amputee on one side and the below knee amputee on the other side. And she was a patient of mine pretty much the first, entire six months of my career, basically. And the beginning of her rehab was so smooth. Speaker 2 (00:33:44): It was wonderful. And you know, it was a physical therapist. We just feel good because we're helping someone walk again and we're fitting them for prosthetic limbs and we're making them stronger. And that went all really well until two things happen. Once you start to lose some weight because she was in the hospital and eating better and exercising. So the prosthetic didn't fit as well. So it was a constant struggle with the prosthetics every day. And then two, she developed a neuroma on her, on her. One of her legs, there was a period for about two weeks where she was so utterly depressed and unhappy. Cause she was in so much pain and suffering so badly. And all of us, the PT, the OT, the nurses, the psychologists, I mean, everyone went into her room and try to motivate her. You know, we use these like rah, rah, watch your tacky. Speaker 2 (00:34:36): Yeah. Cheer her up kind of thing. So one day I went into her room and I just sat next to her. And I said, I don't, it doesn't seem like you want to walk today because that was my job. Right. As a PTA, she said, no. And I said, okay, well, what do you, what do you want to do? Then? I said, you can't stay here. You can't stay in this bed forever. You know that, you know, eventually you they're going to send you home. And she said, there's only one thing I want to do. She said she was engaged at the time. Actually. She's like, I want someone she's like, I want to get married. And I want someone to wheel me out into the dance floor in my wheelchair. I want to stand up and I want to dance with my dad. Speaker 2 (00:35:23): And that's all she wanted to do. She didn't want to walk. She didn't want to walk 50 feet in a hallway with a Walker times two. Right? Nope. Didn't care about that. She didn't care about the prosthetic legs. Really. She didn't really actually that at that time she didn't even really care if she was in a wheelchair, the rest of her life. That's what she wanted that moment. So you know what we did together. Okay. Put your hands on my shoulders. Stand at the edge of the bed. I put some music on and all we did was weight shift. Now, could I have done something more therapeutic from like a physical therapy perspective? Of course I could. Was there something, was there anything that was more important to her in that moment? No. No. Speaker 1 (00:36:10): Yeah. And now, now given the knowledge that you now have and what we know about pain and what we know about this more value-based activities and mindfulness and act, looking back on that, what does that do for you? What does that make you think of now where you are now looking back on that as such a young therapist? Speaker 2 (00:36:36): Well, it makes me think two things. First I am eternally grateful for the skills and knowledge I have now that I try to share with people as much as I can. And then I also reflect on who didn't I help? Oh, that's a can of worms, right? Yeah. Who slipped through my fingers that I wasn't aware of. And that makes me reflect back on, okay, what are we not teaching licensed professionals, especially physical therapists in school, right? So the amount of time we spend on evaluating the structure, function, the structure and function of a joint is in my opinion, at this point in my career is kind of absurd. Speaker 1 (00:37:23): That's the word? That is. So that's the word that came into my mind too. Speaker 2 (00:37:27): The reason why it's absurd and not no offense against, you know, our colleagues in academia is that this is so much packed into a PT program now. Yeah. So we have to get better at, okay. What do we have to, obviously we have to, we have to understand how to measure strength and range of motion, function, et cetera. But it's perhaps most important that we learn how to motivate and change behavior. Speaker 1 (00:37:56): Yeah, absolutely. Because when you, when you think about pain and certainly chronic pain, but even acute pain, what does acute pain do to us as humans? And then as a result, chronic pain, it changes our behavior. It forces us to change our behavior. If we sprain our ankle, we've got a big puffy ankle. Are we going to walk and run for the next week or so? No, it's going to change our behavior. And in chronic pain, that behavior change becomes more than just a few weeks of a behavior change. It becomes an embedded behavior change into personality and into everything that we do. Speaker 2 (00:38:39): That's right. And the reason why acceptance I commend therapy is so important for physical therapists is because when we look at all the literature on cognitive behavioral therapy, traditional cognitive, behavioral therapy, and even pain science education, and both of those I'm I'm in favor of, and I support, but the outcomes actually may be a little better with act with an act approach specifically for the pain, the population of those living with chronic pain and as physical therapists, knowing that we function in practice settings, where we come face to face with people who are in acute pain. And if we can start to deliver some of this during the acute setting, right, then we can prevent the transition to chronic pain. And I think that's the most important. So if you're in acute orthopedics, if you are working in inpatient rehab, I mean home care, all the various places that we function, physical therapists are in the perfect position to take the brain and the body or the minds and the body put them together and help someone overcome their pain. Speaker 1 (00:39:50): Yeah. And, and it goes back to what you said in the beginning, it's sort of fostering that resiliency in people, and that can happen the day one, you injure yourself. You know, last summer I, I had a partial tear of my calf muscle. And the first thing that came into my mind was, well, the first thing was I felt down when it happened, I was like felt for my Achilles tendon. I'm like, okay, the Achilles tendon is there. I'm good. And isn't that amazing? Like I, anything else to me was like a nothing thing. Right. But the first thing I needed to do was I felt down, I was able to point and flex my foot. My Achilles tendon was intact. I got up, I lived up the field fine. I was like, okay, I'm good. But the next day I was like, Oh my gosh, what if this doesn't go away? Speaker 1 (00:40:41): What if this, because of my own history with chronic pain, it's what if this is chronic? What if it never goes away? But, and I, instead I went the next day, I went to see an orthopedist and he did kind of what you're saying. He was like, listen, this is what's going on. This is what's going happen. And he gave me out like a timeline of expectations and for me, and, and the way that I function, that was a great way to build up my resiliency to know, Hey, first of all, it's not my Achilles tendon. And second of all, this is what's going to happen over the next couple of weeks and over the next couple of weeks, what he said happened. And so I felt okay, I'm good. It's a little sore. It's a little painful. I'm okay. With the backdrop of that chronic pain history was really meaningful to me. Speaker 2 (00:41:30): Yeah. There are variations of informed consent, just informing someone, okay, what here's what's happening. And here's how this is potentially going to play out. Can be really, really important and powerful for someone. It can help ease someone's anxiety. It can help ease their worry and concerned about it. And as I mentioned before, these are the places where, you know, we thrive as PTs actually, especially with regard to pain. I mean, if you look at pain education in licensed health professional training, PTs have the most more than psychologists were than the other mental health professionals, more than OTs. So, you know, we're putting all these pieces together. And in fact, when you look at what are the most important factors to help someone with pain it's pain education, right? So we talked about that some type of cognitive behavioral therapy, acceptance and commitment therapy is a third wave generation, cognitive behavioral therapy. And then something related to lifestyle, probably the most important factor with regard to lifestyle is movement is exercise and physical activity. So when you put pain education together with act together with helping someone or promoting physical activity, that's probably the kind of trifecta. Those are the, that's the secret sauce, if you will, of helping someone with pain. Speaker 1 (00:42:52): Yeah. I, I agree a hundred percent and now let's dive in just quickly. If you can give the listeners kind of like, what's the difference? You, you sort of alluded to it now between acceptance and commitment therapy and cognitive behavioral therapy, and also the difference between act and mindfulness. Speaker 2 (00:43:19): Sure. All really important distinctions. Thanks for the question. So cognitive behavioral therapy is kind of the first therapy that was used with regard to people's thoughts, beliefs, and emotions around pain. Most of that work focuses on identifying or challenging problematic, problematic, or modifying thoughts. And with that, as someone modifies their thoughts, you hope that it modifies and changes their behavior. So restructuring thoughts, we've heard these words before restructuring thoughts, reframing thoughts even the reconceptualization of pain, which is a purely from like a pain education perspective. It's still a more traditional cognitive behavioral therapy model, helping someone identify their thoughts, and if their thoughts are maladaptive, how can we change those thoughts now they're important. And there's a place there for that. What I propose to people when they start to look the literature on changing thoughts, specifically with pain or the route with regard to pain, it can be quite difficult and quite sticky to do that. Speaker 2 (00:44:29): There's some pretty good research that shows that there's a small group that will reconceptualize their pain really early on. There's another smaller, equally small group that will never change. And then most people are kind of somewhere in the middle. So they understand what you're saying. They understand that, okay, the herniated disc in my back, isn't the only factor with regards to my chronic lower back pain. And they understand that, you know, thoughts about your thoughts about pain, negative thoughts about pain are not necessarily good, but they don't reconceptualize. They don't change those thoughts on a hundred percent. The difference with acceptance and commitment therapy and even mindfulness, they're both what they call third generation cognitive behavioral therapies, which instead of targeting these maladaptive thoughts and beliefs, we simply help people observe that they have thoughts about what's happening. And instead of changing that we help people understand or identify, recognize that they can have those thoughts and beliefs, but still continue on with the things that are important to them in their life. So it's a big distinction. It's especially challenging for physical therapist who spent a lot of time studying pain education. And there's a physiotherapist from Ireland that came into my act program and she studied pain education for a long time. And then she studied cognitive functional therapy, both two evidence-based wonderful ways to treat pain, but she found that there were some people, a lot of patients actually, that they understood didactically what you were saying to them, but it didn't change their behavior. Speaker 2 (00:46:10): So what's wonderful about act is that act is a behavior change model. It's really based in behavioral therapy. And there's also something nice about not having to struggle with someone to change their thoughts and beliefs all the time. It takes a little bit of pressure off the person who has pain and it takes a little bit of pressure off of the therapist, Speaker 1 (00:46:30): Right? Because sometimes when you try and change those thoughts and behaviors, and I don't know about you, but I've heard this when I first started you know, really studying more about pain science and, and understanding how, how pain affects people in so many different ways. And when I first would talk to people and I bet, you know what I'm going to say here? What, what would they say to you? So you're saying it's all in my head. That's right. Right. Speaker 2 (00:47:00): And the, you know, when that happens, people feel invalidated and it kind of takes us full circle to the beginning of our conversation is it focuses on their vulnerability. Oh, so you're saying there's something wrong with the way I'm thinking. And the truth is if someone thinks about their pain, a lot, that's 100% normal. Cause that's, that's a pain supposed to do. Pain is supposed to alert you to something that's potentially harmful or something that's dangerous. So just normalizing that everyone's mind my mind, Karen, your mind, someone who has pain, we all think all, most of our thoughts throughout the day, our thoughts about how do I avoid things that could potentially harm me, things that are potentially uncomfortable, helping people just observe that actually can be the step before even the reconceptualization of pain, because how can you, how can you expect someone? How can you help someone to target thoughts and beliefs about pain if they haven't even thought about, okay, what are my thoughts? Speaker 2 (00:48:12): What are my beliefs about pain? What am I thinking right now? The average person has somewhere between 6,000 and 12,000 thoughts per day. And the truth is most of them are negative because it's a survival instinct, right? We brought this through with survival instead. How can I observe these thoughts? How can I observe my emotions? How can I be getting to observe the physical sensations in my body, whether that be anxiety, whether that be physical pain and realize that I can have contact with that, but not let it impact my behavior. So that's really the biggest difference between an act or a mindful, acceptance based approach versus a more traditional cognitive behavioral approach. Speaker 1 (00:48:57): Yeah. Thank you for that. That is very helpful. Cause I'm sure you get that question quite a bit. So it's nice to be able to clear that up. So now let's shift gears slightly ever so slightly and talk about your new book, right? So your new book, radical relief, a guide to overcoming chronic pain. So let's talk about it. Why the title why'd you write it? Go ahead. Speaker 2 (00:49:27): Well, after my first book came out called heal your pain. Now in that book, I had a section called the brain and pain. And at that time, the author only gave me so much space to write about the mind, so to speak. So I had to, I had to include small sections about mindfulness and about act and in general about the mind and how the mind responds to pain. And it kind of forced me to take a very didactic approach to pain. And people would reach out to me all the time. I want to learn more about mindfulness for pain. I want to learn more about this thing. You mentioned act about pain. So both professionals and people were coming to me. So I couldn't put it in that book. And I really firmly believed that deserved its own resource because there are solid mental skills, training and exercises that are in this book, radical relief that wasn't in my, in my first book. Speaker 2 (00:50:24): Second is it's a little bit tongue cheek, so to speak, it's a radical idea to think that two physical therapists want to spend their Thursday evening talking about the mind and mental skills training with regard to pain. So as we said before, like there's a little bit of a cognitive dissonance in there, but we know that physical therapists have a very important part with regard to helping people cope both physically as well as psychologically and emotionally. You know, the third aspect is just in general to give people this notion that it's not a radical idea to use your mind, to use mental skills training, to use mindfulness, to overcome pain. And that can be a part of your treatment. And in fact, as you and I are sitting here counting, I can guarantee you there's someone right now, who's being treated for pain who are not being offered these types of skills and you know, you, and I think it's absurd actually, but this is still happening. So radical relief really is a short book. It's only about a hundred pages. It's a workbook that includes over 50 cognitive and mindfulness type exercises to help people overcome their chronic pain in essence. And it's also written for practitioners to use as a guide in the manual that they can use in clinical practice. Speaker 1 (00:51:45): Yeah. And the one thing that I liked about the book aside from, as we were talking before we went on air, it's very, very pretty all of the illustrations are quite beautiful. But I like the fact that within each chapter there's like exercises and you have to literally write things down, pen, take pen to paper, and you can do it right in the book. Or you can grab the extra sheet of paper or what have you. But I like the fact that you have to write things down because there is something to that, you know, there is something to writing to the physical act of writing something down on paper versus typing it out or just thinking about it. And so that's something that I really appreciated throughout the book. Speaker 2 (00:52:30): Yeah. And I learned that from my first book as my first book was a very education based approach. As we mentioned, pain education is important, but it, it doesn't do a great job of changing behavior when you get involved with act, act as a very experiential therapy. So you're not sitting across from someone like talking to them, you're actually engaging with them in a lot of different ways. So what I really found was, and people can, you know, note this down for themselves. The average person doesn't want to flip through 300 pages of a book to learn about pain. They want something that's relatively short. They want something that's clear. They want something that's useful that they can really pick up, you know, now and start to use. And I think it's the same with practitioners, right? There's only so much theory and philosophy we can think about before we say, okay, what do I do with my patient today? What am I do with patient? I have at nine o'clock tomorrow, who's been suffering with fibromyalgia for 10 years. So that's why I tried to approach this book very differently from, from the first book. Speaker 1 (00:53:35): Yeah. And, and before we went on air, you, you asked me if I had a post-it note to which I said, I have a large sheet of white paper and you said, no, it needs to be a post-it note. And I said, well, I have a mini post-it note, will that do the trick? So please, please tell me why I needed a post-it note and not a large white sheet of paper. And perhaps the listeners, if they have a post-it note, they can go and grab one as well. Speaker 2 (00:54:05): Yeah. So if everyone has a post-it note and a pen or a pencil, please hit pause and grab that and come back. But as you mentioned, Karen, it's a workbook. And you said putting pen to paper changes things, right? Because in some ways it's it's experiential. So I was, as, as I was mentioning before, we don't have a good way to change thoughts and beliefs. So with that, we have to help people relate or respond differently to thoughts and beliefs. Right? All of us have things in life, thoughts and beliefs about ourselves that are somewhat unpleasant and painful, right? Some of them are really, really horrible things about ourselves. And some are, some of them are things like, you know, not so horrible. So if you'll kind of engage in this with me, I'd like you to just reflect on yourself and your own life experience and think about one negative, thought about yourself, not the worst thought possible, but one thought that, you know, maybe on a scale of one to 10 with like one the least impactful and like 10, the worst, maybe you're somewhere like a four or five. And then I want you to write that down on the post-it note. Speaker 3 (00:55:19): Okay. Speaker 2 (00:55:20): So we can't change this thought, right? The thought is there and just rip it off a little post-it pads, Speaker 3 (00:55:31): Still writing. Okay. Speaker 1 (00:55:42): My pen's running out of ink, but I remember what it was. It's, it's half written. It's written. I just, my pen ran out of ink, but okay. We can, we can go on. It is written. Speaker 2 (00:55:52): I'm going to do this with you actually. So it's written there and what I want you to do is pull it off the, pull off the post-it pad. Okay. And I want you to hold it up. I don't know, maybe about a foot or so away from your knees. I want you to look at it. And in your, in your mind, I just want you to repeat the word nice and slowly, and really kind of get lost in that word just for a moment. And then as you get lost in that word, just notice if you feel anything different in your body. Speaker 1 (00:56:37): Yeah. Looking at the yes. Speaker 2 (00:56:39): Right? Okay. So you see how thoughts have an impact on how we feel now, what I want you to do is I want you to take your arm and stretch it out as far as you can go. And I want you to look at that word. And what I want you to do is I want you to flip it upside down. Now, just turn it 180 degrees and now look at it and now see if it has any less of an impact on how you feel. Speaker 1 (00:57:07): I mean, maybe a little, Speaker 2 (00:57:09): A little bit right now. What I want you to do is I want you to maybe prop it up on the computer screen in front of you, and I want you to push back. So maybe you're 10 feet or so. Speaker 1 (00:57:22): Okay. Go. As far as my mic, as my ear, phones will take me Speaker 2 (00:57:28): And then maybe just stand up as you're there and now look at the word and then notice if there's any difference in how you feel or how you relate to that word. Speaker 1 (00:57:43): Yeah. Maybe a little bit, now that I'm standing and people can't see me, but I think I automatically stood up in the power pose. Speaker 2 (00:57:49): I noticed I still noticed put your hands on your hips. Right. So would you say there's less of an impact as you move away from the words so to speak? Yeah. Great. Okay. Come back forward. So what I just did is what they call cognitive distancing. So it was a way to distance yourself, literally as well as figuratively. So now what I want you to do cameras, I want you to take that same post in them. I want you to fold it up into a little square And I want you to put it in your back pocket. Speaker 1 (00:58:24): Okay. I don't have one. So I'll pretend I do. Speaker 2 (00:58:28): Yeah. Just stick it up your sleeve there. Okay. So now you have this unpleasant unwanted thought about yourself. It's not going away cause it's in your back pocket or it's in your front pocket or wherever it is, wherever you placed it. And my question for you is would you be willing to be with that thought and to be with those uncomfortable sensations you feel on your body, if it meant you could be a more effective physical therapist or be a more loving daughter sure. Or a more supportive wife or a girlfriend, or a more effective member of your community or a leader of your profession. Speaker 1 (00:59:14): Yeah. I can do that. Right. Speaker 2 (00:59:16): So it just shows you that we can change how people relate to thoughts. We didn't change the actual thought. Still there. We can change how people relate to them, to it. And we can also show people how, okay, this thought can be present with us and I can still experience it and not feel good about it, but I can still go about my life. And what I do with patients is I have them take these thoughts. Like I have a big herniated disc at L five S one. Okay. Write that on a piece of paper, put it in your back pocket in your briefcase and carry it around with you today and notice how at times that thought wasn't even present and didn't talk to you at all. And other times maybe it was present a little bit, you thought about it, but it didn't stop you. And other times it was like a big barrier. Right. And within those three, they're really important teaching moments that we can help patients with. Speaker 1 (01:00:09): Yeah. Oh, that's great. Great, great. Is that in the book? So Speaker 2 (01:00:14): The book is full of Speaker 1 (01:00:17): Nice. Nice. Yeah, no, I think that's great. And, and for, you know, physical therapists or other healthcare professionals that might be listening, that my hope is that this podcast will plant a seed in them to say, you know, maybe, maybe I'm I need to do a little bit more, you know, and what can I do to do more Speaker 2 (01:00:43): The biggest ask the biggest, one of the great gifts that I have come across in teaching physical therapists about act is yes, it helps your patients, but physical therapists notice a change in themselves from it. Because look, we struggle with not being able to help people. We get burnt out because of it. Absolutely. We have our own personal challenges that cause us pain and suffering. So to speak that we struggle with outside of our clinical work, that this type of work becomes really important to you. And the truth is, as you know, Karen pain will show up in life. Yes, it will show up when you least expect it. And these are effective skills that I really believe all of us need to learn and adopt not only for our patients, but for us to be effective clinicians and effective professionals for us to embody them in ourselves, then we can help people with these types of aspects and these, this type of care. Speaker 1 (01:01:44): Yeah. I don't disagree with that. I think that's great. And you know, I was just going to ask you to sort of put a bow on this conversation, if you will, and what would you like people to take away from it? I think you gave a little bit of it just now, but is there anything you'd want to add on to that? Speaker 2 (01:02:06): What I want people to take away from a mindfulness and acceptance based approach to care is that there's hope in it. And that hope really resides in helping helping, giving you the skills that help someone reconnect with their life. And that resilience that we spoke about in the beginning, the hope is really what people are looking for because they feel helpless. They feel hopeless. And this work is really about, okay, maybe there's some things in your physical body we have to work on. Maybe there are some thoughts and feelings and emotions that are difficult for you. Let's yeah. Let's kind of work on those, but know that you're whole, as you are, as a human being and everything that's required to overcome this already exists in you, I'm just going, gonna help you contact that in a way that's more efficient that moves you along this path in a way that's faster. So the whole part is really important and that's really what people are coming to us for. Speaker 1 (01:03:07): Yeah. Yeah. That's great. And then last question or no, well, last question before we get to, how do we contact you and all that other fun stuff, but, and you know what this question is, I think I've already asked it to you like three times, however many times you've been on the podcast, but let's say knowing where you are now as a therapist and as a person and in your life and your career, what advice would you give to your younger self? Maybe not right out of college, but let's say 10 years ago, before you really started delving into working with information surrounding chronic pain, Speaker 2 (01:03:48): I would say, give yourself space to fail and just allow that stuff, exploration of exploring different things and realizing, Hey, I didn't do that so well, or I wasn't so great today and allow yourself, there's a lot of pressure on us as professionals to be this, you know, master healer, so to speak. And I really think it's damaging to us as professionals. Speaker 1 (01:04:20): And I think that can lead to burnout, all that pressure on you to be the person, the one person in someone else's life. That's going to take away all their pain or take or add this, or take away that boy, that's a lot of pressure. Speaker 2 (01:04:37): That's right. I, I actually, I asked therapists now, who are you to take away someone's pain. Cause really think about what that really means. Speaker 1 (01:04:46): Like the wizard of Oz, Speaker 2 (01:04:48): Right? Like, is there some like magic fairy dust that you have that the rest of us don't have? And again, it doesn't mean that we can't help people with their pain. I mean, we can alleviate some of that pain, but that's not what, that's not what we're there for. We're there to be a witness to someone on their journey to overcome whatever it is that they're struggling with. And the kind of take that into a mindfulness realm, allow yourself to be your own witness as you move through the profession and you navigate and negotiate. Okay. Here's what I'm really good at and why I want to kind of cultivate and things that I don't have to necessarily engage with that. Speaker 1 (01:05:29): Yeah. Well said now, where can people find you? Where can they find the book, social media websites? What do you got for us? Speaker 2 (01:05:39): Easy. People can go to my website. The website is integrative pain, science institute.com or one very long word, integrated pain science institute.com. The book is called radical relief, a guide to overcome chronic pain, which you can find on Amazon in most countries. If you go to either one of those two places, you'll find the book and all the information about me. I also want to plug another book Karen, in which you're involved in. Speaker 1 (01:06:03): Oh yeah, yeah, yeah. That's right. It's a couple of months out still. Yeah, Speaker 2 (01:06:08): I'm working. I'm the chief editor on a book that involves about 45 different physical therapists, some from academia, some from private practice and it's with regard to how physical therapists can use lifestyle interventions and practice that book will come out probably in the fall of 2021. And I want to plug it because it's an awesome book with, you know, as I mentioned, Speaker 1 (01:06:32): Amazed some amazing people involved, Speaker 2 (01:06:34): Amazing people. And Karen is one of those amazing people. Who's

Dr. Dave Candy and special guest Dr. Joe Tatta discuss powerful tools that you can use to get Radical Relief from chronic pain.​Key takeaways:-Common misconceptions about chronic pain-What happens when you go from acute pain to chronic pain-How your past and home environment can affect your pain relief journey-Tools to use to change the mindset that "all pain is bad"-How to get over the emotional side of chronic pain-Acceptance and commitment therapy-AND MORE!About Dr. Joe TattaDr. Joe Tatta is a global leader in integrative pain care and an advocate for safe and effective treatment of chronic pain. He's the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development. Dr. Tatta is also the author of two bestselling books, - Radical Relief and Heal Your Pain Now - and host of The Healing Pain Podcast.To Connect with Dr. Joe TattaWebsite: https://www.integrativepainscienceinstitute.com/Facebook: https://www.facebook.com/DrJoeTatta/YouTube: https://www.youtube.com/user/joetattaBook: Radical Relief: A Guide To Overcome Chronic Pain https://amzn.to/3b0r26KTo Connect with Dr. Dave Candy:Email: dave@stlpainexpert.com Phone: 314-941-3970

Welcome to Episode 198 of the Healing Pain Podcast. We're doing a little bit of a pivot. Historically, we have focused on the treatment of chronic pain mostly in populations of people that have conditions or diseases that contribute to the chronification but persistence of pain. We're looking at athletes, how they respond, and cope to pain specifically how contact and non-contact athletes cope with pain. As you’re reading and our expert guests, take the time to consider, is there something that you learn that you can apply to all different types of people with pain, not just athletes, but those who are non-athletic and you're helping them to promote some exercise or physical activity in their life to help them overcome chronic pain? Joining me to discuss athletes and pain is sports psychologist, Claire Thornton. Claire is PhD examined athletes and pain with a focus on contact athletes specifically Rugby, American football players, and martial artists. Her main research interest centers around pain responses within this population in terms of pain tolerance, pain coping styles, challenge and threat perceptions and performance. Without further ado, let's begin. Let's meet Claire and discuss how different types of athletes cope with pain. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainsciencinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

Episode 123 Had such a great time with Dr. Karen Litzy. She speaks my language about health and her story of healing is amazing. The journey that she goes on, finding herself and her body, is amazing. Diving into neuroscience and self is the perfect combo to finding health. She offers so many insights that I think so many of us can thoroughly connect to. Dr. Karen Litzy, PT, DPT is a licensed physical therapist, international speaker, owner of Karen Litzy Physical Therapy, host of the podcast Healthy Wealthy & Smart and creator of the Women in Physical Therapy Summit. Through her work as a physical therapist she has helped thousands of people overcome painful conditions, recover from surgery and return to their lives with family and friends. As a podcast host she has interviewed influencers in the worlds of health, medicine and entrepreneurship including Gloria Steinem, Dr. Karim Khan, JJ Virgin, and Prof Lorimer Moseley to name a few. Dr. Litzy has presented on a variety of topics including her personal journey with chronic pain, the neuroscience of pain, utilizing social media as a medial professional and technology and informatics in healthcare. Karen has been featured in magazines and websites like Redbook, Women’s Running, Martha Stewart Living, Thrive Global, Family Circle, Health.com and CafeMom. She has been a guest on several podcasts including Entrepreneur On Fire, Hack the Entrepreneur, and The Healing Pain Podcast. She lives in New York City.

On this episode, we're exploring the significance of Polyvagal Theory on autonomic resilience as it pertains to the management of chronic pain. Our expert guest is Dr. Marlysa Sullivan. She is an assistant professor at the Maryland University of Integrative Health in both yoga therapy and health promotion. She's also an adjunct professor at the Emory University in the Doctor of Physical Therapy program where she teaches the integration of yoga and mindfulness in physical therapy. She has a new book out which is co-edited with physiotherapists, Shelly Prosko and Neil Pearson called Yoga and Science in Pain Care, which we'll be discussing through the lens of Polyvagal Theory. As a researcher, Marlysa has also contributed to the evidence base with regard to yoga therapy and Polyvagal Theory. If you'd like to get a taste of Dr. Sullivan's work with regards to yoga therapy and Polyvagal theory, she has provided a free download of her paper. The paper's called Yoga Therapy and Polyvagal Theory: The Convergence of Traditional Wisdom and Contemporary Neuroscience. To download this paper, all you have to do is text the word, 157Download, to the number 44222. You can also open up a new browser on your computer and type in www.IntegrativePainScienceInstitute.com/157download. Before we begin, make sure you take a moment to join the Integrative Pain Science Institute and the Healing Pain Podcast community Facebook group. Here you'll be able to connect with like-minded health professionals from the world of physical therapy, psychology, occupational therapy, medicine, nursing. Almost every profession is part of this group and you can connect with them with regard to integrative pain care and what's happening in the world of integrative pain science. To join that group, just go to www.Facebook.com/groups/IPSICommunity. You can send me a quick email. My email address is Joe@IntegrativePainScienceInstitute.com and I'll send that link to you. Sit back, relax and let's get ready to learn about Polyvagal Theory and pain science with Dr. Marlysa Sullivan. Sign up for the latest episode at www.integrativepainscienceinstitute.com/podcasts/. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainsciencinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

My guest this week is Dr. Joe Tatta, a pioneering expert in lifestyle interventions for treating persistent pain. Dr. Tatta has 25 years of experience in physical therapy, integrative models of pain care, leadership and private practice innovation. He holds a Doctorate in Physical Therapy, is a Board-Certified Nutrition Specialist and has trained extensively in Acceptance and Commitment Therapy. Dr. Tatta is the Founder of the Integrative Pain Science Institute, a company dedicated to reinventing pain care through education, research, and professional training. Dr. Tatta is the author of the bestselling book, ‘Heal Your Pain Now‘, and host of ‘The Healing Pain Podcast‘ which features interviews and free training from respected pain experts. In this episode, Dr. Tatta and I discuss how parents can understand and properly address chronic pain in their children and family. Dr. Tatta shares common pain symptoms children experience, such as, tension or migraine headaches, gastrointestinal or gut abdominal pain, lower back pain, and chronic regional pain syndrome. He sheds light on surprising research links to increased pain persistency in children and provides parents with resources and tips on how to normalize their child's life again when dealing with chronic pain issues.    Where to learn more about Dr. Joe Tatta... Integrative Pain Science Institute drjoetatta.com Instagram Twitter Facebook   Connect with Dr. Nicole Beurkens on... Instagram Facebook Drbeurkens.com   Need help with improving your child's behavior naturally?  My book Life Will Get Better is available for purchase, click here to learn more.  Looking for more? Check out my Blog and the Better Behavior Naturally Parent Program - a resource guide for parents who want to be more effective with improving their child's behavior.  Interested in becoming a patient? Contact us here. 

We’re talking about the important topic of compassion and pain care. Our expert guest is my friend and colleague, Shelly Prosko. Shelly is a Canadian physiotherapist, yoga therapist, author, speaker and educator. She is someone who is empowering individuals to create and sustain meaningful change in their life by teaching and advocating for the integration of yoga into modern healthcare. You may know Shelly as the pioneer of PhysioYoga, which is a unique combination of physiotherapy and yoga. Shelly guest lectures at medical colleges, teaches at yoga therapy schools, provide yoga teacher trainings, speaks internationally at yoga therapy and medical conferences, contributes to yoga academic research and offers online and offline continuing education courses for both yoga and healthcare professionals on important topic such as chronic pain, pelvic pain, compassion and professional burnout. Shelly has recently co-authored a book called Yoga and Science in Pain Care: Treating the Person in Pain. That’s available online. We’ll also discuss that book. You’ll learn all about the different components of compassion, why compassion and pain care is important for both people overcoming pain as well as the practitioners who treat them. What are some of the reasons why we don’t always provide compassionate pain care? We’ll discuss if compassion is something that can be trained and cultivated or is it something that you’re born with? Finally, how to differentiate between compassion, empathy, and compassion fatigue. To help celebrate the launch of her new book, Shelly is providing a free chapter written about Compassion and Pain Care from her book for you. To download that free chapter on Compassion and Pain Care, all you have to do is to text the word 155download to the number 44222 or if you’re on a computer or another device, open up a new browser and type in the URL, www.IntegrativePainScienceInstitute.com/155download. Before we begin, I wanted to share a brand-new community with you that I started. I created a free Facebook community for those who follow the Healing Pain Podcast and the Integrative Pain Science Institute. Inside this group, you can access free tips, education resources, and connect with like-minded peers and friends. Anyone can join this group, but I would especially like to meet you if you are an integrated pain practitioner. This would include a physical therapist, a physiotherapist and occupational therapist, a physician, a health coach, a psychologist, a counselor, a social worker. No matter who you are, if you are a healthcare provider, I’m looking forward to personally meeting you and hearing all about the great things that you’re doing in the world of pain care. To join this group, all you have to do is go to www.Facebook.com/groups/ipsicommunity. If you can’t remember that long URL, you can simply send me an email at Joe@IntegrativePainScienceInstitute.com. Make sure to take the time to download our free gift. Make sure to take a moment to join that Facebook group. I can’t wait to meet you there. Let’s begin and let’s meet the wonderful and fabulous, Shelly Prosko. Sign up for the latest episode at www.integrativepainscienceinstitute.com/podcasts/. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainsciencinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

We’ve got an episode that is full of some good news that I can’t wait to share with you. When I first started this podcast over a few years ago, the CDC had released information about the opioid crisis as well as the overprescribing of opioids and its contribution to addiction, abuse and fatalities. Since then, the CDC guidelines have been pushing toward early non-drug or what is known as non-pharmacologic treatment options for patients with pain. We are definitely making some progress. Along with these guidelines, there’s a huge opportunity for physical therapists to help people who are struggling with chronic pain. One way we can do this is to intervene quickly and early in the care of people with pain. I spoke about this a bit in Episode 133 with Dr. Marcia Spoto, who discussed physical therapists as primary spine care providers. In this episode, we’ll explore how the research is supporting early physical therapy for people with pain. A study conducted by our guest, Dr. Eric Sun, found that patients who receive early physical therapy within the first 90 days use less opioids for pain. Eric is an Assistant Professor of Anesthesiology, Pain Medicine, and Health and Research Policy at Stanford University and Medical Center in California. He spends part of his time working as an anesthesiologist and part of his time as an epidemiologist, crunching numbers and big data on important topics. It was published in 2018 in the Journal of the American Medical Association. I know you’re going to enjoy this show. Make sure to hop on over to the IntegrativePainScienceInstitute.com/podcasts. You’ll see a box where you can subscribe to the Healing Pain Podcast so I can send you a new podcast to your inbox. Let’s begin with Dr. Eric Sun and learn about how early physical therapy can lead to less opioid use. Sign up for the latest episode at www.integrativepainscienceinstitute.com/podcasts/. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainsciencinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

On this episode of the Healthy Wealthy and Smart Podcast, Jenna Kantor guest hosts and interviews Karen Litzy on her journey to become a leader of the physical therapy profession. Karen Litzy, PT, DPT is a licensed physical therapist, speaker, owner of Karen Litzy Physical Therapy, host of the podcast Healthy Wealthy & Smart and creator of the Women in Physical Therapy Summit. In this episode, we discuss: -How Karen started her career in New York City -The importance of relationship building to grow your practice -Why you should say yes to things that align with your values -A sneak peek at the Strictly Business Mastermind -And so much more!   Resources: Karen Litzy Twitter Karen Litzy Instagram  Karen Litzy Facebook FOTO Outcomes Summit, use the discount code LITZY   For more information on Karen: Dr. Karen Litzy, PT, DPT is a licensed physical therapist, speaker, owner of Karen Litzy Physical Therapy, host of the podcast Healthy Wealthy & Smart and creator of the Women in Physical Therapy Summit.   Through her work as a physical therapist she has helped thousands of people overcome painful conditions, recover from surgery and return to their lives with family and friends.   She has been a featured speaker at national and international events including the International Olympic Committee Injury Prevention Conference in Monaco, the Sri Lanka Sports and Exercise Medicine Conference, and various American Physical Therapy Association conferences.   Karen has been featured in magazines and websites like Redbook, Women’s Running, Martha Stewart Living, Family Circle, Health.com and CafeMom. She has been a guest on several podcasts including Entrepreneur On Fire, Hack the Entrepreneur, and The Healing Pain Podcast. She lives in New York City.   For more information on Jenna: Jenna Kantor (co-founder) is a bubbly and energetic girl who was born and raised in Petaluma, California. Growing up, she trained and performed ballet throughout the United States. After earning a BA in Dance and Drama at the University of California, Irvine, she worked professionally in musical theatre for 15+ years with tours, regional theatres, & overseas (www.jennakantor.com) until she found herself ready to move onto a new chapter in her life – a career in Physical Therapy. Jenna is currently in her 3rd year at Columbia University’s Physical Therapy Program. She is also a co-founder of the podcast, “Physiotherapy Performance Perspectives,” has an evidence-based monthly youtube series titled “Injury Prevention for Dancers,” is a NY SSIG Co-Founder, NYPTA Student Conclave 2017 Development Team, works with the NYPTA Greater New York Legislative Task Force and is the NYPTA Public Policy Committee Student Liaison. Jenna aspires to be a physical therapist for amateur and professional performers to help ensure long, healthy careers. To learn more, please check out her website: www.jennafkantor.wixsite.com/jkpt   Read the full transcript below: Jenna Kantor:                00:00                Hello, this is Jenna Kantor interviewing for Healthy, Wealthy and Smart. And I am here with the founder, the original Mama Jamma, Healthy, Wealthy and Smart Karen. And I am going to be a major fan girl. No apologies for this at all because I've been wanting to interview Karen for a long time because she is just one of the most inspirational people in physical therapy. And I would say honestly amongst women and physical therapy, the leadership that you take is absolutely incredible and I appreciate you agreeing to coming on. So thank you. Karen Litzy:                                           Well thank you. And I think this is the first time I've been interviewed on my own podcast. I think so unless you count the time Bronnie Thompson was asking me questions and made me cry. But for the most part, this is definitely the first time. Jenna Kantor:                00:51                Not a meltdown in this one. Well what I'm really excited about as so anybody who is a fan of Karen lets you see all that she does. This is to really learn about her backstory and also how possible it is to get to where she is at now. So one thing we were talking about the other day, Karen, as you were saying, how you moved to New York and you knew no one, I would love for you to expand upon that and how you took those steps to knowing everyone. Karen Litzy:                                           Well, so when I first moved to New York, I knew my roommate because we had gone to high school together and maybe two other people that we went to high school with. And what I decided to do when I first moved to New York is I couldn't find a physical therapy job that I felt like it was a good fit. Karen Litzy:                   01:43                And so I ended up working at what was then called Reebok Sports Club. It's now an Equinox, but it was this sort of a country club in the city. So it was a very high end, very expensive gym. So I started working there as a personal trainer. And because of that environment, there were so many personal trainers, Pilates instructors, nutritionists, not to mention all of the people who go in and out of the gym and all the clients I was lucky enough to work with. And because of that I was able to meet hundreds and hundreds of people. And to this day, those trainers, the people who work, like a computer program there for children, there are nutritionists, pilates instructors. To this day they still refer patients to me. And that was wow, 18 years ago. So, you know, we talk about building relationships and how important that is. Karen Litzy:                   02:41                And I think having that as my first job in the city and being exposed to so many different people, I felt like it really helped me build relationships and friendships at this point that have continued to blossom and grow. And I mean, I just had a patient that was looking for a strength and conditioning coach. And so I said, well, I work with one, a person who is amazing. And he was one of the first people I met at my new job 18 years ago. So it was a bit of like an unconventional path for a physical therapist and it's just cause I couldn't find my fit. I couldn't find that niche that I really wanted and maybe the clinic that I really wanted to work at and now that being said, I knew ahead of before I moved to New York that this gym existed and that it was a high end gym and that I would be exposed to a different kind of clientele. Karen Litzy:                   03:36                I don't know why I looked that up to begin with, but it was because of that, that gave me the idea to go out on my own and to start seeing patients in their homes and home gyms and homes and offices because all of the personal trainers at this gym, we're seeing people outside of the gym. If they're doing that, then why can't I do that? Why can't a physical therapist do that? Why do they only have to come to a clinic in a more traditional sense of the word? So it was because of that first job that I met so many people and those relationships continue to grow other relationships and that I got the idea to do my business. Jenna Kantor:                04:28                That's incredible. So for you, now that your network has expanded over time, clearly it's like full bloom. Hello, I look at you almost like the Oprah of physical therapy here. So how do you keep in touch or maintain these relationships with all these people? Like what is your skill for that? Karen Litzy:                                           So as far as maintaining them within New York City, it's pretty easy because we'll get together or you send a quick text. Cause most of these people are my friends and I credit working at that gym and also playing softball in central park that I was able to meet so many people. Jenna Kantor:                                        You play softball. Hold on, pause, elaborate. Karen Litzy:                                           So one day I was running in central park and I was like, Ooh, softball. So I went down and I was like, Hey, do you guys allow girls to play? And they were like, no. And I was like, oh, um, okay. And they said, well, what do you do? Karen Litzy:                   05:16                And I said, well, I'm a pitcher. And then they asked if I was good. And I peeked my head around and looked at their pitcher. I'm like, I'm better than the one you have. And so the next week I went for my tryout and then I became their pitcher. And then the following, summer I was recruited to play in a fast pitch like windmill fastpitch league. So I played there for several years and all the guys that I played with on that softball team, are lawyers, and they have referred patients to me. And you know, you just keep in touch. And so I met my two best friends that way in the city and they refer people to me from a business standpoint, but they're also my friends, you know, and they're part of my lifeblood of being in the city. And so my best advice if you're moving to someplace where you don't know anyone is to get involved in things you like to do. Karen Litzy:                   06:07                So I love playing softball. So that's what I did, you know, and I loved working out. So I decided to work in a gym as my first job. So instead of kind of pigeon holing yourself into what just physical therapy or just this, just that, like really kind of open yourself up because you never know who you're gonna meet. So in this city it's easy to keep in touch, well, I shouldn't say it's easy. It's not easy, but if it's a priority for you and your life, you make it and you make it a priority and you put in the effort. And so for me, and as you know, Jenna, you keep in touch with a lot of people. You spend your time on networking and on making those relationships. And the best way to do it is to make it a priority. Karen Litzy:                   06:47                And so I may have, you know, my week is sort of chunked out so I have patient care, but then there's times where I'm like, okay, all I'm going to do is write emails and send messages to people and it's in my calendar, it's write emails and send messages to people just so that you're still in there hemisphere. Jenna Kantor:                                        You know, it's keeping those relationships. Otherwise it becomes that long lost relationship. Even if when you hang out with them again you could just act like no time has passed. It's still something that needs to be rekindled. So it avoids that. Karen Litzy:                                           And it's putting in the effort. Like a good friend of mine, his name is Dr. Jordan Metzl who's a physician in New York and he does free workout classes every month. And so I try and make it a point, okay, I'm going to go to one of his classes even though I can't walk for two or three days because my legs are so sore afterwards. But I make it a point because he's my friend and I want to support him and I think what he's doing is important. Jenna Kantor:                07:37                I love that. I'm sure I've probably seen pictures of you after the workout going, just finished the workout with Metzl right now. I love that. And you actually are tapping upon something that I know we are 100% agree upon is really supporting what other people are doing. Showing up for what they do is a real big part of the networking and how your life and your career has truly grown. Karen Litzy:                                           Yeah. It's just being supportive of people that you believe in. So going to something like the CSM where there's 16-17,000 people here, like there are people that I want to make it a point that I at least say hello and that I have a conversation with, even if it's just five minutes, you know, because it's important to me and I hope it's important to them, but I know that it's important to me because I want to show up for them and I want to support them. Karen Litzy:                   08:31                And so that's just what you do if you want to keep your relationships going. And as far as keeping relations with international colleagues, it could just be a quick, a quick note on Twitter or a quick email or hey, I thought about you the other day because I really want to introduce you to this person because I think you guys should at least know each other cause you're doing the same research or you know, I met a colleague in the Netherlands and he has since referred patients to me in New York and he's a physio in London, but you just keep in touch with people and you do good work. And I think that's the best way to keep your relationships going. And it doesn't have to be every day, right? It could be consistent. Karen Litzy:                   09:24                It takes five minutes. A lot of times I do this when I'm on the bus cause I'm going from patient to patient. So what else am I supposed to do on the bus? You know, so that's sometime when I'd be like, okay, I'm going to make sure that I reach out to so and so in Australia or to this person in Pennsylvania or to this and that's a good time. So I'm lucky in that sense that I have like random downtime. Chunks during my week and you just, if you think about someone, just let them know. Jenna Kantor:                                        Yeah, it takes seconds. It takes seconds. Okay. So you have your hands on many things which I love about you. So you have this podcast, which is amazing and soaring and now you also have a team working for you with this podcast. Jenna Kantor:                10:07                You have your own practice, you have the speaking course. What am I missing? You have a course coming up that's going to be helping practitioners, which is amazing. You’re the nominating committee for the private practice section? Am I missing anything? I want to make sure we tap and tap everything. Okay. So you're doing all these things now, did they all come about all at once for you to achieve it? Or did some of them overlap as you were developing them? Oh, and you're working to become a paid speaker. I mean these are a lot of fantastic things, all a hundred percent possible to achieve in a life, but for you achieving each and every one, have some of them overlapped in the process of growing? I would love to hear that journey. Karen Litzy:                   10:56                Yes. And I also think that one allows for the next and allows for the next. So one event allows for the next event and for the next and for the next or one experience allows for the next. So for instance, starting the podcast many years ago, I took a couple of years off to go back to get my DPT, but starting the podcast had led to credibility and has led to visibility and in maybe some vulnerability on my part. So when people can see that you're being credible and you're being authentic and you're putting yourself out there, they're drawn to that. And so from that, I was invited to be on a proposal to CSM and then that got me public speaking a little bit. And then maybe from that someone sees you, it's like, hey, you know something, I really like this. We should try this. Karen Litzy:                   11:50                And so I kept saying yes, yes, yes, yes. And to say as a piece of advice, say yes to everything until you can say no, terrible advice. I don't know. It was terrible advice. Awful. So what I started to do, cause I was saying yes, everything and it is overwhelming and you get burnt out and you start to cry and then you don't feel like you have a personal life. And I want a personal life as well. So now what I've started to do is say yes to things that align with your values. Say Yes to things that in your gut it's a hell yes. Because when you start saying yes to things that are like, I guess I should do it, it's a no, like if you're saying I guess I should do it, you don't want to be shoulding things. Karen Litzy:                   12:30                It's like, yes, I want to do this. Not, yeah, I guess I should do it. And so I think having that in my mind has been able to narrow my focus a little bit more. So it sounds like I'm doing a lot, but it's all inter related. Jenna Kantor:                                        It's connected.  And I even left out that you have the annual women in PT Summit. Karen Litzy:                                           But again, that's all connected, right? So I think it started with the podcast and then doing a little bit of speaking and then I really started to enjoy speaking more and more. And because of that I have made that a priority. And for me each year I pick a word that I like to kind of follow my year and to base decisions on and things like that. And so this year it's courage. And so one of the things that I really wanted to have the courage to do was to do more public speaking and to put out a course to help physical therapists create their own private practice and occupational therapists create their private practice. Karen Litzy:                   13:27                And these for me, takes a lot of courage and planning and things like that. But if you, like I said, I sort of planned my week in little chunks. So if you can do that, you can get everything done. You just have to put your mind to it. And I also as just a FYI on how I manage my time is that I kind of use pomodoros. So a Pomodoro is a concept that's a 25 minute work block. So I'll set a timer for 25 minutes. I turn everything else off. Sometimes I'll put theta wave music on in the background or binaural beat music because that music is supposed to help increase theta wave, excitability in your brain, which is supposed to have, this is all very, you know, but it's supposed to help you be able to block out distractions and help you focus and things like that. Karen Litzy:                   14:17                It's the kind of music you hear when you're at the spa. And so I will do that and block everything else out. And it's amazing how much you can get done in 25 minutes. Like so if you are full of distractions, yeah, it's going to take you forever. But if you can really focus for 25 minutes, then you can write that blog post in 25 minutes instead of screwing around for three hours. You know what I mean? And if emails come in, like I'm not the president of the United States, like it's not that important. It's just not. I think we're in a world now where everything has to happenmnow. Now, now, now, now. Whereas I mean, I can say, I mean I started my podcast in 2012 and then took a couple of years off. Karen Litzy:                   15:03                It's 2019 so it's not like it's an overnight success. You know, I started speaking, the first CSM I spoke, it was in Indianapolis, which was, I don't even know how many years ago. So again, this is just been years of work and years of working on your reputation and years of working on myself in order to get to these points. Nothing is an overnight success because you're always laying foundations and groundworks that can take months or years. So I think it's really important for people to understand that. Jenna Kantor:                                        And habits, habits are a big thing too, because I'm sure it took you a bit to even make this, this 25 minute habit. Karen Litzy:                                           Oh my God. Yeah, because I love to be distracted. Squirrel. I'd be like, what? I love to be distracted. But it's true. So to be able to do that and calm my mind down to focus on one thing took practice, but just like we tell our patients with like practice your exercises, if you practice these methods, you become better at the methods. It's the same thing. Jenna Kantor:                16:02                Yeah. I definitely can relate with that. So now for you, what is your next, oh my gosh. I can't wait for you to listen back to this podcast in like a couple of years and be like, what is your next, cause you have, you have things coming up and maybe those will be your next you would want to discuss, but I would love for you to share that. Karen Litzy:                                           My probably biggest next is the soonest are the quickest next, let's put it that way. The quickest next would be this course that I'm developing for physical therapists and occupational therapists called Strictly Business Mastermind. And it's to help them create their own cash PT or hybrid or if you already have a practice and you're trying to transition out into a cash based practice. Karen Litzy:                   16:52                So it's really for those two groups of people. And I'm really excited about that and hopefully we'll have that solidified in the next couple of weeks and put that out there. Jenna Kantor:                                        That's going to be incredible. And honestly to speak to the fact that we don't have a woman and physical therapist yet leading something like this and we need to, it's for anyone. You need to see somebody who you can even visually identify with. So on top of the content that you're going to be providing, which is going to be off the charts, I'm grateful that you are filling a void that needs to be filled in. Karen Litzy:                                           And I think it's important to know that I'm not teaching this on my own because I don't have the answers to everything. I can't do everything. It's just physically impossible and mentally impossible. Karen Litzy:                   17:36                Like I can't do it. So I'm lucky to have a lawyer involved. I'm lucky to have an investment advisor involved. And someone who's an expert at SEO and Michelle Collie who's an amazing colleague with like 5,000, no, not really, but like a whole bunch of clinics in the Rhode Island area because these are people who quite frankly are doing things better than I am. And so to be able to share their knowledge with people, I think it's going to be a little bit unique in that space. Because I know I can't do it on my own. And so I asked for help. Jenna Kantor:                                        And it's okay to ask for help. And honestly, I definitely wouldn't use the Hashtag better together right now for this because it really is, as much as you are taking the lead on it, it is so good to get to work with other people and everybody benefits from it. Karen Litzy:                   18:26                Of course. Of course. I just feel like that's important for people to understand that you can't do any of this alone. And that if, if you do, you'll burn out, but if you have the wherewithal to find out, well, what are your weaknesses? Like, what are you good at? What are you not so good at? What do you love? What will someone pay you for? And if you can fill that out and kind of connect the dots, then you'll know what you're good at and then what you're not good at. Just find someone else who is. Because you're doing a disservice to yourself and you're just doing a disservice to people who are spending their money and their time to learn from you. So it's all about respecting the audience. And so what I really want to do is respect the audience and give them the best user experience that they can get and meet those expectations. And I'm my harshest critic. Jenna Kantor:                                        So I think everyone is, I think everyone is their harshest critic. Well, thank you so much for coming onto your own podcast to just share this. I love how you're just so authentic and insightful and just so true to your own story. And I think a lot of people just appreciate that about you and I definitely do. So thank you. Karen Litzy:                   19:52                Thanks for having me on.     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!  

Dr. Bronnie Thompson comes onto HET Podcast to chat about how she teaches the International Association for the Study of Pain (IASP) curriculum into a unique international interdisciplinary program along with discussing how she teaches pain to groups of patients in New Zealand.    Bronnie's Email Address: bronnietnz@gmail.com   Bronnie's Website & Blog: https://healthskills.wordpress.com/  Bronnie's University Profile: https://www.otago.ac.nz/healthsciences/expertise/profile/index.html?id=1773  Bronnie's Twitter Page: https://twitter.com/adiemusfree  Master of Health Sciences endorsed in Pain and Pain Management from the University of Otago: https://www.otago.ac.nz/christchurch/study/postgraduate/otago011631.html  International Association for the Study of Pain Website: https://www.iasp-pain.org/  San Diego Pain Summit Website: https://www.sandiegopainsummit.com/  Motivational Interviewing Website: https://motivationalinterviewing.org/  Kevin Polk's Website: http://www.drkevinpolk.com/  Kevin Polk Videos on YouTube: https://www.youtube.com/user/DrKevinPolk  Russ Harris's Website: https://www.actmindfully.com.au/  Russ Harris's YouTube Page: https://www.youtube.com/channel/UC-sMFszAaa7C9poytIAmBvA  Clip from Bronnie's Presentation on "Getting From "Perhaps" To "Yes": Motivation, Confidence And Communication" at the 2016 San Diego Pain Summit: https://www.youtube.com/watch?v=YyVr1AQ-y3k  Bronnie's Interview on the Modern Pain Podcast: https://itunes.apple.com/us/podcast/modern-pain-podcast-episode-4-interview-bronnie-thompson/id1435013970?i=1000418987399&mt=2  Bronnie's Interview on The Physio Matters Podcast: https://itunes.apple.com/us/podcast/session-21-fathoming-fibromyalgia-dr-bronnie-thompson/id785762010?i=1000351510267&mt=2  Bronnie's Interview on The Pelvic Health Podcast: https://itunes.apple.com/us/podcast/graded-exposure-drs-sandy-hilton-bronnie-lennox-thompson/id1022705760?i=1000416545258&mt=2  Bronnie's Interview on The Healing Pain Podcast: https://itunes.apple.com/us/podcast/episode-77-dr-bronnie-lennox-thompson-how-to-live-life/id1112764695?i=1000405608266&mt=2  Bronnie's 1st Interview on the Healthy, Wealthy & Smart Podcast:https://itunes.apple.com/us/podcast/176-living-well-w-chronic-pain-w-dr-bronnie-thompson/id532717264?i=1000354627788&mt=2  Bronnie's 2nd Interview on the Healthy, Wealthy & Smart Podcast:https://itunes.apple.com/us/podcast/177-living-well-w-chronic-pain-part-2-w-dr-bronnie-thompson/id532717264?i=1000354839842&mt=2  Bronnie's 3rd Interview on the Healthy, Wealthy & Smart Podcast:https://itunes.apple.com/us/podcast/234-dr-bronnie-thompson-living-well-w-chronic-pain/id532717264?i=1000376757639&mt=2  The PT Hustle Website: https://www.thepthustle.com/  Schedule an Appointment with Kyle Rice: www.passtheptboards.com    HET LITE Tool: www.pteducator.com/het  Anywhere Healthcare: https://anywhere.healthcare/ (code: HET)     Biography: Bronwyn Lennox Thompson initially trained as an occupational therapist, graduating 1984. She later completed her MSc with first class honours in Psychology in 1999 at Canterbury University, and in 2015 was awarded her PhD from the Department of Health Sciences at the University of Canterbury, Christchurch, New Zealand. She has worked in pain management for most of her clinical career, with her primary focus on pain management at work. She has practiced in interdisciplinary pain management programs, private practice, case management both for private organizations, and ACC, primary prevention and secondary prevention, and since 2002, teaching postgraduate papers in pain and pain management at Otago University. Her main interest areas include pain and anxiety, motivation for self-management, resilience and daily coping choices. The effect of her occupational therapy training has never fully left Bronwyn's aims in pain management. Occupational therapy has always targeted function, or the ability to fulfill life roles despite limitations. In the same way, Bronwyn's goals for pain management are to help people reduce the functional impact of pain and improve their engagement in living life to the full.

#72 Can You Reverse Pain Simply By Altering Your Thoughts & Emotions? Dr. Joe Tatta, DPT teaches you how to retrain your brain and body so you can live the joy-filled and pain-free life you deserve. He is a doctor of physical therapy, functional nutritionist, integrative pain expert and #1 bestselling author of Heal Your Pain Now.   He is known for integrating neuroscience, nutrition, psychology and movement into simple treatments for lasting pain relief. Dr. Joe’s mission is to quickly and compassionately heal your pain and reverse the global pain epidemic. You can participate in the conversation weekly on Dr. Joe’s Healing Pain Podcast, or experience the benefits of working with him by joining the Heal Your Pain, Heal Your Life integrated pain-relief program online. Learn more at www.drjoetatta.com.  In this episode we cover; Why pain fascinates Joe so much What exactly is chronic pain How are we currently treating pain and how would you like for us to treat pain How we can reverse pain through our thoughts and emotions What the link is between sleep and pain The common myths and misconceptions about pain And loads more

As Dr. Joe Tatta, today’s 15MM podcast guest, says so clearly: “Chronic pain is a disease in and of itself.” And while there are over 4,000 genes that can turn on a chronic pain response, diet, lifestyle and mindset have the power to turn that pain off. Join me and Joe for today’s critical discussion, filled with a string of clinical pearls. September 14, 2018 > Click here to download the completed Matrix from this week’s episode > Click here to find Dr. Joe Tatta’s book: ‘Heal Your Pain Now’ > Don’t miss The Healing Pain Podcast with Dr. Joe Tatta > And to learn more about Dr. Joe Tatta’s training program for practitioners, click right here   Get 15-Minute Matrix podcast notifications delivered to your inbox!

Brandon and F. Scott interview Ben Cormack while Brandon is live at Ben's course at Entropy Physiotherapy & Wellness in Chicago, IL. Ben talks about his top pearls related to pain/movement/exercise/people, how exercise can influence pain, how to deal with the tricky art of dosing interventions, best tips used to educate a patient about different aspects of the Biopsychosocial Model, Ben's most influential lessons from experience, Ben's ideas for improving healthcare education, and more! Biography:  Ben Cormack is a musculoskeletal therapist with a clinical background in sports therapy, rehabilitation, pain science & exercise stretching back 15 years. He specializes in a movement & exercise based approach with a strong education component and patient centered focus. owns and runs Cor-Kinetic which is in the U.K. and it based around an understanding of modern movement, pain and neurosciences to give a person-centered approach to rehabilitation and physical training within a strong evidence based framework. Cor-Kinetic Website: https://cor-kinetic.com/  Ben's Blog: https://cor-kinetic.com/blog/  Ben's Facebook Page: https://www.facebook.com/ben.cormack.1  Ben's Twitter Page: https://twitter.com/CorKinetic  Ben's Instagram Page: https://www.instagram.com/corkinetic/  Ben's interview on The Healthy, Wealthy & Smart Podcast: https://itunes.apple.com/us/podcast/300-ben-cormack-pt-exercise-pain-science/id532717264?i=1000393238107&mt=2  Ben's interview on The Physio Matters Podcast: https://itunes.apple.com/us/podcast/session-48-exercise-specificity-variability-under-scrutiny/id785762010?i=1000395557147&mt=2  Ben's interview on The Healing Pain Podcast: https://itunes.apple.com/us/podcast/episode-71-dr-ben-cormack-evidence-based-practice-promoting/id1112764695?i=1000400124543&mt=2  Ben's Interview on The Lift the Bar Podcast: https://itunes.apple.com/us/podcast/ltbp-14-ben-cormack-posture-lower-back-pain-stretching/id1194501091?i=1000381792930&mt=2  Entropy Physiotherapy & Wellness Website: http://entropy-physio.com/   

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

Here on the podcast today is Tricia Nelson. She lost 50 pounds by identifying and healing the underlying causes of her emotional eating. She spent 30 years researching the hidden causes of the addictive personality. She's an Emotional Eating Expert and the author of the number one bestselling book, Heal Your Hunger: 7 Simple Steps to End Emotional Eating Now. She's also the host of a popular podcast called Heal Your Hunger, which is a great name of a show. This is the Healing Pain Podcast but today, we're talking about how to heal your hunger and stop the cycle of emotional eating. 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

Summer Bock is a Trained Herbalist and Master Fermentationist, here with us today on the podcast to discuss how you can rebuild your gut with fermented foods. Her mission is for everyone to have stellar health by naturally healing their digestion using herbs, ferments and of course, food. She has a background of Microbiology and Pre-Med, which has given her the perfect skill set for integrating modern research into the modern microbiome. What I love the most about Summer Bock is that she’s a true innovator. When you look at her website, when you look at her training courses, when you look at her products and programs, for both those who are looking to improve their gut health as well as practitioners looking to learn more, you'll realize that the contents she prepared is so innovative and so unique. That’s why I had to have her on the Healing Pain Podcast. 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

80% of the opioid drugs in the world are consumed in the United States, and addiction, abuse, and even death are commonplace across all demographics in society. Why such growth in abuse? One word: pain. Back pain, knee pain, mental and emotional suffering—all of these conditions are driving consumers to their doctors (or the streets) in search of relief. Living with chronic pain can be debilitating, but we want to use drugs and surgery as a last resort. On this week's Yoga Talk Show, you'll beet Dr. Joe Tatta, pain expert and best-selling author on pain management. ------------ Listen & Learn: Why "pills for pain" has been the norm for the past 50-years USA consumes about 80% of the world's opioids   20K/year deaths correlated or caused by opioid medications   Why the mind-body connection to pain cannot be ignored Pain catastrophizing: negative rumination about pain issue Food is your pharmacy, movement in medicine ABOUT OUR GUEST Dr. Joe Tatta is a doctor of physical therapy, board certified nutrition specialist and functional medicine practitioner who specializes in treating persistent pain and lifestyle-related musculoskeletal, metabolic and autoimmune health issues. His mission is to create a new paradigm around treating persistent pain and reverse our global pain epidemic. He is the creator of the Healing Pain Online Summit and The Healing Pain Podcast designed to broaden the conversation around natural strategies toward solving persistent pain. Dr. Tatta is the author of Heal Your Pain Now; A Revolutionary Program to Reset Your Brain and Body for a Pain-Free Life. Nutritional Tip of the Week: Lucuma Links & References from the Show: Dr. Joe Tatta's Website Acute Childhood Experiences (ACE) Research Healing Back Pain Book Got Questions? Send me a voicemail here: Ask Lucas a Question Or write to us: podcast@yogabody.com  Like the Show? Leave us a Review on iTunes Thanks to our sponsor: Yoga Teacher College  -- The Definitive Mind-Body Fitness Training for Career-Minded Professionals. The Yoga Teachers College offers master-level training for those looking to build a career as yoga professionals. Our trainees benefit from the best of modern learning technology combined with old school apprenticeship. Graduates walk away with the skills, confidence and experience needed to become not just teachers, but community and business leaders as well. Learn More

I am so excited this week to be speaking with Dr. Melissa Cady. She’s the author of a book called Paindemic. She’s also known as The Challenge Doctor, who is driven to champion the cause of living the antiPAIN lifestyle and minimizing the current paindemic that is so rampant today. With the help of her website, PainOutLoud.com, her dream is to deliver information that empowers and guides people with pain relief. Her goal, really, is to reach more people than she could in her practice, which I love that because it’s another reason why I started the entire Healing Pain Podcast. 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

Dr. Joe Tatta is a doctor of physical therapy, board certified nutrition specialist and functional medicine practitioner who specializes in treating persistent pain and lifestyle-related musculoskeletal, metabolic and autoimmune health issues. His mission is to create a new paradigm around treating persistent pain and reverse our global pain epidemic. Dr. Tatta's maturepreneurial endeavors include creating the Healing Pain Online Summit and hosting The Healing Pain Podcast, a podcast designed to broaden the conversation around discovering and using natural strategies for solving persistent pain. He is the author of the best selling book Heal Your Pain Now; A Revolutionary Program to Reset Your Brain and Body for a Pain-Free Life by Da Capo Press. Prior to starting his own businesses, Dr. Tatta was a physical therapist. In 2000, he cofounded Premier Physical Therapy & Wellness, which he helped to grow from one to fourteen successful practices throughout New York City, Westchester County, and Connecticut. Dr. Tatta is currently in private practice where he styles himself Chief Healing Officer. He also provides online health consulting to help people achieve a pain-free life free from chronic disease.

Dr. Joe Tatta is a doctor of physical therapy, board certified nutrition specialist and functional medicine practitioner who specializes in treating persistent pain and lifestyle-related musculoskeletal, metabolic and autoimmune health issues. His mission is to create a new paradigm around treating persistent pain and reverse our global pain epidemic. He is the creator of the Healing Pain Online Summit and The Healing Pain Podcast and is also the author of a highly acclaimed book called Heal Your Pain Now. Contact Info Company: www.HealYourPainNow.com/mindfulness (Free Gift About Busting The Myths Around Chronic Pain) Website: www.Dr.JoeTatta.com Podcast: The Healing Pain Podcast Facebook: Dr Joe Tatta Most Influential Person Dr. Peter Levine PhD Effect on Emotions Mindfulness has affected my emotions by allowing me to have certain emotions, things like fear, frustration or anger, but not letting them overwhelm my entire day or my entire physical or emotional experience. Thoughts on Breathing I practice something called Four By Four breathing. That's inhaling for four seconds, holding it for four seconds and then exhaling for four seconds. We know that brings healthy oxygen to our system, it helps release tense muscles, it helps regulate high cortisol levels and it even helps regulate high blood sugar levels. Suggested Resources Book: The Biology of Belief by Bruce Lipton Book: Heal Your Pain Now: The Revolutionary Program to Reset Your Brain and Body For A Pain-Free Life  by Dr. Joe Tatta App: Universal Breathing (Called The Pranayama Free App)

Dr. Kevin Passero and his special guest Dr. Joe Tatta will discuss natural strategies to live a pain-free life. Dr. Joe Tatta is a doctor of physical therapy, board certified nutrition specialist and functional medicine practitioner who specializes in treating persistent pain and lifestyle-related musculoskeletal, metabolic and autoimmune health issues. He is the host of The Healing Pain Podcast, designed to broaden the conversation around natural strategies for solving persistent pain. Dr. Tatta is the author of Heal Your Pain Now: The Revolutionary Program to Reset Your Brain and Body for a Pain-Free Life. He is currently in private practice and also provides online health consulting to help people achieve a pain-free life and heal from chronic disease.

Natural Chronic Pain Relief - Dr Joe Tatta  http://learntruehealth.com/natural-chronic-pain-relief-dr-joe-tatta/ Chronic Pain Relief Using Neuro Science Hello, True Health Seekers! I'm thrilled to bring you this guest today. He will show us how to utilize the power of your mind and the latest in NeuroScience. So that you can end chronic pain and get some advice on chronic pain relief. It is possible to help people stop using pharmaceutical drugs when there are natural alternatives in chronic pain relief that have so much science behind them. Dr. Joe Tatta helps patients achieve chronic pain relief without the need for drugs. Tatta has an incredible understanding of the science of the brain. Furthermore, he will also teach us how we can re-write the programming in our mind so that chronic pain is a thing of the past. His Inspiration "I'm 44, my mom used to be a night shift nurse during the 80s at this place for adolescents with cancer," Tatta said. "She did that for about five years, and I was eight years old. I watched her from being healthy to being sick. That's why she retired." In addition to that, Tatta says his mom was an inspiration why he wanted to be a doctor. He wanted to be in physical therapy to help people in pain. Myths Of Chronic Pain Tatta says there are a lot of myths around chronic pain. Furthermore, a lot of our thoughts about pain are handed down from generations. He says chronic pain is defined as pains that persist for longer than four months. Among the perceptions of chronic pain are: The only way to solve pain is through medication or surgery. Pain is only felt if it is a physical injury. Movement is wonderful for alleviating pain. Persistent pain can't be healed. "Language, the things we say, the phrases we hear and influence your pain experience," says Tatta. "Or can affect how much pain you're having. Both intensity as well as duration." Cause Of Chronic Pain Tatta explains that when your brain perceives danger, it will cause pain as an output. It is a way to motivate you to change your behavior. Hence, to do something to get out of that pain or get chronic pain relief. What happens in our nervous system is that sometimes we are not sure why this happens to some people and not others. Furthermore, Tatta says, sometimes chronic pain is caused by emotional trauma. The knowledge of what pain is and what pain isn't is often the first step. "Movement sends a signal to the brain that you're safe and that movement doesn't cause you harm," said Tatta. "It tends to open the natural endorphins and re-pattern some of those neuro pathways that may have developed from pain turning chronic." Ways To Address Chronic Pain Tatta says, for patients who have the worse type of pain, he uses a chronic pain relief called motor imagery. "We teach people how to move in their mind first before they move in real life," he said. Then there's something in your brain called mirror neurons. Tatta says mirror neurons turn on when you watch someone do an activity. "We can leverage that ability in your brain. You can turn on pain. Because your brain is not ready for it yet," explains Tatta. "Graded movement means you grade yourself in your mind the same you would do it as if  you were moving." Bottomline, Tatta said motor imagery and mirror neurons in your brain should be graded and dosed just like actual physical activity in your life. Inflammation And Chronic Pain Tatta reveals that about 50 million people have an autoimmune condition. It is an inflammatory condition. But often it begins in the gut, like a leaky gut. And when you have a leaky gut, you have undigested food proteins, bacteria or viruses. Fungus or mold can get into your system. Or through the digestive system and cause stomach inflammation throughout your entire body. Consequently, these signs and symptoms start to overlap in patients with chronic pain. In addition to that, Tatta says that anytime your nervous system is in this hyper-vigilant state, you get changes all over your body. Hence, the gut probably the one place you see most frequently. "Patients with chronic pain often feel sad or depressed. Furthermore, often they will receive selective serotonin reuptake inhibitors or SSRI," said Tatta. "When we can help modulate serotonin naturally." Steps To Chronic Pain Relief Tatta gives these steps to stop pain: Acknowledge we can move. Imagine doing a movement, push your mind then do physically Take out three foods from your diet for three weeks - gluten, dairy and sugar for Do relaxation exercises Be part of a support group Heal Your Pain Now Tatta's book is how to reset your body to a pain-free life and have chronic pain relief. He says he wrote it to educate people on how to relieve pain on their own. And also to have a paradigm pain shift. In addition to that, he aims to change the way we treat chronic pain by using natural strategies. Dr. Joe Tatta is a doctor of physical therapy, board certified nutrition specialist and functional medicine practitioner who specializes in treating persistent pain and lifestyle-related musculoskeletal, metabolic and autoimmune health issues.   He is the host of The Healing Pain Podcast designed to broaden the conversation around natural strategies toward solving the persistent pain. Dr. Tatta is the author of the #1 best-selling book Heal Your Pain Now; A Revolutionary Program to Reset Your Brain and Body for a Pain-Free Life. He is currently in private practice and also provides Online Health Consulting to help people achieve a pain-free life free from chronic disease. Get Connected With Dr. Joe Tatta! Official website   Facebook Twitter   Youtube   Heal Your Pain Now Resources: Heal Your Pain Now: The Revolutionary Program to Reset Your Brain and Body for a Pain-Free Life Dr. Joe's Website Dr. Joe' will email you some great free info! Heal Your Pain, Heal Your Life Program   The Links You Are Looking For: ------------------------------------------------------------------------------- Become A Health Coach Learn More About The Institute for Integrative Nutrition's Health Coaching Certification Program by checking out these four resources: 1) Integrative Nutrition's Curriculum Guide: http://geti.in/2cmUMxb 2) The IIN Curriculum Syllabus: http://geti.in/2miXTej 3) Module One of the IIN curriculum: http://geti.in/2cmWPl8 4) Get three free chapters of Joshua Rosenthal's book: http://geti.in/2cksU87 Watch my little video on how to become a Certified Health Coach! https://www.youtube.com/watch?v=CDDnofnSldI ------------------------------------------------------------------------------- If this episode made a difference in your life, please leave me a tip in the virtual tip jar by giving my podcast a great rating and review in iTunes! http://bit.ly/learntruehealth-itunes Thank you! 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