Podcasts about pain revolution

In this episode, we discuss pain science and all of its complexities. We explore: The definition of pain and chronic painPain in total knee replacement recoveryPatient and therapist expectations and their role in painPerception and awareness in painLanguage and visualisation strategies and resources in painSpinal painRole of pain in knee OAImportance of education in pain managementProfessor Lorimer Moseley is a Bradley Distinguished Professor at the University of South Australia. He is interested in pain and other protective feelings. He has written over 400 scientific articles and 7 books. His foundational discoveries and outreach initiatives have led to awards in 15 countries. He leads the non-profit Pain Revolution and in 2020 he was made an Officer Of the Order of Australia for distinguished contribution to pain and its management, education, science communication and physiotherapy, to humanity at large. He lives, works, and rides a very cool e-scooter, on Kaurna Land in Adelaide, South Australia.Associate Professor Tasha Stanton leads the Persistent Pain Research Group at the South Australian Health and Medical Research Institute (SAHMRI) and is co-Director of IIMPACT in Health at The University of South Australia, Adelaide. She is a clinical pain neuroscientist, with original training as a physiotherapist. Her research focuses on pain – why do we have it and why doesn't it go away? She has a specific interest in chronic pain, osteoarthritis, pain science education, and novel technologies, such as virtual and mediated reality, to enhance exercise engagement.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @sarah.yule from Physio Network

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

I am happy to have Dr. Lorimer Moseley AO back in this episode of the Healthy, Wealthy, and Smart podcast. In this episode, Lorimer shares insights into his recent research projects and developments in pain science. We discuss the Fit for Purpose model and the evolution of pain education, emphasizing the importance of educative interactions in clinical practice. Tune in to learn more about Lorimer's current projects and his upcoming classes in North America. Time Stamps:  00:00:00 - Introduction and Welcome Lorimer is welcomed back to the podcast, and the host expresses excitement about discussing his recent projects and developments since 2021. 00:01:09 - Exciting Discoveries in Recent Research Lorimer discusses the nature of discoveries in clinical science, mentioning upcoming publications and the streams of research that currently excite him, particularly in pain education. 00:02:04 - Insights from Clinical Practice and Pain Education Lorimer shares insights from clinical practice data, highlighting significant findings about patient outcomes related to their understanding of pain as a protective feeling. 00:04:05 - Learning About Learning The importance of learning in clinical interventions and its impact on treatment outcomes is discussed, emphasizing the need to shift focus from education to learning. 00:06:39 - Upcoming Clinical Trial Publication Lorimer teases a forthcoming paper on a clinical trial for chronic back pain, detailing the innovative approach taken in the trial to improve treatment credibility and effectiveness. 00:10:56 - Research on Social Determinants of Health Discussion shifts to the impact of social determinants on health outcomes, with specific focus on back pain and the broader implications for treatment accessibility and effectiveness. 00:16:31 - Pain Revolution Outreach and Challenges Lorimer talks about the Pain Revolution program, its goals, and the challenges faced in reaching rural communities, especially during the COVID-19 pandemic. 00:27:21 - Cognitive Flexibility in Pain Management The concept of cognitive flexibility is explored, discussing its relevance to pain management and the challenges in accurately assessing it. 00:39:43 - Personal Experience with Pain and Cognitive Flexibility The host shares a personal story about dealing with potential pain triggers at Disneyland, highlighting the role of cognitive flexibility and support in managing pain responses. 00:50:22 - Recap and Future Directions The conversation wraps up with a recap of the discussed topics, emphasizing the complexity of pain management and the ongoing efforts in research and education to improve patient outcomes.   More About Dr. Lorimer Moseley AO: DSc PhD FAAHMS FACP HonFFPMANZCA HonMAPA  Bradley Distinguished Professor Professor of Clinical Neurosciences Foundation Chair in Physiotherapy University of South Australia Founder and CEO, Pain Revolution Chair, PainAdelaide  Lorimer's main interests are persistent pain and other protective feelings. His research group investigates pain in humans, from cognitive and behavioural experiments to clinical trials and implementation studies. He has authored over 410 scientific articles and seven books. His contributions to the science of pain, to the treatment of persistent pain, to pain education, and to public outreach, have been recognised by honours in 13 countries. He has delivered keynote lectures at world congresses in six fields. In 2017, he founded the non-profit Pain Revolution and in 2020 he was made an Officer of the Order of Australia, that country's second highest civilian honour, for ‘distinguished served to humanity at large in the fields of pain and its management, science communication, education and physiotherapy.' His public facing pain education videos attract millions of views each year. He lives and works on Kaurna Land in Adelaide, South Australia.   Resources from this Episode: Pain Revolution Website Fit For Purpose Model Pain Science in Practice Courses in North America   Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month     Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

Tue, 13 Feb 2024 19:16:35 +0000 https://freitagsspitzen.podigee.io/65-schmerzen 6721aa256c61cc8bf10e2bf42a56c06d Laut der „Deutschen Schmerzgesellschaft“ leidet etwa jeder dritte Mensch in Europa unter Schmerzen. Sie sind der häufigste Grund, weshalb Menschen zum Arzt gehen. „Krasse“ Zahlen wie ich finde - und Anlass, sich mal genauer mit dem Thema Schmerzen zu befassen. Das mache ich im Gespräch mit Thilo Füller und Melanie Suckow von „bewegungswert". Thilo hat eine „etwas andere“ Physiotherapiepraxis: Im Mittelpunkt steht nicht etwa die Behandlungsliege, sondern ein Tisch! In dieser Ausgabe der „Freitagsspitzen“ bekommt Ihr Antworten auf folgende Fragen: Was sind Schmerzen eigentlich und wie entstehen sie? Warum ist eine ganzheitliche Betrachtung bei der Behandlung extrem wichtig? Können Schmerzen „normal“ sein? Wie verhält es sich mit Schmerzmitteln? Ist bei Schmerzen eher Bewegung oder Ruhe hilfreich? Das und noch viel mehr gibt es in dieser Folge der „Freitagsspitzen“! Disclaimer: Die hier im Podcast besprochenen und per Link dargestellten Inhalte dienen ausschließlich der neutralen Information. Sie stellen keine Empfehlung oder Bewerbung der beschriebenen oder erwähnten diagnostischen Methoden, Behandlungen oder Arzneimittel dar. Sie erheben zudem keinen Anspruch auf Vollständigkeit noch kann die Aktualität, Richtigkeit und Ausgewogenheit der dargebotenen Information garantiert werden. Ebefalls ersetzt der Podcast keinesfalls die fachliche Beratung durch einen Arzt oder Apotheker und er darf nicht als Grundlage zur eigenständigen Diagnose und Beginn, Änderung oder Beendigung einer Behandlung von Krankheiten verwendet werden. Konsultieren Sie bei gesundheitlichen Fragen oder Beschwerden immer den Arzt Ihres Vertrauens! Weiterführende Informationen aus dem Podcast: Website von Thilo Füller - https://bewegungswert.de/ Allgemeine Patienteninformationen zu Schmerzen: https://www.schmerzgesellschaft.de/patienteninformationen Funktion von Schmerzen https://www.painrevolution.org/painfacts -> German (Essential Pain Fact 4; Pain Revolution, University of South Australia, Kaurna Country, Adelaide, Australia.) Verletzung ohne Schmerzen https://www.jospt.org/doi/full/10.2519/jospt.2010.0407 (Elliott, J., Fleming, H., & Tucker, K. (2010). Asymptomatic spondylolisthesis and pregnancy. Journal of Orthopaedic & Sports Physical Therapy, 40(5), 324-324.) Anhaltende Schmerzen für Laien https://gesund.bund.de/chronische-schmerzen Aktuelle Empfehlungen zu Behandlung von muskuloskelettalen Schmerzen https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0178621 (Babatunde, O. O., Jordan, J. L., Van der Windt, D. A., Hill, J. C., Foster, N. E., & Protheroe, J. (2017). Effective treatment options for musculoskeletal pain in primary care: a systematic overview of current evidence. PloS one, 12(6), e0178621.) Hirnveränderungen bei Schmerzen https://www.sciencedirect.com/science/article/abs/pii/S1521694219300804 (Diers, M. (2019). Neuroimaging the pain network–Implications for treatment. Best Practice & Research Clinical Rheumatology, 33(3), 101418.) Empfehlungen zu körperlicher Aktivität/Bewegung (s. Anhang physical-activity-factsheet …) https://cdn.who.int/media/docs/librariesprovider2/country-sites/physical-activity-factsheet---germany-2021.pdf?sfvrsn=1faf11c9_1&download=true Wirkweise von Bewegung bei Schmerzen (s. Anhang PIIS152659 …) https://www.jpain.org/article/S1526-5900(18)30456-5/fulltext (Rice, D., Nijs, J., Kosek, E., Wideman, T., Hasenbring, M. I., Koltyn, K., … & Polli, A. (2019). Focus Article.) Wissen über Schmerzen kann Schmerzen lindern https://www.tandfonline.com/doi/full/10.1080/09593985.2016.1194652?scroll=top&needAccess=true (Louw, A., Zimney, K., O'Hotto, C., & Hilton, S. (2016). The clinical application of teaching people about pain. Physiotherapy theory and practice, 32(5), 385-395.) Fotocredit: Thilo Füller / bewegungswert ----- Über die Freitagsspitzen ------ Audioapostel, Medienjunkie und Kommunikationsfreak auf der Suche nach unterhaltenden Antworten, freitags im Gespräch mit spannenden Persönlichkeiten. Das Ziel: Themen zuspitzen -rund um Kommunikation, Digitalisierung und das Leben überhaupt! Die Mission: Zuhören, lernen und schmunzeln - gerne auch über das flotte Tempo des Fragenden. Denn Achtung, die Zeit läuft. Es gibt viel zu hören! Bei den Freitagsspitzen. Dem Podcast mit Magazincharakter. Folge uns auf Instagram: https://www.instagram.com/diefreitagsspitzen/ Kontakt zu uns: freitag@freitagsspitzen.de 65 full no Schmerzen,Physiotherapie,Medikamente,Gesundheit,Migräne,Arthrose,Kopfschmerzen,Schmerzmittel Stephan Schreyer

“ … it's really fascinating actually like the human, at the biological level at the psychological level, we are built to tolerate pain, and we're built to grow stronger from enduring difficulty, we're actually made for it. That's like how it works. Joy matters too - don't get me wrong, you know, but the difficult stuff is always there. So, we might as well get good at utilizing that end of the spectrum as well.” Ralph De La Rosa   Music with kind permission from Krishna Das https://www.krishnadas.com/ Gathering in the light-Om-Narayani. Krishna Das. https://krishnadasmusic.com/collections/music/products/gathering-in-the-light   What is this and why read or listen? What follows is an exploration of my journey of living with chronic pain and accompanying mental health challenges. I now understand, the experience of mental ill health has contributed to the degree and severity with which I have felt this pain.   I started collating my thoughts around the idea of exploring chronic physical pain, and how meditation might help as an intervention to assist people living with these conditions, to experience less suffering. As we will discuss in a bit, pain, whether is physical, emotional, or social, is experienced in similar parts of the brain. So is you know someone who experiences any of these challenges, there may be something in here that might help.   So primarily, we will look at how using a meditative practice might help to reduce suffering, reclaim access to moments of joy and openness and foster the ability to be able to pursue a life worth living, in the presence of pain. Someone once sent me a post on social media with a picture and a quote saying “Life is not about waiting for the storm to pass. It's about learning to dance in the rain.” I was near vomiting with a migraine at the time, so there was no dancing to be done and the message was not received with the love it was sent with.   I think it's important to mention that there is no part of my life that living with chronic pain has not affected. I remember sitting in a psychologist's office on the North Side of Brisbane, and I was quiet for quite a while, trying to curate the thoughts so that I could adequately relay how desperate I felt, but not so much so that I have a short involuntary time in hospital. The words that came out of my mouth spoke to the total sense of loss that I felt as a result of living with chronic pain and the ‘things' that I was not able to do or participate in as a result – “Am I even lovable?” I choked out, in tears. I am not sure what my psychologist answered.   In mental health circles they often talk about the biopsychosocial contributors to understanding mental ill health, and that a clear understanding of these can be the bedrock to solid recovery. It's fair to say and not at all dramatic to say that living with chronic pain for the last 14 years has nearly cost me my life, my marriage, and my grip on sanity. So, the fact that I am writing this, and that this episode is being produced is testament to the fact that recovery is definitely possible.   Recovery as I've come to understand it is a concept which is defined by each person as to how they might like to live despite the challenges they face, be they mental health, chronic physical health or other challenge.   Having a living experience of chronic and persistent pain, has also come with many gifts. This is one of the reasons for this episode - I would like to be able to pass these gifts forward so that hopefully, wherever you are on your journey, whether it's living with chronic pain, mental health or other challenge, that you may find a point of resonance here and maybe a tool that you can add to your toolkit. The second reason is that this forms part of an assessment for an advanced diploma in meditation. Having skin in the game as it were, I feel like I may have a bit of an advantage, by way of lived experience. However this works meets you, may you be well, play be happy may you be safe and may you live at ease of heart with whatever comes to you in life.   “What counts in battle is what you do when the pain sets in.” John Short   The quote above comes from a book that I read about 14 years ago from Dean Karnases called Ultra Marathon Man. In the book Dean talks about nearing the end of one of the ultra marathons, that he ran, with several injuries and nothing left in the tank. Dean's dad offers some advice and empathy, but as he's about to walk away he says “what counts in battle is what you do when the pain sets in”. This has become somewhat of a guidepost for me,  as I explored the terrain chronic physical and emotional pain.   Towards the end, I will include a selection of resources and links. In hosting the Don't Quit on Me podcast, I have spoken with a variety of subject matter experts, in an effort to understand ways to navigate intense stress and pain, in the most intelligently, i.e with the least amount of suffering possible.   A key point from the show comes to mind, talked about by Dr Dan Harvey and Insight Meditation teacher Sebene Selassie, about the experience of emotional, social pain and physical pain being processed in similar parts of the brain. In my very limited understanding, this means that tools that help to reduce suffering for physical pain, may also be useful for the experience of social and emotional pain.   Skin in the Game   “It is indeed a radical act of love just to sit down and be quiet for a time by yourself”. Jon Kabat-Zinn   It's just after 4am and the birds are starting to sing. First one … then another… during the dawn chorus their songs seem louder, livelier and more urgent than during the day. Maybe they seize this space to sing, before the noise of the day can interrupt their beautiful, melodic songs that call each day in to being.   I am awake at this time most mornings. This morning a sequence of experiences; a conjoined blur - pain from a decent tension headache that has been hanging around for days, coupled with pain from fibromyalgia, panic and it's cousin a dense cognitive fog – the residue of a nightmare – I still sense, something dark, very close, too close to see, temporarily I can't move.   As consciousness returns, and with-it, limited movement, I go through the morning ritual, an attempt to ease the pain and fog, and see how much I am able to function and extract from the day. Off to the loo, two bottles of water and then into a portable infrared sauna, to warm up the heaviness living in the muscles and connective tissue, and with any luck subdue the constant companion. Infrared Sauna is also starting to be looked at as a tool for living with chronic pain conditions. (Tsagkaris et al., 2022)   I have a living experience with chronic migraines, tension headaches and fibromyalgia, something that has been around for roughly the last 14 years. Each day is a balancing act between the pain, the anxiety caused by the pain, my energy levels, and as I am beginning to understand and will touch on later, any sense of imminent danger that I may perceive. Each day, an attempt to balance accomplishment without overtaxing a system in survival mode, so much that I pay for it for the coming days.   There are a couple of reasons why the pain may have become such a permanent fixture in my life, and I'll explore them briefly, but one thing I have noticed, is that focusing on why is nowhere near as helpful as what now. If I look back for a point of origin with the physical pain several things happened around the time it started; my mom's passed away, I also trained for a marathon, before which I came down with a respiratory virus. Post race I had blood work done which showed Ross River virus and another virus had been present in my system but were not currently active. I am also a survivor childhood trauma which in and of itself heightens someone's baseline perception of threat and as we'll explore can accentuate and amplify the body's attempt to report pain signals. There is also a strong correlation between trauma survivors and chronic pain sufferers (Asmundson, PTSD and the experience of pain: Research and clinical implications of shared vulnerability and mutual maintenance models).   In 1994 Dr Paul brand wrote the book Pain the Gift That Nobody Wants, describing his work with leprosy patients in India, and the essential role that pain has in keeping us safe. Without , he argues, we would be exposed to an unacceptable level of danger, leaving us devoid of mechanisms to warn us of impending threat.   If I think about my own experience, this is certainly a truism - pain by its very nature, and the way we experience it, is deeply unpleasant, very real, and is designed to get our attention and cause us to recoil. It is a message for us to act, to protect ourselves from the perceived threat. What happens through, when these signals fall out of calibration, when they report pain too loudly or for too long - when there is no longer a present threat that requires us to act, or the message we are receiving is disproportionate to the threat?   This is something I have sat with and worked through for many years, leading to this exploration of how the practice of meditation may be helpful to those, like me, who live with chronic pain.   As I said earlier, through hosting the Don't Quit on Me podcast I have had the opportunity to ask many people for their insights about the nature of pain, and why creating mental space around the experience of pain can reduce suffering. I have also looked at the links between how we experience physical pain and emotional pain, and how they are felt in similar parts of the brain.   Can meditation really help with pain? An article published in May 2023 on Healthline.com, looked at exactly this, Meditation for Chronic Pain Management and, spoiler alert, they found, amongst other things, the following three key points:   “A 2018 study of meditation, mindfulness, and the brain suggested that in the long term, meditation can change the structure of your brain. The resulting change in cortical thickness in some brain areas makes you less pain-sensitive. The neural mechanisms meditation uses to modify pain are different from those used by other techniques. For example, a 2012 studyTrusted Source determined that meditation promoted cognitive disengagement and an increased sensory processing of the actual pain. Meditation also induces the body's own opioid system. A very small, randomized, double-blind study from 2016 used the opioid blocker naloxone or a placebo and studied pain reduction with meditation. The group with the placebo experienced significantly less pain than the group that had the opioid blocker. Research is ongoing to look at the exact physiological mechanisms involved with meditation.” (Hecht, 2020)   That Sounds Painful   What is Pain?   Dr Dan Harvey is a Lecturer in Musculoskeletal Physiotherapy and a pain scientist at the University of South Australia.  Along with Dr Lorimer Moseley, Dan is an author of the book 'Pain and The Nature of Perception: A New Way to Look at Pain' which uses visual illusions to describe features of perception that are relevant to understanding and treating pain. Dan holds a Masters of Musculoskeletal and Sports Physiotherapy, a chronic pain focussed PhD, and serves on the education committees for the Australian Pain Society and Pain Revolution. Below is and excerpt from my interview with Dan (Coriat, Dr Daniel Harvey - The path through pain 2022): I asked Dan about his preferred definition for pain. Dan said “ the official definition from the international association for the study of pain, “Pain is an unpleasant, sensory and emotional experience associated with actual or potential tissue damage.”” He went on to say: “... I prefer a simpler definition, which is just something that's unpleasant that has a location to it. The location part is what distinguishes pain from other unpleasant experiences. I guess anxiety for example is very unpleasant, but you can't point to it. You know, you could simplify my definition even further … It's (pain) something unpleasant you can point to. Because it's certainly unpleasant, but it's unique from other unpleasant experiences, in that it actually has a location, usually in the body, but obviously the exception to that is something like phantom limb pain. You can still point to the pain, but you are effectively pointing in mid air. Because you're experiencing it in a location of the body which no longer exists.”   The Mental and Psychological Experience of Pain   I asked Dan about the similarities between psychological and physical pain. “There's a lot of overlap. … one of the early discoveries when we started using imaging techniques to see what was happening in the brain of people in pain, was that we discovered that there is no one pain area, but rather it's many different areas that seem to be active. And there's something about that combination of brain areas that gives rise to the experience. Many of those areas that are active overlap with areas associated with anxiety and fear and other unpleasant experiences. And I guess that's one reason why we might see a higher prevalence of persistent pain problems in people who tend to be higher in trait, anxiety and depression, and maybe even have clinical levels of anxiety and depression. We think there's some sense in which brain areas that are active, and resulting in anxiety, facilitate the networks associated with pain and sort of have this facilitating effect.   On this point, when I spoke with much loved Insight Meditation teacher Sebene Selassie, I asked her the following question (Coriat, Dr Daniel Harvey - The path through pain 2022):   Nick: “I've heard you say in an interview. You were talking about the pain you experienced during cancer, and how it started to become a predictive response, you would feel some pain and you would assume that that would continue, and it would be without break. However, when you deepened your practice, you discovered that you could find spaces between the pain. Could you talk about this. And also, I think if there's a link to how many of us are experiencing pain, and when we do feel pain, obviously there's an instinctual response to assume it's going to be ongoing and be to kind of self-medicate...”   Sebene: “I could talk about physical pain, and just to name that this is true for social pain as well, because actually, our brains process them in the same way. So physical pain and social pain are processed in the same parts of the brain. So, you know, our perceptions of them are really similar and so predicated on what's happened in the past. You know, we build kind of our perceptual reality based on what we've seen before. So, you know, I have a mic in front of me, if I've never seen a mic before, you know, but then I learned what it is every time I see something shaped like this, I'm going to assume it's a mic, and I don't have to kind of go through the relearning process to figure it out. Our brain kind of builds up that knowing something, and that's useful for a lot of things, but it's not very useful in kind of a moment-to-moment sensory experience of a sensation or emotion, or, other people's emotions or speech or relationship with us. And so again, whether it's physical pain or social pain, like our interactions with others, we really want to develop, through this capacity of mindfulness, of embodied awareness of what's happening, the capacity to sense what's happening moment to moment. Instead of, you know, I see Nick and the last time Nick and I met, you know, we had a little bit of a misunderstanding, and now I'm going to interpret every different look of his as some kind of critique of me. Rather than meeting you fresh and deciding, you know, Nick has bad days too, and I'm gonna see what today brings rather than the assumption of, you know, what my experience has been in the past.  And that's what I experienced with physical pain that I went through some periods of really, really painful surgeries or treatments or emergency conditions that emerged in my body and even lying in the hospital or at home experiencing this pain, I could kind of predictably assume, oh, there's that sensation in my belly. I know what that's going to lead to. And so, start to kind of almost anticipate and tense and create more tension and pain and not really have a moment to moment kind of intimate experience of what was happening. And when I could slow down, actually connect to this embodied awareness, feel the sensation in my belly, I could see that, Oh yeah, it's this throbbing strong pain, but now it's actually dissipated.  When I breathe really deeply, actually it creates some space there and now my foot's going numb. I actually don't even really feel this pain in my belly right now. So, rather than having kind of this fixated fear, tense attention to things there internally our own physical or emotional experience, or externally what's going on with someone, we kind of create more spaciousness, create kind of more awareness, bring some relaxation and ease to what's happening, and that can often change everything for us.”   The Mechanisms of Pain   Back to the chat with Dan, I asked him if there was a simple way to understand the mechanisms that drive or report the experience of pain. “I'm not sure if there's a simple way, but a way we like to break it down in the physio program is thinking about inputs, processing and outputs. So, what this does is just let you think about the different components that might be happening in the background that lead to an experience of pain. The input is (comprises) the information that arrives at the brain, so some of that information comes through nerves in the body. Some of it also comes through our eyes and ears, because our brain is always gathering data, about what's happening in our bodies and what's happening in the world. So, we can refer to those things as inputs. Of course, information from the body is really important, particularly in acute pain. But the other inputs are also really important. I could give an example there. A paper cut might hurt extraordinarily, but someone could actually fracture a bone in their foot, in a football game and not notice it. So, there's something about the totality of data, not just the information itself from the body, but what it's combined with at a given time. So that's the inputs. The processing is about what's happening in the brain. So, how is the brain interpreting that data, and how's it making sense of it. In order to make sense of it, the brain considers not just the inputs, but also, what those inputs mean with respect to information that's already stored in the brain, from past experience, from knowledge, from what the doctor told you, from what you read on a scan, all of these things are also influential, when the brain is interpreting what's happening in the body. So, all of those things can potentially have an influence as well. So that's inputs and processing. Then we can think about outputs. And these days we actually think about pain as an output because anatomical textbooks used to describe pain as an input from the body in the quote unquote pain nerves, which we now call nociceptors or danger detectors. But the pain isn't pain until we experience it. And so, because of that fact, we tend to think of it as an output. My physio students always say an output to where though? And I think that the best way to phrase that is it's an output from our brains into our conscious awareness -  and that's much more philosophical than it is scientific, but I think we know so little about the brain that sometimes philosophy is the best way to explain and articulate these sort of things. You know, pain exists amongst a range of outputs. So often when you have pain, you also have some level of fear about it. You might have muscle tension associated with it, along with stress responses, go hormonal responses like cortisol, and then that can interact with the immune system. And so what's happening there can then feed back into the system in a sort of circular way.”       Reality leaves a lot to the imagination.   I asked Dan about a quote that iI heard him make in a lecture “Reality leaves a lot to the imagination. ” I think some background to this is that the brain is bombarded with so much sensory information at a given time, that it needs some sort of method to make sense of all that data, because there remember what comes to the brain from our sensors is merely electrical impulses. It's  (the brain's) task is to filter out the irrelevant ones and make sense of the relevant ones. What seems to seems to be happening is the brain uses its past experience and knowledge that it already has stored to determine what's the irrelevant information that it can filter out, and how it might make sense of the relevant information and give us feelings and perceptions that help us make sense of the world and our bodies and help to guide our actions in a way that you know, helps us to flourish and promotes our survival and all that. So again, it's quite, it's quite philosophical … I think there's still a lot to be drawn out of that way of thinking that can help people with pain. I think we are really just at the start of that. I guess it's only fairly recently that we've moved from continuing to look for some ‘Magic bullet' or some specific problem in the body. We've started to open our minds to looking more broadly about what's happening in the immune system and in the brain and our perceptual system more broadly.”   A New Reality? Based on what Dan was saying it's interesting to also note that a study in 2018 at Harvard showed that short daily doses of meditation can literally grow the grey matter in the areas of the brain associated with self-awareness and self-compassion, and can reduce the grey matter in the parts of the brain associated with stress. This to me and, obviously to the researchers is incredibly promising for those who are walking a path accompanied by pain of any kind - that a no/low cost intervention, that is simple to instigate, with little known side effects, can have this profound an effect. (Powell, Harvard researchers study how mindfulness may change the brain in depressed patients 2018) What is Meditation?   Meditation sort of hit me in the face in the late ‘90s. I was working at a bank at the time, as a technical writer, and was experiencing what I have now come to understand as early signs of a severe depression episode. I wondered up the Queen Street mall in Brisbane, and there was a Virgin Music Store off to left. In there they had listening stations with a selection of some of the newest CDs to have a listen to. This lunch break I felt like I was about to break. I made my way in to the classical room which was sectioned off from the rest of the store by a glass wall. On one stand was a CD by a fella called Robert Gass, singing, with his choir, Om. The primordial syllable over and over for about 30 minutes. As I pushed passed the initial boredom, I was transported to a world where things were calm, still and all that was present was this moment. What is meditation? Well, it depends on who you ask. After having asked many people for definitions of what meditation and mindfulness are one definition of Mindfulness shared by Dr Christine Runyan I loved for it's simplicity and humanness. Christine is a clinical health psychologist, Professor in the Department of Family Medicine and Community Health at the University of Massachusetts Medical School, and the Co-Founder of Tend Health. Christine is also a mindfulness teacher at the University of Massachusetts Centre for Mindfulness. I asked Christine during the show how she defines Mindfulness, and what it meant to her: (Coriat, Dr Christine Runyan - Mental Health and covid - On Forgiveness and Healing 2021) Christine: “So, I define mindfulness both as present moment awareness, but I add the quality of compassion, if you will. You know compassion is often a term we think of around the presence of suffering.  All our present moment experiences don't include suffering, so in moments where there are, I would say present moment with awareness with compassion, and maybe if there's not suffering, present moment awareness with kindness. I think that standard Jon Kabat-Zinn definition is without judgment. I find that whether you're parenting a child or sort of teaching an animal something, offering something to do rather than not to do can be a little more helpful right? So instead of don't do this, rather offer an instruction of something to do, and I've really come to that. And in my work, MBCT is a treatment for people who have recurrent depression and there is amount of judgment and self-judgment that comes alongside recurrent depression and experiencing that phenomenon. And so it can be a hard stop, cause it's sort of like they don't have a frame for how to be in a way that doesn't include self-judgment, so instead kind of an invitation to sort of have that present moment awareness with kindness can be an invitation of something to add rather than something not to do, because as soon as you sort of have that without judgment and people notice that they judge, you know then you start down the rabbit hole of judgment. So that's how I define it.”   Another description about what meditation is, comes from one of my favourite Buddhist teachers Pema Chodron. “Meditation is a process of lightning up, of trusting the basic goodness of what we have and who we are, and of realising that any wisdom that exists, exists in what we already have. We can lead our life so as to become more awake to who we are and what we're doing rather than trying to improve or change or get rid of who we are or what we're doing. The key is to wake up, to become more alert, more inquisitive and curious about ourselves.” There are a couple of points that I particularly like about what Pema said: 1)     We are already wise, despite what our inner monologue may tell us, and the limitations that the experience of being in pain has led us to believe. 2)     Many of us are sort of asleep to what's going on in our lives. This is understandable in the presence of persistent pain. One of the initial ways to deal with the constant onslaught of noxious stimuli is to literally disassociate from what's going on in the body. A critical part of the healing journey Is to become aware of the sensations in our body and learn to meet them with curiosity instead of an inbuilt narrative and catastrophizing. 3)     Curiosity and not self-condemnation is one of the keys to loosening the shackles of self-imposed suffering.   And lastly, I feel that no discussion on a definition of meditation would be complete without a word from one of the founders of insight meditation in the West. Sharon Salzberg is a meditation pioneer, world-renowned teacher, and New York Times bestselling author. She is one of the first to bring mindfulness and lovingkindness meditation to mainstream American culture over 45 years ago, inspiring generations of meditation teachers and wellness influencers. I spoke with Sharon in November of last year and asked her what is the invitation that meditation offers.   “Well, right from the beginning, I am going to introduce the idea of meditation as a skills training.  And the first night of the first retreat, (that Sharon attended) which is 10 days long, he said, the Buddha did not teach Buddhism. The Buddha taught way of life. And that's exactly what I was looking for. You know, he said, this is open to anybody. Maybe you belong to a different faith tradition. Maybe you don't really, feel drawn to faith traditions. Doesn't matter, it's a practice and, and it's like a muscle group. You exercise, you know, So the first skill is really concentration or stabilizing attention somewhat. Most of us would say we're kind of all over the place. You sit down to think something through, and you're gone, you're just gone. And our minds jump to the past, or the future and we're anxious and we're just all over the place. And what we do in concentration training, as we gather our attention, we bring it together and we rest, we settle. So, there's a very different sense of centeredness and settledness and just kind of stability in awareness. And then there's mindfulness training, which is kind of like the word of the hour, which can mean many different things. It does mean many things. And I like to think of mindfulness as a quality of awareness where our attention to what's happening in the present moment, our perception of what's happening in the present moment is not so distorted by bias, like old fears - I should never let myself feel this thing. Or many times something happens, especially let's say, it's discomfort in the body, or we feel a shattered expectation, or we feel disappointment, or heartache. We start projecting it into the future. Like, what's it gonna feel like tomorrow? It'll be even worse. What's gonna feel like next week? What's gonna feel like next month? And before we knew it, we've got like a whole lifetime of anticipated struggle as well as what's actually going on right now - that makes it of course, much harder. So, there are a lot of ways in which we have filters or we have distortions of our perception and what we learn to do is relinquish the hold of those things so we're left with what's actually happening and that's why mindfulness is set to be the vehicle for inside understanding. You know, instead of being all caught up in like fighting our experience or being overwhelmed by our experience, we can take a look at our experience and have a very different view of it and mixed up in there always both as a kind of a constituent element and later as a fruition or a benefit is loving kindness or kindness. I don't think you can actually do these practices well without, in a sneaky way, developing some loving kindness, even if it's never talked about. It's like, the fundamental exercise in many systems. Even if they grow and they change and it becomes a much more elaborate kind of practice. The foundational note, which we keep coming back to again and again, is usually choosing an object of awareness, like I'd say the feeling of the breath, the sensation of the in and out breath, resting our attention on that object, and then when our attention wanders, which it will, learning how to gently let go and come back. That sounds easy. Isn't that easy? You know? Because the great temptation as soon as we realize, oh, I'm not with the breath, is to judge ourselves and be down on ourselves, and berate ourselves and feel like a failure. You know, to actually let go and start over means there's a good degree of self-compassion that's developing also, even if we never name it that, even if we didn't even realize that it's happening, and so, to do any of these things well means that's cooking also. So, it will be there, it has to be there. And then of course it is like a fruition because the more we see, yeah, this is not just me, you know, it's like that sense of isolation was another addon. There was something else I plopped on top of what was going on. I don't need to do that. The more we see this is the human condition we're all trying, we're all kind of a mess, you know? Uh, and we wish ourselves well. We wish others well. That starts to get more and more natural.”   My Journey with Meditation    I first started a meditation practice through attending a yoga class. I was having a chat with the teacher at the end of the class, and I asked her for some tips on navigating the pain and suffering that I was going through, without overdoing it. She asked if I had experienced Kirtan before. I hadn't but heard in her explanation the word meditation, and this was something I wanted to explore more, as my sister had sent me a copy of the Jon Kabbat Zin book Full Catastrophy Living a few years earlier and the promise of stillness or calm inside stressful moments was very appealing. At the time I had an orange VW bus which I drove up to a yoga school just on the outskirts of Eumundi and enjoyed one of the strangest and yet most profound evenings that I've ever had. I was both fearful and intrigued, and at one point was wondering whether it should be experienced closed or eyes open, so as not to miss what was going on. As I closed my eyes, I could see a white light connecting all of our foreheads together. Powerful and strange. Given that this was my first ‘go' at it, I made my excuses and jumped in the van to go home, a little bit freaked out but pleasantly so. In retrospect I wonder what might have happened if I'd stayed. However I listened to a CD that I had bought from the studio at the beginning of the chant, all the way home and was instantly hooked. I bought a couple of yoga magazines and found out that Krishna Das was coming to Australia, immediately booked in for a workshop and Kirtan on two separate days at Palmwoods on the sunshine coast in QLD. Again I started the weekend in a decent amount of pain and experiencing very high levels of anxiety and severe depression, however by the end of the weekend I was beaming and felt such a strong bond to the people who I had been chanting with. It was quite unfathomable. I have a beautiful picture of myself with Krishna Das at the end the weekend. For many years mantra repetition became my default meditation. Something that I could pull out of my back pocket whether I was at work at home or out and about, a non pharmaceutical intervention that helped to center me and bring me out of the tyrany of cascading thoughts and more in to this moment – the only moment in which we have any say about what goes on. Many years later I interviewed KD for a book and he mentioned a quote by the Indian sage Ramana Maharishi; He said ‘“The only freedom we have is in the moment. How we meet each moment, how we meet each experience.” All the practices we do, bring us more into the moment, give us more of a sense of confidence in ourselves, and in just being. And from that deeper place, we can meet all the difficult things that come to us in life and all of the wonderful things that come to us in life, without being totally washed away by them or absorbed in them or lost in them. We can enjoy the beautiful things and we can allow the unhappy things to exist and pass away again.'   Now it's probably imprtant to clarify, mostly for my own understanding as I mix the two up, the difference between Kirtan and bhakti. Kirtan and bhakti are both related to the devotional singing of mantras, sacred names or praises of the divine. However, they are not exactly the same.   Kirtan is a form of call-and-response chanting that involves a leader and a group of participants. The leader sings a line of a mantra, and the group repeats it back. Kirtan is usually accompanied by musical instruments such as harmonium, tabla, mridanga, etc. Kirtan is a way of expressing love and devotion to the divine through sound and music. Kirtan can also help to cut through the illusion of separation and connect to the heart and the present moment.   Bhakti is a Sanskrit word that means “love, devotion, faith, loyalty, attachment”. Bhakti is one of the paths of yoga that focuses on cultivating a personal relationship with the divine through various practices such as kirtan, bhajan, japa, puja, etc. Bhakti is also a philosophical and theological concept that describes the nature of devotion and surrender to the supreme reality.   One of the differences between kirtan and bhakti is that kirtan is a specific practice or technique of bhakti, while bhakti is a broader term that encompasses various forms of devotion. Another difference is that kirtan is usually performed in a group setting, while bhakti can be practiced individually or collectively. A third difference is that kirtan follows a structured format of call-and-response, while bhakti can be more spontaneous and creative in expressing one's feelings and emotions.   KD also says of chant more generally ““It's like an older, deeper, bigger being. It's a space, a presence, a feeling. These names are the names of that place inside of us that is love, pure being, pure awareness, pure joy.” Kirtan—and other forms of mantra practice, such as seated meditation—help us uncover that place inside of us, he says: “our true nature.” (Kripalu Centre for Yoga and Health, 2021)     Over the follwing years I have adopted a fluid approach to meditation, utilising practices from Vedic, Buddhist and some secular Mindfulness traditions, and varying types of breathwork grounding and awareness of sound meditations. The important point to mention here is, I feel that, as a person living with pain, the last thing you probably need in your life is another stick to beat yourself with about what you should be doing. I think if the promise of a clamer mind, less catastrophising and less pain resonates with you, look for and try something that makes sense, or feels good you. Or more eloquently from the Buddha's teachings: “Do not believe in anything simply because you have heard it. Do not believe in anything simply because it is spoken and rumoured by many. Do not believe in anything simply because it is found written in your religious books. Do not believe in anything merely on the authority of your teachers and elders. Do not believe in traditions because they have been handed down for many generations. But after observation and analysis, when you find that anything agrees with reason and is conducive to the good and benefit of one and all, then accept it and live up to it.”     Self Compassion   Before we have a go at a practice to draw this to a close, it's essential to add a point that I touched on very briefly before, and that's the point of self-compassion. The most succinct way I've heard described, was by Liz Stanley: “I would just say it's really important (for listeners) to recognize that one of the ways we actually make things worse for ourselves, is when we let our thinking brains judgments about what might be going on in our mind and body, kind of get stuck because those judgements actually make things worse. So, to give an example, if somebody is experiencing chronic pain, and they're feeling self-judgment, or shame, or impatience, or anger, about the fact that they are feeling chronic pain, that kind of judgment and any narrative that the thinking brain might be kicking up around it ‘it shouldn't be this way', you know it was doing better, I should have done my exercises, any sort of stories that might be there, when the thinking brain does that, the survival brain perceives those thinking brain judgements as threatening. And so, it turns on even more stress arousal. So, if someone's experiencing discomfort and then they're judging it, they're actually making that stress arousal. Likewise, we often have habits to compare what's going on in us with someone else. Like we might experience a wave of anxiety about an upcoming test or something. And then the thinking brain's like, well, I shouldn't be anxious about that, that's not really a big deal. You know, this other person, well, they're dealing with this and this and this and this in comparison, what I'm dealing with is really not a problem. You can hear the judgment in that. And when the thinking brain starts, those kinds of comparing thoughts that devalue what's going on in our body, again, the survival brain finds that challenging, and it will turn on more stress arousal. So as much as possible, if someone is experiencing a wave of emotion or a wave of stress or defaulting to engage in a coping mechanism that they might not want to be engaging in, a habit they wish they could break - as much as possible just meet that experience with some kindness, and see if you can set that judging aside, because the judging is only making it worse. It's only making the, the survival brain that much more amped up.” (Coriat, Dr Christine Runyan - Mental Health and covid - on forgiveness and healing 2021)   That's the last thing I really wanted to say, Nick, because I know it's something I really struggled with”   Practice     References   Music throughout the podcast Das, K. (2007). Gathering in the light-Om-Narayani. Krishna Das. https://krishnadasmusic.com/collections/music/products/gathering-in-the-light   Other References Haggai et al, S. (2016, July). Mindfulness meditation modulates pain through endogenous opioids. The American Journal of Medicine. https://www.amjmed.com/article/S0002-9343(16)30302-3/fulltext Zeidan et al., F. (2023, February). Disentangling self from pain: mindfulness meditation–induced pain relief is driven by thalamic–default mode network decoupling. Journal for the International Association for Pain. https://journals.lww.com/pain/Fulltext/2023/02000/Disentangling_self_from_pain__mindfulness.8.aspx Powell, A. (2018, August 27). Harvard researchers study how mindfulness may change the brain in depressed patients. Harvard Gazette. https://news.harvard.edu/gazette/story/2018/04/harvard-researchers-study-how-mindfulness-may-change-the-brain-in-depressed-patients/   Tsagkaris, C., Papazoglou, A. S., Eleftheriades, A., Tsakopoulos, S., Alexiou, A., Găman, M.-A., & Moysidis, D. V. (2022, March 14). Infrared radiation in the management of musculoskeletal conditions and chronic pain: A systematic review. European journal of investigation in health, psychology and education. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8946909/   Hecht, M. (2020, September 4). Meditation for pain relief: What to know & how to try it. Healthline. https://www.healthline.com/health/meditation-for-chronic-pain   Asmundson, G. J. (2022, December 2). PTSD and the experience of pain: Research and clinical implications of shared vulnerability and mutual maintenance models. Canadian journal of psychiatry. Revue canadienne de psychiatrie. https://pubmed.ncbi.nlm.nih.gov/12553128/   Coriat, N. (2022, October 20). Dr Daniel Harvey - The path through pain. Don't Quit on Me. https://www.podpage.com/dont-quit-on-me/dr-daniel-harvey-the-path-through-pain/   Coriat, N. (2021, March 11). Sebene Selassie - belonging in an age of disconnect. Don't Quit on Me. https://www.podpage.com/dont-quit-on-me/s1e3   Coriat, N. (2021, December 31). Dr Christine Runyan - Mental Health and covid - on forgiveness and healing. Don't Quit on Me. https://www.dontquiton.me/dr-christine-runyan-mental-health-and-covid-on-forgiveness-and-healing/   Center for Yoga and Health, K. (2021, July 11). The Beginners' Guide to Kirtan and Mantra. Kripalu. https://kripalu.org/resources/beginners-guide-kirtan-and-mantra

The inaugural episode of the "Pain Matters Podcast" with Professor Lorimer Moseley, titled "Why Pain Matters," delves into the profound significance of pain in our lives and society. Professor Moseley explores the multifaceted impact of pain on individuals, communities, healthcare, and research funding. Pain touches the lives of countless individuals, affecting not only those who experience it but also their loved ones, colleagues, and communities. The discussion highlights the far-reaching implications of pain, encompassing reduced quality of life, social isolation, decreased productivity, and its association with various health conditions. Despite pain being a significant contributor to disability and suffering, it often receives inadequate attention and funding compared to other health issues. Professor Moseley draws inspiration from two triggers: the Pain Revolution rural outreach tour and preparing a grant application. The Pain Revolution tour exposes the immense need for pain education and management in rural communities, demonstrating that pain is often undertreated. Furthermore, the grant application process reveals a broader issue: the prevailing but outdated beliefs about the nature of pain, hindering progress in pain research and treatment. The podcast aims to challenge these entrenched views and initiate conversations about pain's complexity, its psychological aspects, and the need for a paradigm shift in understanding and addressing chronic pain. Professor Moseley, with his extensive background in physiotherapy and neuroscience, is committed to exploring the intricacies of human pain perception, the brain's role, and how society perceives and responds to pain. In future episodes, the podcast promises to delve into the history of chronic pain research and share insights from Professor Moseley's extensive experience in the field. With an emphasis on demystifying pain and advocating for a more comprehensive understanding, "Pain Matters with Lorimer Moseley" aims to contribute to the ongoing conversation surrounding pain and its impact on individuals and society. Check out: https://www.mastersessions.academy/   #PainMatters #ChronicPain #PainAwareness #PainManagement #Neuroscience #HealthPodcast #PainRelief #PainEducation

Nueva semana... nuevas Novedades que te traemos, en este caso nos acompañan: 01 - RONNIE ATKINS - "IF YOU CAN DREAM IT YOU CAN DO IT" 02 - THEOCRACY - "RETURN TO DUST" 03 - SORCERER - "MORNING STAR" 04 - NEVER OBEY AGAIN - "WHAT IF" 05 - A DARK REBORN - "LEVITATING THE VOID" 06 - DEATH DEALER UNION" - "ILL FATED" 07 - ELEGY OF MADNESS - "CRAWLING" 08 - TOMMY JOHANSSON - "HIGHLAND" 09 - VANSIND - "GRIB TIL VÅBEN" 10 - FINAL STRIKE - "FREEDOM" 11 - THY ART IS MURDER - "GODLIKE" 12 - AEOLIAN - "THE MIRACLE" 13 - GHOSTS OF ATLANTIS - "THE LYCAON KING" 14 - JACOB LIZOTTE - "ENEMY WITHIN" 15 - NAIL WITHIN - "BLEEDING SOCIETY" 16 - RAGE BEHIND - "DON'T BREAK" 17 - ENDSEEKER - "VIOLENCE IS GOLD" 18 - LUTHARO - "RUTHLESS BLOODLINE" 19 - PAIN - "REVOLUTION" 20 - CANNIBAL CORPSE - "CHAOS HORRIFIC" Únete a la Legión Aquí: https://go.ivoox.com/sq/917911 60 minutos de Metal y Derivados presentados por Marco Rondán y Ofrecidos, cada semana, por HEAVYS Audio, Danis Parris Custom Guitars & Basses y Dark Cabin Studios.- ****************************************************************** New week... new stuff that we bring you, in this case we're accompanied by: 01 - RONNIE ATKINS - "IF YOU CAN DREAM IT YOU CAN DO IT" 02 - THEOCRACY - "RETURN TO DUST" 03 - SORCERER - "MORNING STAR 04 - NEVER OBEY AGAIN - "WHAT IF" 05 - A DARK REBORN - "LEVITATING THE VOID" 06 - DEATH DEALER UNION" - "ILL FATED" 07 - ELEGY OF MADNESS - "CRAWLING" 08 - TOMMY JOHANSSON - "HIGHLAND" 09 - VANSIND - "GRIB TIL VÅBEN" 10 - FINAL STRIKE - "FREEDOM" 11 - THY ART IS MURDER - "GODLIKE" 12 - AEOLIAN - "THE MIRACLE 13 - GHOSTS OF ATLANTIS - "THE LYCAON KING" 14 - JACOB LIZOTTE - "ENEMY WITHIN" 15 - NAIL WITHIN - "BLEEDING SOCIETY" 16 - RAGE BEHIND - "DON'T BREAK" 17 - ENDSEEKER - "VIOLENCE IS GOLD" 18 - LUTHARO - "RUTHLESS BLOODLINE" "RUTHLESS BLOODLINE" 19 - PAIN - "REVOLUTION" 20 - CANNIBAL CORPSE - "CHAOS HORRIFIC" Join the Legion Here: https://go.ivoox.com/sq/917911 60 Minutes of Metal and Derivatives presented by Marco Rondan and Offered, each week, by HEAVYS Audio, Danis Parris Custom Guitars & Basses and Dark Cabin Studios.-

Lamentablemente, la entrega de MAXIMETAL de hoy no es de mi agrado, pero al menos no falta a la cita. Espero que te guste la selección de esta semana. Saludos! Playlist: 1 - SORCERER - "Morning Star" 2 - ANGRA - "Tide Of Changes (parts I & II)" 3 - DRAGONFORCE - "Doomsday Party" 4 - THERION - "Twilight Of The Gods" 5 - PAIN - "Revolution" 6 - WHILE SHE SLEEPS - "Self Hell" 7 - ART OF ANARCHY - "Vilified" 8 - DOKKEN - "Gipsy" 9 - DORO - "Bond Unending" (ft. Bahne Beliaeff) 10 - SEPULTURA - "Orgasmatron" (Motörhead cover) 11 - NIRVANA - "Territorial Pissings"

Lamentablemente, la entrega de MAXIMETAL de hoy no es de mi agrado, pero al menos no falta a la cita. Espero que te guste la selección de esta semana. Saludos! Playlist: 1 - SORCERER - "Morning Star" 2 - ANGRA - "Tide Of Changes (parts I & II)" 3 - DRAGONFORCE - "Doomsday Party" 4 - THERION - "Twilight Of The Gods" 5 - PAIN - "Revolution" 6 - WHILE SHE SLEEPS - "Self Hell" 7 - ART OF ANARCHY - "Vilified" 8 - DOKKEN - "Gipsy" 9 - DORO - "Bond Unending" (ft. Bahne Beliaeff) 10 - SEPULTURA - "Orgasmatron" (Motörhead cover) 11 - NIRVANA - "Territorial Pissings"

On today's episode of the Soul Connection Duo Podcast, we host Arun Nijhawa to discuss chronic pain, which has become a very prevalent health issue worldwide. Arun suffered from chronic back pain which left him immobilized for years, and was told that he would only recover with surgical intervention. However, Arun made a miraculous recovery and freed himself of his debilitating pain, by accessing the right knowledge, developing a greater understanding of the pain sensations in his body, as well as deeply connecting to his body and healing through daily meditation practice. He has since co-founded Menda Health, which is an online platform to reverse chronic pain for over one billion people worldwide who are living in agony, that are often misunderstood and mistreated in our current healthcare system. We feel very honoured to be able to share this episode with our listeners, as we know there are so many people who can relate to Arun's story! Arun shares his journey of healing from chronic pain, as well as his vast depth of knowledge and research to explain how he was able to heal himself. We learn about the current pain revolution in America and the true power our brains can hold when it comes to pain and healing. Arun defines some of the different types of pain, such as primary pain vs. secondary pain, as well as the very interesting research and evidence in regards to the prevalence of pain across the lifespan. He also shares some of the science-based techniques that can be used to help break pain cycles, such as "pain reprocessing therapy". Arun is the co-founder of Menda Health, a chronic pain recovery program (CPRP) to help reduce pain and suffering worldwide. The programs offered through Menda Health, allow people to lean into their body's sensations in a safe way, while learning how to relate to what is showing up in their bodies without fear. For more information on Menda Health and it's pain recovery programs, please visit the website: www.menda.health.com. Additional information can be found on LinkedIn and Instagram @menda.health. Arun has also so kindly offered his email to anyone who wants to reach out with questions - arun@menda.health.com. “We try and meet people where they're at. Pain is a very personal thing. Every person is different.” - Arun Nijhawan To support us, please rate, review, subscribe and share! And find us on Instagram & Facebook @thesoulconnectionduo.

We'll discover how people can heal old injuries, prevent new ones, and master the freedom from pain to reach an optimum level of wellness and longevity. Our guest, Dr. Edythe Heus is an advanced chiropractor and kinesiologist while also being regarded as a gifted healer.  Her remarkable exercise system is called Revolution in Motion.  Adding […]

We'll discover how people can heal old injuries, prevent new ones, and master the freedom from pain to reach an optimum level of wellness and longevity. Our guest, Dr. Edythe Heus is an advanced chiropractor and kinesiologist while also being regarded as a gifted healer.  Her remarkable exercise system is called Revolution in Motion.  Adding […]

Daniel is a Lecturer in musculoskeletal physiotherapy and a pain scientist at the University of South Australia. His research focuses on new approaches to chronic pain that leverage new technologies and modern understandings of body-related perceptual processes. Along with Lorimer Moseley, Daniel is an author of the book 'Pain and The Nature of Perception: A New Way to Look at Pain' which uses visual illusions to describe features of perception that are relevant to understanding and treating pain. Daniel holds a Master of Musculoskeletal and Sports Physiotherapy, a chronic-pain focused PhD, and serves on the education committees for the Australian Pain Society and Pain Revolution. https://www.noigroup.com/product/pain-and-perception/ Twitter Close Support the show

Lorimer is Bradley Distinguished Professor in Clinical Neuroscience, Foundation Chair in Physiotherapy and Director of IIMPACT in Health at the University of South Australia. His main interests are persistent pain and other protective feelings. His research group investigates pain in humans, from cognitive and behavioral experiments to clinical trials and implementation studies. He has authored over 350 scientific articles and seven books. He has received international awards for his contributions to the science of pain, the treatment of persistent pain, to pain and health education, and for his public outreach initiatives. In 2017 he founded the not for profit Pain Revolution and in 2020 he was made an Officer of the Order of Australia, that country's second highest civilian honor, for ‘distinguished served to humanity at large in the fields of pain and its management, science communication, education and physiotherapy.' He lives and works on Kaurna Land in Adelaide, South Australia.

Lorimer is Bradley Distinguished Professor in Clinical Neuroscience, Foundation Chair in Physiotherapy and Director of IIMPACT in Health at the University of South Australia. His main interests are persistent pain and other protective feelings. His research group investigates pain in humans, from cognitive and behavioral experiments to clinical trials and implementation studies. He has authored over 350 scientific articles and seven books. He has received international awards for his contributions to the science of pain, the treatment of persistent pain, to pain and health education, and for his public outreach initiatives. In 2017 he founded the not for profit Pain Revolution and in 2020 he was made an Officer of the Order of Australia, that country's second highest civilian honor, for ‘distinguished served to humanity at large in the fields of pain and its management, science communication, education and physiotherapy.' He lives and works on Kaurna Land in Adelaide, South Australia.

In this episode, Pain Scientist, Clinician, and Distinguished Professor at the University of South Australia, Lorimer Moseley, talks about pain and research. Today, Lorimer talks about his many streams of research, assessing cognitive flexibility, and his MasterSessions. What is cognitive flexibility and how does it affect pain? Hear about the social determinants of pain, COVID's impact on Pain Revolution, the complexity of chronic pain, and the responsibility that comes with doing pain research, all on today's episode of The Healthy, Wealthy & Smart Podcast.   Key Takeaways “One of the biggest determinants of your health in the US is your zip code.” “[Cognitive flexibility is] the ability of your system to change its behaviour when the task requirements or conditions change.” “If you're going to label something, it should be what it says it's doing.” “[chronic pain] is one of the most burdensome health conditions in the world.” “There's genuine, realistic, scientifically-based reason to hope things will keep improving for people with chronic pain.” “Love and be love.”   More about Lorimer Moseley Lorimer is Bradley Distinguished Professor at the University of South Australia. He is a pain scientist, clinician and educator. He has made seminal contributions to how we understand pain and why it sometimes persists and has developed treatments that are now considered front line interventions in clinical guidelines internationally. He has authored 370 research articles and seven books. His contributions have been recognised by government or professional societies in 13 countries. In 2020, he was made an Officer of the Order of Australia for distinguished contributions to humanity at large in the fields of pain science and pain medicine, science communication, pain education and physiotherapy. He lives and works on Kaurna Country in Adelaide, Australia.   Suggested Keywords Healthy, Wealthy, Smart, Physiotherapy, Pain, Research, Cognitive Flexibility, Chronic Pain, Perception, Responsibility, Recovery,   Notable Mentions Caitlin Howlett. Dan Harvie. Pain and Perception, by Dan Harvie and Lorimer Moseley. Epiphaknee, by Lorimer Moseley, David Butler, and Tasha Stanton. Participate in research (it takes just 20 minutes). MasterSessions.   To learn more, follow Lorimer at: Website:          https://www.tamethebeast.org                         https://www.painrevolution.org                         https://people.unisa.edu.au/Lorimer.Moseley   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:  00:03 Hi, Lorimer, welcome back to the podcast. I'm so excited to have you back on.   00:08 Good. Thanks for having me.   00:10 And so today we've got a lot to cover, because we are going to be talking about some of your current projects, new developments that maybe happened since 2021, where you had well over 30 publications. So you had a very, very busy year, I would say. But as we go, as we kind of go through and talk about some of the things that you're working on, I just want you to let me know if there's anything that you're like, Whoa, hey, I can't talk about that. Or if there is reason to be a little vague, because things might be ongoing trials and things like that. So we'll definitely keep that in mind. Now, let's say you've had a lot of publications over the last year, what are some current projects, or discoveries or developments that really stuck out for you in your most recent research?   01:08 Ah, nice question. Um, one of the things about being a scientist in a clinical field is that here, it's not often that you get a revolutionary discovery, it's quite unusual. So what I think the things that I'm most excited about are not, not so so much particular papers, although there, there are some really tiny phones, there's one that's not published yet, but will will be out in the next couple of months that I'm particularly excited about. And I can allude to that. But I think sort of like these, these streams of research in which I'm involved that are turning me on a bit, the moment and one of those is a continuation of the whole explain pain thing. But over the last sort of four or five years, we have discovered, we've looked really closely at but at the the outcomes of clinical practice in where people are delivering great educative interactions and, and I've had a fair degree of, of influence over them. So I feel really confident that I did, they're supposedly doing well. And those data from a big cohort of people suggests that, in about half of the people with chronic pain, they see they have this shift in understanding of the problem, but a real flip. And it's in a predictable way, you know, shifting towards really deep in your belly can conceptualizing pain as a protective feeling that's being produced for a reason. And we need to work out what that reason is, and it will almost well, it will certainly not be a single reason, there'll be all these little contributors. So real flipping, understanding. And, and I guess, understanding that as pain persists, the system becomes over protective, and, and really embracing that as a reality. And that's a really hard thing to do. But those those half of the people who do it has great outcomes a year later. That's a for me, that's a really exciting discovery. The half of the people who don't don't have great apples. So for me, again, it's a really exciting discovery. The problem is that we're only winning in half the people. You know, we're only nailing it in half the people and the interventions good across seems to be good across everyone. So clearly, our markers are what's good intervention, they're not accurate. So my gut feeling about that was not accurate. So we've been looking deeply at how, how can we expand that group from half to bigger and, and unexpectedly for me, doubling down on the on the criticality of learning. So I've been learning a lot about learning. And that's been infiltrating our research and infiltrating the whole way we go about helping people with chronic pain or at risk of chronic pain. And so I'm really excited about that. And we're seeing its scientists talk about seeing a signal amongst the noise. And in chronic pain, there's just so much noise, right? Because chronic pain is this truly, in my view, truly bio psycho biggest and it's more or less social thing. And if we can intervene and see a signal in that group, that's a really exciting development. And   05:03 I, I'm more excited than I was maybe seven or eight years ago about the potential power of of new and better ways to get people to give people understand. And I started banging on about this in conferences and stuff maybe three or four years ago. And I have this slide that that is intentionally slightly provocative, particularly to the physical therapy world. And that sort of pain science education world, I think in in the US the brand name as popular as paid in neuroscience, education, p and E. These are all brand names, right? PMA expired pain is a brand name. So I like to avoid the brand name. So I call it sort of pain science education or modern pain education. So this slide is meant to be slightly provocative, in say, has education become the objective, instead of learning being the objective, and I think for me, education became the objective. And that was a mistake that, that I made. And I think my research made that mistake, and my clinical practice probably made that mistake. And my own outcomes over the last 10 years, and I get I keep really tight audit data, I can see the benefit of my own development as a, as a clinician, educator, and probably as a human on outcomes. So I'm excited about that, for sure. And I can give a little, a little teaser to the paper that we expect to come out the next couple of months in a big journal near you, which looks at a clinical trial of chronic back pain, where we have done two things that I think are really unusual for our field. One is we've tested, I think, a new complex intervention. And it's made up of less new interventions, but they're all sort of put together into a package if you like. And the other thing that was different that we did that, that are Yeah, I think I'm really proud of the team led by James McCauley is the senior author on it. And Ben once and I were important in sort of formulating the treatment, but Ben's been really critical. But we were all very keen to make the control group the best placebo intervention, we could. So we put a lot of effort into credible brain targeted treatments, matching the educative component. And testing whether people had different expectations or perceived credibility or beliefs about whether they are in treatment or not. So from my perspective, it's a very tight trial. And James and I were fully expecting that we would not see a signal in this. But we would be interested in secondary analyses which tell us mediating effects like what, even though there wasn't an overall effect, where what worked, what what might have been helpful. So that's what we were expecting, but in fact, we saw a clinically important signal. And that's very unusual in back pain trials. It's if you have a control group where you've got a waiting list or usual care, or you've gotten there's been a couple of trials published slightly, or you've got open labeled saline injections, you know, these treatments that will have some sort of effect, but they're no match. Right? So you're not really asking, are the particulars throughout this treatment? Important? All of those treatments will show a signal they all they always do they show exactly the same signal. I've done those randomized control trials. So that's one thing, you can design a trial in a way that you'll show signal. But it's a bit meaningless to us as real world clinicians. Or you can design a trial that we would call an explanatory trial that says, Okay, we've kept all of these things the same in the two groups and the things that we kept the same were as much of that nonspecific therapeutic alliance engagement, credibility expectation, which, which I think is a big part of the whole pain science education thing. So I do think we have to monitor that. You might hear my dog the other   09:38 room. Right. All right. We're pet friendly around here. What's exciting   09:42 about that is that it means there's some sort of delivery bandwidth to be won, I think it might be this new piano that I discovered even better. Yeah. So anyway, so that will be coming out. I can't say anything more about that, but, but it's a really exciting development. And we've got we've got a few trials that are testing versions of these sorts of things for for different conditionals. But uh, going at the moment and the way we're constructing the education component and integrating it with the movement and loading and anti inflammatory component. So that is three pronged approach. Really exciting for me, as I, you know, I've been doing this for quite a while that feels like, I still feel like a kid. But, you know, I have been researching for a while. And this is a really exciting time, I reckon, in the chronic pain world, because I think we're starting to chug forward again, I feel like the field was stalled a bit. But jumping forward. That's one thing. And then then on the other other side research streams, one of our team called Dr. Emma Karen is doing really difficult and really important, work really well investigating the influence of social determinants of health on chronic pain outcomes. First focusing on low back pain. She's published a couple of systematic reviews, and mixed method study on that, that is pretty intimidating. For those of us trying to move the the outcomes in a positive direction, because as we were talking about before, caring that the social determinants of health are very powerful, and they're powerful in back in back pain and pain outcomes. They're really hard to shift, you know, they're very hard to do much about so. At our field, the pain, field musculoskeletal, the the sort of arthritis field has or has engaged with, it's way better than then the non Arthritis, Musculoskeletal pain, pelvic pain, Fibro fields, we, you know, it's remarkable how little attention, it gets the biggest social and when we talk about the biopsychosocial model, we nearly always conceptualize that as a smallest session and the people around you social, which is important. But we haven't really integrated the biggest social Yeah, the world in which you live in your access to health care, illiteracy. Poverty.   12:29 Yeah, that sort of stuff. Absolutely. And I think you kind of hit the nail on the head as clinicians, oftentimes when we talk about the bio psychosocial, we think of the socials, what's your support system at home? You know, do you have, you know, can you get to, can you get to therapy? Do you have access to therapy? But what we're not asking is, do you have access to other medical care? If you need it? Do you have access to fresh foods and vegetables, which we know can play a part in, let's say inflammatory responses in the body? Do you have access to a pharmacy? Do you have access? I mean, all of these things make a huge difference, you know, or do you? Is your social part of that bio, psychosocial? Are you working three jobs and raising children and not having time to fit some of this stuff in? Right? So social part becomes a really big S for a lot of people. Certainly in the United States, like I said before, one of the biggest determinants of health of your health in the United States is your zip code.   13:37 Yeah, it's remarkable.   13:40 So social determinants of health is is high priority. And I think maybe people shy away from it, because it's can be so overwhelming. So I don't know what you guys are finding research wise, if there are way and how you can address that?   13:56 Oh, it's it's overwhelming, for sure. And I totally understand why there is a reluctance to go there. And there are also I think there's very complex ethical considerations about going there. We've we've been planning a study in the northern suburbs of Adelaide where I live, which is an area that's really different to the say, the inner suburbs of Adelaide with respect to all that sort of predictable social determinants. But one question that we've had to look in the mirror about is if if we develop this so we're working on developing a screening tool. If we start to identify people that have significant unmet social needs, and we can't do anything about it, is that is that a ethically defensible position? Yeah, we were able to say to people, okay, we know what the problem is, you know, this, you can't have because we got no mechanism Have of meeting that need. So it's quite a challenging area to move into. Because if you if you imagine that the understanding and overcoming persisting pain is a very slow step by step journey. And now we really have to imagine that instead of going in a straight line, we're almost going in a circle, and we're making slow step by steps of the entire circumference of the circle, you know, and you move a little bit, then you have to stop and move a little bit more somewhere else. Otherwise, you're going to break. And the people who suffer when you break will be the same people, you know, the, the more vulnerable people. So it's a really challenging field. And yeah, I can't, I'm excited to be getting dragged along by Mr. and her colleagues on on this. But I'm also so impressed with how, how robust the approaches to it. So yeah, there's a couple of her papers out already and more, more coming. And I think there'll be really influential in the field. Because no one there are people there. There are people who are engaging in this, but very few people are thinking to themselves, I'll take on that challenge. Yeah,   16:28 yeah. Very, very difficult.   16:31 It's relevant to it's really relevant, or I guess my interest in it was sparked by our work with pain revolution, which is an outreach project program for rural areas. And it sounds like it's similar in the US. But there's there's areas in Australia not far from big cities, what we would call a big city of Adelaide a million people. There's areas two hour's drive from Adelaide that cannot get a GP or a physio, or a psychologist or an occupational therapist, to worth it. And they've got, you know, wanting four of them have a persisting pain problem that affects their lives. There's no, what do we do? What do we do about that. And so pain revolution is, is really trying to ultimately build workforce capacity. In giving people health professionals have some description, when I care what description, in fact, we were, were looking for money to try our non healthcare professional, being coached and becoming a rural coach. But the idea of that is that if people we know I think from other areas of the pain field that if if a healthcare professional of any persuasion, understands deeply contemporary pain, Science and Management, and takes a defendable, scientific, and now evidence based approach, then outcomes can be better for sure. And outcomes will be promoted by engaging in in care locally, the moment the only model we've got is a fly in fly out model, which is where, you know, the health professionals go from the city and spend a day in the country and come back a month later, in my view, of very limited benefit. Or we've got a full five model where the patients, that consumers come down to the city. And in many cases, that's a 810 12 hour drive. Get an assessment? Yeah, there's no there's no way of training those people or providing effective care for these people. So yeah, yeah.   18:55 And I, you know, yeah, no, no, you know, it this, this conversation about this kind of rural outreach and, and maybe training someone who's not in the medical field, reminded me of a documentary that I saw, Oh, gosh, I can't remember the name of it, if I can ever And i'll put it in the show notes. I can't remember it right now. But it was on it was more psychology based around loss and trauma. And there was a woman in Africa, who was not, not a psychologist, she was not trained. But she, she, I think she was trained in some basic coaching skills, but she lived in the community. And people there were more likely to go to her because she understood the community. She was part of the community and they had really good outcomes. So I'm wondering even if training someone who is not a medical professional, but if it's possible to train them even in you know, you don't have to be there in person, but would that person because they're part of this rural community, maybe have better results and someone just flying in for the month and flying out where you have someone who knows the community understands the struggles, and maybe has known some of these people their whole lives. You know, we talked about therapeutic alliances and trust and beliefs. So with people they're more likely believe someone who's part of their community than someone who's doing a fly in fly out. I don't know, it just reminded me of that documentary.   20:24 Yeah, I totally get that. And I guess we were really embracing that in, in one aspect with pain revolution, because we're training rurally based healthcare. And that was the impetus you know, they're connected to their communities and their communities are really well connected more so than certainly in Australia, in the cities. You know, you're the physio, if there is a physio will be on the sideline at the Netball day or the football game, way with the consumer, you know, these, these people's normal lives and accessibility and those things that I think reduce the power differentials that that contaminate a lot of healthcare interactions. Was it a part of our drive to drive pain revolution rurally, to tap into this already, and you know, the vision that we state, the pain revolution is that all Australians and I think we're going to change that to all people will have the skills, the knowledge and access to local resources to prevent and overcome persistent pain. And that's the real emphasis that we embed the knowledge and skills locally. And, you know, that's, you know, I've been talking to 1010 years about recovered consumers being coaches, not the healthcare person, but recovered consumers, because they have all this knowledge and expertise that no one else can have. Right.   21:56 They're very deep understanding of pain.   21:59 Absolutely, yeah. And pain, and not not only the lived experience of pain, but the lived experience of recovery. And I think that's a untapped massive resource. But there are significant regulatory medico legal barriers to us just pushing forward on that, that we're still negotiating. So that's yeah, that's been at least a decade. My perspective. But paint ray of is is so exciting. It's, it's really cool. Like, we are doing it on a shoestring. And I think we now at the end of this year, we will have, I think we'll have about 35 Local pain collective. So these are networks of healthcare professionals around geographical regions that get together, learn more about how pain works, and the best ways of treating it collectively problem solve pain, rave feeds them. curricula, but really, it's a collective problem solving facilitated group. And yeah, I think the panorama was responsible for delivering around about around about 400 community outreach sessions, amazing Australia, in the middle of COVID.   23:17 I was gonna I was gonna ask, How has COVID affected? What pain revolution has been able to do, let's say last year, as opposed to previous years?   23:29 Yeah, it's, well, it's had its impacts, for sure. And depends where you live in Australia. So two of our states have had a longer period of of living in a COVID world I guess. And in those places, there's there's been no face to face. stuff. They are 2021 outreach tour that we do. So we run this circus that gets a lot of attention raises a fair bit of money on our level of what a fair bit of money is, it's got in the commercial sector be like someone's bonus for the week. But in our sector, it keeps us alive. And we go from town to town, and we run these public outreach and health professional outreach events. We're all dressed up in library, we ride our bikes, and it's all this cool thing. And that's part of a wider program with two other projects that dovetail into that dedicated to the region. And we didn't run that in 2021. And we won't run that in 2022. And that's a big hit for us because it's our main fundraising Avenue. So that's that's a real challenge. Some states in Australia have had basically no COVID And one state still basically there's no COVID Western Australia they They pay us closed to the rest of Australia in the world. And I think they're aiming to reopen in February. Tasmania has recently reopened and they're starting to get cases. But now we're where I live. We are, we're at the beginning of our wall of Omicron. And we really don't know what this year looks like. So we don't have the experience that a lot of places do. And we're very grateful for that. But we also clearly like deer in the headlights at the moment. Federal governments are going everything. Rules are changing all the time, we and you know, we're not as prepared as you would expect us to be having had a month's notice. So that will impact pain revolution for sure. The we're a really small outfit we have I think we have 1.5 full time equivalent staff delivering hundreds of programs, or events, and we're very resilient. And yeah, well, yeah,   26:11 we'll you'll get this done. And And if people want more information, they can go to pain. revolution.org, correct. Correct? Yes. All right. So pain revolution.org, if you want more information about what pain revolution is doing, and maybe how you can help or contribute, if you so if you see if it if it aligns with what you believe in, then I suggest go for it because it is a very worthy cause for sure. And now, it's kind of switching gears a little bit something that we were speaking about sort of before we hit the record button here. And it's a concept that I had to kind of look up a little bit before our talking here. And it's that concept of cognitive flexibility. I think it's interesting. I think it's worth talking about. So I will hand the mic over to you to sort of talk a little bit more about what that is, and how does cognitive flexibility fit in with people living with pain and maybe with practitioners treating those living with pain?   27:21 Yeah, well, thanks. And again, yeah, I feel like I don't actually actually do much of the good work, it feels a little bit like because this work is has been done by Caitlin halat, who's a PhD student about to finish and has a background in psychology. We embarked on a new direction probably three years ago, with with a really sensible prediction, I think that possible contributed to not recovering after an acute episode of pain based on if people familiar with Bayesian or other predictive processing models, based on the idea that the outputs that we generate predictions and the system is influencing itself according to predictions, then we need to update the internal models of the models in order to resolve so if I was to cover that really quickly, if we, if we said, when you bend over and you don't have pain, that what what could be happening there is that your brain predicts that this will be safe, your brain produces a feeling that's consistent with that mn let's say you tweak the annulus of a intervertebral disc or something, you get no sensitive data that are that are within the sensory load. And I like to say within the Tampa symphony of Dallas, extraordinarily complex, beautifully evolved system of of information about what's happening in the tissues, we get data that says this is not what I predicted. The evaluator for this is not what I predicted. So we update the internal model to say the back is vulnerable in some way, let's say. And then the new prediction is, well, let's make pain. And let's influence the system differently. And then if we go in the other direction, and every time we've been able to get this nociceptive data within the symphony, and then one day you don't I know you've been over and and you don't get that. And now the theory is the system detects that error says Hang on. That's not what I predicted. So it updates the internal model to say the back is less vulnerable. And now your brain doesn't produce as much pain or produces no pay, and then you've recovered fantastic. So one potential barrier to recovery according to that theory is failure to update yourself. Title model. And and that should happen. If, excuse me, that shouldn't happen if you if you don't detect the error. So if for some reason you don't, your system doesn't detect that the predicted data, the predicted data, which was not receptive, in part hasn't been hasn't eventuated. And therefore you don't update your internal models. So on the basis of that, we became quite interested in this broad field of flexibility, cognitive flexibility, which has been defined in many ways. But I guess the way that we were thinking about it was the ability of your system to change its behavior are when the task requirements or conditions change. So in the language of have that sort of Bayesian idea, and to your ability to update your internal model of things. So we started digging around in this field, or Kaitlyn really started digging around in this field. And often in a PhD, you'll start with a systematic review of the literature on a question that's most most aligned with what our hypothesis will be driving. So. So Caitlin took on what we thought would be a reasonably straightforward job to review the literature in cognitive, mental and psychological flexibility. So the barrel phrases that are used, often interchangeably, particularly cognitive and mental flexibility. And with the question that would help us determine which is the best way to assess it's what's the best way to assess flexibility. And there's two broad approaches to assessment. One is self report, questionnaires. And they have they were developed out of a line of research, starting with personality tests in the 1960s. And that's this sort of this long line of stuff. And someone I can't remember who but in the, I think in the 60s or 70s.   32:18 proposed that I think it was empirically based but propose that good communicators perform the answer these sub questions in a certain way. And that research would describe them as positive and flexible people and are good communicators. And then that infiltrated the field. And we eventually got to this situation, we've got cognitive, cognitive flexibility scales, things like that. The CFS or, and there's a few of those, completely independently from that was the development of behavioral tests. The most famous and most common is a thing called the Wisconsin card sorting test. In that, in that test, you you sort cars according to one of three criteria, shape, shape, or number, I think, sorry, shape, color, or number. And the rules for sorting change, and you only realize that change when you make an error. Yeah, that so you put a card in a certain pile, and the tester or the machine goes about anything, what should work, and you have to work out what the next set of rules. And the people doing these studies somewhere in the 80s. Or maybe it was a bit later than that, call this cognitive flexibility. So we've got two independent lines, joining a company flexibility, and then that's then all the whole field just went nuts cross contaminating and all that. So Caitlin has now published and once just been accepted last week, to systematic reviews that are massive. And she had to contact authors for nearly every single one of these studies to get data, asking the question How well do those two approaches to testing 100 Flexibility correlate? Because if the system the same thing that should correlate quite well, one of those systematic reviews is in Healthy People. And one is in people with a diagnosis clinical groups. And in both of those studies, there is absolutely no relationship between those two approaches.   34:39 So you have two different tracks on how to assess cognitive flexibility, and there is no correlation between them.   34:47 Not at all. And actually a lot of the tests, there's no reliability data for them. Now, there are some cognitive psychologists who won't be surprised at that finding. And they're the informed one Who, who have been working in this field? I guess. But for people like Caitlin and I and the rest of the team on this project, where clinically, it's such an attractive hypothesis, right? Like if if people can't change their, that if people don't easily change their beliefs, explicit beliefs, their implicit beliefs about the vulnerability of their body, what pain means that the targets of pain, science education, then we know those people who don't, don't change some of those targets of pain science education, don't do as well, when we know that. So it's such an attractive hypothesis that they might be less cognitively flexible. But the barrier with hit is so how do we find out? Because we don't actually know what any of these tests are actually.   35:56 What are they actually test   35:57 measuring? Yeah, yeah. So so the direction for that, and I've asked for money haven't got it yet to do that is to devise a a new way of assessing the ability to change your decisions when there is some sort of risk evaluation involved, because I think for, for pain, I think we talked about the meaning of things being important for painting. And I think one way to distill the meaning is about just a risk profile, that every nanosecond, our system is evaluating risk, and its risk, that determines our feelings. And I would categorize pain as a feeling bad. So my anxiety, fear, fatigue, lead to the toilet, lead to a thirst, all these things, in my view, feelings generated on the appraisal of risk. And, and if we don't have any risk, in an evaluation of our ability to change your behavior, under changing circumstances, and I'm even, I'm nervous to use the phrase cognitive flexibility now, because I know that whoever he is that there are three or four main ways that you understand that. And some of those would be totally different from otherwise. So I would prefer to say, if we keep assessing the ability to change your behavior, according to changed demand or environment. without risk, then I think we might not capture what we need to capture for understanding a potential contribution to the development of chronic pain or recovering from initial pain. So so that, you know, that was one of those, one of those PhDs where it's such an important discovery, actually, and and Caitlin's contribution to the field is very important. But it won't get the citation impacts and the Roth IRA. Because what the country contribution says is, hang on everyone. Why, you know, there are a whole journals dedicated to this. But what is it? What is it, we almost have to go back and start again and say, Okay, let's get really clear on what we're talking about. Let's use these phrases. Anyway, so but that's relevant to the very first question, what are you most excited about? I guess I'm, you're tired to be excited about, clearly, deflationary discoveries like that, but they're so important. They're really important, and they're harder to publish. But they shouldn't publish, in my view, they should publish top journal. In your face. Journal. Yeah. Well,   38:49 it's, it's like, yes, it's sort of this deflated response, if you will, to, to the systematic review, but it is important because it's important to use the right words, and to if you're going to label something should be what it says it's doing. Otherwise, why are you doing these tests? And why are you you know, labeling someone as very highly flex cognitive flexibility or low cognitive flexibility when you don't really know. And then exactly, so how do you then so then your treatment, I look at it from a clinician standpoint, how do you formulate a treatment plan around something that's, that's not accurate or unknown? So I think it makes it really difficult but it's it just underlines the importance of this kind of research.   39:41 And oh, go ahead. No, I was just gonna say I think that um, it Kayla's research doesn't doesn't tell us that these tests are uninformative. But what it does tell us is that we don't We don't know exactly what they what they mean. So that speaks to your point exactly Karen, that that. So what do we do about it? That's a difficult thing, because we don't actually understand them well enough, I think. But can I put in a plug for? Yes, a research project of Caitlin. So final project for a PhD that we desperately need participants form? Yeah. Because it's an online study. Okay. And it's, it's to do with this kind of flexibility. And we need people without pain, as well as people with pain. Well, that's a lot of types of it. But basically, everyone, anyone who has 20 minutes spare. It would be great if they just went and did Caitlin's experiment online. And maybe I could send you the link.   40:48 Yes. Yeah, you send me the link, I'll put it in the show notes. And also put it out on social media. So that girl can can take this online study. So if it's people with or without pain that takes in quite a lot of people, like you said, like, one? Yeah, so I'm assuming she wants a robust number.   41:11 We need lots. Yeah. Because we think the signal will be small amongst the noise. Yeah, but yeah, if we did it, and then ask one of their family members or mate, yeah, that'd be fantastic.   41:25 Yeah, I'd be happy to send you the way about that. Yeah, definitely do. And as I was, you know, as you were talking about this cognitive flexibility, or the ability of to adapt your behavior, and let's say cognitive strategies in response to a changing task, or to a threat or something like that, it, it always reminds me of this experience that I had. So most people who listen to this note that I had a very long history of chronic pain, I think you're well aware of that as well, about 10 years or so of neck pain, chronic neck pain. And it was this was a couple of years after I could say I was recovered, you know, of course, those times when you have flare ups and things like that, but largely recovered. And I was I was at Disneyland with Sandy Hilton and Sarah Hague. And we had waited in this long line, like an hour to go on what I thought was like a jungle cruise. You know, this very, like, get on a boat and cruise around the water kind of thing. Yeah. And we get up there. And all everywhere. Once we get inside, plastered everywhere was date, big danger signs, you know, the yellow dangerous sign, the red X, if you have neck or back pain, you know, this guy. And I was like, you know, so talk about a threat, right? So my normal behavior, and like, my hands were sweating, my heart rate was up, my eyes were dilated. My normal response, I guess, would maybe show my inflexibility would have been to find the nearest exit and leave. Yeah, yeah, get out as fast as possible. Right. And so I think, Sarah, and luckily, I was with two very incredible women who are very well versed in pain science, and I think I am as well, but when it's you, you're you're like, a big, you know, mashed potato, you know. And Sandy and Sarah just looked at each other and looked at me, and I was like, almost shaking. And Sandy's like, Okay, listen, it only tilts about 12 degrees, and it stops and goes, you're in taxi cabs, they stop and go, you're fine. It's this much of a tilt, you'll be fine. And then Sarah's like, yeah, and the person in front of us like six, you know, there's nothing over your shoulders. It's not that dangerous. And they kept playing down the danger. And so I did end up getting on it very, very nervous. And then I got off and I was fine. They were right. Then it allowed me to be flexible enough to then go on another ride after that. Whereas if I went with my original strategy, which would have been to leave, then I wouldn't have done anything else for the rest of the day. Yeah, so that threat, if left to my own devices would have gotten the, I don't want to say gotten the better of me, but I would have reverted back to the behaviors I had during the that sort of 10 years of living with pain.   44:24 Yeah. And, you know, I respect I respect both of those approaches where it makes sense for an organism when you see credible evidence that this is a dangerous situation to take a variety of action. Yeah, makes total sense. And I guess the, I think about the flexibility thing was evident, as Sandy and Sarah are problem solving with you gathering more data. And, and then your choice changed. That's the stuff that seems consistent with in quotation marks flexibility, you know that right? In the face of new data. So the new data, it could work both both ways. And I think there are some people with persisting pain problems where they behave the same way, even in the presence of significant danger cues. And that works against them because they the danger, for example, right, right. Yeah, can work both ways. Yeah, I think I think there's a rich there's there's a rich stream of, of understanding in there somewhere for us to, to uncover. But it does feel a little bit like that's going to require the the archaeologist among us to get out. This is a metaphor, obviously, to get out our brushes and blowers and slowly reveal what that stream of gold is, as distinct from the earth blasters obviously just want to revolutionize in a in a rapid way. And I fit more into the second category. You know, I lose steam on the very slow, the finite, made tool discovery thing. I'm very pleased to be around researchers who are excellent at that. Yeah, it's not so much.   46:25 And I always always think about that. What did I think David Butler said they were what did he call them? Oh, I don't know why I'm blanking. I have the book right here. Super. Ah, I'll think of it. It'll come up. It'll come up later. It's from explain pain supercharged, you know, the graph and everything leads. So if you have more, yeah. Dangerous safety Sims. He called them Super Dungeon Sims. Yeah. Jensen says, so he was like, Oh, I think Sara and Sandy were your super Sims at that moment, which is maybe what you needed? Maybe? I don't know. But like you said, it would have been just as valid as if I was like, I can't do this. It's too stressful. You know? Yeah, it's too dangerous. Too dangerous. Yeah. Because those   47:14 were the cues that you were, you're getting? Yeah, yeah. And just take it off. I always say it's important in a situation like this to take a moment to reflect on the contrast between the resources available to you in that moment. Right. Which, okay, Sandy and Sarah? Unique, exceptional, exceptional resources. Like, yeah, scrub exceptional. Yeah. But even without them, take your own resources. You know, you're informed, you're, you're resourced with intellectual and other capacities and understand how things work and biomechanics, you've got incredible resources, and then just take a moment to reflect on the contrast when you and most people? Yeah. And is it? Is it any? Is it any wonder at all that people face those situations? And yeah, there'd be a lot of people with chronic neck pain, even if they're on a recovery journey, who would get into that situation and their neck pain would flare up, they wouldn't even do the rod, that's right, leave and they kind of flare up and, and the rest.   48:24 And everything that comes after that, go back   48:27 to the doctor, get a new script, you know, and we do we attempt to, or they I think there's a tendency in our field to, to look, look down on that approach in some way. But, you know, as they are, that's substantive people. But it's totally predictable. And an excellent, excellent biological organism doing that. And we have to overcome, we just always have to remember the resource differential.   48:58 Yeah. Oh, that's, I never even thought about that. But that is so true. And, you know, it just goes to show you why people living with chronic pain, why the burden of disease is the high one of the highest in burden. It's the most one of the most burdensome health conditions and diseases in the world. In most countries. I mean, just low back pain alone, the burden of disease in the United States, I think is third, that's just low back pain. We're not talking about oh, a and other knee or neck pain, other chronic conditions. It's third Well, I mean, things might be different now with COVID. I don't know. But um,   49:38 you know, it's usually with disability. And they usually for disability metric for iPads way out in front. Yeah. Yeah. Yeah. I mean, on other metrics to use last year's lost, which includes mortality, then it drops down, right, just a bit.   49:56 Right, right. But you know, it just goes to show all of the things that you that you've been working on in 2021 and that you're excited about coming up, let's say in 2022 and all the incredible researchers and PhD candidates that you get to work with it just shows how complex and complicated chronic pain is. And that one or two sessions of pain science education in clinic cut it for most. No, absolutely. And it just shows the complexity of it and how difficult it is from a research standpoint, a clinician standpoint it is a tackle these problems on an individual basis and society as a whole. So I mean, keep keep doing that. Keep fighting the good fight, as they say.   50:40 That's scary. Because yeah, gobsmacked, nice weeks that I get to do this for a job and I get paid for it.   50:52 Yeah, speaking. And speaking of helping people around the world, you've got master sessions coming up. So you did this in 2021. So now you're doing it again in 2022. It's going to be May 13. To the 16th. Depends on where you live in the in the world. But you want to talk a little bit more about the master sessions, who's involved and what it's all about.   51:13 Well, yeah, that I mean, that was that was really cool. We sewing in 2021. No one's traveling, obviously. And noi group UK put, to me this idea of doing something a bit different. And it was really different like I was so that it it, we had two broadcasts, and they were timed friend friendly time zones for Europe or for the Americas. And then Australia and Asia sort of could go to one or the other with not quite as friendly. So for one broadcast, I was starting, I think at 6am. For another broadcast, I was finishing at about 11pm, something like that my time, but it was really well planned really well resource like they are, I'm in a studio basically, I was in that it was in the NOI group offices in Adelaide, but set up like a studio with a producer and sound people and a couple of cameras and Tim Cox working as emcee does a beautiful job on that. And we had a team of people downstairs ferreting around for the papers I was mentioning and all that sort of stuff. And it we were we didn't know how it would go because it was it's not like it's not like a zoom conference. Or, or cause it's really quite different from that there's a fair bit of interaction and it went, it went really well was really good fun, really well received. And the feedback has been overwhelmingly positive. I, I was joined by two people for 2021. social pressure Tasha Stanton came to speak. And she so she did a about a 30 minute talk. And then she and I chatted for about 45 minutes and and then we open it up to q&a and and that conversation between Tasha and I and then the other person who contributed that our two people were Mark Hutchinson, who's professor of everything. Adelaide University, one of the one of the exceptional communicators on neuro immunology, related to pain and defense, personal defense. And so same sort of format with him. And then with David Butler, who everyone knows, if you don't know, David, you, you're missing a key part of life you should have. So it was amazing. It was yeah, it was a really well, it's lots of comments like, I never thought online education could be like this and that sort of stuff. So that was really positive. So in 2022 in, and I think the dates you mentioned are probably the Americas day, so that we're doing to broadcast again, where we got feedback that we're responding to, so the schedule is changing slightly. Mark Hutchinson and Tasha are both coming back to do longer stints. And then we're also having in people with really interesting research and great clinical engagement. So for example, Dr. Jane charmers who's done some excellent work in pelvic pain. So she'll come and she'll do a talk and then we'll, I sort of interview them. So it's the massive sessions are a massive amount of work for me because I need to have my head around everyone else's stuff as well. So I can ask meaningful questions, but the, the feedback is is about how useful those conversations are as well. So yeah, so this Jen channels there's Haley leak, Haley leak has has started working with investigate what people who are recovering from paying value in learning about to publish one paper on that in pain, a beautiful paper, I think that I think should shift research direction of a few groups. Haley also has the probably unique among pain scientists brag point of winning the Australian survivor 2021. So she, she survived. And part of the reason for her survival, I think was her deep understanding of how pain works. And there was some great episodes where she there was one where she I think she was standing on like Pogi point things, Poles, they were all doing this with a with another thing coming slider down lower and lower for six hours.   56:08 And lead athletes x s as people have already fallen out and and so she's she's actually done an incredible job in disseminating modern understanding of pain to the wider community because they've all said, How did you do that. And she's able to talk about her understanding of pain. And pain does not mean damage pain is because it was a thing. So no wonder the host is making these comments like that they're trying to rev up my payment system. So incredible impact and she's got a high profile among the people who watch on Survivor on telly. So she's able to integrate that experience with her research. And she's very interesting person. So she's she's coming Sarah wall works doing really interesting work with younger kids. Looking at how how we can engage with young kids on everyday paints in a way that will help them be resilient later. So really fascinating work that she's doing. And then I'm on there as well. So I think I'll cover about half of the time. And it's great fun. Yeah. And you know, people go look at the reviews and all that sort of stuff. But yeah. Love people to to get involved in that. That's in that's in May. Yeah.   57:30 And is there? You may not know this, but is there like a cutoff date for signups? Or can you sign up like the day before? If you wanted to?   57:39 I think there's a right shift. Okay. I think there's an early bird, right. I think I actually don't know much about that sort of stuff. But they they do have to. I mean, the earlier they get a feel for numbers that they they're able to judge sure how to do it, because it takes a lot of bandwidth and all that sort of stuff.   57:59 Right? Yeah. All that behind all the behind the scenes production stuff. You're the On Air talent, you don't have to worry   58:05 Exactly. Worry about any of that. But But noi group, if they get annoyed by it, they'll learn everything   58:12 about it. Yeah, yeah. And again, I'll put the links in the show notes here. And we'll put it out on social media as well. So that if people are interested, then I highly suggest signing up because it what a great, what a great lineup. And it's not until May. So you have plenty of time to shift your schedule and try and figure out, you know, kind of block the time off so you can be part of it. And one other thing, I believe this is true, you can correct me if I'm wrong. But if you if you're in the Americas, and you you paid for it, you live in New York City, let's say I pay for I live in New York City, I can also watch the other, also get the recordings of the other broadcast.   58:55 That's correct. So you get both and you you don't have to be there live watching it in bed. But if you're not you, you're not engaging in the q&a and all that sort of stuff. Yeah, but you get access to both broadcast and you get access to the thing called the Padlet, which is it was an amazing resource from the first time because this is all of the stuff that the team downstairs is getting while the master sessions around. So let's say Professor Mark Hudson mentions this are really exciting new study from so and so which show this then someone downstairs will get that study put the paper on the Padlet. So it's some incredible resource as well. And they have access to that. I don't know for how long afterwards   59:40 Yeah, yeah, but you but you have it Well, it sounds amazing. And I think it's so great that this is probably something if not for COVID Maybe you would not have done and it's made a big impact, right so   59:54 and and when COVID no longer what it is I'd prefer to do it this way.   1:00:02 Yeah, yeah, amazing. Amazing. And now, I don't want to monopolize any more of your time. But is there anything that we didn't cover that you were like, Oh, I really want the listeners to know this or, or is there a big takeaway?   1:00:18 Ah, I think the takeaway is, it's really consistent over years, actually. Whenever I have an opportunity like this to chat, with such an informed and, and clever interviewer, like you, I'm always struck by how, how important people like you are for our community, because I see my role sort of knowledge generation and, and dissemination in sort of conventional ways, you know, books and articles and things like that. But we need people like you, to spread it, to play the critical role and getting it out to the, to the world in a way that's accurate and engaging and, and it's people like you who put in so much so much effort for your community. And whenever I think about takeaway, I just am reminded of of the potential benefit we can still bring to humanity by doing this chronic pain thing better. And we have made progress, know that we made progress. But it feels to me like were climbing up a really, really tall mountain. And now when we look back, we can see we've actually come quite a long way. But when you look ahead, there's still still a bloody big mountain. So all of these things would have hope. I think there's genuine, realistic, scientifically based reason to hope things will keep improving for people with chronic pain, that will people will have better outcomes. So that's my take home. But can I give a plug to a book that I'm an author on? Yeah, it's a self plug. But I'm not the main author. So Dan Harvey, a truly innovative scientist. And I don't say that lightly. There's not many innovators out there. But Dan Harvey is an innovator. And he's the first author on a book called pain and perception. And the Americans can get that through IPTp. Elsewhere, you can get through no group. And it's a I think it's a beautiful book. It's all about understanding through illusions, and sensorial experiences, more about how pain works, sort of like a coffee table, book waiting area book. The feedback has been fantastic. So yeah, I'm really excited to be involved with that with Dan. And I'll just mention another book that's available in in North America, but not in Australia. And it's called Epiphany. And test Stanton has joined Dave Butler and I to, to write a consumer focused book around the osteoarthritis.   1:03:17 And I will say, I, when I first saw this epiphany, it's not how you would normally spell epiphany. It's, it's, it's an what do they call it? It's an acronym an acronym? Yes. So it's explaining pain to increase physical activity in knee osteoarthritis.   1:03:39 Correct. It's spelled AP IPH a knee,   1:03:45 right? Yeah, very clever. Cuz I was like, epiphany. What did I say? Episode? I don't even know. What's epiphanies? And you're like epiphany. I'm like, oh, yeah, that definitely makes more sense. That definitely makes more sense. But yes. And we'll have we'll have links to all of this stuff, again, in the show notes. And, you know, one last question and talking about, you know, all of the work that you do that isn't in very important work, and it can impact not one or two people but millions of people living with chronic pain. So do you as a researcher, how do you deal with maybe feelings of overwhelm with the responsibility that that place is on your shoulders? Or do you think about that at all? Or am I just projecting what I would feel if I were in your position?   1:04:36 I think you're projecting. I don't, I don't feel overwhelmed in the slightest. I don't feel any sense of responsibility to humanity. That's, that's changed because of what I do. I feel I feel that I have a responsibility. I don't know if I feel I have responsibility. I want to use my resources and my knowledge and my skills, and my connections and my relationships to, to be the best Lorimar I can be if that makes any sense and, and the values by which I judge that are not at all on chronic pain outcomes. I'm a very sort of process driven person, I want to make sure that today I did the best thing I could do. And I don't have any illusion that I, I could use outcomes as a marker of, of how well I've lived my life. Because I just think there's too much noise for, for me to have a measurable signal in the world. So I want to make sure that in this moment, I'm being authentic and true and real. And today, I'm doing my very best, I do my very best. But I do that, because I like myself more when I'm doing my very best. But I feel any burden to humanity. That's different from the burden that I think anyone who grew up in my in my world and life with my skill set, and my influences would have.   1:06:24 Yeah. And I think that's great, universal advice for for anyone. And, you know, normally when we finish the show, I always ask people, What advice would you give to your younger self? So I don't know if any piece of what you said would be maybe part of that advice. But is there anything else that maybe you would give to a young a young Larmour? fresh out of university for first time University, not? Subsequent?   1:06:48 Yeah. I think that I would, I think there would be advice, I don't think it would be remotely relevant to my work, I think it would be love a beloved, look for that, and express and, and value that with the entire depth and breadth of your being. And for me, that includes being a neuroscientist and paying dude with a extraordinary fortune of being able to do the things I enjoy doing for work and resonate with my values and all that sort of stuff. And ultimately, I think we're such a sophisticated organism that, that we may want to one one day discover that it's all just to love and be loved. And I don't know, great advice.   1:07:43 Great advice. Thank you. I'm sorry, not a sage. But no, no, it's amazing advice. I appreciate it. Thank you so much for taking the time out to come on and talk about all the stuff you have going on. And is there a place where people can find you? If I don't know they have questions, websites, something like that.   1:08:07 Yeah, so finding and I've got a homepage at the University of South Australia they can find out about personal pain revolution is doing some good stuff on Annabelle, what we're doing that I I get a lot of emails and I just can't possibly respond to them.   1:08:26 We're not here to give out your your emails, or your personal phone number or anything but I think pain revolution, Oregon and the University of South Australia are great ways for people to find out a little bit more about you because as we said, before we get on the air you are not on social media. So there is no Twitter handles or Instagram or tic TOCs none of that stuff. None of that. So people can find you again, pain revolution.org or University of South Australia's website or you can just do a Google go to ResearchGate read all your papers. There's plenty of ways to find out more about your research and and what you have coming up. So plenty of ways to do that. So again, thank you so much for coming on. I appreciate it.   1:09:12 Oh, thanks so much for having me. You're a legend. Keep it up.   1:09:17 Thank you. Thank you so much and everyone. Have a great couple of days and stay healthy, wealthy and smart.

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

In this third episode of a three part mini-series, I explore the amazing pain journey of Trevor Barker, International pain coach and Dim Sim ambassador. For more information about Pain 2 Possibilities visit our website at www.pain2possibilities.com. To learn more about Pain Revolution in Australia visit www.painrevolution.org.

Are you delivering musculoskeletal care based on the most up-to-date model of chronic pain? Professor Steve Kamper explains why he’s riding his bicycle around Australia on the Pain Revolution Tour, shares his tips for framing a conversation with a person experiencing chronic pain, and encourages clinicians to move from treating a body part to treating a person. Learn more about Pain Revolution at www.painrevolution.org.

In this second episode of a three part mini-series, I explore the amazing pain journey of Trevor Barker, International pain coach and Dim Sim ambassador. For more information on our program visit www.pain2possibilities.com. To learn more about Pain Revolution in Australia visit www.painrevolution.org.

In this first episode of a three part mini-series, I explore the amazing pain journey of Trevor Barker, International Pain Coach and Dim Sim ambassador. For more information about Pain 2 Possibilities visit www.pain2possibilities.com. To learn more about Pain Revolution in Australia visit www.painrevolution.org.

What is the one thing that Lorimer Moseley wants people challenged by pain to know about? Explore the current state of pain science research and clinical practice in this straight-to-the-point interview with Prof Lorimer Moseley.Prof Lorimer Moseley is a pain scientist and a science educator. He is Director of the Innovation, Implementation & Clinical Translation in Health ('IIMPACT in Health') at the University of South Australia, and he is Chair of PainAdelaide Stakeholders' Consortium. He co-developed a consumer-facing resource called Tame the Beast (https://tamethebeast.org) and other resources for clinicians and the general public via the Pain Revolution website (https://www.painrevolution.org). Lorimer has also co-authored several books including 'Explain Pain' - https://noigroup.com/shop. Our GDPR privacy policy was updated on August 8, 2022. Visit acast.com/privacy for more information.

Abel Romero, DPT, TPI, RYT 200 is a licensed physical therapist and movement coach with a Doctorate of Physical Therapy from UC San Francisco/San Francisco State University. He has worked with a wide range of clients, from high-performing athletes to women postpartum and seniors. He is fascinated not only with helping others achieve a high level of health and well-being, but also with the science and art of improving skill, preventing pain, and having fun through movement. On this podcast, Abel and I discuss how humans evolved to move, and the role of pain in avoiding injury. Abel talks about some of the common issues that lead to pain in our culture and why moving harder and faster is critical for long-term fitness and healthspan. I’m excited to announce Abel has partnered with us to lead a group program in January 2021. He’ll be working with us on how to avoid chronic pain, improve mobility and feel total confidence in lifting through mindful movement practice, functional training, and plyometric and power training. By the end of the program, you’ll have greater control, ability to generate power, and awareness of how your body interacts with its environment. Here’s the outline of this podcast with Abel Romero: [00:01:25] Early interest in movement and physical therapy. [00:05:51] Book Free to Learn, by Peter Gray; Podcast: Free to Learn: Unleashing the Instinct to Play, with Peter Gray. [00:07:29] Book: Play Anything: The Pleasure of Limits, the Uses of Boredom, and the Secret of Games, by Ian Bogost. [00:11:24] Book: The Coddling of the American Mind: How Good Intentions and Bad Ideas Are Setting Up a Generation for Failure, by Jonathan Haidt and Greg Lukianoff. [00:13:00] Pain. [00:18:26] Herman Pontzer, PhD; Daniel Lieberman, PhD. [00:19:32] Hadza of Tanzania squatting “better than a baby”. [00:22:30] Videos: Why Things Hurt and The Pain Revolution with Lorimer Moseley. [00:26:15] Common issues that lead to pain in our culture. [00:29:37] Exercise. [00:30:38] Doing things harder, faster, with more precision. [00:36:42] How movement changed during pandemic. [00:38:50] Simon Marshall, PhD; Self-generated optic flow as the basis of EMDR therapy. [00:41:54] Posture. [00:47:08] Katy Bowman; Podcast: Move Your DNA with Katy Bowman [00:48:33] 4-quadrant model. [00:50:12] Podcast: Movement Analysis and Breathing Strategies for Pain Relief and Improved Performance, with Zac Cupples. [00:50:55] Remote coaching with Abel. [00:52:36] The value of group programs; Podcast: The Community Cure: Transforming Health Outcomes Together, with James Maskell. [00:56:55] Sign up for the group program with Abel, beginning in January 2021. [00:57:04] Abel’s website; abel@moveintelligently.com; Instagram.

Lorimer is Professor of Clinical Neurosciences and Foundation Chair in Physiotherapy at the University of South Australia. He has over 25 years clinical experience working with people in persistent pain, has authored hundreds of articles, multiple books and chapters and continues to present keynote lectures globally. His community outreach and whole of community education initiatives are internationally renowned. His work is cited in clinical guidelines internationally. He is an honoured member of the Australian Physiotherapy Association, an Honorary Fellow of the ANZCA Faculty of Pain Medicine and a Fellow of the Australian Academy of Health and Medical Sciences. To learn about the Pain Revolution click here. To sign up for Kathryn's webinar click here.

In this episode, Dr. David Hanscom continues his discussion with clinical neuroscientist and pain educator Dr. Lorimer Moseley. He talks about the chronic pain epidemic in Australia and shares the work he is doing, through his not for profit organization Pain Revolution, to educate the public and clinicians about chronic pain. For more information, visit https://www.painrevolution.org/  and explore the educational resources for chronic pain at https://www.tamethebeast.org/Lorimer Moseley is a clinical neuroscientist, pain educator and clinician. He has written over 350 research articles and five books on pain science and management. He has won the IASPs Inaugural Clinical Science Prize & Australia's most prestigious prize for Innovation in Health and Medical Research. He is currently Director of IIMPACT in Health at the University of South Australia, Fellow of the Australian Academy of Health & Medical Sciences, Honorary Fellow of the Australian Faculty of Pain Medicine and an NHMRC Leadership Investigator.

In this episode, Dr. David Hanscom continues his discussion with clinical neuroscientist and pain educator Dr. Lorimer Moseley. He talks about the chronic pain epidemic in Australia and shares the work he is doing, through his not for profit organization Pain Revolution, to educate the public and clinicians about chronic pain. For more information, visit https://www.painrevolution.org/  and explore the educational resources for chronic pain at https://www.tamethebeast.org/ Lorimer Moseley is a clinical neuroscientist, pain educator and clinician. He has written over 350 research articles and five books on pain science and management. He has won the IASPs Inaugural Clinical Science Prize & Australia’s most prestigious prize for Innovation in Health and Medical Research. He is currently Director of IIMPACT in Health at the University of South Australia, Fellow of the Australian Academy of Health & Medical Sciences, Honorary Fellow of the Australian Faculty of Pain Medicine and an NHMRC Leadership Investigator.

Have you ever felt frustrated that research doesn’t get into the public domain? It’s stuck in journals, on shelves. But Lorimer is tackling that head on with community based engagement in his characteristic quirky way. Listen to the story of the ‘Pain Revolution’ – a movement that engages local communities by having trained pain educators share contemporary pain science in accessible ways. Ignore the massive bike ride that Lorimer and friends undertake to spread the message and raise the funds (for now!). Listen to the story that underpins ‘Tame the Beast’ and watch it. Share it widely. Part 2 next week! Professor Lorimer Moseley (PT, PhD) is Chair of Physiotherapy at the University of South Australia and a professor of Clinical Neurosciences. people.unisa.edu.au/lorimer.moseley He combines Oxford rigour with a laconic and very popular Australian style of communication. You can find his patient website ‘Tame the Beast’ here: www.tamethebeast.org/#home You can find his academic/health professional website ‘Body in Mind’ here:www.bodyinmind.org/ Lorimer’s 2014 BJSM podcast was on tendons. Still worth listening to. It has had 20K listens:ow.ly/5OGN30gkaD7. The 2017 podcast on pain was on pain (some overlap): http://ow.ly/XgNi30kaQax

You asked, they answered! Three top pain scientists - Prof Lorimer Moseley, Dr. Tasha Stanton, Dr. David Butler - answer your burning questions about pain science. This episode is live from the Pain Revolution event in Australia. Thank you to all who contributed questions and special thanks to the online communities who collaborated with us to make this podcast possible: Trust Me I'm a Physiotherapist, PhysioTutors, Rethinking Physiotherapy, GetPT1st, InfoPhysiotherapy and Exploring Pain Science. Check them out on Instagram, Facebook, and Twitter.   00:30 What is pain? 01:24 What do you tell a patient who answers you "So it's just in my head?" 02:07 How can we change people's general knowledge (before they become "patients") about pain and pain management? 03:09 What metaphors and analogies do you use with your patients? 04:38 How much is it possible to deliver in a 20-minute clinical education setting? What would you focus on? 05:37 What are some exciting new advances in pain science that you think will impact clinical practice in the near future? 06:22 What is one piece of advice you would give to someone suffering from persistent pain? 07:11 Those of us in the profession like to dig deep in the science and research, but what the overall public is interested in is far more practical - what can we do? Data alone hasn't convinced many, how can we better explain what's going on in a simple, understandable way? 09:24 What are some exciting new advances in pain science that you think will impact clinical practice in the near future? 10:43 What are the biggest barriers in making physio and pain management move forward? 11:56 How do you see the role of manual therapy in both acute and persistent pain - assuming an ethical and accurate explanation (as opposed to a PSB model approach) 13:35 What is the most effective way to implement a pain science approach in chronic regional pain syndrome (CRPS), and how should medications be used during implementation? 16:44 What can you tell us about pain thresholds? Could a pain threshold be more about coping/ pain tolerance or is there an actual inter-individual difference on a neurological level, such as our perception, or even a nociceptor level? 18:45 Does the health industry need to change the way it understands and treats pain? if yes - what are your suggestions? 21:18 With the biopsychosocial model, there is often a focus on the psychosocial factors, where does the bio fit into all of this? Where does it come into play or are they thought of very separately? 23:09 How do you explain pain to an uneducated patient who thinks treatment is a quick fix? My challenge is breaking down the information simply enough for such patients to understand. 24:48 What changes do you think healthcare professionals need to institute in the treatment of acute pain, in order to help prevent transition to chronic pain states? 26:29 What is your go-to one liner to explain Central sensitization to your chronic pain patient? How do you explain this on day one without loosing the patient? 29:37 Please explain fibromyalgia. 31:10 How does stress and emotion contribute to pain manifestation at different sites? 34:14 Mindfulness, how can it be used to work with people’s pain management/ perception? 36:32 I want to hear their answer on a question asked by Mick Thacker: If pain is a perception, then how does the neuro-physiology involved go on to be become a higher centre cognitive function? 40:13 Children who fall over in the playground experience a broad range of responses from their parents ranging from a "toughen up" type of indifference right through to overt and excessive concern. How might these parental responses (among others within a family) shape a developing child's ongoing pain experience that might persist into adulthood? 44:06 Medicinal marijuana for pain? Have any of you studied cannabinoid receptor anatomy and physiology or anandamide physiology and their role in pain?

Professor Lorimer Moseley (PT, PhD) is Chair of Physiotherapy at the University of South Australia and a professor of Clinical Neurosciences. http://people.unisa.edu.au/lorimer.moseley He combines Oxford rigour with a laconic and very popular Australian style of communication. In this podcast he addresses the questions: What’s new in our understanding of the spinal cord? What should we be telling patients? Is the ‘hands on, hands off’ debate a useful one? How do you feel the profession is performing right now? On the subject of what should we be telling patients, he argues we should train them to ask clinicians 3 questions. 1. How do I know my pain system is over-protective? 2. What can I do to retrain my system to be less protective? 3. Am I safe to move? You can find his patient website ‘Tame the Beast’ here: https://www.tamethebeast.org/#home You can find his academic/health professional website ‘Body in Mind’ here: http://www.bodyinmind.org/ And is previous BJSM podcast was on tendons. It has had >17K listens: http://ow.ly/5OGN30gkaD7. And here is a link to the Pain Revolution website: https://www.painrevolution.org/

On today’s episode of the Healthy Wealthy and Smart Podcast, I had the honor of welcoming Professor Lorimer Moseley onto the show to answer audience questions regarding persistent pain. Lorimer Moseley’s interests lie in the role of the brain and mind in chronic pain. He is Professor of Clinical Neurosciences at the University of South Australia and a Senior Principal Research Fellow at Neuroscience Research Australia. In this episode, we discuss: -The Pain Revolution: creating a public discourse about persistent pain -Misconceptions surrounding the biopsychosocial model and pain -Confronting medical providers who promote negative pain beliefs -Is there merit in using placebo treatments for chronic pain? -How does Lorimer stay critical of his own scientific work? -And so much more!   Persistent pain needs to be understood not only by clinicians but the general public and policymakers. Lorimer believes, “It’s our most burdensome non-fatal condition facing our species.”   Clinicians need to understand what motivates their patients. Lorimer reminds us that, “When push comes to shove, in the raw moment, you ask a patient with persistent pain or anyone in pain, what do you want most right now? I think most of them would say pain relief.”   Medical providers hold a great deal of sway with patients. This influence can be used to validate what patients are feeling and aid the healing process. Lorimer states, “Nearly all health professionals have a natural tendency and a very slick skill set of legitimizing someone’s suffering.”   Although the biopsychosocial model differs in many ways from the biomedical model, there are many opportunities to share insights and practitioners of both frameworks should be self-critical. Lorimer advices, “It’s tempting for us to cast character judgments on those who are not like us. Actually, I think that people are trying to help their patients a lot of the time. They’re good people. I really think we need to collaborate and just keep open the possibility that we’re wrong. We have to be committed to try and prove ourselves wrong.”   For more information on Lorimer: Professor Lorimer Moseley is a clinical scientist investigating pain in humans. After posts at The University of Oxford, UK, and the University of Sydney, Lorimer was appointed Foundation Professor of Neuroscience and Chair in Physiotherapy, The Sansom Institute for Health Research at the University of South Australia. He is also Senior Principal Research Fellow at NeuRA and an NHMRC Principal Research Fellow.   He has published over 200 papers, four books and numerous book chapters. 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 10,000 medical and health practitioners and public lectures to as many again. His YouTube and TEDx talks have been viewed over 200,000 times.   He consults to governmental and industry bodies in Europe and North America on pain-related issues. He was awarded the inaugural Ulf Lindblom Award for the outstanding mid-career clinical scientist working in a pain-related field by the International Association for the Study of Pain, was shortlisted for the 2011 and 2012 Australian Science Minister’s Prize for Life Sciences, and won the 2013 Marshall & Warren Award from the NHMRC, for the Best Innovative and Potentially Transformative Project. He was made Fellow of the Australian College of Physiotherapists in 2011, by original contribution, and an Honoured Member of the Australian Physiotherapy Association, their highest honour, in 2014.   Resources discussed on this show: Pain Revolution Pain Revolution Facebook Explain Pain Supercharged Body In Mind Twitter Body In Mind   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!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!  

We’ll discover how people can heal old injuries, prevent new ones, and master the freedom from pain to reach an optimum level of wellness and longevity. Our guest, Dr. Edythe Heus is an advanced chiropractor and kinesiologist while also being regarded as a gifted healer.  Her remarkable exercise system is called Revolution in Motion.  Adding … The post Mastering the Freedom from Pain: Revolution in Motion appeared first on Dr. Paul Christo MD.