Pain Science Education

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The words pain science and pain education are used so frequently nowadays in professional circles that we rarely take the time to explain the difference between the two or reflect on what clinical practice was like before these advancements came into our life. What was it like for people living with pain without this knowledge? Pain science is a part of a larger field of neuroscience, which investigates nociception and the lived experience of pain. It is most often taught in University Physical Therapy programs but over the years, it's begun to show up in the training of many licensed healthcare professionals. Pain education is one component of an overall cognitive-behavioral intervention, which teaches people how to effectively self-manage chronic pain. It focuses on the components of each individual's pain experience and how it affects their daily lives. Research shows that when people have a better understanding of how pain works in the body, it can ease fear, anxiety and create hope. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

Joining me is one of our faculty members, Dr. Carey Rothschild. She’s going to talk to you all about the importance of pain science and pain education in practice, whether you are a physical medicine or mental health professional. Let me first introduce Carey to all of you. Dr. Carey Rothschild is an Assistant Professor in the Doctor of Physical Therapy Program at the University of Central Florida. In addition to earning her DPT, she's Board-Certified in Orthopedic Physical Therapy and Sports Physical Therapy. She earned a Certificate of Achievement in Pelvic Physical Therapy. Her research related to running and the female athlete has been published in the Strength & Conditioning Journal, the Journal of Strength and Conditioning Research, Sports Health and the Journal of Women’s Health Physical Therapy. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

It's a pleasure to be spending this time with you. In this episode, we're talking about the latest in pain science and pain education with our expert guest Dr. Carey Rothschild. Carey is an Assistant Professor in the Department of Physical Therapy at the University of Central Florida. In addition to earning her DPT degree, she is also board certified in Orthopedic Physical Therapy and in Sports Physical Therapy and earned a certificate of achievement in Pelvic Physical Therapy. Her research related to running and the female athlete has been published in The Strength & Conditioning Journal, The Journal of Strength and Conditioning Research, Sports Health and the Journal of Women's Health Physical Therapy. In 2019, Carey received the award for Excellence in Academic Teaching from the Florida Physical Therapy Association. A big part of that was for her innovation in developing and teaching one of the nation's first pain mechanisms and treatment and rehabilitation courses for both physical therapists as well as other healthcare professionals. In this episode, we'll discuss the foundational and important aspects of pain science, pain education and the steps Dr. Rothschild took to create a course on pain science education at the university level. Also, how she has expanded the delivery of pain education not only for physical therapy students but also for other healthcare professionals such as social workers. Before we begin, I wanted to let you know that Dr. Rothschild has joined the Integrative Pain Science Institute as a faculty and educator. As part of her joining, she has two offerings that I want to share with you. The first one is a free masterclass on pain science education. If you like what you read, stick around or if you're on our mailing list, be on the lookout for an email with regard to a pain science education masterclass. It's a 40-minute masterclass where Dr. Rothschild reviews a case study on a 45-year-old female with chronic pelvic and lower back pain. This is appropriate for both physical medicine professionals as well as mental health professionals. Keep an eye out for a unique course offering that Carey’s delivering through the Integrated Pain Science Institute. It is called Pain Education for the Health Care Professional. This is a six-week, seven-hour CEU activity where you learn the latest in pain science, as well as pain education and how to effectively assess and treat the multi-dimensional nature of pain. That's a six-week course. It's worth seven CEs/CEUs. It's called Pain Education for the Healthcare Professional. Make sure you're on the mailing list too. Go over to IntegrativePainScienceInstitute.com and hop on our mailing list. You can opt-in anywhere to receive our emails and you'll receive updates both on the pain science education masterclass, as well as the Pain Education for the Healthcare Professional CEU course and activity. Without further ado, let's begin and let's meet Dr. Carey Rothschild. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

We are joined by Dr. Ellen Zambo Anderson, who is an Associate Professor in the Doctor of Physical Therapy Program at Rutgers University. In addition to earning a PhD in Health Sciences, she's an Assistant Director of the Rutgers Community Participatory Physical Therapy Clinic and serves as the Special Olympics Global Advisor for Young Athletes. Dr. Anderson is the co-author of the textbook, Complementary Therapies for Physical Therapy and the Co-owner of YogiAnatomy, a company that provides continuing education on the topics related to complementary approaches for managing well-being, health and function. In this episode, we examine professional burnout in the physical therapy profession and provide suggestions for individuals and institutions to address and decrease burnout. It's an important topic for all of us in the profession of physical therapy and other health professions as well. Make sure to share this episode with your friends and colleagues. Let's get ready and meet Dr. Ellen Zambo Anderson.   Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

Thanks for joining me for this special episode of the show masterclass where we're discussing the impact of motivational interviewing on chronic pain. In this episode, I'm joined by Dr. Rose Pignataro, who is a doctor of physical therapy and an expert on how to use motivational interviewing specifically in physical therapy, chronic pain and non-communicable disease. In this masterclass, Rose will discuss what motivational interviewing is, how motivational interviewing can be used alongside other treatments such as exercise, pain neuroscience education, CBT or ACT, and how to bill and code for this intervention in clinical practice. Finally, she'll go through a case study of a woman with diabetic peripheral neuropathy who is ambivalent to start and exercise or change her nutrition patterns. Make sure you hang on for that case study toward the end of this episode. Dr. Pignataro has joined the Integrative Pain Science Institute as a faculty and educator. You can check out her latest course, which is Motivational Interviewing for Chronic Pain. You can find it on the website at IntegrativePainScienceInstitute.com. Scroll over to courses. Go through our course list and you'll find it there. Without further ado, enjoy this masterclass with Dr. Rose Pignataro.   Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

In this episode, you'll get to meet my friend and colleague, David Hanscom, MD. He is an orthopedic surgeon whose practice at one time focused on patients with failed back surgeries. He eventually quit his spine surgery practice to pursue his passion and present his insights into solving chronic pain, which evolved from his own battle and struggles with it. Dr. Hanscom has written two books on the topic of chronic pain and now guides patients more clearly through the complexities of solving chronic pain. In this episode, we explore the connection between anxiety, PTSD and chronic pain. It's a great episode to share with someone who is struggling with chronic pain but healthcare practitioners, specifically orthopedic surgeons and primary care physicians. Let's get ready and let's meet David Hanscom, MD. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

In this episode, we're going to do something different. Instead of me interviewing someone, I'm going to share a simple yet powerful technique that will help you whether you're someone living with pain or a practitioner who treats people. This exercise is called Dropping an Anchor. It's typically one of the very first techniques that I teach patients who suffer from pain or pain catastrophizing, having problems with difficult emotions, emotion dysregulation, anxiety or any challenge that's coming up in the therapy room. Before we begin, we probably should revisit the term pain catastrophizing and review and identify what that means. Pain catastrophizing is the tendency to magnify the threat value of pain, feel helpless in a context of pain or the inability to inhibit pain-related thoughts in anticipation of a painful encounter. The last part, the inability to inhibit pain-related thoughts in anticipation of a painful encounter, is what I would like you to think about as we go into this episode. Think about someone who has chronic pain. Each time they come into your clinic, each time they come into the therapy room with you, they are in some way in anticipation that there may be some pain during that session. We're going to talk about pain. I may be moving or moving your arm. You may be experiencing pain. It's a lot of pain-related thoughts that are happening in anticipation of a treatment session. That's why we're going to go through this Dropping an Anchor exercise. If you've taken my ACT for Chronic Pain Course or my Mindfulness-Based Pain Relief Certification, you'll be able to identify that this type of exercise fits squarely in the psychological process of contacting the present moment. You'll also be able to identify some degree of cognitive defusion. Cognitive defusion is the idea of distancing or separating from thoughts. You'll definitely see aspects of both of those during this exercise. There are lots of different ways you can drop an anchor. You can drop an anchor by focusing on your breath, by stretching, focusing on the rise and fall of the diaphragm, looking around the room and fixating on a point or listening to sounds in the room. You're going to hear all of those flavors now because I'm going to share a session that I had with a client that I worked with virtually. This whole encounter here that I'm going to share with you with my client, Barbara, I have her permission to share this. At the end of that exercise, I gave Barbara a while to debrief so we can talk through what she noticed and experienced during the activity. Probably the most common mistake I see both therapists, as well as patients, make with this type of exercise is they attempt to use it as a control or a distraction technique. Control and distraction techniques are very opposite of what happens in mindfulness and acceptance-based approaches to pain. Mindfulness and acceptance-based approaches involve helping you turn toward what's in the present moment with an openness and a curiosity and not necessarily to distract, eliminate, control or avoid what's present. I invite you to participate and play patient. If you're at home, find a comfortable chair to sit in. Any chair will do. You can do this as an eyes-open or eyes-closed exercise. It doesn't matter. I personally enjoy eyes-closed exercises like most people do with regard to cognitive and mindfulness exercises like this. If you're seated, all you have to do is place your palms down on your lap, relax your arms at your sides and gently begin to close your eyes. Let's get ready. I invite you to drop an anchor with us. Let's get started. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram  

We're discussing how to train entry-level physical therapists to address the opioid epidemic. My guest is Dr. Anne Swisher. She is a Professor and Director of Scholarship for the West Virginia Division of Physical Therapy. She's been a Board-Certified Cardiopulmonary Clinical Specialist for several years and has taught in the area of cardiopulmonary physical therapy, exercise prescription and pathophysiology. She's also a Catherine Worthingham Fellow of the American Physical Therapy Association and has published over 80 peer reviewed publications. We focus on a paper Anne published called the Physical Therapist Roles During the Opioid Epidemic in Rural Appalachia: Preparing Students to Educate Communities. Anne is working to address opioid misuse in what some may consider an unconventional way. She's enhanced physical therapy instruction at West Virginia University to emphasize the physical therapist's role in preventing and treating opioid use disorder. The reason why this is such an important topic is because the nexus of America's opioid epidemic isn’t where most people would expect. It's not in the big city such as New York, Chicago or Los Angeles. Instead, the hub of the epidemic is in rural states such as West Virginia. West Virginia has more than double the rate of opioid deaths in the national average and a 20% higher rate of opioid prescriptions written by providers. On this episode, we discuss how to prepare future physical therapists to embrace advocacy roles related to opioid use disorder, the educational model and develop to guide physical therapy students regarding their roles across the spectrum of opioid use disorder. Also, how this model can serve as a guide for educating a variety of communities negatively impacted by the opioid epidemic, without further ado, let's begin. Let's meet Anne and learn how we can train entry-level physical therapists to address the opioid epidemic.   Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

We're diving deeper into the utility of Pain Neuroscience Education and investigating if it's enough to help people overcome pain when used as a single treatment modality or should it be folded into a more comprehensive multimodal pain treatment program? My guest is Rilind Shala who is a young scientist and a physical therapist from Kosovo. He conducts research with the prestigious Body and Mind Group and has earned many international accolades for his work in both physical therapy as well as pain management. In this episode, we cover how Pain Neuroscience Education is used in clinical practice, the clinical impact of Pain Neuroscience Education on outcomes such as kinesiophobia and pain catastrophizing, and the essential tools and techniques you can combine with Pain Neuroscience Education to prove its impact on quality of life. Let's get ready, let's begin and let's learn about Pain Neuroscience Education.   Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram