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Pain Science Education

Latest episodes

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Nov 11, 2020 • 33min

Episode 203 | A Low Glutamate Diet Effectively Improves Pain & Fatigue In Veterans With Gulf War Illness With Dr. Kathleen Holton

In this episode, we are discussing how a low glutamate diet effectively improves pain and fatigue, and veterans diagnosed with Gulf War Illness. My expert guest is Dr. Kathleen Holton. She is an associate professor in the Department of Health Sciences at American University and is also affiliated with the Center for Behavioral Neuroscience. She is a nutritional neuroscientist whose research examines the negative effects of food additives on neurological symptoms, as well as the positive protective effects of certain micronutrients on the brain. The main focus of her research is on glutamate, which is an excitatory neurotransmitter in the brain. This becomes dysregulated in many neurologic conditions, including chronic pain, migraine, multiple sclerosis, depression, anxiety, and PTSD. I enjoyed speaking with Kathleen on this topic, much of her research informs how we treat people with chronic pain by using nutrition and clinical practice. Without further ado, let's begin and let's meet Dr. Kathleen Holton. 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
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Nov 5, 2020 • 38min

Episode 202 | Using Savoring And Mindfulness To Treat Chronic Pain And Addiction With Eric Garland

As always, it's an honor and a pleasure to be spending this time with you. If you're using any type of psychologically informed care, whether you're a physical therapist, an occupational therapist, a coach, a nurse, a physician, or a mental health provider, you'll notice that many people observe that pain impacts their thoughts and brings about emotional states that affect their body, aggravates pain and for some, increases their desire for drugs such as opioids. More and more patients are seeking integrative and comprehensive pain therapies that care for both their body as well as their mind. Some realize that pain medications alone are not enough to address the root cause of their problem. In this episode, we speak with Professor Eric Garland, who teaches at the University of Utah, a licensed clinical social worker and a researcher who uses mindfulness to treat many chronic conditions. His research has been shown to be effective and support the recovery from alcohol dependence, opioid misuse, nicotine addiction, relieve pain as well as symptoms of post-traumatic stress disorder, reduces video game addiction and unhealthy eating behaviors. We'll take a deep dive into the theory, research and practical components of delivering mindfulness-based interventions. Specifically, this episode centers around three concepts that I want to define before we begin this episode. The first is simply mindfulness, which is a state achieved by focusing one's awareness on the present moment while accepting thoughts, feelings, and bodily sensations. The second is reappraisal, which entails helping people shift their thinking and developing new, more helpful perspectives, beliefs, and actions to deal with stressful events. The third is the skill of savoring, which is a positive sense of reward needed to drive and sustain behavior change. This is an excellent episode for those living with chronic pain, stress and related conditions, as well as the practitioners who treat them. I enjoyed speaking with Eric and I know you will as well. Let's begin. Let's meet Professor Eric Garland. 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
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Oct 29, 2020 • 26min

Episode 201 | Racial Bias In Pain Management And Physical Therapy With Michael Holder

We're discussing topics and beliefs associated with racial bias in pain management and physical therapy. It has been reported that medical students and residents hold false beliefs about the biological differences between blacks and whites. It demonstrates that these beliefs predict racial bias in pain perception and the management of effective pain care. My guest is physical therapist Michael Holder. Michael graduated with a Bachelor of Science in Exercise Physiology and a Minor in Strength and Conditioning from the University of Delaware. He went on to earn his Doctorate in Physical Therapy from Misericordia University in 2013. He works in outpatient sports and orthopedics. He holds certifications in Vestibular Rehabilitation, Functional Nutrition for Chronic Pain, and Instrument-Assisted Soft Tissue Mobilization. In this episode, we discuss how pain is treated differently in the African-American community, who are more likely to receive pain medication, blacks or whites, pain myths and false beliefs that are still alive to this day, hurt pain and sustain pain in African-American and other people of color, challenges to accessing physical therapy and other vital health services necessary for the adequate care of pain in minorities and African-Americans. Finally, issues related to minorities and people of color in the profession of physical therapy. Let's meet Michael Holder and discuss pain and racial bias. 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
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Oct 22, 2020 • 31min

Episode 200 | Targeting Central Sensitization with Nutrition: Expert Opinion and Innovations

Welcome to this episode where we're discussing expert opinions and innovations on how to target central sensitization through using nutrition and diet and other lifestyle factors. This is a special episode where you can listen, learn and earn continuing education credit. This episode is sponsored by the Integrative Pain Science Institute. The Institute is approved for continuing education for physical therapists. It also meets the standards for the National Board for Certification in Occupational Therapy. The Integrative Pain Science Institute is approved by the American Psychological Association to sponsor getting education credits for psychologists and other mental health providers. Finally, the Institute is recognized by the National Board for Health and Wellness Coaching as an approved continuing education provider. Once you listen to this episode, and you want to rack up some extra continuing education units, all you have to do is go to the IntegrativePainScienceInstitute.com, go to the Courses tab, and then scroll down to where it says “Listen and Learn” and click Register to register for episode number 200. This episode is available for two credit hours.  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
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Oct 15, 2020 • 39min

Episode 199 | Fasting And Ketogenic Diets In Degeneration And Cancer With Dr. Matthew Phillips And Sarona Rameka

We're discussing both the research and clinical applications of the use of a ketogenic diet to treat neurodegeneration autoimmunity and cancer. We're joined by not one, but two guests. I know you're going to love and learn lots of great information from. Our first guest is Dr. Matthew Phillips. He's a neurologist who is both studying and using a ketogenic diet. Our second guest is his patient Sarona Rameka, who is a stage-four cancer survivor. Dr. Phillips is a full-time clinical and research neurologist in New Zealand. His passion is to explore the potential feasibility, safety and efficacy of metabolic therapies, particularly ketogenic diets and fasting in creating alternate metabolic states that may improve not only symptoms, but also function and quality of life for people with a variety of neurological conditions. Sarona is the first documented person in the world to utilize fasting and ketogenic diet as the primary management strategy for a metastatic cancer in the absence of surgery, chemotherapy, or radiotherapy culminating in a near complete regression. Nearly three years after being diagnosed with inoperable metastatic cancer, she shows no signs of disease and leads a full and active life. Without further ado, let's meet Dr. Matthew Phillips and his patient Sarona and learn all about the implications for a ketogenic diet. 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
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Oct 1, 2020 • 32min

Episode 198 | Athletes & Pain: How Do Athletes Deal With Pain? With Dr. Claire Thornton

Welcome to Episode 198 of the Healing Pain Podcast. We're doing a little bit of a pivot. Historically, we have focused on the treatment of chronic pain mostly in populations of people that have conditions or diseases that contribute to the chronification but persistence of pain. We're looking at athletes, how they respond, and cope to pain specifically how contact and non-contact athletes cope with pain. As you’re reading and our expert guests, take the time to consider, is there something that you learn that you can apply to all different types of people with pain, not just athletes, but those who are non-athletic and you're helping them to promote some exercise or physical activity in their life to help them overcome chronic pain? Joining me to discuss athletes and pain is sports psychologist, Claire Thornton. Claire is PhD examined athletes and pain with a focus on contact athletes specifically Rugby, American football players, and martial artists. Her main research interest centers around pain responses within this population in terms of pain tolerance, pain coping styles, challenge and threat perceptions and performance. Without further ado, let's begin. Let's meet Claire and discuss how different types of athletes cope with pain. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram
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Sep 24, 2020 • 46min

Episode 197 | Psychology for Chronic Pain: Does It Help? With Dr. Amanda C de C Williams

In this episode, we're discussing the different types of psychological therapies available for the treatment of chronic pain. Do they help? Are they safe? How much confidence can we place in them and what we should further investigate regarding this topic as we move forward? My expert guest this episode is Dr. Amanda Williams. Amanda was a full-time clinician in a pain management program for many years, then she transitioned to teaching and research. She's a professor of clinical health psychology at The University College London and a consultant clinical psychologist at the Pain Management Centre University College London Hospital in the United Kingdom. We discussed the findings from her paper called , which can be found in the August 2020 Cochrane Library of Systematic Reviews. The paper updates the literature regarding the effectiveness of different kinds of psychological therapy, including traditional cognitive behavioral therapy, acceptance and commitment therapy, and behavioral therapy. It also asks the question as to whether these interventions are safe and if we've investigated safety and harm enough in the literature. This paper was well-received by many, however, as with any study, there were some questions regarding the findings and how much emphasis we should place on psychological therapies versus other types of therapies to help people living with chronic pain. The paper also had some significant criticisms as to developing research base around acceptance and commitment therapy for chronic pain, a topic we've discussed many times on the show. It's important that as professionals and as general members of the public, we’re informed as to the argument and all sides of the literature, research, and perspectives with regard to the various treatments of psychological therapies for the treatment of chronic pain. We discuss all of this and more on this episode. Let's meet Dr. Amanda Williams. 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
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Sep 17, 2020 • 52min

Episode 196 | Alzheimer's And Pain Management With Dale Bredesen, MD

We're discussing the association between Alzheimer's and chronic pain. My expert guest is Dr. Dale Bredesen. He's a professor at UCLA and the President of the Buck Institute for Research on Aging. His work focuses on the mechanisms leading to neurodegeneration. With his research group, he's published over 220 scientific papers leading to the first description of the reversal of cognitive decline in patients with Alzheimer's disease. His book, The End of Alzheimer's, is a New York Times bestseller and is now available in 32 languages. Let's get ready and let's meet Dr. Dale Bredesen and learn about the link between Alzheimer's and chronic pain. 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
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Sep 10, 2020 • 35min

Episode 195 | How Does Acceptance And Commitment Therapy (ACT) Differ From Traditional Cognitive Behavioral Therapy (CBT) Or Pain Education Interventions?

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
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Sep 3, 2020 • 31min

Episode 194 | Pain As A Global Public Health Priority With Dr. Chris Williams

Thanks for joining me for another episode of the show. It's an honor and a pleasure to spend this time with you. If you follow along with other episodes, you may have noticed that we've taken a somewhat narrow focus on the effective treatment of pain either from an individual perspective or identifying which methods have evidence that we can utilize and weave into our existing clinical practice. We're going to take a wider, broader focus and look at the impact of chronic pain as a global health priority. Joining us as our expert guest is Dr. Christopher Williams. Chris is a research fellow and health services researcher with a background in both exercise science as well as physiotherapy. He currently has a joint role within the public health unit where he established and leads the musculoskeletal health services program, a research practice program that focuses on improving the coordination of public health and clinical services to optimize the management of health risk factors associated with a musculoskeletal condition. This program collaborates with stakeholders from multiple settings including clinical care units, community health, and industry partners to optimize both prevention as well as treatment. His work focuses on developing and testing new approaches to prevention and care as well as practice change methods to influence the use and adoption of evidence-based approaches. On this episode, you'll learn what makes pain a public health issue and how it differs from a population health issue, how pain management fits into public health, what we can learn from public health to help reduce the burden of pain, the biggest challenges we face when dealing with pain in a public health model and how research at times has failed to inform clinical practice and what we can do about it. I'm excited to be sharing this episode with you with regard to the impact of chronic pain as a public global health priority. Without further ado, let's begin, and let's meet Dr. Christopher Williams. 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

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