Pain Science Education

We are discussing nutrition and chronic musculoskeletal pain. This episode is an update because if you went into PubMed and looked for a systematic review or a meta-analysis on how diet and nutrition influence or impact chronic musculoskeletal pain, you would have only found one review. I'm excited to introduce you to a researcher who is also a physiotherapist who has completed the second systematic review. It was available in the March 2020 Journal of Clinical Medicine. It's an open access paper. The title of that review is Do Nutritional Factors Interact with Chronic Musculoskeletal Pain? A Systematic Review. My expert guest is Omer Elma. He has been a physiotherapist since 2014 and he is pursuing his PhD with the Pain In Motion research group with a focus on the link between chronic musculoskeletal pain and nutrition. We'll discuss the findings of his systematic review that investigated the interaction between nutrition and chronic musculoskeletal pain. The mechanisms of action between nutrition and pain, how diet and nutrition interact with central pain processing mechanisms. The role of the gut microbiome and its interaction between nutrition and pain. Finally, how nutritional factors affect the sensitization of the central nervous system. Let's meet Omer Elma and look at how nutrition factors influence musculoskeletal 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

Our expert guest is Professor Matteo Castaldo. He graduated as a physiotherapist in 2007. After a few years of practice and many courses in Manual Therapy, he decided to pursue a research PhD where they focus on chronic neck pain, chronic headache, its mechanisms and central sensitization. He's working as a post-Doctoral researcher exploring headaches and other chronic pain syndromes. He works part-time as a treating clinician specializing in headache and neck pain, as well as teaches post-graduate courses to a physical therapist and medical doctors. In this episode, you'll know all about the role of biomechanics and neck-related structures and headache type pain, how to properly assess headache and neck pain. Why physical therapy is helpful for treating these conditions and the shared mechanisms between neck pain, headache, and central sensitization. Before we begin it, don't forget there's still time to take advantage of our summer 2020 free book giveaway. All you have to do is visit our show on Apple Podcasts and leave us a review and then fill out the form by going to the URL, www.IntegrativePainScienceInstitute.com/giveaway. I'll send you a free copy of my book, Heal Your Pain Now. Remember, there are only 50 copies available. Take advantage of this limited offer while it lasts. Let's begin and let's meet Professor Matteo Castaldo and learn about neck pain and chronic headaches.   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 ready to head into the summer break. If you’re a physical therapist or another health professional, you can probably relate to how challenging the last few months have been and, in some ways, still are. If you look back, we’ve been through the rise of a pandemic with an infectious agent many countries and states went on lockdown or stayed home orders. Along with that, there was social distancing, mandatory mask-wearing, schools and businesses closed, things came to a halt. As professionals, we had to deal with clinics closing and the decrease of new patients and existing patients that weren’t coming in. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

My guest is Hannah Johnson. She is a clinician as well as an educator. She earned DPT in 2013, as well as a Geriatric Clinical Specialist certification in 2016. In 2018, she published her book, Psychosocial Elements of Physical Therapy in effort to fill the gap in mental health education for physical therapists and physical therapy students. Her PhD research explores how to improve interdisciplinary quality care in nursing homes. In this episode, you'll learn about the biggest obstacles in physical therapists management of complex patients. You’ll learn how residents of long-term care facilities can keep up their physical activity, as well as evidence-based supported practical strategies for managing behavior such as agitation, aggression, refusal of care and inappropriateness that are often associated with various medical, psychological and social conditions. I highly recommend you check out Hannah's book. It's an excellent resource for physical therapists and other health professionals. Without further ado, let's begin and let's meet Hannah.   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 discussing the neuroscience and treatment of focal dystonia. My expert guest is Dr. Nancy Byl. Dr. Byl has been a practicing physical therapist for many years. She assumed leadership as Department Chair and participated in academic development, teaching, and administration at the University of California, San Francisco's Graduate Program in Physical Therapy. As a clinician and researcher, she's an expert in the cause and treatment of focal dystonia. Working with collaborators in neuroscience, she designed an animal model to study the etiology of focal hand dystonia. She created a paradigm shift in the understanding of focal dystonia as a case of neural maladaptation of sensory and motor processing. Using imaging techniques, her team demonstrated that learning-based sensory-motor training for patients with focal dystonia, not only improved sensory discrimination and accuracy but modify the topography of the sensory cortex, improve neuronal firing patterns and improve motor control. In this episode, you'll learn all about the cause and the treatment of focal dystonia as well as Dr. Byl's evolution as a physical therapist, both in research, academia and clinical practice. Let's get started and let's meet Dr. Nancy Byl and discuss focal dystonia.   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

As always, it's an honor to be spending this time with you. If you read episode 187, then you met psychologist, Louise Sharpe, who shared her research and discuss these central components of psychological therapy for effective pain management. Her research distilled over 50 components of psychological treatment for pain into three essentials, which were psychoeducation, cognitive approaches and strategies to increase physical activity. In her paper, she named these three as the gold standard for pain care. I enjoyed this episode with Professor Sharpe. I believe her research and interview is useful and can help inform clinical practice. Make sure to give it a read before you dive into this episode. While I was doing some research, I came across a commentary in response to the paper Professor Sharpe published. This commentary was written by Professor Lance McCracken and published in the European Journal of Pain. For those of you who may not know Lance McCracken, he is a professor of clinical psychology and Head of Division of Clinical Psychology at Uppsala University in Sweden. He has worked as a clinician and conducted research into chronic pain treatment for more than 30 years. He actively contributes to the evidence base on Acceptance and Commitment Therapy for chronic pain. The title of his commentary was Necessary Components of Psychological Treatment for Chronic Pain: More Packages for Groups or Process-Based Therapy for Individuals. In his commentary, Professor McCracken proposes that instead of studying the components of psychological treatment, if we want better treatments for pain, what we mainly need to identify is the processes of change known to have an impact on outcomes. I was interested in Lance's commentary and his perspective, so I invited him to come to speak to us. This leads us to the episode where Professor McCracken discusses Process-Based Therapy. Process-Based approaches have been growing. Some say that Process-Based Therapy should be the new gold standard of care because they can target a broader range of problems. In diagnosis-based protocols can target multiple problems at once and a more easily individualized and minister to the client. In this episode, you'll learn all about Process-Based Therapy, the science and evidence behind Process-Based Therapy, how it can help clinicians more effectively treat pain, and how it differs from protocols that focus on specific syndromes. Without further ado, let me introduce Professor Lance McCracken, and learn all about Process-Based 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

Thanks for joining me for this episode. If you’ve been following along with each episode, you know that we often speak about the psychosocial variables that are effective for the management of chronic pain. Why do we spend so much time on this? Study after study confirms that psychological interventions alone are more importantly combined with interventions such as physical therapy are effective for the management of chronic pain. Theories and methods such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Mindfulness-based Stress Reduction, mindfulness explained pain and pain-neuroscience education all have supporting evidence and are a part of a comprehensive program for the management in chronic pain. With many treatments to choose from, a wise clinician may ask, “Which one works best?” Perhaps a better question, “Which components that are embedded in these methods are most effective for the management of chronic pain?” There has been little research to answer these questions or guidance to help the clinician choose the most important components as they’re creating a plan of care for people living with pain. Joining me to discuss the necessary components of psychological treatment in pain management is Professor Louise Sharpe. She is an expert in health psychology with a particular expertise in Cognitive Behavioral treatments for patients with chronic pain and physical illness. She’s particularly interested in the way in which people adjust to illness and the interventions that prevented development of psychological problems and increase physical disability. On this episode, you’ll learn all about the efficacy of Cognitive Behavioral treatments for the management of chronic pain, the three essential components that should be a part of every Cognitive Behavioral approach and if we should shift our approach away from focusing on components and more toward process-based therapy. There’s a lot to unpack here in this episode with regards to which components are necessary for the treatment of chronic pain. Let’s begin and meet Professor Louise Sharpe.    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 discussing the integration of population health, prevention, health promotion and wellness activities into clinical practice. With decades of research supporting the benefits of lifestyle changes on positive health outcomes, physical therapists and other health professionals are exploring and weaving integrative and lifestyle medicine into both insurance and cash-based practice settings, as well as community health and serving the private sector business. Lifestyle changes, including physical activity, nutrition and stress management all lead to improved health benefits in those with chronic disease and prevent or manage a number of non-communicable diseases, which lead to an increased quality of life. Physical therapists are well-positioned to treat non-communicable diseases through the integration of population health, prevention, health promotion, and wellness activities into clinical practice. Joining us to discuss the topics of health promotion prevention, wellness in physical therapy practice is Professor Dawn Magnusson. She is an Assistant Professor in Physical Therapy at The University of Colorado. She received a Master's degree in Physical Therapy and then went on to pursue a PhD in Population Health Sciences. Her research employs community-based methods within a population health framework and informs the development of innovative community-based solutions to advance health equity for underserved children. In this episode, you'll learn all about population health, why physical therapists should care about population health, what the integration of population health and physical therapist practice looks like, how disease prevention, health promotion fit into population health and how physical therapists can become more active in population health, disease prevention, as well as health promotion. This is a big and important topic that has implications both for the entry-level of physical therapy education as well as clinical practice. Let's get ready and let's begin with Professor Dawn Magnusson.   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

This episode, I have the honor to share with you not only a bestselling author, consultant, master clinician and someone who has given a TEDx Talk that has over 1.5 million views, but Dr. Joan Rosenberg has become one of my closest friends. As a cutting-edge psychologist, she is known as an innovative thinker, acclaimed speaker, and a trainer. She is also a two-time TEDx speaker and a member of the Association of Transformational Leaders. She has been recognized for her thought leadership and influence for personal development for over three decades. As a licensed clinical psychologist, Dr. Rosenberg speaks on how to build confidence, emotional strength and resilience. If you are interested in building your emotional resilience to any distressing event, then this is the person you want to follow and the episode you want to read. In this episode, you will learn why handling difficult feelings is the foundation of feeling confident, how to ride away the eight feelings or emotional states, how to cultivate confidence in your life and how to handle fear and anxiety. As you know, chronic pain hurts. It can also carry with it a second arrow that can wound you emotionally which is why the topic is so important and another reason why I was looking forward to sharing Joan’s work with you. Without further ado, let’s meet Dr. Joan Rosenberg.   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 treat chronic pelvic pain with a focus on endometriosis. Our guest is Dr. Jessica Drummond. She's the CEO of the Integrative Women's Health Institute and author of Outsmart Endometriosis. Jessica holds a license in physical therapy as well as clinical nutrition and is a board-certified health coach. She has spent many years working with women overcoming pelvic pain. She also runs educational programs for women health professionals in more than 60 countries and leads virtual wellness programs for the treatment of endometriosis. She will discuss how to treat endometriosis through the lens of nutrition, lifestyle and functional medicine. You can learn more by visiting OutsmartEndo.com. Let's meet Dr. Jessica Drummond.   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