The Modern Pain Podcast

In this episode, we explore the critical role of empathy in clinical settings. As a clinician, acknowledging a patient's pain by simply listening and validating their feelings can be profoundly impactful. Learn the importance of saying 'I hear you' and offering sincere apologies to foster a deeper connection and support for those in need.A Path Forward - Keith's Facebook BlogKeith's X Profile*********************************************************************📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/🎙️ - Listen to our Podcast - https://www.modernpaincare.com____________________________________Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Former massage therapist turned scientific writer, Paul discusses his journey to pain science writing, challenges faced, and misconceptions in the field. He explores skepticism in pain science, the evolution of pain treatment concepts, and the importance of understanding physiology in managing pain. Listeners gain insights into maintaining integrity in scientific writing and the need for deeper understanding in pain management.

Mark welcomes pain coaching expert Richmond Stace to discuss his journey from nursing to becoming a pioneer in pain coaching. Richmond shares his multidisciplinary background, touching on the psychological and physical aspects of dealing with chronic pain. They talk about the importance of connecting with patients, understanding their beliefs, and guiding them through meaningful change. Richmond also delves into the role of motivational interviewing and the broader philosophy of pain management, emphasizing the need for high standards in practice. Aspiring pain coaches and healthcare professionals will find valuable insights and practical advice on improving patient care through a compassionate and individualized approach. *********************************************************************📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/🎙️ - Listen to our Podcast - https://www.modernpaincare.com____________________________________Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

If you have struggled to balance what you feel is best practice  in pain care and the business demands of the setting you're in then this episode is for you.  We had Andrew Rothschild in for a chat and we discussed this and how you can maintain high value care and meet the demands we all face in the business of healthcare.   We talk about when it may be time for you to leave and find a better fit for you as well.*********************************************************************📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/🎙️ - Listen to our Podcast - https://www.modernpaincare.com____________________________________Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Join us for an enlightening episode with Nick Rainey as we delve into modern strategies in pain management and their transformative potential for your clinical practice. Learn about the importance of mentorship in developing your pain management expertise and how integrating sales techniques can enhance patient engagement and outcomes. Whether you're a seasoned professional or just starting out, this episode is packed with valuable insights to elevate your approach to pain care. Tune in and learn from one of the leading experts in the field.**Helpful Links**​Rainey Pain and Performance​​OMPT definition paper*********************************************************************📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/🎙️ - Listen to our Podcast - https://www.modernpaincare.com____________________________________Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Physical therapist and professor Brett Neilson discusses the crucial link between sleep and chronic pain management, highlighting a gap in research practices. The conversation covers the impact of sleep on pain, role of wearables, and practical advice for clinicians on incorporating sleep assessments. Emphasizing the importance of understanding individual sleep needs and using tools like the CBTI Coach app.

Spanish physiotherapist and osteopath, Diego Hidalgo, discusses anatomical possibilism in osteopathy and PT, addressing concerns over over-diagnosing and chronic pain challenges. They talk about the fallacy of osteopathic beliefs, holistic pain management, evidence-based practices, and the transition to modern approaches. The podcast explores the impact of psychosocial factors on pain, self-management in healthcare, navigating challenges in modernizing practices, and fostering respectful dialogue in the field.

In this conversation, Mark Kargela interviews Michael Shacklock about his journey and influences in the field of neurodynamics. They discuss the transition from the traditional view of neural tension testing to neurodynamics, the influence of pain science on clinical practice, and the importance of integrating the biological examination with psychosocial factors. Michael also shares his focus on lumbar radiculopathy in his PhD research, specifically looking at unloading the nerve root for pain relief. In this conversation, Michael Shacklock discusses the use of neurodynamic techniques in the treatment of radiculopathy. He explains that movement-related pain should respond quickly to movement, and shares his favorite patient profile for this type of treatment. Shacklock emphasizes the importance of ruling out contralateral tests if they provoke pain, as this indicates reduced cord movement. He also discusses the role of radiology in diagnosing radiculopathy and the challenges of interpreting radiology reports. Shacklock addresses the misconceptions around neurodynamic tests and highlights the need for a comprehensive approach that integrates neurodynamics with musculoskeletal function. He concludes by discussing the application of neurodynamic techniques in acute radiculopathy and the importance of adapting treatment to the individual patient's needs.If you are looking to go deeper on topics, get training, and become a better pain care clinician, then check out our community at https://modernpaincare.com**TIMESTAMPS**00:00:00 Start00:02:04 Interview Begin00:07:15 The movement to neurodynamics versus neural tension00:10:37 How has pain science influenced MIchael's approach00:14:40 There is a time to specifically treat the tissues00:18:51 Michael's PhD focus00:23:32 Crossed straight leg raising as treatment00:26:50 Differneces between mechanical compresison and inflammtory nerve root issues00:32:05 Difficulties with radiolgy00:34:16 Where physios are missing the mark in application00:38:51 Use of neurodynamics in irritable patients00:42:04 Michael's view on other movement approaches00:45:09 Michael's courses and where to find him next*********************************************************************📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/🎙️ - Listen to our Podcast - https://www.modernpaincare.com____________________________________Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

To go deeper and get support in your practice make sure you check out our community In this conversation, Mark Kargela interviews Jason Silvernail about the definition and description of Orthopedic Manual Physical Therapy (OMPT). They discuss the misconceptions and misunderstandings surrounding manual therapy and how OMPT differs from other forms of manual therapy. They also highlight the distinguishing characteristics of OMPT, including advanced subspecialty training, focus on clinical judgment, expertise in examination and treatment, and a patient-centered long-term mindset. The conversation emphasizes the importance of evidence-based practice and the need for a nuanced understanding of OMPT. In this conversation, Jason Silvernail and Mark Kargela discuss the value and benefits of OMPT (Orthopaedic Manual Physical Therapy) fellowship training. They highlight the importance of clinical judgment and critical thinking in the practice of manual therapy. They address the misconception of elitism associated with advanced training and emphasize the need for accurate information and informed decision-making. The conversation provides insights into the distinguishing characteristics of OMPT and its role in providing high-quality, evidence-based care for patients.Helpful Links:Link to paper  Clinical reasoning paper in OMPT Jason's website Jason's X profile *********************************************************************📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/🎙️ - Listen to our Podcast - https://www.modernpaincare.com____________________________________Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this conversation, Mark Kargela interviews Ian Harris, an orthopedic surgeon and researcher, about the challenges and problems in healthcare. Ian discusses his journey from being a practicing surgeon to becoming interested in the scientific method and evidence-based medicine. He talks about the resistance he has faced in challenging the status quo and the difficulties in changing the way surgeons think. They also discuss the placebo response in surgery, the blurring of normal and disease states in healthcare, and the overuse of procedures like spinal fusion and regenerative medicine. Ian shares his projects on placebo studies for rotator cuff repair and spine fusion, which aim to provide high-quality evidence to change practice.TakeawaysThe scientific method and evidence-based medicine are crucial in improving healthcare practices.Surgeons often face resistance when challenging the status quo and trying to change the way they think.The placebo response in surgery is complex, and contextual factors play a significant role.The blurring of normal and disease states in healthcare leads to unnecessary interventions and medicalization of normal conditions.Procedures like spinal fusion and regenerative medicine are often overused despite limited evidence of their effectiveness.Placebo studies for rotator cuff repair and spine fusion aim to provide high-quality evidence to guide practice.Books (Affiliate Links)Surgery: The Ultimate PlaceboHippocrasy: How Doctors are Betraying Their Oath*********************************************************************📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/🎙️ - Listen to our Podcast - https://www.modernpaincare.com____________________________________Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness