The Modern Pain Podcast

In this insightful episode, Mark Kargela and Jarod Hall discuss the monetary hurdles facing physical therapists, examining both the systemic issues in healthcare and the potential for new, diversified revenue streams. They dive deep into how physiotherapy can move from being a revenue generator to a cost-saver, and the role of lifestyle and wellness services in a more fiscally sustainable model.Key Takeaways:Cost-saving vs. Revenue Generation: The need for physical therapists to transition from being mere revenue generators to crucial cost-savers in healthcare systems.Alternative Revenue Sources: Exploring side programs that offer counseling and education as alternative income streams, highlighting the role of physical therapists as 'health quarterbacks' for patients.Data and Research: The importance of collecting data to prove the cost-saving benefits of physical therapy over time, emphasizing that immediate financial gains shouldn't be the sole focus.Wellness and Long-term Management: Discussing the untapped opportunities in lifestyle and wellness services for physical therapists, including examples like fitness and wellness programs.Systemic Challenges: An overview of the larger healthcare problems, particularly in the United States, that make it difficult to implement cost-saving strategies on a large scale.Personal Engagement: Jarod Hall extends an open invitation for listeners to reach out to him with any questions, affirming his role as both a clinician and a business professional.For clinicians and patients alike, this episode offers a critical look at the financial aspect of physical therapy and provides thoughtful solutions for a more sustainable future.*********************************************************************📸 - 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 insightful episode of The Modern Pain Podcast, host Mark Kargela sits down with David Nicholls to discuss the evolving landscape of physical therapy and healthcare. They delve into the challenges facing the industry, such as economic pressures, digital disruptions, and dated cultural narratives that still influence patient perception. The conversation also explores progressive shifts towards individualized, biopsychosocial models of care and the implications for the future of physiotherapy. The episode serves as a clarion call for healthcare providers to adapt and grow in the face of changing paradigms.Problem Areas Discussed:Challenges to Professionalism: Discusses the waning perception of healthcare professions as morally good and expertise-driven.Economic Drift: The evolution from traditional economic models towards neoliberalism and late capitalism, with a focus on healthcare as a new avenue for "unlimited" growth.Digital Disruption: The existential threat and opportunities presented by the digital age for traditional physiotherapy.Cultural Narratives: The influence of socially and culturally created narratives in healthcare, specifically from the chiropractic profession.Traditional vs. New Models: The rigidity of conventional healthcare frameworks and their slow adaption to modern needs.Solutions and Opportunities:Post-Professional Change: How the decline in the "goodness" and "expertise" of health professionals can open doors to new ways of delivering care.Expanding the Marketplace: The opportunity for physiotherapy to expand into a more consumer-driven model.Adapting to Digital Trends: The need for physiotherapists to adopt digital platforms to meet consumer demands and stay relevant.Biopsychosocial Approach: The shift towards more comprehensive, human-centered models of care, citing the example of the osteopathy profession's recent debate.Individualized Physical Therapy: The freedom to explore unique forms of physical therapy that might be more beneficial to patients than traditional models.***HELPFUL LINKS*****Critical Physiotherapy NetworkPhysiotherapy Otherwise - Free EbookManipulating Practices - OPEN ACCESSManipulating KnowledgeParadoxaTune in to gain new perspectives on the future of physiotherapy and how you can adapt to the changing landscape.*********************************************************************📸 - 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

Steve George, a practiced physical therapist turned researcher, delves into the complexities of manual therapy, discussing its efficacy, overutilization, and the role of placebo. He explores the challenges of implementing stratified care and the potential of AI in pain management. Steve also shares his vision for the future, highlighting the need for better integration of pain neuroscience education and the opportunities presented by AI in automating questionnaires.

Lars Avemarie, a Danish physiotherapist specializing in pain management, shares his unique perspective on pain treatment. He discusses the intricacies of pain management, the limitations of traditional physiotherapy practices, and the power of a holistic approach. Lars emphasizes the importance of understanding the interplay of biological, psychological, and social elements in pain treatment. He also explores the significance of pain education and therapeutic alliances, highlighting techniques like narrative-based approaches and motivational interviewing. Join this journey to redefine the narrative about pain.

Join us on a journey to understand pain, human complexities, and the intersection of critical thinking and evidence-based practice, featuring guest Roger Kerry, an accomplished scholar. Delve into the irony of simplifying variables in science, explore reliance on research in healthcare, examine Hume's theory of causation, understand dispositionalism, recognize the power of stories in medicine, and uncover Richard Feynman's relevance to manual therapy.

Join Professor Mark Hutchinson, a neuroimmune interface and pain management expert, as he dives into the unexplored depths of neuroinflammation and its implications. Explore precision medicine with a biologic approach, the importance of collaboration among healthcare professionals, and potential treatments like biologics and molecular neurosurgery. Discover the future of precision medicine in pain management and the power of pain buffering behaviors, sleep, and lifestyle changes. Revolutionize pain care with advancements in pain research and treatment.

Join Laura Rathbone, an advanced practice physiotherapist, as she discusses the complexities of pain and the integration of psychology in her practice. She explores the challenges of uncertainty, the importance of psychologically informed physiotherapy, and the incorporation of Acceptance and Commitment Therapy (ACT) in treating pain. The podcast also addresses the need for resources and support for healthcare professionals in pain management.

Dr. Andrea Furlan, renowned physiatrist, discusses chronic pain management, opioids, and opioid-induced hyperalgesia. She emphasizes the need for better education for primary care providers and the importance of an interdisciplinary team approach. The podcast also explores the role of their YouTube channel in patient education and covers topics like retraining the pain system through neuroplasticity and managing emotions.

Are you ready to broaden your perspective on healthcare and rehabilitation? We've got the perfect episode for you. Join us on an enlightening journey with Leonard, a clinician, educator, and pioneer in the pain rehabilitation space.  We travel through Leonard's inspiring journey from academia to establishing his own clinic, Dynamic Movement and Recovery. We also unpack the limitations of the biopsychosocial framework, and how Leonard's Human Rehabilitation Framework remedies these shortcomings.As we navigate this complex terrain, we turn our lens towards the importance of developing a coherent scientific philosophy. Understanding and challenging our biases, we delve into the intricacies of the biopsychosocial model and propose a process-based solution. Leonard illuminates how a comprehensive understanding of these complex issues can help us move beyond pre-set protocols, and develop more nuanced, individualized care strategies.In the final phase of our discussion, we delve into the multi-dimensional factors that shape an individual's pain experience. Ranging from the neuroendocrine immune axis to movement behavior variability and even the influence of family roles on cognition and emotion, we dissect the complex web of factors contributing to pain. Through Leonard's insights, we underscore the significance of Ergadocity and the potential of idionomic analysis in enhancing our understanding of individuals. We wrap up by highlighting Leonard's education work and where you can learn more about the Human Rehabilitation Framework.   This is one episode you won't want to miss.https://hrfhome.comhttps://www.pnas.org/doi/10.1073/pnas.1711978115https://www.sciencedirect.com/science/article/abs/pii/S0005796722001267https://pubmed.ncbi.nlm.nih.gov/33621638/*********************************************************************📸 - 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

Can you remember feeling like a beginner? Like there is so much more to learn? That's the world Andrew Squire, a seasoned physical therapist, still resides in. With over 11 years of experience, he humbly refers to himself as an advanced beginner, a testament to the endless complexities of the human body and modern pain care. Andrew's got stories from various settings across different states, and his current focus? Treating chronic conditions like neck and back pain at the University of Michigan.Our discussion takes you through Andrew's professional evolution, detailing experiences from different treatment settings and underscoring the importance of critical thinking in physical therapy. He's got a fascinating approach to treatment methods such as the McKenzie method, and he's candid about the necessity of having more than just one tool in his therapeutic toolbox. Ever wondered how a clinician evolves? Andrew has gone from taking patient improvements personally to realizing that the patient's wellbeing is all that matters, quite the shift in perspective.As we float through Andrew's physical therapy world, you also get to understand his views on challenges within the profession and invaluable recommendations. For the budding physical therapists, Andrew dishes out advice on proactive clinic behavior and the importance of mastering basic skills. And let's not overlook the significance of communication in fostering patient belief and confidence. Andrew's journey in pain care and his ever-evolving approach promise an insightful listen, don't miss out!*********************************************************************📸 - 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