The chronic pain epidemic has opened up many doors as to the way practitioners approach pain and how the multiple systems of our body are intimately connected. It has also made us realize that this metaphor of the mind-body connection is no longer just a metaphor. Nowhere is this more exquisitely expressed than in the connection between our gut and our brain, or what is called the gut-brain axis (GBA). Your brain and gut are connected by an extensive network of neurons and a highway of hormones that are constantly providing feedback as to how hungry you are, whether or not you're experiencing stress, if you've ingested something that's bad like bacteria or a microbe, and if you're experiencing unpleasant sensations such as pain. Research suggests there exists a rich and dynamic relationship between your enteric nervous system, that's the nervous system in your gut often referred to as your second brain, and your central nervous system. This innovative construct offers both practitioners and patients a window into understanding the mind-body connection, as well as further understanding how chronic pain develops and process. Chiropractic physician and certified nutrition specialist, Dr. Jason Piken, discusses food and nutrition as it relates to the gut-brain connection, as well as a few key nutritional supplements.
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According to a report by the American Joint Replacement Registry, there were 860,000 hip and knee replacement surgeries in 2017. That means by the end of 2018, we will be over the 1 million mark in the United States. Thousands of these orthopedic surgeries are performed yearly within the Veterans Affairs. Patients are offered surgery as an option for pain relief and improved function. Chronic post-surgical pain is a common and debilitating problem that occurs in 5% to 85% of patients following surgery, and it is highly correlated with prolonged opioid use. Veterans are particularly at high risk for developing chronic post-surgical pain due to their higher rates of post-traumatic stress disorder, anxiety, and depression. Clinical psychologist and research health scientist Dr. Lilian Dindo talks about how Acceptance and Commitment Therapy (ACT) can be used to prevent chronic post-surgical pain and opioid use in at-risk veterans. Dr. Lindo explains why chronic post-surgical pain develops, who's at-risk for developing it, why veterans have an increased risk, how we can intervene early and prevent this pain, and how a one-day intervention using ACT shows great promise in preventing chronic post-surgical pain.
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Each day, millions of yoga enthusiasts flock to yoga studios for their daily or the weekly practice, celebrating an ancient wellness tradition as well as a form of exercise and therapy that's been validated in many studies by modern pain science. If done under the guidance of a skilled instructor or therapist, it can bring several health benefits that help people cope with conditions including anxiety, depression, chronic pain, high blood pressure, osteoarthritis, and chronic stress, something that all of us are exposed to on a daily basis. If you're a practitioner who treats patients with pain, Shelly Prosko says you can integrate yoga therapy into your pain practice. Shelly is a physiotherapist and professional yoga therapist who is dedicated to bridging the gap between yoga and modern healthcare philosophies. Learn how you can integrate yoga into your physiotherapy treatments to create and sustain optimal health.
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If you're someone who lives with pain and is trying to figure out the best therapies to utilize, you may be interested with Dr. Kathleen Sluka’s mechanism-based approach to pain management. Dr. Sluka is a neuroscientist and physical therapist who studies in neurobiology of chronic pain at the University of Iowa. She says the mechanism-based approach is also equally important if you're a practitioner who’s seeking a new and groundbreaking conceptual framework for evaluating the underlying cause of your patient's pain. Dr. Sluka’s lab has three very important goals - to improve pain management, to discover new therapies for pain management, and to improve the use of currently available treatments for chronic pain. Dr. Sluka discusses the five categories of pain mechanisms as well as the distinction between nociceptive pain, neuropathic pain, and a new term called nociplastic pain.
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