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Dr. Joe Tatta | The Healing Pain Podcast

Chronic pain is a debilitating condition that affects one’s ability to live a full and active life and impacts both physical and emotional health. Whether you are living with chronic pain or a physical therapist or other health professional such as an occupational therapist, psychologist, social worker, nurse, or physician seeking information for treating pain, we invite you to join our global community. Welcome to The Healing Pain Podcast with Dr. Joe Tatta, a podcast that promotes the latest evidence and methods for the safe and effective treatment of chronic pain. Featuring top experts, we bring you the latest research from the fields of pain science, physical therapy, physiotherapy, pain psychology, functional nutrition, integrative and functional medicine, as well as discuss innovation and provide expert opinion every week. More and more patients are seeking integrative and comprehensive pain therapies that care for both their body as well as their mind. A biopsychosocial approach to the care of pain has arrived. Many realize that pain medications and surgery alone are not enough to address the root cause of their problems - such as fibromyalgia, chronic low back pain, osteoarthritis, rheumatoid arthritis, autoimmune disease, CRPS, neuropathy, anxiety, depression, and PTSD. Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development. For 25 years he has supported people living with pain and helped practitioners deliver more effective pain management. His research and career achievements include scalable practice models centered on lifestyle medicine, health behavior change, and digital therapeutics. He is a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and Acceptance and Commitment Therapy trainer. Dr. Tatta is the author of two bestselling books Radical Relief and Heal Your Pain Now and host of The Healing Pain Podcast. Learn more by visiting www.integrativepainscienceinstitute.com. The Healing Pain Podcast is a great resource for patients suffering from chronic pain as well as for professionals seeking additional professional CEU credits and free continuing education on the most up-to-date information for treating pain based on a biopsychosocial model of pain care. The show covers a wide range of topics that will help you learn all about chronic pain management such us how clinicians can treat pain more effectively, learn how exercise and physical activity alleviates pain, the role nutrition plays in reversing and treating chronic pain, how to use mindfulness, cognitive behavioral therapy, and acceptance and commitment therapy to treat many chronic conditions, and so much more! Chronic pain doesn’t have to be an obstacle in the highway of your life that makes you step on the brakes. Arm yourself with the knowledge on how you can better manage or even eliminate it so you can start living your best – and pain-free – life! Join The Healing Pain Podcast community today.
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Dr. Joe Tatta | The Healing Pain Podcast
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Now displaying: 2020
Jun 11, 2020

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.

Jun 5, 2020

We're discussing the evaluation and treatment of lower back pain with Dr. Stuart McGill. Dr. McGill is a Professor Emeritus from the University of Waterloo where he has many years of experience. His laboratory and experimental research clinic investigated issues related to the cause and mechanisms of back pain, how to rehabilitate people living with pain, and how to enhance both injury resilience and performance. His advice is often sought by governments, corporations, legal experts, medical groups, and lead athletes and teams from around the world. His work produced over 240 peer-reviewed scientific journal papers, several textbooks and many international awards. On this episode, we'll discuss some of the more common truths and myths about back pain, how to effectively assess low back pain, lessons you can apply treating lower back pain in the average person, as well as with high-performing athletes and whether or not surgery is indicated for people with lower back pain. Let's get ready and let's meet Professor Stuart McGill.

 

May 28, 2020

In this episode, we will discuss the combination of physical therapy, nutrition and lifestyle interventions with a physical therapist, Shannon Morris. Shannon has many years of clinical practice, which includes the prevention and rehabilitation of injury and chronic pain. She is an advocate for physical therapists delivering and combining movement, nutrition and lifestyle interventions. She believes that in addition to exercise and physical activity, real food is a must if you want to heal, strengthen and proceed with a pain-free and happy life. Shannon is also a graduate of the Functional Nutrition for Chronic Pain Practitioner Certification Program here at the Integrative Pain Science Institute.

You'll learn all about Shannon's professional journey through the world of nutrition and physical therapy, as well as which lifestyle behaviors affect pain, metabolism, weight loss, longevity and can increase your healthspan. If you're a professional and you're interested in learning more about how nutrition plays a role in reversing and treating chronic pain, make sure to check out the on-demand clinical training by the Integrative Pain Science Institute. This free masterclass will teach you how to reverse chronic pain, inflammation and disease using functional nutrition. It's 100% free so you can check it out by going to the IntegrativePainScienceInstitute.com/masterclass. Let's meet Shannon Morris.

May 21, 2020

We have a new guest and a brand new topic. You'll be learning about how to address these social determinants of health in physical therapy practice. As physical therapists, we focus on alleviating pain, restoring physical function, and teaching pain self-management as well as promoting healthy lifestyle behaviors to prevent chronic disease. As doctoral trained licensed health professionals, we have excellent skills, tools, and technologies to address a variety of acute as well as chronic health conditions. Do you know how the social determinants of health, things like economics, education, neighborhood, and other factors influence the lifestyle choices patients make and how it impacts their outcome in physical therapy? Joining us to discuss the social determinants of health and physical therapy practice is Dr. Zachary Renthorn. 

He is a board-certified orthopedic physical therapist and a certified health coach with clinical and research expertise in musculoskeletal pain conditions, physical activity, and health promotion. Zach is currently a PhD student in health promotion and wellness at Rocky Mountain University where his research focuses on how health professionals promote physical activity with their patients. On this episode, you'll learn all about the social determinants of health, how to identify whether patients are impacted by the social determinants of health, what clinicians can do to address the social determinants of health and the role public and healthcare policy has in shaping the social determinants of health. Let's begin and let's meet Dr. Zachary Renthorn and learn all about the social determinants of health.

May 1, 2020

Thanks for joining me. For those of you that follow along each week, you know that I release a new one once every seven days, so once a week with COVID-19 and the amount of stress that we have been all under. I wanted to do a special episode with regard to healthy ways you can cope with stress during this pandemic. When you can access and learn some healthy coping strategies with regard to stress, it will make you the people you care about and your community is stronger. Stress during an infectious disease outbreak such as COVID-19 can include fear and worry about your own health and the health of your loved ones, changes in your sleep or eating patterns, difficulty concentrating, a worsening of a chronic health condition, a worsening of a mental health condition. Finally, the increased use of alcohol, tobacco, or other drugs. Healthcare workers are under immense pressure amid the Coronavirus pandemic. They face shortages of protective equipment such as gloves and masks. They're pulling long shifts and they risk being infected by the virus.

Joining us is a licensed clinical social worker, Julie Hamilton. Julie has over 25 years of experience in the field of clinical social work, including supporting people living with anxiety, depression, and chronic pain. She's the Coordinator of Counseling, Health, and Wellbeing at the Detroit Mercy School of Dentistry, working with dental students as well as the faculty. She also serves as an Adjunct Instructor of Social Work at the University of Detroit Mercy. You'll learn how Julie has developed an Acceptance and Commitment Therapy Intervention for physicians, residents, nurses, and other medical personnel at the Henry Ford Health System. This includes a virtual support group that runs three times daily as well as a night shift, 1:00 AM support group to help those that are working overnight. I want to thank Julie for the work she's doing, supporting healthcare workers on the frontlines that are treating and helping them cope with the stressor at this time. I hope you enjoy this and learn from it. Please make sure to share it with your friends and family. Let's begin and let's meet Julie.

Apr 23, 2020

It's a pleasure to be spending this time with you. Speaking of time, we have a long episode. This is probably one of the longest episodes since I began the show a few years ago. The reason why is because the topic of forgiveness is an important topic for those living with chronic pain. It's also the first time that we are broaching this topic. I figure we take a nice deep dive into the science behind forgiveness, how it affects both cognitive behavior and motivational components and bring a human voice and experience to forgiveness and chronic pain. The definition of forgiveness is the act of willfully putting aside feelings of resentment toward an individual or an event that has committed a wrong, unfair, hurtful, or otherwise harmed you in some way.

Forgiveness is not equated with reconciliation or excusing someone and it is not merely accepting what happened or ceasing to be angry. Rather, forgiveness is the transformation of one's feelings, attitudes and behavior so that you're no longer dominated by resentment and can go on living the life you'd like to live. Forgiveness is often identified as an important part of life and it can also be an important part of pain rehabilitation. Here to speak to us about forgiveness is Dr. Karen Litzy. She's a licensed physical therapist, international speaker, host of the Healthy Wealthy & Smart podcast and owner of Karen Litzy Physical Therapy.

Through her work as a physical therapist, she has helped thousands of people overcome painful conditions, recover from surgery and return to their lives with family and friends. She has been a featured speaker at both national as well as international events, including the International Olympic Committee Injury Prevention Conference. In this episode, Karen shares her own story about developing pain, coping with pain, overcoming pain, and the role of forgiveness played in her recovery. I want to thank Karen for joining us to speak about this important topic and especially for her openness, honesty, and authenticity on the topic of forgiveness and chronic pain. Let's welcome Karen to the show and learn about forgiveness and chronic pain.

Apr 16, 2020

I hope you are well and safe wherever you are. We are a global community and I wanted to do an episode that could help you during the COVID-19 outbreak no matter where you are in the globe. Many healthcare professionals have been rapidly shifting to telehealth during the COVID-19 pandemic. As the shelter and home measures have been introduced and enforced, people with pain are looking for solutions since they can no longer attend in-person treatment for their pain. The potential for long-term isolation may have adverse effects on many living with persistent pain. Luckily in this day and age, we have eHealth and virtual measures where we can continue to provide care, treatment, and support for people living with pain.

I've been telling people that healthcare never closes and the treatment of pain should not stop. We have solutions to help people with pain. Here to speak to us about how to manage patients with pain during the COVID-19 outbreak using remote supported health service is Dr. Tonya Palermo. She is a Professor of Anesthesiology, Pediatrics, and Psychiatry at the University of Washington School of Medicine. She serves as the associate director for the Center for Child Health Behavior and Development or longstanding NIH-funded research program has focused on assessment and treatment of chronic pain in both children as well as adolescents.

She is specifically interested in cognitive-behavioral interventions and the delivery of psychological treatment via Telehealth and mHealth interventions for sleep disturbance, parent family factors, and the treatment of chronic pain. In this episode, you'll learn all about the public health considerations of COVID-19 for those living with persistent pain, the potential ramifications of not treating people with pain during the crisis, and finally, the research supporting delivery of pain care via telehealth. If you're a practitioner, make sure you download the free guide to this episode on Helpful Tips and Strategies to Implement Telehealth Into Your Practice. To download this free guide, all you have to do is text the word 176Download to the number 44222.

If you're on a computer, you can open up a new browser and type in the URL www.IntegrativePainScienceInstitute.com/176Download. If you're a practitioner, if you need a 100% HIPAA Compliant Telehealth platform, make sure to check out the Integrative Pain Science Institute's Professional Membership and Telehealth platform solution where we provide you with a Zoom telehealth platform. That's 100% HIPAA Compliant as well as all the training that you need to provide telehealth to your patients. I want to thank Dr. Tonya Palermo for joining us. We through this episode together because it's such an important topic. She'll talk about some of the research as well as an article that's coming out in The Journal of Pain. Let's begin and let's meet Dr. Palermo and talk about Telehealth for pain management. 

Apr 9, 2020

We are talking about how to integrate Acceptance and Commitment Therapy alongside your existing physiotherapy or physical therapy practice. This episode is for physical therapists or physiotherapists, but it's also for you if you're an occupational therapist, a nurse, a doctor, a licensed massage therapist. Maybe even a mental health provider like a psychologist or social worker or a licensed professional counselor who is interested in learning how to shift their practice and seed their treatment with principles of Acceptance and Commitment Therapy. My guest is physiotherapist, Sarah Wilson. She qualified as a physiotherapist in 2001 following rotational post. She chose to specialize in pain management in 2006 and started to implement and learn about Acceptance and Commitment Therapy shortly thereafter.

Sarah has worked in both primary and secondary pain care before moving to the Bath Centre for Pain Services, which is a UK national center providing residential pain management programs for both groups as well as individuals. The Bath Centre provides care across the lifespan and uses an interdisciplinary Acceptance and Commitment Therapy approach. Sarah's current research interests include psychologically informed physiotherapy. You'll learn all about Acceptance and Commitment Therapy and how it can complement and improve a physiotherapist pain practice, what some challenges are for physiotherapists as they begin to implement ACT into their practice. Finally, some of the differences between Acceptance and Commitment Therapy and Pain Science Education.

If you're a physical therapist or a physiotherapist or another licensed health professional and you're interested in learning more about ACT and how you can implement it into your practice, make sure to register for the waitlist for the ACT For Chronic Pain course at the Integrative Pain Science Institute. You can simply do that by going to IntegrativePainScienceInstitute.com. Go to the Courses tab, scroll down and you'll find the ACT for Chronic Pain Course Waitlist. I'm excited to share this with you. Sarah has over a decade worth of experience implementing ACT into physiotherapist practice. Without further ado, let's meet physiotherapist, Sarah Wilson.

Apr 2, 2020

In this episode, you will meet two physical therapists who are breaking ground and have created Core Principles for the Education of Physical Therapists in the Context of the Opioid Crisis in the United States. Their work present model educators can use on a state, national and global level with regards to the development of opioid education for physical therapists and other licensed health professionals. The research which we'll discuss all about on this episode recognizes not only the role of physical therapists in the care of chronic pain but most importantly, a profession that engages patients who are at risk for opioid misuse and patients who have opioid use disorder as a primary diagnosis. This episode's expert guests are professors Julia Chevan and Amy Heath. Professor Chevan is a Professor of Physical Therapy and the Chair of the Department of Physical Therapy at Springfield College in Massachusetts.

Professor Amy Heath is an assistant professor in the Department of Physical Therapy at Western Michigan University. Both are authors of several peer-reviewed articles, book chapters, and abstracts related to the profession of physical therapy. You'll learn how to create Core Education Principles that physical therapists can use to educate the public, how to screen for and prevent opioid use disorder? The importance of the movement system and how physical therapists can engage in interprofessional care of chronic pain and opioid use disorder? As you all know, the care of chronic pain and the treatment of opioid use disorder is an important topic and developing education initiatives for physical therapists in response to the crisis is deeply needed. Without further ado, let's meet professors Amy Heath and Julia Chevan.

Mar 26, 2020

Thanks for joining me. We'll be talking about effective pain management in low and middle-income countries. I had touched base on this topic with Dr. Felipe Reis. He's a physical therapist and a researcher in Brazil, where we discussed initiatives for improving pain education in developing countries. I realized at that moment it was such an important topic that I wanted to reach out across the globe and find other professionals, other physiotherapists and other health professionals that are working on safe and effective pain management in low and middle-income countries. You may think to yourself, “I don't live in a low-income area. I don't live in a country that's developing,” but many of the social determinants of health that we grapple with in Western countries are also problems in developing countries. There's something for all of us to learn about this topic.

As we work our way into this topic and we meet our expert guest, let me share a couple of bullet points with you about what's happening with regard to pain management in low and middle-income countries. The first to note is that musculoskeletal pain disproportionately affects people these countries. About 20% of the general population of those countries experience chronic musculoskeletal pain. This estimate increases by 2 or 4 times among the working populations. It is the leading cause of disability in people between the ages of 50 to 70 years old. It's the second-leading cause in people aged 70 or above. Joining us to discuss pain in low and middle-income countries is Saurab Sharma. He's an assistant professor at Kathmandu University of Medical Sciences in Nepal, and also works at its affiliated hospital as a consultant musculoskeletal physiotherapist.

He is pursuing a PhD in researching pain at the University of Otago in New Zealand and his research aims to improve pain care in low and middle-income countries. Saurab is also providing a free white paper on this topic that you can download. It includes how we can strengthen health systems and respond to the burden of pain in low and middle-income countries and to support healthy aging. To download this free white paper, all you have to do is text the word, 1733 Download, to the number 44222, or you can open up a browser on your computer and type in the URL, www.IntegrativePainScienceInstitute.com/173download. Let's begin and let's meet Saurab Sharma.

Mar 19, 2020

We have a brand new topic. We're discussing how you can use mind-body medicine to treat chronic pain. Mind-body medicine refers to the interaction between the mind the body and the spirit. Specifically, the ways in which physical, emotional, social and spiritual factors together can directly affect health. With the advent of modern medicine and pharmacology, mind-body medicine had been downplayed in the Western world when researchers and practitioners start to see the benefits of combining approaches. We have substantial evidence to support mind-body practices, which focus on the interaction of the mind, the body and behavior to improve both physical as well as mental health.

My expert guest is Matt Erb. He is a Physical Therapist, originally trained at the University of Iowa and based out of Tucson, Arizona. He's a Senior Faculty Member and Clinical Supervisor for The Center for Mind-Body Medicine in Washington D.C. His clinical practice focuses on mind-body integrative care. He's the founder of Embody Your Mind specializing in high-quality teaching, consulting and integrative and mind-body medicine topics. I want to thank Matt for joining us. We cover lots of ground with regards to mind-body medicine and the biopsychosocial model pain. You're going to learn a lot about mind-body medicine and how you can implement it into your practice.

Mar 12, 2020

My expert guest is Dr. James McAuley. He is a Psychologist and Assistant Professor in the School of Medical Sciences, as well as a Senior Research Scientist at Neuroscience Research Australia, which is an independent not-for-profit institute based in Sydney, Australia. James is a leader in brain and nervous system research, including how to best treat many chronic pain syndromes. He has published over 170 scientific articles and lectures at international conferences on the best evidence for the treatment of persistent pain.

On this episode, you'll learn about the latest advances for the treatment of chronic low back pain, where the research is heading, and we’ll bust some myths about common treatments that are currently utilized for low back pain. We’ll discuss if there's evidence to support them in clinical practice. You might be surprised by what he's discovered and what works for the treatment of chronic low back pain. I enjoyed this episode with James. We dived into the research around what works and what does not work for chronic low back pain. Make sure to share this episode with your friends and family and hop on over to iTunes, and give me a five-star review so we can share this important work with your friends and colleagues.

Feb 20, 2020

We have an interesting and important topic. We are discussing how to use Pain Neuroscience Education to treat PTSD and chronic pain in soldiers and veterans. My expert guest is Major Timothy Benedict. He is a physical therapist assigned to the Army Public Health Center in Aberdeen, Maryland. He's the Deputy Chief for the Advanced Analytics and Data Stewardship Division, the Clinical Public Health and Epidemiology Directorate, and assists with field investigations for the Injury Prevention Program. As part of Major Benedict's Ph.D. studies, he developed a military-specific Pain Neuroscience Education Intervention for soldiers and veterans. He also completed a randomized controlled trial examining Pain Neuroscience Education for soldiers with chronic low-back pain and post-traumatic stress.

On this episode, you'll learn all about the link between post-traumatic stress and chronic pain, how to explain the link between PTSD and pain to your patients, the evidence supporting Pain Neuroscience Education for individuals with pain and PTSD, how understanding the neuroscience of pain can help you build compassion and empathy for your patients and how this research applies to civilians such as firemen and police officers. If you've been following along with the show, you know that I often ask our guests to provide some type of free download, a quick PDF cheat-sheet or maybe something you can use in the clinic. Major Benedict has gone above and beyond any guest that's ever appeared on the show. He has provided you with a complete 44-page treatment manual on how to use Pain Neuroscience Education with soldiers and veterans.

This manual is complete with full-color illustrations, metaphors and language that is specific for this population. If you're a practitioner and you're someone who uses Pain Neuroscience Education with this particular population of clients or patients like soldiers, veterans, military, police or anyone in that realm, you're going to love getting your hands on this. It's free for you to download. All you have to do is text the word, “170 DOWNLOAD,” to the number 44222 or you can open up a new browser on your computer and you can type in the URL www.IntegrativePainScienceInstitute.com/170download and I'll send it right to your inbox for free. Let's begin with Major Timothy Benedict and learn about Pain Neuroscience Approach to treat PTSD and pain.

Feb 13, 2020

We are exploring how to explain central sensitization to patients using pain neuroscience education with physiotherapist, Eva Huysmans. Eva graduated with a Master's Degree in Physiotherapy and is in the middle of her PhD work. She is working on a randomized controlled trial investigating the effect of perioperative pain neuroscience education for patients undergoing surgery for lumbar radiculopathy. To date, Eva has co-authored over twenty peer-reviewed publications and a manual on pain neuroscience education for the clinician. Next to her research activities, she's working as a physiotherapist in the University Hospital in Brussels, where she helps people cope with chronic pain. During this episode, you'll learn how to recognize central sensitization in clinical practice.

How do you objectively evaluate central sensitization? Why are people with central sensitization not the only ones who need pain neuroscience education? All about the introduced term, nociplastic pain. Finally, where does pain neuroscience education fit into a treatment program and how should it be delivered? She has created manuals for clinicians to use pain neuroscience education. As part of this episode, she is providing you with a free download of a pain neuroscience education slide deck that you can use with your patients. To download this slide deck for free, all you have to do is text the word, 169DOWNLOAD, to the number, 44222 or IntegrativePainScienceInstitute.com/169Download. Let's learn all about central sensitization with Eva Huysmans.

Feb 6, 2020

Thanks for joining me for another episode of the show. We are talking about mindfulness and cognitive-based treatments for chronic pain management. If you've been following along with the show, you know that we talk a lot about mindfulness-based treatments for pain, as well as the various types of cognitive-behavioral approaches including Cognitive Behavioral Therapy, Acceptance And Commitment Therapy, mindfulness-based stress reduction and even pain neuroscience education. We have yet to explore the mechanisms as to why these approaches work or if there's one that works better for certain populations. Here to speak to us about the what, why and how of mindfulness-based chronic pain management techniques is Clinical Psychologist Dr. Melissa Day. Melissa completed her PhD in Clinical Psychology at the University of Alabama. She works as an award-winning pain researcher in Australia. Her research focuses on randomized trials to evaluate the efficacy and mechanisms of mindfulness and cognitive-behavioral interventions for the treatment of many chronic pain conditions. She also published a book titled Mindfulness-Based Cognitive Therapy for Chronic Pain: A Clinical Manual, and Guide. You can find that on Amazon.

In this episode, you'll learn the rationale for applying mindfulness-based approaches for chronic pain management. How mindfulness-based approaches are unique from Cognitive Behavioral Therapy. The evidence supporting mindfulness-based approaches for chronic pain management. Who might mindfulness-based treatment for chronic pain best be suited for? I know you're going to enjoy this episode because we get down into the weeds as to why mindfulness and cognitive-based treatments work for people with chronic pain or how they can help people with chronic pain cope better and more effectively. Let's begin and let's meet Dr. Melissa Day.

Jan 30, 2020

We are talking about potentially what is the healthiest diet on the planet. We know that nutrition and diet is a form of personalized medicine. We're going to talk about one of the most evidence-based and proven diets that can help you with chronic disease and chronic pain. My guest is Dr. Steven Masley. He is a physician, nutritionist, trained chef, bestselling author and creator of the number one all-time health program for public television. His work has been viewed over a million times on PBS, The Discovery Channel and over 700 different media outlets. His book is entitled The Mediterranean Method.

To get started with the Mediterranean diet, I have got a great download for you. You can download this for free. It's called The Quick Start Guide to Create Your Own Mediterranean Kitchen. To download this, all you have to do is text the word, 167download, to the number 44222 or go to IntegrativePainScienceInstitute.com/167download. I'm excited to talk to Dr. Steven Masley about The Mediterranean Method, his new book, and how the Mediterranean diet can be one of the healthiest diets on the planet. Let's get started and let's meet Dr. Steven Masley.

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Jan 16, 2020

We're placing a spotlight under chronic pain group visits. As a loyal follower of the show, you know that we tackle and raise awareness around some of the biggest and most important topics and issues affecting pain science, pain care and chronic disease. Our guest is passionate about a single solution to the biggest challenges facing healthcare and how it can eliminate the chronic disease, escalating costs, practitioner shortages, quality care affordability access, practitioner burnout, loneliness, and the physical and mental health conditions we see now. That solution is the healthcare system that functions from a group visit model. Our guest is my good friend, James Maskell.

James is the host of a podcast and a show called the Functional Forum, which has become the world's largest integrative medicine community. He's on a mission to create structures necessary to evolve humanity beyond chronic disease, including chronic pain. He lectures internationally and has been featured on TEDx, TEDMED, the Huffington Post, and is also the Founder of Knew Health, a payer solution for chronic disease reversal. In this episode, James will provide you with the guide to creating and structuring group visits including how they originated, what they are, how to run them, how to avoid pitfalls and overcome challenges. Also, best practices for launching and facilitating a group visit, as well as online and digital tools for ongoing support. James will also discuss his book on the episode, which is called The Community Cure. It's an excellent resource if you're interested in group visits, how to structure them and how to get reimbursed for them. You can download that book by going to www.TheCommunityCure.com. I highly recommend you download it and grab your copy. Let's begin and let's learn all about group visits with James Maskell.

 

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Jan 9, 2020

As always, it's an honor to be with you. Many of you know that I'm going to be launching a new act for chronic pain course that will come out in later January. Throughout the month of January, there'll be at least one, if not four different podcast episodes with regard to ACT, which is Acceptance and Commitment Therapy and the model of psychological flexibility. If you’re interested in learning more about ACT, make sure you check out the course and sign up for the wait list at the Integrative Pain Science Institute. The way you can do that, go to the IntegrativePainScienceInstitute.com and go to the Courses tab where you can sign up for the latest course release. There is a lot involved in Acceptance and Commitment Therapy for the treatment of chronic pain. The general goal of ACT is to increase something that's called psychological flexibility. Psychological flexibility can be defined as the ability to contact the present moment and change your persistent behavior when doing so, serves a valued end. That basically means when your behavior serves the things that you love or the things that you value in life.

Building patterns of behavior that promotes psychological flexibility is important to help people open up and we'll only approach some discomfort as they recover from chronic pain. Psychological flexibility is also important for practitioners to develop, particularly for a practitioner who has been trained in a traditional biomedical model of pain. If you are a practitioner who is starting to implement different types of psychologically informed care into your practice, know that psychological flexibility helps you as a practitioner drop the storyline that you're here to either fix or cure someone with pain. Instead, it places you in a position where you can walk arm and arm with someone as you help and support them through their journey to overcome pain.

It's a very different perspective when you look at the biomedical model versus a biopsychosocial model or using ACT as a method of psychologically informed care. Here to speak to us about psychological flexibility and ACT is physiotherapist, Tom Young. Tom has worked both in the United Kingdom and Canada as a physiotherapist with a specialization in chronic pain. He lives in Canada where he's worked in an adult chronic pain service and now works with complex pediatric pain. Tom is also now leading a research project on how physiotherapists can be trained to utilize psychologically informed practice. On this episode, Tom will discuss ACT, psychological flexibility and how he uses ACT in his practice as a pain specialized physiotherapist.

I wanted to do a quick listen or shout out. Starting 2020, if you leave me a five-star review on iTunes, I'm going to read it at the beginning of the show and mention your name. Today’s listener shout-out is for Emma who lives in Canada. Emma says, “Dr. Joe, I want to let you know how useful your emails and podcasts are for me. My chronic pain from fibromyalgia has completely turned my life upside down. I’m someone who used to exercise regularly. I cannot endure any type of exercise after developing fibromyalgia, not even gentle yoga, not even a massage. The knowledge about pain from your podcast has provided me with such an understanding of the body, the mind and pain that for the first time I feel in control over my situation. Knowledge is power. I no longer feel like I'm damaged goods and I have less anxiety about where I'm going. I am by no way 100% pain free, but I cringe at the thought of how debilitating I would be now if I had never learned about pain from your podcast. I know your focus may be on health professionals, but I'm so thankful to hear about your discussions and learn from you each week.”

Emma, we're thankful that you tune in each week to learn about pain. I'm so happy to hear that you're empowering yourself with information because like you said, “Knowledge is power for chronic pain.” Emma, we wish you well and make sure to keep us up to date on all the steps you're taking to overcome chronic pain each week. If you enjoy what you hear on the show, whether you're a practitioner or someone who lives with pain, hop on over to iTunes and give us a five-star review, along with some comments about what you enjoy about the podcast. You never know, you may be my next listener shout-out. Let's begin and dive into ACT and psychological flexibility with physiotherapist, Tom Young.

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Jan 2, 2020

In this episode, we are exploring the outcomes of the Pain Neuroscience Education and what to do about the partial reconceptualization of pain. If you're not familiar with the term reconceptualization of pain, it can be defined by three key concepts. The first is that the pain does not provide a measure of the state of tissues. The second is that pain is modulated by many factors across somatic, psychological and social domains. Finally, the relationship between pain and tissue becomes less predictable as pain persists. Pain Neuroscience Education, Pain Neurophysiology Education, explain the pain. Pain education is all different types of terms that relate to educational interventions for patients with chronic pain.

Pain Neuroscience Education assists patients to reconceptualize their pain away from the biomedical model towards a more biopsychosocial understanding by explaining pain biology. It's what we do here on the show. To help us understand the partial reconceptualization of pain is Dr. Cormac Ryan. He's a Professor of Clinical Rehabilitation at Teesside University in the United Kingdom. He has earned both a Masters in Physiotherapy and a PhD, where he explored the relationship between physical activity and chronic lower back pain. Ryan has published over 60 peer-reviewed journal articles and it has obtained over $1 million in research funding.

His research interests are primarily in the era of chronic pain and its impact on patients and developing new interventions to help patients better manage their condition. He has a particular interest in the area of Pain Neuroscience Education as an intervention for patients with chronic pain. You will learn what we mean by the partial reconceptualization of pain. Is a partial reconceptualization a success or a failure? What things we can do to maximize reconceptualization and where the research needs to go next with regards to Pain Neuroscience Education? Dr.

Ryan has also provided an interactive diagram and guide to explain the pain to patients with chronic musculoskeletal pain. Whether you're a practitioner or you're someone who's looking to overcome pain, this is something you're going to want to download and read through thoroughly. To download this diagram, all you have to do is text the word, 164Download, to the number 44222 or you can open up a new browser on your computer and type in the URL, www.IntegrativePainScienceInstitute.com/164download. I enjoyed this episode and I know you're going to enjoy it as much as I did. Let's get ready and let's meet Dr. Cormac Ryan.

 

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