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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: December, 2021
Dec 29, 2021

In this episode, we are discussing how to use functional nutrition to treat and alleviate chronic musculoskeletal pain. My guest is Aparna Natarajan. She is a Certified Nutrition Specialist with a Master's degree in Nutrition and Functional Medicine. She is a clinician, a researcher, and an educationist who has contributed to the Institute for Functional Medicine's Meal Planning Program as a subject matter expert. She's cultivated an understanding of the mind-body connection and combines both the science, as well as the art of nutrition, Reiki, and emotional freedom technique.

 

We will discuss the importance of nutrition and overcoming chronic pain, as well as the benefits of an elimination diet for those living with chronic pain. If you enjoy this episode, make sure to stay tuned because I have a perspective paper that is being published in PTJ, the Journal of Physical Therapy, on the topic of nutrition and chronic pain, specifically for the physical therapy professional, though it relates to other professions as well.

 

That's moving through the peer-review process. For those of you that have published before, as you know, sometimes that can be a bit of a slow process but it will be out, rest assured, hopefully, sometime in early 2022. For now, let's begin and meet Aparna and learn about the importance of nutrition for chronic pain.

 

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Dec 22, 2021

Welcome back. We're discussing how to beat cancer holistically with Chris Wark. Chris is a cancer survivor, a best-selling author, and a patient advocate. He was diagnosed with Stage 3 colon cancer at the age of 26. After surgery, Chris made the decision to go against his doctor's advice, opted out of chemotherapy, and chose to use nutrition as well as other natural therapies to heal.

Chris has become one of the most well-known cancer survivors on the planet and reaches millions of people per year as a blogger, podcaster, speaker, as well as a global health coach. In this episode, we'll discuss how to beat cancer primarily by using nutrition and other lifestyle-based interventions. Without further ado, let's begin and let's meet Chris Wark.

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Dec 15, 2021

In this episode, we're talking about pain education and specifically asking the question, "What do patients value learning about pain?" Our expert guest is physiotherapist and pain researcher Hayley Leake. After working clinically for six years, Hayley embarked on a PhD mission at the University of South Australia with Professor Lorimer Moseley's research group. Her research aims to optimize pain education for adolescents and adults living with chronic pain.

Pain education is a popular treatment approach for treating persistent pain that involves learning a variety of concepts related to pain and is thought to be an important part of recovery. In this episode, we discussed targeted concepts and themes that seem to be the most important of value to those living with chronic pain when delivering a pain education intervention. Without further ado, let's begin and meet Physiotherapist and Pain Researcher, Hayley Leake.

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Dec 8, 2021

We have an important episode. We're discussing the association between chronic pain and suicide. The information you'll learn in this episode may help you screen for the risk of suicide more effectively. It may help you effectively treat suicide, and by learning and sharing this information, you may save a life. According to the American Foundation for Suicide Prevention, suicide is the tenth leading cause of death in the United States.

In 2019, approximately 48,000 Americans died by suicide. In that same year, there were an estimated 1.4 million suicide attempts. Chronic pain is a risk factor for suicide, and research indicates that chronic pain is present in about 10% of those who die by suicide. It's important as licensed healthcare professionals and loved ones of those who live with chronic pain that we learn how to ask the right questions, assess for risk factors, and intervene to help prevent suicide rates.

In a few moments, you'll meet Clinical Psychologist, Dr. Joan Rosenberg, who has conducted research in the field of suicide, as well as treated patients in her clinical practice. Before we begin, I wanted to provide you with some information to effectively ask, assess, and intervene in those you feel may be at risk for suicide, especially those who live with chronic pain. First, I'd like to provide you with a shortlist of factors that may increase the risk of suicidal behavior among people living with chronic pain.

If you're a healthcare professional, these might surprise you because we see common risk factors almost every day when we treat people with chronic pain. The first one is insomnia. Insomnia is common among people living with pain and also associated with an increased risk of suicide. The next is an over-reliance on passive coping strategies when you recognize or observe that someone is hoping their pain will go away from these passive coping strategies, increasing their risk of suicide.

The next is pain catastrophizing, a topic we've talked about in-depth on this show. All of us are well aware of the catastrophizing pain scale, and there are also other scales and self-report measures that identify catastrophizing. It's very important that we include that in our initial paperwork. The next is prescription pain medication access when other factors are present.

We're talking mostly about opioids here. It's not just if someone is taking opioids. There have to be several other factors. The factors that you learned about now present. As we're talking about prescription medication, always be on the lookout for what they call the triple threat, which is opioid, anti-anxiety medication, and alcohol use disorders. Those three together, people oftentimes overdose as well as an increased risk factor for suicidality.

There are specific pain diagnoses that have been associated with an increased risk, specifically chronic lower back pain. The diagnosis of psychogenic pain, which is medically unexplained pain or medically explained physical symptoms as well as migraine, those three, chronic lower back pain, psychogenic pain, and migraines.

Feelings of helplessness or hopelessness, individuals who will feel that they can do nothing to change or impact their pain and believe that positive outcomes are not possible for them may be at an increased risk for suicide, and then finally isolation or perceived burdensomeness. Oftentimes these go together. If you recognize or identify distressed and interpersonal relationships where someone feels like they are a burden to others or express feelings of not belonging, these are associated with an increased risk of suicide.

Suicide can look and sound a lot like depression. It's important that we screen for depression. We all know that depression rates are high in those living with pain. There's a simple way that you can screen for depression in your clinical practice, no matter what type of health professional you are. That's with the PHQ-9, Patient Health Questionnaire-9. It's readily available online if you google Patient Health Questionnaire-9.

This is a multipurpose instrument for screening, diagnosing, monitoring, and measuring the severity of depression. It includes nine questions. What's great about this is not only does it screen for depression but question number nine is a single screening question on suicide risk. A patient who answers yes to question nine needs further assessment for suicide risk by an individual who is competent to assess this risk that may or may not be you. Hopefully, by the end of this episode, you will realize that screening for suicide is possible.

What I also like about the PHQ-9 is it gives you a couple of different cutoff points for mild, moderate, moderately severe, and severe depression. With those cutoff points, it recommends proposed treatment action for each cutoff point. It's Patient Health Questionnaire-9, super simple, nine questions to screen for depression. Question number nine is specifically for suicide risk.

With some of that background information, let's bring in our expert guest, Dr. Joan Rosenberg. Dr. Rosenberg is a cutting-edge psychologist known globally as an innovator in the field of mental health. She is a two-time TEDx speaker and serves as a blogger for Psychology Today and has been a featured expert in multiple documentaries on television and radio.

As a licensed psychologist, Dr. Rosenberg speaks on how to build emotional strength and resilience, psychotherapy, and suicide prevention. She's a Professor of Psychology at Pepperdine University in Los Angeles, California, as well as maintains an active clinical practice. This episode aims to create a roadmap or a blueprint for assessing and intervening with suicide. Without further ado, let's begin and learn about this important topic and meet Dr. Joan Rosenberg.

 

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Dec 1, 2021

We explore how overweight and obesity are linked with persistent pain and the importance of physical therapists promoting combined nutrition, exercise, and weight loss programs when treating chronic pain syndrome. Joining us as an expert guest is Anneleen Malfliet. She is an Assistant Professor, Postdoctoral Researcher, and a member of the Pain in Motion international research group. Research in clinical investigations centers on chronic pain with a special interest in spinal pain, central sensitization nutrition, and diet.

In this episode, we will explore the broader lifestyle perspective when considering the link between obesity and chronic pain, how a clinician can assess the presence of obesity or be overweight. Finally, how to approach weight reduction and organize a weight management program in clinical practice. There is a lot packed into this episode. You will gain a lot from the information and data that Anneleen has around the impact of obesity on chronic pain. Let's begin and meet Anneleen Malfliet.

 

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