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Pain Science Education

Pain Science Education discusses the treatment of persistent pain. Learn how to use the brain, body, mind, and behavior to reduce pain and improve physical and mental well-being. This podcast offers free training for physical therapists, healthcare professionals, and people with pain. Dr. Joe Tatta is a physical therapist, educator, author, and pain researcher. He is known for his contribution to integrative pain care and for championing the safe and effective treatment of chronic pain. With over 20 years of clinical expertise, Dr. Joe is dedicated to converting cutting-edge pain science into actionable therapeutic practices. An advocate for a biopsychosocial approach, Dr. Joe developed PRISM: Pain Recovery and Integrative Systems Model, a cognitive-behavioral approach that promotes resilience, growth, and recovery. Pain Science Education invites listeners to explore a wide array of subjects including pain education, pain neuroscience, physical therapy, physiotherapy, pain psychology, wellness, and continuing education. Episodes feature interviews with leading experts, offering a deep dive into the pivotal topics shaping the field of pain management. The insights shared here aim to propel the practice of physical therapy to the forefront of primary pain management. Dr. Joe Tatta is committed to guiding therapists and healthcare providers through the complexities of pain, equipping them with the knowledge to deliver non-pharmacologic and non-invasive approaches to chronic pain. With Dr. Joe's guidance, listeners will uncover the potential of physical therapists as pivotal figures in pain management, understand the importance of health behavior change, and learn how to use integrative and lifestyle medicine in practice. Join the Pain Science Education podcast to transform your clinical approach, enrich your professional toolkit, and participate in the revolution of pain management. Each episode promises to take you one step closer to learning about pain, becoming a leader in delivering exceptional, innovative care to those suffering with pain, and ultimately improving lives across the globe.
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Now displaying: 2022
Apr 6, 2022

If you have been following along with this show for some time, you know the one area that interests me. A question I often ask myself and propose to you is how can we educate the public about effective pain management and raise awareness of the physical therapy profession? I have been working with a select group of professionals one-on-one on different types of outreach projects and protocols as well as connecting with innovative physical therapists who have created practice models or businesses that center on health promotion or raise awareness of the PT profession.

In this episode, you will meet Dr. Jazmine Tooles. She is a physical therapist who created the business called Explore the Magic of Motion. Explore the Magic of Motion was created in 2012 to raise awareness of the physical therapy profession. The way Jazmine achieved this was by working with the Girl Scouts of America to develop an approved Girl Scouts patch or badge. Jazmine is also a lifetime Girl Scout herself and created these patch programs to teach 6th to 12th grade Scouts about healthy living through exercise while also having them investigate the professions that utilize exercise for healing such as physical therapy.

 

Fast forward, Explore the Magic of Motion is a full business that has reached over 500 participants since its inception. It has grown to provide an interactive health and wellness learning experience not only for the community but also for clinicians as well as students. In this episode, you will learn about how Jazmine developed Explore the Magic of Motion, its history, what it offers now, and who it serves. Without further ado, let’s begin and meet Dr. Jazmine Tooles.

 

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Mar 30, 2022

In this episode, we are discussing embodied cognition and the role of bodily processes in thought. In the field of pain care, we strongly lean on theories of how the brain works and how we can use the nervous system to modulate pain. Many of these theories are rooted in the idea that the brain is the seat of cognition and views the brain as a CEO, which controls both thinking as well as our body.

However, newer theories such as embodied cognition take a different perspective which emphasizes the significance of the physical body in our cognitive abilities. Embodied cognition is a theory that draws on the work from the fields of psychology, neuroscience, philosophy, physiology, and even artificial intelligence. This new research points towards bodily processes in forming how our cognition is generated.

We are joined by Professor Rebecca Fincher-Kiefer, PhD, who is a Professor of Psychology at Gettysburg College and discusses the potential application of embodied cognition. Her research interests include the investigation of embodied cognition and how all that we know and understand is grounded in our bodies.

She's on the cutting edge of this field of study, which includes the publication of a textbook called How the Body Shapes Knowledge: Empirical Support for Embodied Cognition. In this episode, you will learn all about embodied cognition and its potential influence on pain, health, and human behavior. Without further ado, let's learn about embodied cognition and meet Professor Rebecca Fincher-Kiefer, PhD.

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Mar 23, 2022

In this episode, we're discussing how mindful movement can shift the experience of exercise or physical activity for people. This is important because the mindful movement can help people exercise in a way that is more fluid and easier, alleviate pain and with body image something they oftentimes struggle with when they begin an exercise program. Some of you may know that as a kid and adolescent and even into college, I was a gymnast. Mindful movement is something that was comfortable for me.

However, I didn't fully dive into what mindfulness was with regard to movement until about the year 1997. At my first job at St. Vincent's Medical Center, there was a free yoga class that was offered by a yoga studio down the block called Integral Yoga in New York City's Greenwich Village. It has wonderful yoga classes and I became hooked on yoga as a form of mindful movement. Although I've never become certified in yoga, I've done thousands of hours of many different types of yoga methods and techniques. I always recommend it for people with pain. Somewhere around the year 2000, I worked for a practice here in New York City that specialized in Sports and Performing Arts Medicine.

As part of that practice, we use the Pilates method of body conditioning for rehabilitating people with pain, as well as the performing artists and dancers that would come into our clinic. Moving with the mind or mindful movement is a big part of what Joseph Pilates created. He has five principles of mindful movement that he includes in his method, which is called Contrology. They include breathing, centering concentration control as well as precision. You see people bringing in these principles of movement into various types of movement methods and practices.

You'll meet Professor Anne Cox, whose research has been focused on understanding key determinants of physical activity-related behaviors as a professor and a researcher, has completed a 200-hour yoga teacher training and uses the knowledge of mindful movement to examine the effects of yoga on things like mindfulness, body image and the promotion of the physical activity.

In this episode, you'll learn all about mindful movement and how mindfulness shifts the experience of movement or physical activity? How does yoga increase mindfulness and how does being mindful affects body image or physical activity motivation? Without further ado, let's begin and meet Professor Anne Cox and learn how and why to add mindfulness to physical activity.

 

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Mar 16, 2022

We're going to talk about psychological aspects of pain rehabilitation that physical therapists perceive as important. When we're talking about research, a new topic or providing new information, oftentimes I'm talking to a pain researcher. It may be someone with a PhD or someone who is actively engaged in investigating different aspects of pain from a lifestyle and a biopsychosocial perspective.

In this episode, I'm introducing you to Alexa Knuth, who is a student physical therapist. Alexa is a student at Robert Gordon University in Aberdeen, Scotland. She is in the last year of her program and she is excited to start a career. Even before she started her career, she had already started to delve into the evidence and contribute to the evidence base by writing a paper called Psychological Aspects of Rehabilitation as Perceived by Physical Therapists. You can all access that. It was published in 2018. I came across it and thought it was important to share with all of you so we're going to be talking about that on the show.

Alexa also has an interest in working with and applying psychological techniques to a specific patient population, which is those who are looking to self-manage inflammatory arthritis like rheumatoid arthritis. There are lots of great applications for this work here. We'll talk about that in this episode as well. Overall, we'll talk about the important psychological techniques people can use for self-management and which physical therapists perceive are the most important.

As you know, psychologically-based care or psychologically-informed physical therapy is something we often discuss on this show. We teach courses on that at the Integrative Pain Science Institute. You can go over and check out our courses as well as the newly released Psychologically-Informed Pain Practitioner Certification. That's a complete certification that discusses the different multimodal approaches that you can use with regard to cognitive and behavioral interventions as well as whole health interventions for treating people with chronic pain. Without further ado, let's begin and meet Alexa Knuth.

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Mar 2, 2022

In this episode, we are discussing perfectionism and stress in the physical therapy students. Stress and burnout in the PT profession are personal interests of mine. I have done some research and explored how to use ACT in preventing burnout and creating resiliency in physical therapists. We briefly explored this topic of perfectionism in episode 217 with physical therapist Andrea Moore. She is a PT who specializes in treating women in overcoming perfectionism, and the intersection between pain and perfectionism.

Perfectionism is often caused by having high standards or having a hypercritical evaluation of oneself. Some doctor or physical therapy students experience increased stress when they go through the rather rigorous academic coursework that we take in physical therapy schools. Yet there is limited research in understanding the intersection between stress and perfectionism in the PT students, what the successful behaviors are that these students have that help them manage this increased stress, especially those who are perfectionists coming into the program.

Here to discuss perfectionism and stress in the PT student is Professor Mike Richardson. He is a Clinical Associate Professor in the Doctor of Physical Therapy Program at Hanover College. He is a Doctor of Health Science from the University of Indianapolis. His current research interests include perfectionism and stress among physical therapy students.

You will learn all about perfectionism and its prevalence among DPT students, perfectionism’s relationship to stress, and why it is important to better understand the relationship between stress and perfectionism. Finally, what can be done? What strategies can you employ if you are a DPT student or a physical therapist yourself who is looking at the impact of stress on your physical as well as mental well-being? Let's meet professor Mike Richardson and learn all about perfectionism and stress in physical therapy students.

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Feb 23, 2022

We're discussing the intersection between PTSD, Post-Traumatic Stress Disorder and CRPS, which is Complex Regional Pain Syndrome. My guest is Dr. Deborah Brandt. She is a retired Doctor of Physical Therapy. She teaches about issues regarding chronic pain and the use of somatic therapy practices. Her personal experience with and the study of complex post-traumatic stress disorder as well as complex regional pain syndrome, which she identifies as being complex psychophysical phenomena, has enriched her comprehension of both issues and provided her with unique tools to communicate her insights and knowledge to others.

In this episode, we will discuss treatment options, but more importantly, this episode is an opportunity to hear one's lived experience, which includes her knowledge of PTSD and CRPS gained through her direct firsthand experience rather than learning through textbook-like descriptions, which can be challenging to understand the full complexity of what people go through. Without further ado, let's begin and meet Deborah Brandt and learn about the intersection between PTSD and CRPS.

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Feb 9, 2022

In this episode, we are discussing the impact of physical therapy on long-term opioid use for patients undergoing a total knee replacement. My expert guest is Professor Deepak Kumar. He is an Assistant Professor in the Department of Physical Therapy and Athletic Training at Boston University and the Section of Rheumatology at Boston University School of Medicine. He directs the Movement and Applied Imaging Lab at Boston University. The goal of Dr. Kumar's research is to improve the quality and quantity of movement during everyday life in people with knee osteoarthritis to reduce pain, improve physical function and maintain joint health.

We're going to review the findings of Professor Kumar’s study called the Association of Physical Therapy Interventions With Long-term Opioid Use After Total Knee Replacement. You can find that article in the October 2021 edition of the Journal of the American Medical Association. This show has implications for people with chronic pain. Also, there is important information here for opioid use and the positive impact that physical therapy can have on people's lives living with chronic pain. Without further ado, let's begin and let's meet Professor Deepak Kumar.

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Jan 12, 2022

In this episode, we were discussing how to build a Stepped Care Model for the treatment and intervention of chronic pain. The Stepped Care Model for chronic pain originated in the VA health system and has been used in a number of other places. This model prioritizes the role of primary care providers in optimizing pharmacological management as well as the timely and equitable access to patient-centered evidence-based non-pharmacologic approaches.

Joining us to discuss this model is Dr. Matthew Bair. His principal research focuses on chronic pain, psychological comorbidity, and developing strategies to improve pain management in the primary care setting. He has a strong background in conducting clinical trials, developing and testing interventions that combine pharmacologic and non-pharmacologic treatments, and his funded work often contrasts pharmacological and behavioral approaches for pain management.

He has served on several national Veterans Affairs committees related to improving pain management as well as the Clinical Practice Guideline Committee at the American Pain Society. He serves as an Editorial Board Member for Pain Medicine and the Journal of General Internal Medicine. In this episode, you will learn all about a Stepped Care Model for Chronic Pain, the effectiveness of a Stepped Care Model, and the impact of chronic pain amongst veteran populations. Without further ado, let’s begin and let’s meet Dr. Matthew Bair and learn about a Stepped Care Model for Chronic Pain.

 

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Jan 5, 2022

In this episode, we are discussing an important reimbursement issue related to physical therapy, as well as pain care in general. That is value-based healthcare. Value-based healthcare is a healthcare delivery model in which providers, including hospitals, as well as practitioners, are paid based on the patient's health outcome. This model differs from the traditional fee-for-service or a capitated approach in which providers are typically paid based on the amount of services they deliver. Joining me on this episode to discuss the trend of value-based healthcare, specifically in the physical therapy profession, is Dr. Alice Bell.

 

She earned her Doctorate in Physical Therapy Degree from the University of Montana. Now is on staff as a Senior Payment Specialist in the Public Affairs Unit of the American Physical Therapy Association. Her professional activities include serving as a member of the Centers for Medicare Technical Expert Panel for alternative payment systems, the CPT Editorial Panel, and is an APTA appointee to the NDHI Opioid Crisis Workgroup. She has been involved in bundled payment projects and exploring the alternative practice and payment model efforts focused on early and direct access

to physical therapy.

 

In this episode, you will learn all about value-based healthcare, where value-based care intersects with the biopsychosocial approach to pain. Also, how physical therapists can assess their readiness for participating in an alternative payment model and how physical therapists can play a more central role in addressing pain in the US healthcare system. Without further ado, let's begin and let's learn about values-based healthcare with Dr. Alice Bell.

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