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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: 2023
Nov 15, 2023

We have read studies on the implementation of integrated pain management programs, but do they apply in the real world? Join us as we explore the realm of integrated pain management programs with Trevor Lentz, PT, PhD, MPH. Dr. Trevor is a distinguished figure in physical therapy and an assistant professor in the Department of Orthopedic Surgery at Duke University School of Medicine. Driven by a commitment to enhancing care for those grappling with chronic pain, his research underscores the significance of non-pharmacologic treatments while addressing systemic healthcare hurdles. In this enlightening episode, Dr. Lentz joins Dr. Joe Tatta to unravel the essence of integrated pain management, drawing from real-world experiences and outcomes. Additionally, he dissects the pivotal implementation challenges faced by both providers and healthcare systems, delving into the unique and innovative strategies these programs employ under Dr. Lentz’s insightful guidance. Don’t miss out on this insightful conversation on the vital work of delivering integrated pain management programs.

Nov 8, 2023

How exactly do we deal with chronic pain? The state of the science suggests that the answer may be different for different people. In this episode, Afton Hassett, PsyD, a renowned expert from the University of Michigan, delves into the complexities of chronic pain and the safe, effective ways to manage it. Drawing from her extensive research and her recently published book, Chronic Pain Reset, Dr. Hassett offers profound insights into the physical, emotional, and social aspects of pain. She emphasizes the importance of addressing the affective component of pain and the significance of behavioral activation in the recovery process. Her innovative approach combines neuroscience, behavioral therapy, and positive psychology to empower individuals living with chronic pain. Discover actionable strategies and practical solutions that can truly make a difference. Tune in to this episode to learn more and unlock a path toward thriving despite chronic pain.

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Nov 1, 2023

Is the movement system really a system or is it a theory with little clinical application? Should we move beyond impairment-based paradigms as physical therapists? Are we ready to embrace a more holistic approach to rehabilitation and pain management? These are questions that Dr. Joe Tatta addresses in this episode with his guest, Andrew Guccione, PT, PhD, DPT, FAPTA, a distinguished researcher and professor and a visionary thought leader in the physical therapy space. Dr. Guccione explores ideas that challenge the traditional impairment based as well as movement-based paradigms that are common in physical therapy and rehabilitation. Join in and be prepared to receive revolutionary ideas that are going to change the way we do pain management forever!

Oct 25, 2023

According to statistics, there is a significant number of people who, at some point in their lives, will experience pelvic pain. Unfortunately, the lack of education about sexual wellness often keeps people from finding the right care they need. Talking about a trauma-informed approach to pelvic pain and sexual wellness, Dr. Joe Tatta interviews Rose Schlaff, PT, DPT, WHC, IF—a Doctor of Physical Therapy, Sexual Health Coach and Sexual Health Fellow (ISSWSH). Dr. Schlaff discusses the importance of bringing conversations around sexual health to the fore, especially in breaking down barriers that keep women and queer people from addressing their issues. Highlighting the benefits of a trauma-informed approach, she also exposes a gentler and easeful patient experience instead of the daunting misconception that tends to cloud people’s ideas about seeking help in this area. Dr. Schlaff then takes us deeper into the episode by tapping into topics such as the desire puzzle, the role of the nervous system, successful sex, and the impact of heteronormative portrayals of sex in the media on the LGBTQ community. It is high time for us not to shy away from these important conversations. Let today’s show remind you of the need to normalize sexual health simply because it is a vital part of our human life experience.

Oct 18, 2023

Reviving resilience and healing from trauma means shifting from a mindset of 'broken' to 'empowered,' and finding the strength within to transform pain into growth. For today’s episode, Ray Chen, PT, and PhD candidate dives into integrative physiotherapy and explores the journey of resilience and healing. Tired of conventional pain management models that often leave patients feeling broken and helpless, Ray shares his personal and professional evolution in reimagining healthcare. His profound shift in mindset from pathology to healing has paved the way for a comprehensive and compassionate approach to chronic pain. Intrigued by the concept of meaning and its impact on the pain experience, Ray discusses the significance of helping clients connect with their inner strength, knowledge, and emotional resilience. See how the intersection of physical and emotional health, along with the power of resilience and growth, hold the key to transforming trauma and reviving resilience. Tune in now and start your path to recovery.

 

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Oct 4, 2023

Weight and race both have direct connections to pain perception, but this aspect is seldom considered by many healthcare professionals. This leads to countless issues that make a person’s pain even worse. Joining Dr. Joe Tatta to discuss how to solve this problem is Ericka Merriwether, PT, DPT, PhD. They dissect how to improve methods towards obesity and racial issues by exploring the intersection of weight, race, and pain. Dr. Ericka also explains how PTs should focus on promoting physical activity as medicine before delving deeper into psychological approaches and taking action on a patient’s mental health.

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Sep 27, 2023

The more we study pain and pain management, the more we realize how much power the person experiencing the pain has over their own experience and healing. This is why our job as practitioners is not to be the solution for our patients, but to help them find the solution for themselves. This powerful perspective is brought to us by Dillon Caswell, PT, DPT, SCS, a groundbreaking expert on using hope as a therapeutic intervention for chronic pain. In this episode, we learn how hope can easily be one of the most effective salves to pain that we have access to. This is not the passive yearning that we often associate with the word “hope”. This is something much more powerful, and it may be the thing that makes a difference in your practice or in your life. Tune in to learn more!

Sep 6, 2023

Do you ever find yourself pondering the question: "What's my purpose in life?" Amidst life's trials, purpose becomes the bridge that carries us from pain to newfound strength, igniting a remarkable transformation. In this episode, we have special guest Stephanie Hooker, PhD, Research Investigator at HealthPartners Institute. Today, she explores how having a sense of purpose can go beyond simply giving life direction—it’s an elixir for the heart and body, too. Stephanie demystifies the concept of purpose—what it truly means and how it varies from person to person. She unpacks the symbiotic relationship between purpose and behavioral activation, how purpose can change throughout different phases of life, and more. Tune in and get ready to view pain through a different lens—one that turns it into a stepping stone toward wellness.

Aug 30, 2023

Physiotherapy's future lies in embracing a kaleidoscope of perspectives, transcending boundaries, and redefining healing itself. For today’s episode, we're joined by Dr. Dave Nicholls, author of "The End of Physiotherapy" and "Physiotherapy Otherwise”. Dr. Nicholls is here to challenge conventional perspectives and explore the future of the vital healthcare discipline: Physiotherapy. He reveals the hidden potential in embracing a broader scope that includes social justice, psychology, and even phenomenology. He also uncovers why he advocates for a pluralistic approach, where various perspectives coexist to create a more diverse and effective healing landscape. Throughout the episode, Dr. Nicholls demonstrates that it's time for physiotherapists to bridge the gap between the physical and the psychological, ultimately reshaping the narrative of healthcare itself. Join us in this episode as we challenge the status quo and pave the way for a new era of healing.

Jun 28, 2023

Dopamine is a chemical formed in the brain that allows us to experience pleasure, reward, and motivation. The more of it that is released in the synapse, the more likely it can reinforce us to do a specific action all over again. In this episode, Dr. Joe Tatta is joined by Anna Lembke, MD, who discusses how dopamine is not only released through pleasurable activities but also relatively painful ones. She discusses how to achieve a complete pain-pleasure balance in today’s world that keeps bombarding us with dopamine hits left and right – and most of the time, even at our own command. Dr. Anna also explains why pain can become addictive and what must be done to secure a healthy dose of pain in our lives.

Jun 22, 2023

It is saddening to hear stories from members of the LGBTQ+ community who are denied healthcare services. Most of the time, doctors and medical practitioners refuse to attend to their needs because of personal preferences, political views, and religious beliefs. Alivia Stehlik, PT, DPT dedicates herself to turning this unfortunate situation around. Joining Dr. Joe Tatta, she talks about her advocacy as a queer trans woman currently serving in the US Army as medical team leader for the 3rd Security Force Assistance Brigade at Fort Cavazos, Texas. Alivia shares practical approaches to transform both the military and healthcare, making them more inclusive and accessible to the LGBTQ+ community. He explains why every medical practitioner should openly meet every human being wherever they are, helping them feel safe and secure regardless of sexual orientation or identity.

Jun 14, 2023

The role of the physical therapist in addiction recovery is multifaceted and it encompasses various aspects of the evaluation, the treatment of and support in recovery and addiction. At first glance, it may not seem that physical therapy fits within the addiction realm, but in fact, physical therapy and physical therapy in mental health and addiction is a perfect fit. This is a new topic for most people in our space, so we’re bringing someone who can spearhead this conversation. Holly Johnson, PT, DPT, is a specialist in the intersection between physical therapy, chronic musculoskeletal pain and addiction and mental health. In this conversation, she highlights the need for PTs to educate and train themselves on psychologically informed care so they can make a difference in the lives of people who are recovering from addiction. Tune in and get to know the nuances of care along the intersection of seemingly disparate fields of practice.

May 3, 2023

In this special episode, Dr. Joe Tatta shares updates on what he is up to and delves into new chronic pain approaches that revolutionize the medical field today. He talks about PRISM, or Pain Recovery and Integrative Model, a cognitive behavioral approach to physical therapy for the management of chronic pain that he has been working on for over two years. He also talks about how the biopsychosocial model is helpful in approaching pain’s multidimensional nature. Furthermore, Dr. Joe elaborates the six critical domains involved in pain recovery and the two types of pain mindsets in literature.

Apr 19, 2023

Pelvic organ prolapse is something that is not often talked about, but it causes much of the pelvic pain that women experience, especially after childbirth. Although symptoms can vary from patient to patient, pelvic organ prolapse typically involves a lot of discomfort and sometimes even unbearable pain. The fact that not many people talk about it prevents many women from getting access to all the therapies available to mitigate this condition. Maureen Mason, PT, DPT, WCS, joins us today to unpack this topic a little bit more and point us to the direction of care options that are backed by the current scientific consensus. She is the author of a book called Pelvic Rehabilitation: The Manual Therapy and Exercise Guide Across the Lifespan, where she talks about this stuff and more. Join in and learn more from her.

 

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Apr 12, 2023

Despite the continued advancements in healthcare, pressing issues still make access to care difficult, especially for those with disabilities. There are still barriers that we need to remove to make our systems more inclusive. Tackling the important topic of disability, inclusion, and justice, Dr. Joe Tatta interviews Winston Kennedy, PT, DPT, PhD. Dr. Kennedy is a physical therapist who holds a Master's degree in Public Health as well as a PhD in Kinesiology with a concentration on Adapted Physical Activity. He has been a strong advocate for the health and well-being of people with disabilities and their intersecting identities. In this episode, he dives deep into the value of bringing these conversations to light so we can have a better understanding of disability and translate that into how healthcare providers can better support these clients. Dr. Kennedy also dives deep into the intersectionality of disability, justice, and inclusion, letting us see disability from a cultural lens and the way our care impacts someone’s social identity. Take part in this great conversation and help raise awareness on these important issues.

 

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Apr 5, 2023

Among all other conditions, back pain is probably one of the most unnecessarily and excessively medicalized. Typically someone who exhibits symptoms of back pain would seek the help of primary healthcare providers first. This would kickstart a vicious cycle of imaging, surgery, injections, and opioid medications, most of which is likely superfluous. As a result, these patients often achieve low-quality outcomes from their care, and many even develop opioid dependence. But what if there was another way to deal with most types of back pain we are experiencing? In this episode. Dr. Joe Tatta speaks with Julie Fritz, PT, PhD, a University of Utah professor and researcher focused on examining non-pharmacologic treatments for persons with spinal pain. They discuss why we should be concerned about how we approach low back pain in our medical system, what a typical care pathway looks like for most people seeking lower back care, the impact or use of imaging studies for treating and evaluating lower back pain, the impact of cost on healthcare utilization, the role of physical therapists as primary care providers for the treatment of back pain, and how early physical therapy is associated with decreased opioid use. Tune in of all of these and more!

Mar 29, 2023

Disability does not equal inability, but ableism can create barriers that limit opportunities and perpetuate prejudice. It's time for society to recognize and address the harm of ableism and work towards a more inclusive, equitable future for all. In this episode, Dr. Michelle Nario-Redmond, Professor of Psychology and Biomedical Humanities, joins us to discuss the painful realities of ableism and disability prejudice. As an expert in stereotyping, prejudice, and disability studies, Dr. Michelle sheds light on the damaging effects it has on individuals and society as a whole, and the many ways in which ableism intersects with chronic pain and disability. She highlights her work and research on ableism, including her publication, "Ableism: The Causes and Consequences of Disability Prejudice". Through her advocacy work and research, Dr. Michelle has dedicated her life to raising awareness and fighting against ableism and disability prejudice. In this episode, we explore the many ways in which ableism and disability prejudice can be seen, and talk about how to improve the lives of people with a disability. Tune in and be educated about the pain of ableism.

Mar 22, 2023

Breathing is such a natural and unconscious thing that we pay almost no mind to it. But by learning the right breathwork techniques, we can unlock a unique mind-body connection. Dr. Joe Tatta talks with Campbell Will, who delves into the role of breathwork in nervous system dysregulation. He discusses how breathing is tied in a person’s autonomic nervous system, how to use it to shift into a more sympathetic state, and the differences between breathing through the mouth and nose. Campbell also explains how he evaluates a person by examining how they breathe and the importance of the relationship between the pelvic floor and the diaphragm.

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Mar 15, 2023

Biological structures are indeed a huge thing to consider when managing and treating pain. But since we are living alongside other people, there are also many social factors impacting our pain sensation and exposure. Kenneth D. Craig, OC, PhD, Professor Emeritus of Psychology at the University of British Columbia in Vancouver, is here to discuss how family connections, culture, and society largely influences an individual’s expression and lived experiences of pain. Dr. Kenneth also explains how these psychosocial factors affect marginalized populations who are typically underserved in terms of pain care and what he is doing to remedy this long-term problem.

 

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Mar 8, 2023

Male pelvic health is something that not a lot of people talk about, even in medical circles. A lot of people experiencing male pelvic pain don’t even consult a specialist until it gets unbearable enough that they have no choice. Pelvic health isn’t a female thing. In fact, the male and female pelvic floors are essentially the same structurally, and both are prone to dysfunction. But because of toxic masculinity culture, many men suffering from any disorder related to the pelvic floor feel reluctant to talk about it or seek professional help. In this episode of Healing Pain Podcast, Dr. Joe Tatta talks to a pelvic health specialist to clear things up around this sensitive topic. Lance Frank, PT, DPT, helps us understand the different aspects of pelvic floor dysfunction, how it is related to conditions like male pelvic pain, prostatitis, and erectile dysfunction, and how it can be alleviated with stress management techniques and physical therapy.

Feb 22, 2023

While the world has made great progress in business and technology, healthcare is still lagging behind other major sectors. There are a lot of factors that cause stigma in this space, and the marginalization of people with pain is still rampant. In this episode, Alicia Emerson, PT, DPT, MS, OCS, FAAOMPT of High Point University joins Dr. Joe Tatta to discuss the attitudes, beliefs, and biases that contribute to the shortcomings of the healthcare industry. She explains the impact of sociopolitical factors on the perceptions of healthcare providers that make it harder for the vulnerable to get access to appropriate care. Dr. Emerson also presents the best ways to overcome these barriers and create a more inclusive and supportive environment for people with pain. Whether you are a healthcare provider, a caregiver, or someone who lives with pain, this episode offers valuable insights and practical tips for navigating the complex landscape of pain management.

Feb 15, 2023

Pain is one of the most common reasons for people to seek medical help. It's also one of the most difficult things to study. There's no clear way to measure it, and it can vary from person to person. But there are ways we can collect data on pain so that researchers can better understand how patients feel pain and what treatments work best for them. In this episode, Joletta Belton discusses how to integrate the lived experience of pain into treatment and research. Joletta explains how chronic pain affects people's lives, and how it can be used as a tool to help them heal. Joletta also talks about how you can use your own personal experience with pain to make better treatment decisions for other patients. Tune in now and learn what role you can play to help people in pain.

Feb 8, 2023

Chronic pain cannot be treated by simply focusing on its symptoms and root cause. Beyond these things are social determinants that directly impact health and disease. Most of the time, these can go back even from a person’s childhood. Dr. Joe Tatta is joined by Laura E. Keyser, PT, DPT, MPH to discuss how to embed such factors into the PT practice and education to vastly improve health treatment and patient experience. Laura explains how clinicians, educators, and research should focus on interdisciplinary collaboration and the impact of different social determinants in an individual’s lived experience. She also shares how PT practitioners can engage with the government and large corporations to provide better services by sharing all about her consulting firm, Mama, LLC.

Feb 1, 2023

We always hear the old adage, “you can’t pour from an empty cup.” This is especially true when you look at how we grow students to become practitioners. Before they can take care of and make a good impact on their patients and clients’ lives, they first need to take care of themselves. Tessa Wells, PT, DPT and Betsy Becker, PT, DPT, PhD from the University of Nebraska Medical Center’s Division of Physical Therapy Education have been implementing this. In this episode, they join Dr. Joe Tatta to discuss all about how they promote student wellness during their professional formation towards becoming DPTs. They talk about curricular interventions using a lifestyle medicine approach, taking wellness from the self to others to the community. Hear about their great program and how they impact the students of the profession and society at large. Tune in to this conversation to not miss out!

Jan 25, 2023

In this episode, we're discussing the concept of the embodied mind with internationally renowned author and psychiatrist, Dr. Thomas R. Verny. Our current understanding of the way the human body works is that it is a series of interdependent physiological relationships. No one component works alone or in isolation. But why is it that the accepted understanding of the physical phenomena of the mind is conventionally attributed only to the brain? The work of Dr. Verny is redefining our concept of both the mind and the human consciousness. He has brilliantly compiled a new list of research that points to the fact that the mind is tied to every single part of the body. This has enormous implications for how we view the mind, consciousness, and even human behavior. More specifically, it changes how we think about the experience of pain and pain management. Tune in and discover what it really means when we say the mind is a function of every system in your body.

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