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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: Category: general
Sep 13, 2018

Pain goes beyond what we physically feel in our bodies. It reaches back into other aspects—from the mental to emotional. Take a deeper dive and explore the neuroscience of nociception and the perception of a painful stimulus with Dr. Tor Wager, director of the Cognitive and Affective Control Laboratory and Professor of Psychology and Neuroscience at the University of Colorado, Boulder. He talks about the factors that influence pain as well as the facts or myths about pain as a learned experience. Also learn where the experience of pain comes from and the functions it serves while tracing the relationship between emotion and pain. Find out why exposure to pain may be the fastest way to overcome and alleviate it.

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Sep 6, 2018

Traveling around Asia and in Tibet for a little bit, meditation expert Sean Fargo became fascinated by the simplicity of the life of Buddhist monks. Sean found a Dallas master who took him under his wing and taught him a lot of mindfulness exercises like mindfulness of walking, mindfulness of standing, and mindfulness of breathing. The combination of simplicity and difficulty and the Dallas master’s way of being was peaceful, radiant, and loving led Sean to think about devoting the rest of his life to cultivating this way of being in the world. Sean shares a brief overview of the four foundations of mindfulness, how to use mindfulness to deal with adversity or unpleasant feelings and experiences, and how to access or crack open the heart space and experience the full spectrum of human emotions which can help with both your pain and suffering.

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Aug 30, 2018

Nothing rounds up our understanding better about chronic pain than listening from a patient’s perspective. To have undergone through that pain with all the struggles and medications that come with it, a person could give the best account of dealing and overcoming all of it. Carol Kugler Ellis was diagnosed with fibromyalgia. As she shares her story, she imparts great wisdom and insight about chronic pain. Taking it head on, she clearly and honestly opened up about her pain, where she is currently now, and where she is headed in terms of her health. Her resilience has shown how we can be bigger than our pain, live beyond it, and reclaim our life back.

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Aug 23, 2018

Nutrition is often one of the first interventions that I recommend for pain relief, especially if you have pain from an inflammatory disease such as fibromyalgia, CRPS, rheumatoid arthritis, osteoarthritis, or even headaches. Anti-inflammatory nutrition has a sound evidence base to support it, but it's often ignored when it comes to chronic pain care management. When it comes to implementing it into a physical therapy practice, nutrition is very important because most of the patients that are being treated are people who have chronic pain or other types of pain syndromes. Nutrition consultant and chef Leanne Ely discusses the anti-inflammatory nutrition and introduces a particular diet that's showing up on people's plates more and more, the ketogenic diet, which is now being explored in many clinical studies.

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Aug 16, 2018

The treatment of chronic pain has been placed under a microscope because of the fallout from the widespread opioid epidemic. As we turn away from using opioids as a treatment for long-term pain, what many of you want to know is what are the alternatives? What are the non-drug alternatives or the non-pharmacological treatment and pain management for conditions so common such as lower back pain? Three experts, Dr. Steven George, Dr. Corey Simon, and Dr. Adam Goode are licensed physical therapists, educators, and researchers studying the conservative treatment of pain at Duke University. They talk about the dangers of long-term opioid use and the non-pharmacologic pain care as an alternative for treatment of pain. Learn about the effects of a home -based telephone-supported physical activity program for veterans with chronic low back pain with Dr. Adam Goode. Dr. Corey Simon shares his research called A Paradigm Shift in Geriatric Low Back Pain Management. Dr. Steven George touches on his research on advancing psychologically informed practice for patients with persistent musculoskeletal pain. 

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Aug 9, 2018

Pain is a feeling we’re conditioned to heal without fully understanding it first. This leads us to taking the wrong medication that we suffer more from in the end. Pain master David Butler explains not only what pain is but dives deeper into the psychosocial model of pain care. He wrote a book called Explain Pain where he went beyond the traditional way of explaining pain by tapping into the emotional, mental, and physical state of a person. David also provides examples that relate pain to numerous parts of the bodies, providing us the knowledge to take into consideration how we tend to view CBT as opposed to how it should be understood. David sheds light on the importance of education as part of treating your pain by giving scenarios and thorough yet understandable reports on pain science.

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Jul 26, 2018

The chronic pain epidemic has opened up many doors as to the way practitioners approach pain and how the multiple systems of our body are intimately connected. It has also made us realize that this metaphor of the mind-body connection is no longer just a metaphor. Nowhere is this more exquisitely expressed than in the connection between our gut and our brain, or what is called the gut-brain axis (GBA). Your brain and gut are connected by an extensive network of neurons and a highway of hormones that are constantly providing feedback as to how hungry you are, whether or not you're experiencing stress, if you've ingested something that's bad like bacteria or a microbe, and if you're experiencing unpleasant sensations such as pain. Research suggests there exists a rich and dynamic relationship between your enteric nervous system, that's the nervous system in your gut often referred to as your second brain, and your central nervous system. This innovative construct offers both practitioners and patients a window into understanding the mind-body connection, as well as further understanding how chronic pain develops and process. Chiropractic physician and certified nutrition specialist, Dr. Jason Piken, discusses food and nutrition as it relates to the gut-brain connection, as well as a few key nutritional supplements.

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Jul 19, 2018

According to a report by the American Joint Replacement Registry, there were 860,000 hip and knee replacement surgeries in 2017. That means by the end of 2018, we will be over the 1 million mark in the United States. Thousands of these orthopedic surgeries are performed yearly within the Veterans Affairs. Patients are offered surgery as an option for pain relief and improved function. Chronic post-surgical pain is a common and debilitating problem that occurs in 5% to 85% of patients following surgery, and it is highly correlated with prolonged opioid use. Veterans are particularly at high risk for developing chronic post-surgical pain due to their higher rates of post-traumatic stress disorder, anxiety, and depression. Clinical psychologist and research health scientist Dr. Lilian Dindo talks about how Acceptance and Commitment Therapy (ACT) can be used to prevent chronic post-surgical pain and opioid use in at-risk veterans. Dr. Lindo explains why chronic post-surgical pain develops, who's at-risk for developing it, why veterans have an increased risk, how we can intervene early and prevent this pain, and how a one-day intervention using ACT shows great promise in preventing chronic post-surgical pain.

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Jul 12, 2018

Each day, millions of yoga enthusiasts flock to yoga studios for their daily or the weekly practice, celebrating an ancient wellness tradition as well as a form of exercise and therapy that's been validated in many studies by modern pain science. If done under the guidance of a skilled instructor or therapist, it can bring several health benefits that help people cope with conditions including anxiety, depression, chronic pain, high blood pressure, osteoarthritis, and chronic stress, something that all of us are exposed to on a daily basis. If you're a practitioner who treats patients with pain, Shelly Prosko says you can integrate yoga therapy into your pain practice. Shelly is a physiotherapist and professional yoga therapist who is dedicated to bridging the gap between yoga and modern healthcare philosophies. Learn how you can integrate yoga into your physiotherapy treatments to create and sustain optimal health.

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Jul 5, 2018

If you're someone who lives with pain and is trying to figure out the best therapies to utilize, you may be interested with Dr. Kathleen Sluka’s mechanism-based approach to pain management. Dr. Sluka is a neuroscientist and physical therapist who studies in neurobiology of chronic pain at the University of Iowa. She says the mechanism-based approach is also equally important if you're a practitioner who’s seeking a new and groundbreaking conceptual framework for evaluating the underlying cause of your patient's pain. Dr. Sluka’s lab has three very important goals - to improve pain management, to discover new therapies for pain management, and to improve the use of currently available treatments for chronic pain. Dr. Sluka discusses the five categories of pain mechanisms as well as the distinction between nociceptive pain, neuropathic pain, and a new term called nociplastic pain.

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Jun 28, 2018

Many researchers have devoted their entire career to exploring and learning more about what happens inside the brain when chronic pain develops and persists. Even though there is no one area for pain in the brain, neuroscientists have been able to recognize some key brain structures involved in the various components of the pain process. This is what is known as the neuromatrix theory of pain. Dr. Tim Salomons is Associate Professor of Psychology and Neuroscience at the University of Reading in the UK. His work aims to understand how the brain and body interact to create the experience of pain, and why some people might be prone to develop pain while others are relatively resilient. Learn all about the pain neuromatrix, how neuromatrix informs modern pain care, how progress in neuro imaging is advancing pain medicine, and how one's emotional response to pain may be at the center of reversing this chronic pain trends.

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Jun 21, 2018

When we think of pelvic pain, we easily associate that with women disorders which they even call women’s health therapy or women’s health section. There aren’t enough specialized care provided for men who are experiencing pelvic pain, even more so for the LGBT community. Dr. Sandy Hilton is a Doctor of Physical Therapy and one of the world's leading pelvic health experts and the founder of Entropy Physiotherapy which is a practice that specializes in the treatment of complex chronic pelvic pain conditions. She sheds light about women's pelvic pain, men's pelvic pain, the challenges of the LGBT community with regard to finding adequate pelvic health services, how the tragic events surrounding gymnastics doctor Larry Nassar and the #MeToo Movement affected the public's perception of pelvic care, and the role of prevention and education plays in being a pelvic health physical therapist.

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Jun 14, 2018

If the red pill were real, would you take it? If you’ve seen the movie The Matrix, then you know what Robbe Richman is talking about. Robbe is the creator of the Xpill. The Xpill is not a prescription drug or a supplement. All it is is brown rice protein with no active ingredients. On its own, it has no healing properties, and yet the moment people take it, their whole perception and approach to life changes. The power of a pill lies in the transformation effect it has on people. What’s more interesting is that even if people knew, it can still be really effective. Try to keep an open mind as Robbe talks about how he created the Xpill and his method.

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May 31, 2018

Many people have questions about the role of spirituality in pain management and pain relief. Dr. Amy Wacholtz, a licensed clinical psychologist, pain researcher and assistant professor of Psychology at the University of Colorado, explores the role of spirituality as part of an integrative pain management program. Spirituality can be defined as the experience of transcendence, connectedness, meaning and purpose. If you have pain, you know all too how it can derail you from your path and journey in life. Research on the neurobiology of pain has begun to explore the relationship between spirituality and pain relief. We know those who struggle with pain use a number of cognitive and behavioral strategies to cope, including religious and spiritual methods. What does the science say about the spirituality of pain? Is it truly an effective means of pain management? Find out more about this with Dr. Amy Wacholtz.

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May 24, 2018

PTSD can happen to anyone. It's not a sign of weakness. In many ways, it's a normal part of the traumatic healing process. Post-traumatic stress disorder can occur after you've experienced any type of trauma. A trauma is defined by a shocking or a dangerous event that you see or experience. Depending on which study you read, approximately 15% to 35% of patients with PTSD also suffer from chronic pain. Is there a link between trauma, PTSD, and chronic pain? Dr. Peter Levine, author of “Waking the Tiger: Healing Trauma” think so, and offers ironclad research to support his claim. Dr. Levine received his PhD in medical biophysics from the University of California at Berkeley, and also holds a Doctorate in Psychology from International University. For over 40 years, Dr. Levine has worked in fields of stress and trauma, leading to his development of the Somatic Experiencing Method, giving a new lease in life for PSTD survivors.

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May 17, 2018

For a lot of practitioners, medical and psychiatric patients are difficult to treat, approach, or figure out. Dr. Les Aria is a rehabilitation and pain psychologist with over a decade of experience in working with patients with chronic pain and other types of chronic diseases. He specializes in treating complex medical-psychiatric chronic pain patients, when others suggest nothing can be done. His love for the brain and pain has helped him develop a unique style in helping patients who are suffering by helping them retrain the mind to rewire their brain and body. Dr. Aria explains what adverse childhood experiences are, how they relate to the development of pain and poor health, and what you can do to prevent or treat them.

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May 10, 2018

If you have chronic pain, you’ve been told for years, decades, and even still today, to take it easy, to rest, and to not do any type of activity that may cause pain oftentimes by people who are well-intentioned and are trying to help you feel better. With the latest research and data coming out in the new world of pain science, exercise in its many forms and varieties actually have very specific benefits to reducing the severity of chronic pain. It promotes better sleep and decreases disability, anxiety, and depression. You can burn fat and alleviate pain through exercise, as well as get your energy back and have a general increased quality of life with less healthcare costs. Certified health coach and physical therapist Erin Nielsen’s true passion is to spread the word that no matter your age, you can naturally reset your body to live your best life in a lean, healthy, vibrant, and youthful body.

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May 3, 2018

The overall state of cancer care has improved over the past two decades through the widespread use of traditional therapies such as surgery, medications, and chemotherapy. Improved cancer therapy has led to an increased life expectancy and cure rates. The good news is that in most types of cancers, the survival rate has increased dramatically. The not so good news for the more than 10 million survivors of cancer in the United States of America is that when most returned to a normal life, 20% will have functional limitations up to five years later, and some of that may persist indefinitely without proper treatment. One of the greatest challenges presented to this growing patient population of survivors is that of cancer-related fatigue and pain. Dr. Nalini Chilkov speaks about creating a body where cancer cannot thrive as well as how to heal from cancer-related fatigue and pain.

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Apr 26, 2018

To increase lifespan and longevity, practitioners as well as patients need to identify what they are doing incorrectly with their health practices and lifestyles. Jason Prall believes that the biggest component to the destruction of our health is the error in our ways of using technology, our bodies taking in toxins from food production, and even emotional traumas. He teaches people the mental framework of a healthy lifestyle and the emotional components of health, where it comes from and how we can incorporate them in our lives.

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Apr 19, 2018

Physical Therapy and Acceptance and Commitment Therapy are two of the most important therapies for pain relief. To live an active life beyond pain, Jennifer Battles believes that combining ACT with PT is the best method. Your time and focus shifts from finding a way to reduce the pain to living your life knowing that your battling the pain and winning it. She shares her research about ACT, values, goals, and how to defuse unpleasant sensations, thoughts and emotions when you are in pain.

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Apr 12, 2018

Dr. Beth Darnall’s most recent paper, Patient Centered Prescription Opioid Tapering in Community Outpatients With Chronic Pain, raised some concern on opioid addiction and the reduction of opioid prescribing. Dr. Darnall highly believes opioids have a place as part of an integrative pain care program for certain types of chronic pain syndromes. If you're somebody who has chronic pain, conservative pain care can be difficult to access because it's often not prescribed. Her paper tackles the role of opioid in chronic pain and the numerous barriers patients have to go through to receive the care they deserve. The study also focused on how patients would do if physicians worked with them in a voluntary patient-centered way, each step of the way allaying their concerns and fears about opioid reduction, and working with them to very slowly reduce their opioids over a certain course.

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Apr 5, 2018

Have you ever wondered how your heart and brain interacts and coordinates? For decades, Dr. Stephen Porges, a leading expert in developmental psychophysiology and developmental behavioral neuroscience, has been studying the connection between human behavior and physiology, specifically the vagus nerve. Dr. Porges’ work on the vagus nerve opens up new insights into the way our autonomic nervous system unconsciously mediates behaviors such social engagement, trust, and intimacy. Simply put, the simple or observable physiological measures open up windows into the nervous system for understanding human behavior. This fresh perspective and its emphasis on the link between our psychological experiences and the physical manifestations in our body is what chronic pain is all about. Learn more about what this theory means and how they can apply to health and the treatment of anxiety, depression, trauma, autism, and varuous other disorders.

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Mar 29, 2018

When women get pregnant, they carry the child for nine months then go through hours of labor. The notion that women are more tolerant to pain stems from this. However, studies show that women are greatly over-represented as pain patients. Dr. Jeffrey Mogil explains that women say that they are in pain more often than men do, but that can also mean that women are more prone to diseases that happen to be painful. The only way to know the sex differences in pain between a man and a woman is when they are taken to the lab for tests, which is being done now. However, the questions remains, who really feels more pain, men or women?

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Mar 22, 2018

America is in the middle of an opioid epidemic because it has become the alternative agent for practitioners and patients suffering from chronic pain. It is a natural way of alleviating pain but not without its side effects. There are already 29 states that have legalized the use of medical marijuana for medical purposes, but this still leaves a lot of unanswered questions. Dr. Rachna Patel has been working with CBD oil and medical marijuana to develop a methodology that allows her to walk a patient through the healing process without overdosing. She explains that CBD oil isn’t a psychoactive substance, so you should not feel high with regulated intake. Dr. Patel raises the subject on the pros and cons of using the drugs for medical purposes in relieving chronic pain. 

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Mar 15, 2018

One way to define mindfulness is awareness of your experience in the present so that your perception of what is happening is not distorted by certain emotions. Being present in the moment of pain allows the mind to tell the body that healing is possible with mindfulness meditation. Sharon Salzberg believes that when you make peace with fear, you can start dealing with your pain. She shares how a world losing a sense of community and human connection can accept love and kindness into their lives leading the soul and the body to feel better.

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