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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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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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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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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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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I wanted to take a moment to wish you a very happy holiday season and a healthy new year as we move into 2020. It's been an honor spending this time with you in 2019. I look forward to spending more time with you in 2020 as we dive into effective ways to treat chronic pain. This podcast is important both for practitioners who treat pain and people looking for solutions. I could not do it without your participation and your help. As we move into 2020, know that I'm thinking about you and I wish you a happy, healthy and very successful 2020 filled with lots of love.
In our episode, we are discussing how food sensitivities contribute to chronic pain. Our expert guest this week is Tom Malterre. Tom has been studying nutrition since he was ten years old. He has earned both a bachelor's and a Master's degree in nutrition from Bastyr University. He is a faculty member of the Institute for Functional Medicine. He has over fourteen years of clinical experience and is the author of a book called The Elimination Diet, which we'll be talking about more.
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We will look at a case study as to how one physical therapist is creating and evolving peer-to-peer models for the treatment of chronic pain. Adults living with chronic health conditions are more likely than other adults to seek peer advice and support from those that are experiencing or have overcome similar health challenges.Peer-to-peer support can happen online or offline via email, phone or even through social media. In fact, a Cochrane review described positive outcomes in people with chronic health conditions,including a reduction in pain, disability and fatigue once self-management programs were led by lay individuals rather than licensed health professionals.
Here to discuss peer-to-peer models for chronic pain is Dr. Jeremy Fletcher. He is a Doctor of Physical Therapy and a Professor at the University of South Alabama, Doctor of Physical Therapy Program.Prior to his career in academia, he served in the US Army as a physical therapist. He continues to serve his community through nonprofit board membership and organizational consultation with a focus on improving health-related quality of life. In addition to his role as a consultant, he’s also been trained in Acceptance and Commitment Therapy and combines it with his treatment of physical therapy.
In this episode,you will learn what is missing from our current management of patients with persistent pain from the social perspective of the bio psycho social model, how peer-to-peer interaction can bring value to the recovery process, the opportunities and challenges with integrating peers into clinical practice and should peers deliver clinical interventions such as the bulls eye that is used in Acceptance and Commitment Therapy. I'm excited to share Jeremy's work with you,as well as to discuss peer-to-peer models for the treatment of chronic pain and other health conditions. As we move in to the next year,you're going to see a lot more group programs happening both online and offline.
With those group programs,they'll often have a peer-to-peer component, which has been very helpful for those overcoming chronic pain. We will also talk a little bit about how practitioners can infuse Acceptance and Commitment Therapy into their treatment of chronic pain and other health conditions. If you're any practitioner who treats chronic pain, make sure to hop on the waiting list for the Acceptance and Commitment Therapy (ACT) for Chronic Pain Program that I'll launch in mid-January. Make sure you go to the Integrative Pain Science Institute.com, click on Courses and you'll see a tab there where you can join the wait list for the ACT for Chronic Pain Program. The program is appropriate for any health and wellness professionals. Let's meet Dr. Jeremy Fletcher.
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We are bringing awareness to the important topic of stigma and chronic pain. People living with chronic pain are often stigmatized in healthcare settings, although they are not alone. Patients with various medical conditions, those with mental illness, people who use substances, people living with HIV, refugees, immigrants, even patients with poorly controlled diabetes can all be subjected to stigma. Here to discuss stigma and chronic pain is Dr. Whitney Scott. Whitney completed her PhD in Clinical Psychology at McGill University in Montreal, Canada. She is a post-Doctoral fellow in the Health Psychology Section within the Institute of Psychiatry, Psychology and Neuroscience at King’s College London. Her research focuses on psychosocial factors, including experiences of injustice and stigma related to functioning and quality of life in people with chronic pain.
Whitney also investigates psychological treatments such as acceptance and commitment therapy for people who live in chronic pain and she is finishing up a fellowship that developed and evaluated a version of an online act for people with HIV and neuropathic pain. This is an important topic for those living with chronic pain and for the practitioners who treat them. Whitney and I appreciate you tuning in and downloading this episode. If you want to continue the conversation, make sure to join The Integrative Pain Science Institute Community Facebook Page. You can find us at www.Facebook.com/groups/IPSICommunity. Let's meet Dr. Whitney Scott and learn about stigma and chronic pain.
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In this episode, we are exploring food, mood and its connection to chronic pain. As you head into the holiday season, I wanted to make a special episode just for you because overeating and overindulging in food can be a challenge for each and every one of us. No doubt, you will attend holiday parties, office parties, celebrations with friends and families, and run into food around every corner from Thanksgiving straight through to the New Year. This is an important topic related to chronic pain because we know the food you eat can ease your pain or the food you eat can exacerbate your pain. One of the greatest challenges with food is that it can be used as a numbing agent for times when you're feeling down or anxious. Using food to deal with chronic pain is a vicious cycle that can lead to increased inflammation, weight gain, hormonal imbalance, irritable bowel syndrome and problems with mood and sleep, all of which make pain worst.
Joining us to discuss the food, mood, pain connection is Dr. Susan Albers. She is a New York Times bestselling author and clinical psychologist at the Cleveland Clinic. She's the author of eight mindful eating books, including her book called Hanger Management: Master Your Hunger and Improve Your Mood, Mind, and Relationships. She's been a guest on popular TV shows including Dr. Oz and The Today Show. Her books, programs and tips have been featured in Oprah Magazine, Family Circle, Prevention and the New York Times. In this episode, you'll learn all about hanger management and how to successfully manage it. The connection between food, mood, emotions and chronic pain. Some tips for eating more mindfully and because preventing hanger means staying one step ahead of it. Dr. Albers will provide you with a free PDF download to her Hanger Alert Scale. This tool will help you reach for good mood foods that are nutrient-dense and packed with fiber and protein to help reduce the stress in your body. To download the Hanger Alert Scale, all you have to do is text the word, 160DOWNLOAD, to the number 44222 or www.IntegrativePainScienceInstitute.com/160download.
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In this episode, we’re talking about making sense of beliefs and behaviors in pain care. Our expert guest is Dr. Samantha Bunzli who is a physiotherapist and has worked in clinical practice for several years before undertaking a PhD with Professor Peter O’Sullivan at Curtin University in Australia. Her PhD research was entitled, “A Qualitative Investigation of Pain-Related Fear in People with Low Back Pain.” She is a post-doctoral researcher at the University of Melbourne working to optimize treatment outcomes for people with osteoarthritis. Dr. Bunzli’s work is part of an international effort to change the narrative in musculoskeletal pain care. She’s been awarded major grants by the National Health and Medical Research Council of Australia to improve evidence-based decision-making among orthopedic surgeons and implement non-surgical care pathways for people with end-stage osteoarthritis.
In this episode, you’ll learn why the beliefs people hold about their musculoskeletal pain matter, where do unhelpful beliefs come from, and how the common-sense model could help us understand unhelpful beliefs and behaviors. Samantha describes findings from her qualitative research based on data collected through interviews from both patients as well as clinicians. She is keen to emphasize the qualitative research is more than just the collection of stories. It involves robust methods of data collection and analysis.
Rather than going into detail about these methods, Samantha has provided free access to all of her research in which she explains the science behind qualitative research and describes the contribution qualitative approaches can make in the field of pain science. This includes some of her first work in the Journal Of Orthopedic and Sports Physical Therapy. In 2017, an article titled, “Making Sense of Low Back Pain and Pain-Related Fear,” as well as the 2019 study in the Journal of Clinical Orthopedic Simulated Research titled, “Misconceptions and the Acceptance of Evidence-Based Nonsurgical Interventions for Knee Osteoarthritis: A Qualitative Study.” Let’s learn about how the common-sense model can help us understand unhelpful beliefs and behaviors when it comes to chronic musculoskeletal pain with Dr. Samantha Bunzli.
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In this episode, we are exploring physiotherapy, yoga therapy and pain science with physiotherapist, Neil Pearson. Neil is a Clinical Assistant Professor at the University of British Columbia and the founding chair of the Physiotherapy Pain Science Division in Canada. He is a recipient of the Canadian Pain Society's Excellence in Interprofessional Pain Education Award and faculty in international yoga therapist training programs. Neil develops pain care resources, collaborates in research and serves as a mentor for health professionals and yoga practitioners looking to enhance their therapeutic expertise. He's also a lead contributor to Pain BC's Pain Foundations and Gentle Movement Series as well as the coeditor of Yoga and Science in Pain Care: Treating the Person in Pain along with physiotherapists, Shelly Prosko and Marlysa Sullivan. You'll learn all about yoga and yoga therapy for pain management, as well as the neuroscience that supports its effectiveness and use in the world of yoga, yoga therapy and physiotherapy. I want to thank Neil for his contribution. This episode is a great tool that you can use if you're a yoga therapist, a physical therapist or a physiotherapist, and you're interested in the intersection between yoga and/or pain science. It's great to share with your patients, your clients or your colleagues.
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On this episode, we're exploring the significance of Polyvagal Theory on autonomic resilience as it pertains to the management of chronic pain. Our expert guest is Dr. Marlysa Sullivan. She is an assistant professor at the Maryland University of Integrative Health in both yoga therapy and health promotion. She's also an adjunct professor at the Emory University in the Doctor of Physical Therapy program where she teaches the integration of yoga and mindfulness in physical therapy. She has a new book out which is co-edited with physiotherapists, Shelly Prosko and Neil Pearson called Yoga and Science in Pain Care, which we'll be discussing through the lens of Polyvagal Theory. As a researcher, Marlysa has also contributed to the evidence base with regard to yoga therapy and Polyvagal Theory. If you'd like to get a taste of Dr. Sullivan's work with regards to yoga therapy and Polyvagal theory, she has provided a free download of her paper.
The paper's called Yoga Therapy and Polyvagal Theory: The Convergence of Traditional Wisdom and Contemporary Neuroscience. To download this paper, all you have to do is text the word, 157Download, to the number 44222. You can also open up a new browser on your computer and type in www.IntegrativePainScienceInstitute.com/157download. Before we begin, make sure you take a moment to join the Integrative Pain Science Institute and the Healing Pain Podcast community Facebook group. Here you'll be able to connect with like-minded health professionals from the world of physical therapy, psychology, occupational therapy, medicine, nursing. Almost every profession is part of this group and you can connect with them with regard to integrative pain care and what's happening in the world of integrative pain science. To join that group, just go to www.Facebook.com/groups/IPSICommunity. You can send me a quick email. My email address is Joe@IntegrativePainScienceInstitute.com and I'll send that link to you. Sit back, relax and let's get ready to learn about Polyvagal Theory and pain science with Dr. Marlysa Sullivan.
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We're discussing the power of massage and manual therapy, how it can be used to manage pain and discomfort in infants and children. Our expert guest is Christine Robenalt. Christine graduated from Marquette University in 2001 with a Master's degree in Physical Therapy. Although she's worked in many different practice settings, Pediatrics is both her specialty as well as her passion. In addition to her degree in Physical Therapy, she's also a certified infant massage instructor through Loving Touch International and has additional in-depth training in primitive reflex integration. Christine has also furthered her education by completing the Integrative Pain Science Institute’s Functional Nutrition for Chronic Pain practitioner certification program and implements evidence-based nutrition education for both children and their families. You'll learn all about the research supporting the benefits of massage for infants and children, when you can start massaging your infant and if there are any conditions when you should not perform massage on your infant or child, what to do if your child is bothered by massage, doesn't like to be touched or maybe wants to sit still.
Christine will provide a free video demonstration. Hopefully you can access this on the blog at the Integrated Pain Science Institute. She'll teach you how to help an infant or child with pain from constipation. Christine has also provided you with a free PDF download all about massage for infants. After downloading and reading this handout, you'll feel confident and excited to begin massage with your child and you'll learn how massage and other sensory experiences directly impact your child's growth, development and learning. To download this PDF, all you have to do is text the word 156Download to the number 44222. You can type in the URL, www.IntegrativePainScienceInstitute.com/156Download. Let's begin and let's meet my friend and colleague, Christine Robenalt.
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We’re talking about the important topic of compassion and pain care. Our expert guest is my friend and colleague, Shelly Prosko. Shelly is a Canadian physiotherapist, yoga therapist, author, speaker and educator. She is someone who is empowering individuals to create and sustain meaningful change in their life by teaching and advocating for the integration of yoga into modern healthcare. You may know Shelly as the pioneer of PhysioYoga, which is a unique combination of physiotherapy and yoga. Shelly guest lectures at medical colleges, teaches at yoga therapy schools, provide yoga teacher trainings, speaks internationally at yoga therapy and medical conferences, contributes to yoga academic research and offers online and offline continuing education courses for both yoga and healthcare professionals on important topic such as chronic pain, pelvic pain, compassion and professional burnout.
Shelly has recently co-authored a book called Yoga and Science in Pain Care: Treating the Person in Pain. That’s available online. We’ll also discuss that book. You’ll learn all about the different components of compassion, why compassion and pain care is important for both people overcoming pain as well as the practitioners who treat them. What are some of the reasons why we don’t always provide compassionate pain care? We’ll discuss if compassion is something that can be trained and cultivated or is it something that you’re born with? Finally, how to differentiate between compassion, empathy, and compassion fatigue. To help celebrate the launch of her new book, Shelly is providing a free chapter written about Compassion and Pain Care from her book for you. To download that free chapter on Compassion and Pain Care, all you have to do is to text the word 155download to the number 44222 or if you’re on a computer or another device, open up a new browser and type in the URL, www.IntegrativePainScienceInstitute.com/155download.
Before we begin, I wanted to share a brand-new community with you that I started. I created a free Facebook community for those who follow the Healing Pain Podcast and the Integrative Pain Science Institute. Inside this group, you can access free tips, education resources, and connect with like-minded peers and friends. Anyone can join this group, but I would especially like to meet you if you are an integrated pain practitioner. This would include a physical therapist, a physiotherapist and occupational therapist, a physician, a health coach, a psychologist, a counselor, a social worker. No matter who you are, if you are a healthcare provider, I’m looking forward to personally meeting you and hearing all about the great things that you’re doing in the world of pain care. To join this group, all you have to do is go to www.Facebook.com/groups/ipsicommunity. If you can’t remember that long URL, you can simply send me an email at Joe@IntegrativePainScienceInstitute.com. Make sure to take the time to download our free gift. Make sure to take a moment to join that Facebook group. I can’t wait to meet you there. Let’s begin and let’s meet the wonderful and fabulous, Shelly Prosko.
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