We have a brand-new topic and expert guest that I'm excited to share with you. We're discussing the importance of story and narrative medicine and pain care with physiotherapist, Lissanthea Taylor. I love Lissanthea's work and skillset because she is a triple threat of a physiotherapist who is up to date on the latest pain science and online author who creates meaningful content for people with pain and someone at the forefront of implementing narrative medicine and pain care. She's also the founding editor of an online platform called PainChats.com and managed communications and media for the University of South Australia's Pain Revolution. Lissanthea puts her time between clinical work, helping people overcome pain, teaching narrative medicine to professionals, as well as creating easy to access evidence-based online resources for people in pain.

On this episode, you'll learn all about narrative medicine, why stories matter and are important in pain care, why storytelling has become such a buzzword. What practical things you can do to enhance your ability to hear stories and some of the common misconceptions about the importance of story and healthcare. If you're interested in learning more about narrative medicine, you can visit Lissanthea's website which is called NarrativeRx.com. Finally, to support your learning about today's fresh and new topic, Lissanthea has created a free white paper called Narrative Medicine in Pain Care that you can download. Containing this free white paper is some beginner training about narrative medicine, references to books and other resources about narrative medicine as well as information about Lissanthea's Facebook page and how you can access the Narrative Medicine in Pain Care pilot program that she's created. To download this white paper, all you have to do is text the word 154DOWNLOAD to the number 44-222. You can open up a new browser on your computer and type in www.IntegrativePainScienceInstitute.com/154download. Let’s learn all about narrative medicine and pain care with Lissanthea Taylor.

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In this episode, we are discussing how to move effective pain education forward in developing countries. Our expert guest this week is Professor Felipe Reis. He is a Brazilian physiotherapist and professor of physical therapy at the Federal Institute of Rio de Janeiro. His research focuses on pain education, emotion and cognitive neuroscience. He is a visiting researcher at McGill University, an Associate Researcher with the Pain in Motion Group and Chair of the Pain, Mind and Movement Special Interest Group at the International Association for the Study of Pain.

Felipe will discuss his research and continued work in improving pain education for both adults and children in developing countries. He will compare the chronic pain epidemic in Brazil versus other countries and discuss how pain education is being rolled out in the curriculum of physical therapy schools in Brazil. How to develop pain education tools for people with chronic pain and his own unique and innovative cartoon book for children which is called A Journey to Learn About Pain.

If you are a practitioner who treats children or adolescents with pain and you’d like to use this book or perhaps you are a parent of a child with pain, you can download for free. All you have to do is text the word 153Download 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/153Download. It’s super generous of Felipe to be providing this great resource for all of you. Let’s begin and let’s learn all about pain education in developing countries and how to create effective pain education tools for both children and adults with Professor Felipe Reis.

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We are discussing the importance of values in pain care and how values are approached through the lens of acceptance and commitment therapy. In acceptance and commitment therapy, the term values refers to activities that give your life meaning. Values can be looked upon as the people, the causes and the activities that are deeply important to you. When you connect to your values, you’re able to move your life forward in meaningful directions even in the face of very difficult and very painful experiences. This is why values are so important because in clinical trials, values are associated with lots of positive outcomes. Even if pain itself does not change, you can have less anxiety, less depression and improved physical function and enjoy a much richer, full and active life.

The best part of values is that you choose your own values. Often people can confuse a value with a goal. Values are not goals and you never accomplish a value. Instead, values act like a compass that helps you make choices and move you in the direction that you want to go. Values keep you on track with a rich, full and active life, even if you have some pain. Joining us is JoAnne Dahl. She is a Professor of Psychology at Uppsala University in Sweden and a clinical psychologist specializing in behavioral medicine. She is the co-author of the book, The Art and Science of Valuing in Psychotherapy, Acceptance and Commitment Therapy for Chronic Pain, Living Beyond Your Pain and Acceptance and Commitment Therapy and Relational Frame Theory in Relationships.

We’ll discuss many types of values or what are known as value domains and acceptance and commitment therapy. Values can be a huge topic that many people spend lots and lots of years studying. Values work can be distilled or focus into ten categories. These ten value domains for you to think about are parenting, family and friends, intimate relationships, work, leisure, citizenship, personal growth, health, spirituality and community. As you participate, take a moment to notice what’s essential in your life when you hear one of these value domains mentioned. For example, we’ll discuss the domain of personal care. Personal care can also be looked upon as your personal health which is an important topic for people overcoming chronic pain.

Think about how you would like to take care of your body or how you’d like to take care of your health when it comes to exercise or diet under the ideal circumstances. See if you can connect this to a deeper health value that’s personal to you. For example, you may think, “I want to feel healthy and strong when it comes to exercise.” That’s great and it’s important but then I want you to take that one level deeper and I want you to know or I want you to ask yourself, “Why is this important? Why is it important for me to be healthy and strong?” Notice what comes up for you. You may notice, “I want to be healthy and strong so I can coach my son’s baseball games,” or “I want to be healthy and strong so I can be the PTA President at my daughter’s elementary school,” or possibly, “I want to be healthy and strong so I can be a loving and supportive daughter for my mom who is getting older and is not able to take care of herself anymore.”

There are lots of reasons why you value being healthy and strong. To accompany this episode, I’ve included the Bull’s Eye Values worksheet for you to download. The Bull’s Eye is a values clarification exercise you can use whether you are somewhat with pain or you’re a practitioner and you’re interested in implementing values work during your therapy sessions. The Bull’s Eye worksheet is a one-page handout and a useful tool that you can use in practice whether you’re a physical medicine professional or a mental health professional. To download the Bull’s Eye worksheet, all you have to do is text the word 152Download to the number 44222 or you can go to IntegrativePainScienceInstitute.com/152download. There are specific instructions on how you can use it and you’ll also learn a lot in this episode. Let’s meet JoAnne Dahl as we discuss values and pain care.

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We’re going to take a deep dive into how the vagus nerve can help reduce pain and control inflammation. Joining us is Dr. Navaz Habib. He is a functional medicine practitioner, author and speaker who empowers his clients to dig a little bit deeper and find the answers to what’s holding back their health. His office, Health Upgraded, works with entrepreneurs, executives and professional athletes who want to take their health to a new level, allowing them to contribute and serve more people. Having gone through his own personal experiences with poor health and weight struggles, Dr. Habib is well-equipped to implement personalized recommendations for each of his clients in identifying the root causes of health imbalances and addressing them naturally. His patients experience optimal health the way their bodies were meant to feel and function. On this episode, Dr. Habib is going to take us into the structure, the physiology and the function of the vagus nerve.

To help you out with this episode, he’s included a great little cheat sheet called Activating Your Vagus Nerve. Inside this cheat sheet, he takes you on a journey of what you can do daily, weekly and monthly to activate your vagus nerve. This is great if you’re someone who struggles with chronic pain or inflammation. It’s also a great cheat sheet to provide your patients. If you’re a practitioner, this is something you want to get your hands on. To download this cheat sheet, all you have to do is text the word 148Download to the number 44222 or you can type in the URL IntegrativePainScienceInstitute.com/148download. I’ll send that right to your inbox for free. This episode is filled with take-home strategies that you can start to use either in your practice or for your personal health. If you’re an anatomy geek like me, it’s so much fun to talk about these topics and explore or revisit what the vagus nerve does and how it’s important in helping you with that parasympathetic response. Let’s begin and let’s meet Dr. Navaz Habib.

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We’re talking about Integrative Health Programs for mental wellbeing. Joining us is Dr. David Tomasi. He’s a psychotherapist, researcher and philosopher, as well the author of the bestselling book called Medical Philosophy and the co-author of a paper called Positive Patient Response to a Structured Exercise Program Delivered in Inpatient Psychiatry, which was published in 2019 in the Journal of Global Advances in Health and Medicine. It was also the most read research item from the University of Vermont. He’s a member of several National and International Academy of Sciences.

Dr. Tomasi works in the Inpatient Psychiatry Unit at UVM Medical Center, teaches at the University of Vermont and the Community College of Vermont. We’ll discuss how the combination of psychotherapy, nutrition and exercise together can help patients in an inpatient psychiatric facility. This is an important topic because approximately 50% of those with chronic pain also struggle with anxiety and depression, about 10% also struggled with PTSD and this episode, as well as podcasts in general, really dives into how we can integrate strategies, integrate different types of therapies and approaches to help people living with chronic pain. Let’s begin and let’s meet Dr. David Tomasi.

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We’re going to be talking about the co-occurrence of chronic pain in PTSD. In the general population, chronic pain and PTSD co-occur in about 10% of the cases. When we look at our population of veterans, 50% to 80% of those are PTSD also have chronic pain. This is an important topic with regard to the care of our veterans as well as for the practitioners who treat them. Joining us to discuss ACT chronic pain and PTSD is Dr. Matt Herbert. Matt is a research psychologist at the San Diego VA and an assistant professor of psychiatry at the University of California at San Diego. His research interests include the study of the biopsychosocial factors related to pain perception and pain disability, as well as my infamous base approaches to pain management. Matt will discuss Acceptance and Commitment Therapy, chronic pain and PTSD, as well as his landmark paper, which can be found in Pain Medicine in 2019 called Acceptance and Commitment Therapy for Chronic Pain: Does Post-Traumatic Stress Disorder Influence Treatment Outcomes?. Let’s begin and meet Dr. Matt Herbert.

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We’re taking a deep dive into Acceptance and Commitment Therapy with its Founder, Dr. Hayes. He is a Nevada Foundation professor at the Department of Psychology at the University of Nevada and author of 44 books and nearly 600 scientific articles. He developed the Relational Frame Theory, an account of human higher cognition and has guided its extension into Acceptance and Commitment Therapy which is a popular evidence-based form of psychotherapy that uses mindfulness, acceptance and values-based methods. Dr. Hayes has been President of Division 25 of the American Psychological Association, the American Association of Applied and Preventive Psychology, the Association for Behavioral and Cognitive Therapy and the Association for Contextual Behavioral Science. He was listed by the Institute of Scientific Information as the 30th highest impact psychologist in the world.

On this episode, you’ll learn about how ACT can help people with pain and other conditions that will reach for a meaningful life. How you can develop greater resilience even during periods of intense emotional or physical pain. How ACT can complement and potentially optimize any physical medicine or traditional cognitive behavioral therapy approach to pain care. We will also discuss Dr. Hayes’ book called, A Liberated Mind: How to Pivot Toward What Matters, where he lays out the psychological flexibility skills and make it one of the most powerful approaches research has yet to offer. I had an opportunity to read an advance copy of A Liberated Mind and it is a great book. I recommend to everyone reading this to hop on over to Amazon or whatever retail you order your books from and pick your copy of the book. It’s available in stores now. You can learn more about Dr. Hayes by going directly to his website at www.StevenCHayes.com. I’m excited to share this episode with you, so let’s dive right in and let’s begin with Dr. Steven Hayes.

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We're talking about an important topic. It's the effect of bullying on chronic pain in children and adolescents. When I did an interview with Dr. Christine Chambers, a psychologist who treats children and adolescents with chronic pain, I said that I was going to be dedicating more episodes to this important topic because if we can prevent pain in children, it won't carry over to having pain in adults. We won't have the mass of chronic pain that we have now. When I saw this topic on a med search I did, I said this is someone I have to invite on the podcast to discuss what her research has shown. Our guest is Dr. Pernilla Garmy.

She is a registered nurse specializing in children's health. She has several years of experience working as a school nurse in Sweden. She's an Associate Professor at Kristianstad University in Sweden. Her research is focused on sleep, mental health and lifestyle in school-aged children and adolescents, as well as the link between pain, bullying and mental health problems, which we'll talk about more. She's published more than twenty scientific articles and published an article called Bullying, pain and analgesic use in school-age children, which was published in the journal, Acta Paediatrica.

Pernilla is Chair of the Sleep and Health Section of the Swedish Society of Nursing and the editor of the Swedish journal, Sleep and Health. I know you're going to enjoy this episode. We talk a lot about pain in children through the context of bullying and analgesic use. This is great information. If you're a physical therapist, a mental health professional, a school nurse and even parents of children with pain will be interested in this topic so make sure to share it out with your friends and family. Let's welcome Pernilla to the show.

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On this episode, we’re talking about the relation of self-compassion to functioning among adults with chronic pain. Our expert guest is Karlyn Edwards. She is a clinical psychology graduate student at the University of New Mexico working with Dr. Kevin Vowles and Katie Witkiewitz. She studies important psychological factors that impact chronic pain as well as psychological interventions that can improve the lives of those living with chronic pain. She also studies how opioid and other substance misuse issues affect chronic pain, specifically how pain impacts medication treatment for those living with co-occurring opioid use and chronic pain. She also just completed one of the few studies that exist out there on how self-compassion can help people with chronic pain as far as a treatment intervention. Karlyn has also provided you with her free gift to accompany this episode. What she did was she summarizes all of the research as well as how self-compassion helps people with chronic pain into one nice concise document. To access that, all you have to do is text the word, 146DOWNLOAD, to the number 44222, or you can open up a browser on your computer and type in the URL, www.IntegrativePainScienceInstitute.com/146Download and you’ll receive that right to your inbox absolutely free. I’m excited to introduce Karlyn to all of you, as well as share her work and her research. I know you’re going to find it valuable.

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We are talking about the controversial topic of whether Manual Therapy for trigger point should be used for the alleviation or the treatment of chronic pain. How is one physiotherapist doing some interesting work to help people taper off of opioid medications using psychologically-informed physical therapy principles? My guest is Diarmuid Denneny. He is a professional lead physiotherapist at the Pain Management Center at the University of College London Hospital’s NHS Foundation Trust. He has worked in a specialized pain management center for several years and is clinically advanced as a physiotherapist as well as an independent prescriber.

In addition to his clinical and managerial work, Diarmuid is the Chair of the Physiotherapy Pain Association and a member of the Guidelines Development Committee for the NICE Chronic Pain Guidelines. He was awarded an NIHR Pre-doctoral Fellowship in 2017 and 2018. He is interested in the development of clinical academic roles for physiotherapists. He also has a particular interest in the psychologically informed practice and the role of physiotherapists in supporting people who have pain and medication-related issues.

Diarmuid has published peer-reviewed articles relating to physical therapy practice in pain management, including a systematic review of trigger point Manual Therapy, which we’ll talk about on this episode, as well as the behaviors of experienced physical therapists working within a psychologically informed model. We cover a lot of ground on this episode where we discuss psychologically informed care, Manual Therapy and Trigger Point Therapy as it relates to the management of chronic pain, as well as a physiotherapist role in helping people taper off of opioids. I know you’re going to enjoy this episode. Help me welcome Diarmuid to the podcast.

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We are talking about how to use mindfulness to treat or alleviate chronic pain. Our expert guest is Dr. Ronald Siegel. He’s an Assistant Professor of Psychology at Harvard Medical School where he has taught for over 35 years. He’s a longtime student of mindfulness meditation and serves on the board of directors and faculty of The Institute for Meditation and Psychotherapy. He teaches internationally about the application of mindfulness practice in psychotherapy and maintains a private clinical practice in Lincoln, Massachusetts. Dr. Siegel is co-editor of the critically acclaimed text, Mindfulness and Psychotherapy, author of a comprehensive guide for general audiences called The Mindfulness Solution: Everyday Practices for Everyday Problems, co-editor of Wisdom and Compassion in Psychotherapy, co-author of the professional guide, Sitting Together: Essential Skills for Mindfulness-Based Psychotherapy and co-author of the sub-treatment guide called Back Sense, which integrates Western and Eastern approaches for the treatment of chronic low back pain.

Dr. Siegel is also co-director of the annual Harvard Medical School Conference on Meditation and Psychotherapy. We will discuss how mindfulness helps chronic pain, Dr. Siegel’s own personal journey of finding mindfulness, as well as overcoming chronic low back pain and how mindfulness fits into clinical practice, whether you are a mental health professional or a physical medicine professional. Dr. Siegel also created a free download to accompany this called How Mindfulness Works, Avoiding Avoidance. This download goes over how mindfulness helps with anxiety, helps with chronic pain, helps with depression as well as how mindfulness is the antidote to avoidance. To access this free gift, all you have to do is text the word, 144Download, to the number 44-222 on your smartphone. If you’re on your computer, you can open up a browser and type in the URL, www.IntegrativePainScienceInstitute.com/144download. I know you’re going to enjoy this as much as I did. We go through a ton of information on mindfulness and how mindfulness works to alleviate chronic pain and the suffering that’s associated with it. Dr. Siegel’s a master at mindfulness and psychotherapy. I learned so much from him, so I recommend that you follow his work and take notes. Let’s begin and let’s meet Dr. Siegel.

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We’ve got an episode that is full of some good news that I can’t wait to share with you. When I first started this podcast over a few years ago, the CDC had released information about the opioid crisis as well as the overprescribing of opioids and its contribution to addiction, abuse and fatalities. Since then, the CDC guidelines have been pushing toward early non-drug or what is known as non-pharmacologic treatment options for patients with pain. We are definitely making some progress. Along with these guidelines, there’s a huge opportunity for physical therapists to help people who are struggling with chronic pain. One way we can do this is to intervene quickly and early in the care of people with pain. I spoke about this a bit in Episode 133 with Dr. Marcia Spoto, who discussed physical therapists as primary spine care providers.

In this episode, we’ll explore how the research is supporting early physical therapy for people with pain. A study conducted by our guest, Dr. Eric Sun, found that patients who receive early physical therapy within the first 90 days use less opioids for pain. Eric is an Assistant Professor of Anesthesiology, Pain Medicine, and Health and Research Policy at Stanford University and Medical Center in California. He spends part of his time working as an anesthesiologist and part of his time as an epidemiologist, crunching numbers and big data on important topics. It was published in 2018 in the Journal of the American Medical Association. I know you’re going to enjoy this show. Make sure to hop on over to the IntegrativePainScienceInstitute.com/podcasts. You’ll see a box where you can subscribe to the Healing Pain Podcast so I can send you a new podcast to your inbox. Let’s begin with Dr. Eric Sun and learn about how early physical therapy can lead to less opioid use.

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I'm super honored and grateful that you decided to join me and read this episode where we are talking about the evolution of integrative healthcare and its influence on pain care. As I was putting together the pieces of the podcast, I realized that the word integrative and integrative health is one that's thrown around with not on a very solid definition. Integrative healthcare is simply an individualized holistic and evidence-based approach to healthcare as well as pain care. A true integrative practitioner can help you improve not only your physical health but also your mental as well as your spiritual well-being. True integrative healthcare consists of a comprehensive physical examination, a review of your medical records and laboratory tests, a thorough discussion about education regarding lifestyle management behavioral modification, and if needed a referral or recommendation to services such acupuncture, massage therapy, nutrition, counseling, yoga, mindfulness. There are many types of practitioners and interventions that fall under the umbrella of integrative healthcare.

Here to speak to us about the evolution and some of the politics behind integrative healthcare is John Weeks. John has worked in this field for more than 35 years as a writer, speaker, organizer and as a consultant. Since the mid-1990s, John has consulted on the integration with various parties including the NIH, the Washington State Office of the Insurance Commissioner, multiple insurance companies, hospitals and of course, professional associations and academic organization. Four institutions have granted him an honorary doctorate for his groundbreaking work and forward-thinking work in the field of integrative medicine. He's the Editor-in-Chief of The Journal of Alternative and Complementary Medicine which covers the paradigm, practice and policy advances that are happening in integrative healthcare. John has been in this field for a long time. He is a wealth of information. I really enjoyed talking to him about the evolution of integrative healthcare and especially some of the politics with regard to how we insert an integrative health model within the existing biomedical model. I know you're going to enjoy this episode. Make sure you share it with your friends and family. Sit back, relax, and let's meet John Weeks.

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We're discussing the important topic of how to improve children's pain management. If you're not aware of the lack of pain management that children or adolescents experience, it's because it doesn't receive a lot of attention. I want to share a vital statistic that our guest speaker shared with me. Did you know that more than two-thirds of children in hospitals experienced painful procedures with absolutely no pain management? They don't receive any pain management. This includes pain management during routine vaccinations, while undergoing medical procedures, after surgery and in the context of chronic pain and chronic disease. Out of all the countries on our globe, Canada is a leader in pain research and children's pain. Even though we have tons of books and information and research articles, one of the great challenges is that this information is not being placed into practice where practitioners can use it to help people with pain.

Joining us to discuss children's pain and how to improve children's pain management is Dr. Christine. Chambers. Christine is a clinical psychologist whose research is aimed at improving the assessment and the management of children's pain. She has published over 150 articles in peer-reviewed scientific journals and was identified as one of the top ten most productive women in clinical psychology in all of Canada. Her Canadian Institute of Health initiative called It Doesn’t Have to Hurt, has generated over 150 million views worldwide, has trended on social media, has won multiple international awards and was featured in the New York Times. Dr. Chambers holds leadership roles in the International Association for the Study of Pain, as well as the North American Pain School. We'll talk about Dr. Chambers' project called Solutions for Kids In Pain or what is simply known as the SKIP Project, whose mission is to improve children's pain management by mobilizing evidence-based solutions through knowledge, coordination and collaboration.

I enjoyed this interview with Dr. Chambers. I know you will too. We cover a host of topics with regard to child pain. We also touch base on important topics with regards to parenting a child with chronic pain. There are lots of great take homes for everyone, whether you're someone with pain or whether you're a clinician who treats parents or children with pain. I want to thank Christine for being here. She's doing amazing work. Make sure you check out her websites and check out the great infographic that is included.

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As you have followed along with each episode of this show, you probably got the feeling that I'm a little bit passionate about how nutrition can be used to treat chronic pain and other chronic diseases. I have had physicians on the show discussing nutrition, health coaches, chiropractors, nurses and physical therapists all talking about how nutrition can impact chronic pain. As I reflect back on these 140 episodes, the one thing we have not discussed is how to treat acute pain using nutrition and physical therapy. We're going to cover that very topic when we talk with my friend, Dr. Carolyn Dolan. Carolyn is a physical therapist who combines traditional physical therapy with nutrition to treat both acute and chronic pain in her physical therapy practice.

In 2012, Carolyn was experiencing chronic fatigue, chronic pain, chronic sinus infections and was overweight. Her journey to better health letter led her to the world of nutrition and to designing a simple lifestyle program with the profound potential to transform people's lives. She now shares that in her physical therapy practice. On this episode, you'll learn how to treat acute pain and inflammation with nutrition and natural alternatives to pain medication using nutrition and supplements. You’ll learn how Carolyn created an innovative and novel supplement for pain that was missing from the marketplace and her key pillars to her lifestyle program for pain and better health. You can learn all about Carolyn by visiting her website, VitaKinetics.com.

If you're a physical therapist and you're interested in the how-to of functional nutrition for chronic pain, if you're curious about which diet is best for pain, whether you're a ketogenic fan or paleo fan or Mediterranean diet fan. If you just want to know how nutrition can be used to modulate the inflammatory response from the gut-brain connection or the gut joint connection, make sure you hop on over to the Integrative Pain Science Institute and check out the functional nutrition for chronic pain certification. This is a fully approved 36-credit CEU course that I designed specifically for physical therapists and other pain professionals so you can learn the evidence behind nutrition for chronic pain as well as the nuts and bolts of how to use functional nutrition in your practice. The course is open. All you have to do is go to the institute website and click on the Courses tab and check it out. Let's begin with Dr. Carolyn Dolan.

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We have clinical psychologist, Dr. Jill Stoddard. She's going to be talking about the topic of Experiential Practice in Acceptance and Commitment Therapy for Chronic Pain. Jill is the Founder and Director of the Center for Stress and Anxiety Management, an outpatient psychotherapy clinic specializing in Acceptance and Commitment Therapy as well as Cognitive Behavioral Therapy for anxiety. She received her PhD in Clinical Psychology from Boston University and completed her postdoctoral fellowship at the University of California, San Diego School of Medicine. She's an award-winning teacher as well as an ACT trainer who has co-authored articles on ACT, CBT, anxiety, trauma and pain. She's also co-authored two books, the first being The Big Book of ACT Metaphors as well as her second book which is called Be Mighty: A Woman's Guide to Liberation from Anxiety, Worry, and Stress Using Mindfulness and Acceptance, which will be published in January of 2020.

The reason why I want to have Jill come onto the show and especially talk about metaphor is that ACT is one technique that you can use to unhook from unpleasant thoughts. Oftentimes, it's this unhooking from the unpleasant thoughts or other unpleasant sensation in your body that leads to the alleviation of the human suffering that many of us experience with chronic pain. You will learn about the foundational principles of ACT, why patients may prefer ACT over traditional CBT, how language causes suffering, the importance of Experiential Practice in ACT using metaphor, and the importance of values as part of the recovery process.

If you're new to how ACT uses metaphors, I've included three metaphors that you can use with your clients or with yourself to help ease and live your life beyond pain. To download them, all you have to do is text the word 139DOWNLOAD to the number 44222 or if you're on your computer, all you have to do is type in the URL www.IntegrativePainScienceInstitute.com/139download. Take a moment to download those three ACT metaphors. They're going to help you as you read this blog post. Let's begin with Dr. Jill Stoddard.

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I’m super honored that you're spending this time with me. As many of you know, the month of June is Gay Pride or what is known as LGBT Pride Month across the globe. This is a time of celebration as well as one of increased awareness where the LGBT community promotes their equality, builds community and celebrate sexual diversity and gender variance. If you've been following along with the blog, I interviewed clinical psychologist, Lore Dickey, about transgender healthcare. Now, you'll meet Dr. Chris Condran who is a Doctor of Physical Therapy to discuss LGBT inclusion in the physical therapy curricula and profession. Chris is an Orthopedic Physical Therapist and an instructor in the Transitional Doctorate of Physical Therapy Program at Arcadia University where he teaches health and wellness promotion as well as case analysis.

His educational background includes a Master’s in Exercise Physiology and MBA in business administration, a DPT in physical therapy and he's enrolled in the EdD program at the University of North Carolina. He has personally advocated for curriculum change within physical therapy education and has created training material on the subject of LGBT inclusion in physical therapy practice. His research advocacy interests are centered on providing inclusive clinical environments, transgender health issues, eliminating health disparities in the LGBT population and establishing a curriculum for LGBT cultural competency in the classroom and beyond. He is also a board member of PT Proud, which is the LGBT catalysts committee under the Health and Policy Administration section of the American Physical Therapy Association.

On this episode, he will share some of his unique life experiences related to diversity, equity and inclusion of LGBT individuals in the physical therapy profession. If you're a practitioner or potentially an educator and you're interested in the topic of LGBT inclusion in physical therapy or any other medical practice, Chris and his colleagues had created an LGBTQ Competency Handbook for Physical Therapists. This is a free manual and you can download it which includes information about LGBT inclusion in both the clinic and the classroom. To download this handbook, all you have to do is text 138Download to the number 44-222. If you're on your computer, you can open a new browser and you can type in the URL, www.IntegrativePainScienceInstitute.com/138download. Chris and the other members of PT Proud, would love if you can get your hands on that and put it to good use in both the clinic as well as in education. I want to personally thank Chris as well as my other colleagues at PT Proud for being a catalyst and making some bold moves and taking the step forward with this important topic. Without further ado, let's begin with the amazing Chris Condran.

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It's a pleasure to be spending this time with you. One of the activities that I do each week is I set aside some time to sit down and brainstorm about all the various topics that are related to chronic pain. The reason why I do that is it helps me find interesting and inspiring people to share with you on this show. If you follow this show for probably for a couple of years I've been doing it, you know that I've spoken about popular topics such as pain education, pain psychology, exercise, physical therapy and nutrition. One topic that interests me and quite frankly is the topic that doesn't receive enough attention in the media or receive grant money for research is the topic of health disparities. A health disparity is a difference in the health status of different groups of people.

For example, patients such as racial minorities and women have been identified as not receiving adequate pain care. Another group that faces significant barriers, adequate healthcare are transgender people. Transgender is an umbrella term for a diverse group of people whose gender identity or expression differs from societal expectations of how they should look, act or identify based on the sex they were assigned at birth. There are approximately 1.5 million transgender people living in the United States of America. Although this data is incomplete because many transgender people feel uncomfortable or feel that it's not safe to share their personal information.

From a healthcare perspective, transgender people experience higher rates of suffering and disabling conditions including a wide range of mental health problems and chronic pain conditions including chronic pelvic pain. Unfortunately, when transgender people seek treatment, they often encounter providers who do not understand their unique needs, face challenges with health insurance and are often neglected or perhaps even mistreated within the healthcare system. Here to speak with us about improving transgender healthcare is Dr. lore m. dickey. lore was raised as a female but never truly felt at home with the female identity. Several years after his transition, he returned to school to become a licensed clinical psychologist. He learned early in life that the best way to make a change is to be part of the solution. lore is the author of two books, 22 journal articles and seventeen book chapters.

He's an advocate for the trans community and a prolific and engaging speaker. lore is also providing you with two free resources that you can download on the show. The first is the American Psychological Association Task Force on Guidelines for Psychology Practice with Transgender and Gender Nonconforming People. lore developed these guidelines along with the APA. The second is a complete list of all the books and book chapters which lore has contributed to. lore did receive the 2014 Presidential Citation by the American Psychological Association for his dedication to the LGBT community. He's got great resources. Take a moment now to download them. To download them, all you have to do is text the word, 137DOWNLOAD, to the number 44-222. You can do that right on your smartphone or if you're on a computer, you can open up a new browser and type in the URL www.IntegrativePainScienceInstitute.com/137download. lore is a leader in transgender healthcare. I want to thank him for joining us on this show and all the work that he's doing for the transgender community. Let's begin and let's meet Dr. lore dickey.

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If you're following the latest in pain science or maybe you've attended certain lectures, you know that pain science education is on the tip of everyone's tongue these days. Whether you come from the explain pain camp, that's my personal favorite, or maybe the pain neuroscience education camp, pain biology and intervention, more and more professionals are using to treat chronic pain. There's a good reason for this. We have a growing body of evidence that states that pain education can improve things like pain, pain catastrophizing, fear avoidance, as well as pain interference, so much so that the experts now agree that every practitioner should be greasing their wheels with pain biology education as an intervention to help people cope. Even though pain education has seeped its way into the foundation of your practice, the one thing we still don't know is which patients with chronic pain are more likely to improve their knowledge following pain biology education.

Joining us to discuss pain science education and how to assess the reconceptualization of pain is Joshua W. Pate. He is an Australian physiotherapist and a PhD candidate with a passion for teaching people about pain so they can develop active sales management strategies. His PhD includes investigating a child's concept of pain as well as the validation of the concept of pain inventory. Joshua has also created two TED Ed videos that can be used as part of a targeted pain science education program. Both of those are cool and super high tech. I recommend you check out the one on phantom limb. On this show, Joshua will explain why someone's concepts of pain matters, which patients are more likely to improve their knowledge after a two-hour pain education session, why the neurophysiology of pain questionnaire may not be appropriate to use with children and finally, what language kids use to describe their concept of pain.

If you want to study along with us, Josh has shared two of his key papers that you can download for free. The first is called A Child's Concept of Pain and the second is Pain Neuroscience Education on YouTube: A Systematic Review. For free access to both of these papers, all you have to do is pick up your cell phone and text the word, 136Download, to the number 44-222. I'll send it right to your inbox. If you're on your computer, you can open up a new window and type in the URL, www.IntegrativePainScienceInstitute.com/136Download. Take a moment to download those two free resources that Josh has provided. He's doing some exciting and inventive work in the area of pain science education as well as pediatric pain management, and I can't wait to introduce his work to you. Let's begin and chat with Joshua.

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If you follow this show for some time, you know that one of the aims of this show is to help reconceptualize pain from a biomedical perspective and increase the awareness of a biopsychosocial approach to pain care. Chronic pain has long been recognized as an experience that can threaten your need for safety, both physically and psychologically, but what about feeling safe from a social context? Social context can be a powerful mediator and influence how pain is experienced. The social context of pain is such an important topic that there's even a movement to change the definition of pain from being an unpleasant sensory and an emotional experience to one that emphasizes pain as an experience associated with sensory, emotional, cognitive and social components.

Joining us to talk about the pain in a social context is Dr. Kai Karos. Kai earned a Bachelor's and a Master's in Psychology at Maastricht University in the Netherlands. He then went on to complete a PhD where he investigated the effects of threatening social environments on the experience and communication of pain. Kai is working as a postdoctoral researcher investigating in the social learning of pain-related fear and avoidance. You will learn all about pain as a threat to the social self, including how pain interferes with the basic human needs such as the need for autonomy, the need to belong and the need for justice and fairness. Kai is a highly sought-after speaker regarding the social context of pain and one of a small handful of researchers globally who is investigating this important topic. This is a topic that does not receive enough media attention, so I'm excited to share this with you.

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I’ve been so excited to put this all together for you and to share with you. You will meet an exceptional physical therapist who is helping women with chronic pain and anxiety by combining physical therapy with functional nutrition. Lauren Bahr is a licensed physical therapist. She’s a health coach and she’s a graduate of the Functional Nutrition for Chronic Pain certification program at the Integrative Pain Science Institute. Lauren combines physical therapy together with functional nutrition in the plan of care for her clients with chronic pain and anxiety in her private practice, which is called Simply Balanced Wellness.

What I love about this interview with Lauren is not only is she passionate about the type of practitioner that she’s become, but clear about sharing her entire journey of learning and discovery to arriving at the place she is, where she’s now able to combine traditional physical therapy, pain education, functional nutrition and even some of the coaching skills with helping her clients with pain and anxiety. We all know these are skills that do not appear in a traditional physical therapy curriculum or quite frankly, in any traditional form of medical education. Lauren has spent years learning these techniques as well as honing her skills to be the practitioner she is now. Lauren is even now dipping her toes into Acceptance and Commitment Therapy, a treatment which I think is going to be critical when she’s working with her clients with anxiety, as well as chronic pain in her private practice.

As you go through this, what stands out to me is Lauren’s journey. It’s her journey as a practitioner and she also weaves in her journey as someone who dealt with her own health challenges of chronic pain and chronic fatigue. To help you out, Lauren includes a free download to accompany her interview. This free gift is called the Breakfast Recipe Book. If you are interested in nutrition or if you’re someone who’s currently using nutrition with your clients, you’ll know that breakfast can be a time that’s challenging for our patients and our clients because many of the convenient breakfast foods out there are highly processed, they’re loaded with sugar and they even include trans-fat. If you want a combination of three things that are bound to cause inflammation in the body, which can lead to chronic pain, processed foods, loaded with sugar and loaded with trans fats. Often many of the processed breakfast foods include that. In this Breakfast Recipe Book, you’re going to find a ton of delicious recipes that you can use for yourself or with your family or you can use it for nutrition education when you’re working with your patients.

To download this free gift, all you have to do is text 134Download to the number 44-222 or you can open up a browser on your computer and you will type in www.IntegrativePainScienceInstitute.com/134download and you can grab that free gift which will be delivered right to your inbox. I want to thank Lauren for being a member of the Functional Nutrition for Chronic Pain Certification. If you’re someone who’s looking for an integrative practitioner like Lauren who has a combination of these important skills that can help you with chronic pain, check out the Integrative Pain Science Institute Practitioner directory. You’ll be able to search there on a map to find a practitioner in your area. Let’s welcome Lauren Bahr.

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We're going to talk about primary spine care providers. If you follow this blog for quite some time, you know that spine problems and spine disorders are among the most common, most costly and most disabling problems that we experienced in Western society with regard to chronic pain. For the purpose of this blog, when we talk about spine-related disorders. We're talking about a group of conditions that include back pain, neck pain, all the various types of headaches and migraines, radiculopathy and other types of symptoms that are related directly to the spine. If you want to know an interesting and perhaps shocking statistic, virtually 100% of the population is affected by this group of disorder s at least once in their life, if not twice.

One proposed solution to treating chronic spinal pain in our healthcare system is to train practitioners who can function as primary care providers for the care of the spine itself. There are already physical therapists and chiropractors who function in a primary care role for the spine, although we don't have enough that are trained adequately. Some may lack the clinical skills and the confidence to function in this primary care provider role. At times, these can be big shoes to fill because a primary spine care provider requires a particular skill set that includes the ability to apply the latest evidence-based procedures, adequately educate and motivate patients and prevent and manage disability. The interesting thing is that much of this has already been tested and it's proved to improve patient satisfaction, reduced pain, reduced disability and reduce medical costs.

Joining us on this episode to discuss this important topic is Dr. Marcia Spoto, who is a professor at Nazareth College in Rochester, New York. What's interesting about Marcia that she holds both a degree in physical therapy as well as in chiropractic medicine. She understands the care of the spine from two very important professions that contribute to the health of spine care throughout our nation and perhaps even globally. She has over 35 years of educating and caring for the spine. She also taught classes at the university level with regards to musculoskeletal management, pain management and differential diagnosis. She's maintained an active private practice called STAR Physical Therapy, which is in Fairport New York. She also serves on the American Physical Therapy Association Orthopedic Practice Committee and is a Co-chair of the New York Physical Therapy Association Public Policy Committee. Dr. Spoto does serve as a consultant for BlueCross BlueShield where she's a member of the Spine Care Pathway Program.

If you want more information about this episode and if you want more information to read along and follow along with us, I recommend you download a paper that's free. It's called The Establishment of a Primary Spine Care Practitioner and its Benefit to the Healthcare Reform System in the United States of America. To download this free resource, all you have to do is text 133 Download to the number 44222. You can go to the website at IntegrativePainScienceInstitute.com/132Download and you can download it directly from there. This is an evidence-based paper from a reliable medical journal that talks about the establishment of a primary spine care practitioner. It’s great information. If you are a practitioner who works with spinal care too, check this out and also if you’re someone who's interested to learn more information about care of the spine. Without further ado, let's begin with Dr. Marcia Spoto.

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It’s great to be with you sharing the latest information on pain science and the care of chronic pain. On this episode, our expert guest is Dr. JP Caneiro. JP holds a PhD in Musculoskeletal Physiotherapy. He’s part of an international team of clinicians and researchers that developed a behavioral intervention named Cognitive Functional Therapy. JP holds a research position at Curtin University where he runs a multicenter trial for low back pain as well as lectures in the Master’s of Physiotherapy program. Clinically, JP focuses on the management of complex pain working at Body Logic Physiotherapy in Perth, Australia. He’s also an associate editor for the British Journal of Sports Medicine and for two educational websites. The first one being called BodyInMind.org and the second, Pain-Ed.com.

In addition to the great information that JP will share on this episode, he’s also generously providing you with four free downloads that you have to get your hands on because they’re so good. They’re so important whether you’re a practitioner treating someone in pain, or you’re someone who has had pain and you’re looking for answers on how to alleviate it and return to a more active life. The first handout is called A New Way of Thinking About Pain. This is a good infographic that includes phrases to help people reframe what pain is so they no longer think that they’re being damaged or that they’re being harmed by the pain.

The second is an infographic about the Cognitive Functional Therapy framework. You can look at this and follow along with that framework as JP and I talk about his great work on this episode. The last two are the important studies that JP has been involved in the past few years with regards to chronic low back pain and Cognitive Functional Therapy. The first paper is called Cognitive Functional Therapy. It came from a 2018 Journal of Physical Therapy. The second paper which is published in 2018 Scandinavian Journal of Pain is called The Implicit Association Between Back Posture and Safety of Bending and Lifting in People Without Pain. JP was part of that study, a pivotal study with regards to a lot of the work that we’ve talked about on this episode.

To download these free four gifts that JP has generously provided, all you have to do is text the word, 132Download, to the number 44-222. If you’re on your computer, you can open up a new browser, and you can type in the URL, www.IntegrativePainScienceInstitute.com/132Download. All these handouts will be available for free. If you’ve been following this podcast, some of the work that we’ve been putting out over the last couple of years, you may have noticed that all the content that used to have under DrJoeTatta.com has now been moved to one place. It’s all located on the IntegrativePainScienceInstitute.com website. This is going to be our new home, it’s a place where you can go for all the free podcasts, all the free blogs and all the free gifts and giveaways. Lastly, the practitioner training and continued education courses. I’ve organized it so it’s in all one place for you and it’s easy to access. Let’s meet JP and he’s going to share what he discovered during his PhD studies and how he has been able to translate this important knowledge into clinical practice. JP is a brilliant clinician. He’s easy to talk to. You’ll find that his passion in helping people with their pain really shines through. I know you’re going to enjoy and you’re going to learn a lot on this episode as I did. Sit back and relax, let’s meet JP.

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On this episode, we are discussing the insufficient evidence for invasive procedures and chronic pain in how we can move our sick care system toward an integrative model of pain care. Joining us is Dr. Wayne Jonas. He is a practicing family physician, an expert in integrative health and a widely published scientific investigator. He served as the Director of Alternative Medicine at the National Institutes of Health and was the Director of the World Health Organization's Center for Traditional Medicine. He published a book called How Healing Works and in September of 2018, he published a systematic review and meta-analysis called Are Invasive Procedures Effective for Chronic Pain?

Make sure to download this free gift called a Guide to Nutrition for Chronic Pain. To receive the Guide to Nutrition for Chronic Pain, all you have to do is text the word 131 Download to the number 44222 or if you're on your computer, you can open up a browser and type in the URL www.DrJoeTatta.com/131Download and you'll receive instant access to this free gift. If you are a practitioner interested in learning more about nutrition for chronic pain, make sure to check out the certification program offered through the Integrative Pain Science Institute called Functional Nutrition for Chronic Pain. You can learn more by visiting www.IntegrativePainScienceInstitute.com and then you can click on the courses tab. It's fully accredited for 36 PT CEUs. Let's begin with Dr. Wayne Jonas.

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In this episode, we are talking about the rapidly expanding field of telehealth, which is the use of electronic communication to remotely provide healthcare information services to patients who need physical therapy. Telehealth is gaining more and more attention as providers, patients and payers all seek more effective, and cost-efficient ways to deliver care. Here to speak with us about telehealth and physical therapy is Rob Vining. He has been a physical therapist for many years and has worked across all settings with the focus on outpatient orthopedics. His current mission is to bring telehealth and technology into the practice of physical therapy. He Cofounded the software company, PTLive and created the educational platform Telehealth PT. He hosts the Telehealth 20 Podcast and PT TechTalk. He is also a guest lecturer at physical therapy programs about telehealth in the physical therapy profession.

As a free gift to accompany this episode, Rob is providing you with the telehealth library. This package is valued at over $120 and includes archived Q&A sessions, webinar training, featured in-depth discussions on telehealth, information on marketing, consumer engagement, technology, security, and much more. To download this free telehealth library, all you have to do is text the word 130Download to the number 44222. If you’re on your computer, you can go to the URL www.DrJoeTatta.com/130Download where you can enter your name and your email address. Take a moment to download this free gift and let's begin with Rob.

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