I am excited that you're here with me as we discuss the latest in pain care and pain science. We are discussing the topic of pain catastrophizing, which has been identified as a prognostic indicator of poor outcomes for many types of chronic pain syndromes. Interventions to address pain catastrophizing are commonly used by many pain professionals including physical therapists and psychologists but have not been tested in patients who are undergoing total knee arthroplasty or what is known as a total knee joint replacement. To speak with us about whether pain coping skills training can potentially help patients undergoing total knee arthroplasty is Dr. Dan Riddle. He is a Professor of Physical Therapy, Orthopedic Surgery and Rheumatology at Virginia Commonwealth University. His clinical and research interests are in the lower extremity and musculoskeletal disorders with the primary focus on osteoarthritis and joint arthroplasty.
Dr. Riddle studies diagnostic, prognostic and intervention-based research techniques with an emphasis on the role of pain in both the disease and recovery process. He is currently the chair of the Neurological Aging and Musculoskeletal Epidemiology study section for the National Institutes of Health. He has received numerous awards for his work, including an award from the Foundation for Physical Therapy and the National Institute of Arthritis. He will discuss his multi-center three-arm single-blinded randomized controlled trial for pain catastrophizing. In his study, one group received usual care, one group received Cognitive Behavioral Therapy delivered by a physical therapist and one group receive arthritis education delivered by registered nurse. I love this study because of its three-arm design. I think you'll be surprised at the outcome as to which group did better. This study and this podcast is valuable information which can help you make better clinical decisions about your plan of care for patients undergoing total knee arthroplasty.
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