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Dr. Joe Tatta | The Healing Pain Podcast

Chronic pain is a debilitating condition that affects one’s ability to live a full and active life and impacts both physical and emotional health. Whether you are living with chronic pain or a physical therapist or other health professional such as an occupational therapist, psychologist, social worker, nurse, or physician seeking information for treating pain, we invite you to join our global community. Welcome to The Healing Pain Podcast with Dr. Joe Tatta, a podcast that promotes the latest evidence and methods for the safe and effective treatment of chronic pain. Featuring top experts, we bring you the latest research from the fields of pain science, physical therapy, physiotherapy, pain psychology, functional nutrition, integrative and functional medicine, as well as discuss innovation and provide expert opinion every week. More and more patients are seeking integrative and comprehensive pain therapies that care for both their body as well as their mind. A biopsychosocial approach to the care of pain has arrived. Many realize that pain medications and surgery alone are not enough to address the root cause of their problems - such as fibromyalgia, chronic low back pain, osteoarthritis, rheumatoid arthritis, autoimmune disease, CRPS, neuropathy, anxiety, depression, and PTSD. Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development. For 25 years he has supported people living with pain and helped practitioners deliver more effective pain management. His research and career achievements include scalable practice models centered on lifestyle medicine, health behavior change, and digital therapeutics. He is a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and Acceptance and Commitment Therapy trainer. Dr. Tatta is the author of two bestselling books Radical Relief and Heal Your Pain Now and host of The Healing Pain Podcast. Learn more by visiting www.integrativepainscienceinstitute.com. The Healing Pain Podcast is a great resource for patients suffering from chronic pain as well as for professionals seeking additional professional CEU credits and free continuing education on the most up-to-date information for treating pain based on a biopsychosocial model of pain care. The show covers a wide range of topics that will help you learn all about chronic pain management such us how clinicians can treat pain more effectively, learn how exercise and physical activity alleviates pain, the role nutrition plays in reversing and treating chronic pain, how to use mindfulness, cognitive behavioral therapy, and acceptance and commitment therapy to treat many chronic conditions, and so much more! Chronic pain doesn’t have to be an obstacle in the highway of your life that makes you step on the brakes. Arm yourself with the knowledge on how you can better manage or even eliminate it so you can start living your best – and pain-free – life! Join The Healing Pain Podcast community today.
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Dr. Joe Tatta | The Healing Pain Podcast
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Mar 17, 2021

We have a very special and distinguished guest joining us to discuss the topic of emotion and how emotion relates to chronic pain. If you follow this show or up-to-date on the latest pain science, you know that the definition of pain is that it's both a physical as well as an emotional experience. Joining us is Dr. Lisa Feldman Barrett. Lisa is among the top 1% Most Cited Scientists in the world for her revolutionary research in psychology as well as neuroscience. She is a University Distinguished Professor of Psychology at Northeastern University with appointments at Harvard Medical School and Massachusetts General Hospital.

She is also the Chief Science Officer for the Center of Law, Brain & Behavior at Harvard University. In addition to the books Seven and a Half Lessons About the Brain and How Emotions are Made, Dr. Barrett has published over 240 peer-reviewed scientific papers appearing in Science, Neuroscience, and other top journals in psychology and cognitive neuroscience, as well as six academic volumes published by Guilford Press. She has also given a popular TED Talk, which has over 6 million views on the topic of how emotions are made. Dr. Barrett has also received a National Institutes of Health Director’s Pioneer Award for her revolutionary research on emotions in the brain.

In this episode, you'll learn about some of the essential and new science behind how our brain perceives our experience and how that relates to how emotions are made. We'll also discuss the neuroscience behind interoception and how it relates to the creation and perception of emotions, as well as how we can take these lessons and use them to cultivate pro-social values and improve global health care. I'm excited to share this guest with you. Lisa was extremely generous with her time. This is a little bit longer episode than normal but you'll find lots of important tidbits and enjoy every moment of this interview. Without further ado, let's begin and let's meet Dr. Lisa Feldman Barrett.

 

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Mar 10, 2021

We're joined by physiotherapist Carolyn Vandyken and we're discussing how to implement effective pain education and other psychosocial interventions into the practice of physical therapy and others who are helping people with chronic pain. Carolyn has been a practicing physical therapist specializing in orthopedics and pelvic health for decades. In addition to being a licensed physiotherapist, Carolyn is also certified in the McKenzie method and acupuncture as well as a certificate in cognitive behavioral therapy.

In addition to clinical practice, Carolyn is heavily involved in postgraduate pelvic health education, research in lumbopelvic pain, speaking at numerous international conferences as well as writing books and chapters on pelvic health, orthopedics, and pain science. In this episode, you'll learn why pain education is essential for the treatment of chronic pain as well as how to implement other bio-psychosocial interventions such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and mindfulness for the treatment of chronic pain. Without further ado, let's begin, and let's meet Carolyn Vandyken.

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Mar 3, 2021

We're discussing how to bridge the gap between the mind and body in Pain Management and Pain Medicine. My expert guest is Pain Psychologist, Rachel Zoffness. Rachel is a Practicing Clinical Psychologist and an Assistant Clinical Professor at the University of California San Francisco School of Medicine, where she teaches Pain Education for medical residents. She serves on the boards of the American Association of Pain Psychology, the Society of Pediatric Pain Medicine, and as a 2020 Mayday Fellow. In this episode, we'll discuss the essential role of Pain Education, how health providers of different disciplines can use Pain Education in practice, and how to apply the Biopsychosocial Model Framework for the treatment of chronic pain. Let's begin, bridge, or eliminate that gap between the mind and body. Let's meet Dr. Rachel Zoffness.

Feb 24, 2021

This is our last episode in The Radical Relief series. It’s bittersweet for me to end this series because I enjoyed speaking to these great clinicians, researchers and academics that are using Pain Neuroscience Education, mindfulness, and Acceptance and Commitment Therapy. I want to take a moment to express my deepest gratitude to each speaker who appeared during this series and share their great information starting with Adriaan Louw, Davide Lanfranco, Mary Doyle, Annette M. Willgens, Lilian Dindo, Mary Grant, and our guest, Andrea Moore. If you’ve missed any episode in this series, make sure you go back to December 30th, 2020, with episode 209. You can start there and then work all the way through each episode until you arrive at this episode. 

I’m joined by Andrea Moore, who is a physical therapist and a recovering health perfectionist. Early in her career, she focused on trying to fix everything that seemed to be wrong with her. She’s dealt with chronic pain, post-concussive syndrome, anxiety, depression, and ADD. She now helps other overwhelmed women suffering from chronic pain to achieve a healthy and active lifestyle. In this episode, you’ll learn all about chronic pain and how perfectionism contributes to chronic pain, as well as Andrea’s evolution from becoming a doctor of physical therapy, implementing nutrition, and now informing her practice with Acceptance and Commitment Therapy. 

If you’re interested in learning how to combine these multimodal approaches that we discuss on this episode, including Pain Neuroscience Education, mindfulness, and Acceptance and Commitment Therapy, make sure to check out my latest book, Radical Relief: A Guide to Overcome Chronic Pain, which is available on Amazon. Let’s begin and meet Dr. Andrea Moore, and learn all about the connection between perfectionism and chronic pain. 

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Feb 17, 2021

As always, it's a great pleasure and honor to be spending this time with you. In this episode, we're discussing the role of positive psychological factors and the association of chronic pain with a specific emphasis on pain acceptance, pain self-efficacy and optimism. My expert guest is Dr. Javier Martínez-Calderón. Javier is a Spanish pain researcher and a physical therapist who completed a PhD in which he explored how psychological factors impact people with chronic shoulder pain. He's an assistant professor at the University of Granada in Spain and a pain researcher in the Biomedical Research Institute of Malaga. His postdoctoral research is focused on the role that cognitions and emotions play in people with chronic pain.

In this episode, you'll learn all about the importance of positive psychological factors, and how they impact recovery for people with chronic pain with a specific emphasis on pain acceptance and pain self-efficacy. If you're interested in learning more about pain acceptance, make sure to check out my book called Radical Relief: A Guide to Overcome Chronic Pain, which is based on the principles of acceptance and commitment therapy. You can order it on Amazon. Without further ado, let's begin and let's meet Dr. Javier Martínez-Calderón and learn all about how psychological factors impact chronic pain.

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Feb 10, 2021

We're discussing how to combine two evidence-based and effective methods for the treatment of chronic pain, which are Cognitive Functional Therapy and Acceptance and Commitment Therapy. My expert guest is Mary Grant. Mary is a Senior Physiotherapist at the Rheumatic and Musculoskeletal Disease Unit at Our Lady’s Hospice in Ireland where she's developed extensive skills in musculoskeletal rehabilitation with a particular emphasis on arthritis and persistent pain problems.

She's a guest lecturer at the University of College Dublin in the physiotherapy program where she trains student physiotherapists on the assessment and treatment of arthritis and has been involved in the development of a new program with Arthritis Ireland. In addition to her physiotherapy degree, Mary has also earned a Master's of Manual Therapy and has a keen interest in combining pain neuroscience education, Cognitive Functional Therapy, and Acceptance and Commitment Therapy for the treatment of chronic pain.

In this episode, you'll learn about the similarities, differences, and complementary approaches of Cognitive Functional Therapy and Acceptance and Commitment Therapy, how they help people with persistent pain, and how physiotherapists can go about employing these methods and techniques in clinical practice. If you're interested in learning more about Acceptance and Commitment Therapy and how you can combine it with other pain neuroscience education or Cognitive Functional Therapy, make sure to check out my latest book, Radical Relief: A Guide to Overcome Chronic Pain. It is available on Amazon. Inside, you'll learn all about ACT or Acceptance and Commitment Therapy and how you can combine it with pain neuroscience education. Let's get ready and let's meet Mary Grant and learn about combining Cognitive Functional Therapy with Acceptance and Commitment Therapy.

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Feb 3, 2021

We have another incredible interview in our Radical Relief series, which has been running all through the month of January and February. The Radical Relief series focuses on practitioners, academics and researchers who are using three times tested and evidence-based approaches for the treatment of both physical and mental wellbeing with the focus on chronic pain. Recovering pain neuroscience education, mindfulness, acceptance and commitment therapy. In this episode, we're zeroing in on acceptance and commitment therapy for the treatment of mental wellbeing.

You'll meet ACT Psychologist, Dr. Lilian Dindo. Her career has been focused on developing pragmatic and innovative ways to improve the mental health and functioning of patients suffering from psychiatric and chronic medical conditions. Through her research and development of applying a one-day transdiagnostic acceptance and commitment training presented as a workshop, she has found this to be less stigmatizing than traditional therapy. Also, ensures treatment adherence and completion for people suffering from both physical as well as mental health issues.

Dr. Dindo has been involved in several clinical trials, examining the efficacy of one day ACT treatment workshops, which have included those who are suffering from chronic pain, traumatic brain injury, orthopedic surgery, migraines, depression and anxiety, as well as a post-traumatic stress disorder. You'll learn how to conduct a one day ACT workshop, the acceptability of this type of approach, as well as the positive outcomes and why this approach may be soon competing for the evidence-based gold standard treatment for the effective treatment of mental health due to its amazing completion rate.

If you are a mental health professional or a physical medicine professional and you're interested in learning more about acceptance and commitment therapy and how you can create your own workshop, make sure to check out my book, Radical Relief: A Guide to Overcome Chronic Pain, which is deeply rooted in the principles of acceptance and commitment therapy. One of the key reasons I wrote Radical Relief is so that you, the clinician, or the practitioner would have a manual for employing this type of work in your clinical practice or for delivering it in workshop or community settings as Dr. Lilian Dindo did. You can pick up your copy of Radical Relief available now on Amazon and in most countries. Without further ado, let's begin, and let's meet Lilian and learn all about ACT-based workshops.

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Jan 27, 2021

This marks about the halfway point in Our Radical Relief series. We are recovering three-time tested and science-backed approaches for the treatment of chronic pain, which include pain neuroscience education, mindfulness and acceptance and commitment therapy. This episode focuses on the evolution and the nurturing of mindfulness-based physical therapists. Starting to train and embed mindfulness, both as a process as well as a treatment approach for physical therapists. I'll be speaking with Dr. Annette Willgens about mindfulness.

She is a Clinical Associate Professor in the Department of Health and Rehabilitation Sciences in the Program of Physical Therapy at Temple University. As Director of Admissions, her scholarly agenda includes physical therapy student success, resilience to stress and effective domain skills across the curriculum. That has published two papers on mindfulness for the student physical therapist and its impact on resiliency and usefulness in clinical practice.

In this episode, you'll learn about the neuroscience supporting mindfulness, how mindfulness works and why training in mindfulness is important for both the student physical therapist, as well as a licensed physical therapist out in the field. This is a pivotal episode in Our Radical Relief series with regards to mindfulness, for physical therapists and other licensed health professionals. Let's begin and let's meet Dr. Annette Willgens.

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Jan 20, 2021

You'll learn about a physical therapist who has evolved her work through Pain Neuroscience Education onto Cognitive Behavioral Therapy using Acceptance and Commitment Therapy in the unique environment of a prison. My guest is Mary Doyle, who has been a practicing physical therapist since 1995. Her career started out in outpatient orthopedics. She eventually moved to home care where she treated both geriatric and pediatric patients in the home. Looking for a change from driving and the ever-increasing hurdles of insurance, she moved to correctional facility work in 2016.

She functions in a primary care physical therapy practice within a prison environment. She combines physical therapy with Acceptance and Commitment Therapy for the treatment of pain and other chronic lifestyle conditions. You'll learn how Mary uses Acceptance and Commitment Therapy to target the important psychosocial variables for prisoners in the prison environment. If you're interested in learning about combining Pain Neuroscience Education, mindfulness, and ACT like Mary does, make sure to check out my latest book, Radical Relief: A Guide to Overcome Chronic Pain. It is available on Amazon and in most countries. Without further ado, let's begin and let's meet Mary Doyle and learn about combining ACT with physical therapy.

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Jan 13, 2021

We're discussing how to target pain catastrophizing by using a core process of acceptance and commitment therapy called cognitive diffusion. My expert guest is physiotherapist Davide Lanfranco. Davide is an Italian physiotherapist who works in London. He is a member of the Chartered Society of Physiotherapy and is one of the Founders of FisioScience International, an online platform which aims to spread evidence-based knowledge about pain. In this episode, you'll learn how pain catastrophizing impacts both physical and mental wellbeing, all about the cognitive change process of cognitive fusion, how it's different from other cognitive interventions and how we can teach patients unhook from unpleasant or unwanted thoughts about pain.

Cognitive fusion is a time-tested, science-backed approach that has helped thousands of people experiencing chronic pain, as well as those suffering from stress, depression, anxiety, trauma, and addiction. Cognitive fusion is a key part of my latest book, Radical Relief, which is rooted in the principles of acceptance and commitment therapy. Radical Relief, which is written for both practitioners and for people living with pain uses metaphors, colorful imagery and includes more than 40 mindfulness activities to help you identify the blocks that may be keeping you stuck and offers tools for taking meaningful action toward a more fulfilling life. It's available on Amazon and in most countries. Let's begin and let's learn about cognitive fusion techniques and how it can help pain catastrophizing with physiotherapists Davide Lanfranco.

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Jan 6, 2021

Happy New Year and welcome to this first episode of the Healing Pain Podcast in the year 2021. We are starting the year off on a strong note with one of the world's experts with regard to pain neuroscience education. My guest is Professor Adriaan Louw. Adriaan is a physical therapist, pain scientist and author in the field of pain neuroscience, Director of the Therapeutic Neuroscience Research Group and Director of Pain Science for Evidence in Motion. His main area of research focuses on teaching patients and healthcare providers more about pain.

He has years of experience teaching pain neuroscience education to health professionals. He's authored numerous books on the topic and published over 70 peer-reviewed papers related to pain science. In this episode, we discuss pain neuroscience education plus why it is important for both practitioners and people living with pain. What types of clinical outcomes can you expect when you deliver effective pain neuroscience education? Whether or not it should be delivered as a standalone intervention or part of a larger multimodal treatment approach coupled with other cognitive interventions such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy or mindfulness.

Throughout the interview, we discuss how you can effectively use pain neuroscience education and couple it with other cognitive interventions. If you're interested in combining pain neuroscience education with Acceptance and Commitment Therapy, make sure to check out my latest book available on Amazon. It's called Radical Relief: A Guide To Overcome Chronic Pain. Inside, he goes deep into the principles of Acceptance and Commitment Therapy and includes over 50 cognitive and mindful exercises you can use with your patients as well as a little bit of pain neuroscience education. Without further ado, let's begin with the great Adriaan Louw. 

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Dec 23, 2020

We're discussing heart rate variability for mind-body health, as well as athletic performance. Our expert guest is Professor Karen Mueller. Karen is a professor in the Department of Physical Therapy at Northern Arizona University and the author of the book, Communication from the Inside Out: Strategies for the Engaged Professional. With a career-long interest in the promotion of mind-body health throughout the lifespan, she has published and presented in the areas of mindfulness and brain-based communication strategies to support optimal living. Karen's current research involves the study of compassion among healthcare students and burnout among physical therapy students. You'll learn all about the importance of measuring heart rate variability, how training heart rate variability can help improve athletic performance, and the importance of heart rate variability for both physical and mental wellbeing.

Before we begin, I wanted to let you know that my newest book called Radical Relief: A Guide to Overcome Chronic Pain, is available for pre-order on Amazon. Radical Relief is based on three science-backed methods, including pain, neuroscience education, Acceptance and Commitment Therapy and mindfulness, a topic which we'll be discussing on this episode. Radical Relief is perfect for practitioners who treat chronic pain or for people living with pain, and it's filled with brief exercises that use the power of the mind as well as easy to read chapters with full color illustrations. Without further ado, let's meet Professor Karen Mueller and learn all about heart rate variability.

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Dec 16, 2020

I want to let you know that my latest book, Radical Relief: A Guide to Overcome Chronic Pain, is available on Amazon for preorder. Radical Relief is based on three science-backed methods including pain neuroscience education, acceptance and commitment therapy and mindfulness. Radical Relief is perfect for practitioners or for people living with pain. It’s filled with brief exercises that use the power of the mind as well as easy to read chapters with full-color illustrations. You can preorder your copy on Amazon.

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Dec 10, 2020

We're talking about a paradigm shift from the biopsychosocial model to what's being termed an enactive approach for the treatment of pain. Joining us is Dr. Peter Stilwell. He is a Canadian researcher and is on faculty at the School of Physical Medicine and Occupational Therapy at McGill University. In addition to being the Ronald Melzack Fellow in Pain Research, his current research projects involve conceptual and qualitative work on persistent pain and related suffering. In this episode, you'll learn all about the biopsychosocial model for pain, why the time is ripe to switch to an enactive approach toward pain, and how this new emerging approach can help you reconceptualize pain and provide more effective pain education. Without further ado, let's begin and meet Peter Stilwell, and learn all about an enactive approach toward the treatment of pain.

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Nov 26, 2020

In this episode, we're discussing how to treat individuals with osteoarthritis as well as how to promote public health campaigns for effective treatment. My expert guest is Kirsten Ambrose. Kirsten is the Associate Director for the Osteoarthritis Action Alliance at the University of North Carolina. She has a Master's of Science and more than twenty years of experience managing multidisciplinary teams towards successful research conduct in chronic pain related disorders and public health action for osteoarthritis awareness.

Her experience includes delivery of physical activity education and programming to individuals with various chronic pain conditions and disabilities. In this episode, you'll learn all about osteoarthritis, what you can do to manage or prevent osteoarthritis, and how you can engage in effective public health campaigns for the treatment of osteoarthritis. Without further ado, let's begin and let's learn all about the care of osteoarthritis with Kirsten Ambrose.

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Nov 19, 2020

We’ve got a great fun and informative episode. We’re talking about the ten dos and don’ts of persistent and chronic pain. My expert guest is Dr. Derek Griffin. Derek graduated from the University of Limerick with a Bachelor’s Degree in Physiotherapy and earned his PhD in the field of physiotherapy pain and physical activity in 2013. Since graduation, Derek has worked clinically in the private health sector in the areas of musculoskeletal pain, sports physiotherapy and care of the elderly. In 2017, he was appointed a clinical specialist physiotherapist. A role where he works together with his physical therapy colleagues and hospital medical teams to provide comprehensive services to patients with a range of musculoskeletal health problems.

He has lectured on the undergraduate and postgraduate Physical Therapy Programs at the University of Limerick. He has been an invited speaker at a number of scientific conferences and regularly contributes to physiotherapy educational initiatives, both nationally as well as internationally. In our episode, Derek speaks about his work as a Pain Specialist Physiotherapist, as well as the five dos and five don’ts of persistent pain. This is a great episode to share with your friends, colleagues and anyone who is overcoming chronic pain. Without further ado, let’s begin and meet Dr. Derek Griffin.

Nov 11, 2020

In this episode, we are discussing how a low glutamate diet effectively improves pain and fatigue, and veterans diagnosed with Gulf War Illness. My expert guest is Dr. Kathleen Holton. She is an associate professor in the Department of Health Sciences at American University and is also affiliated with the Center for Behavioral Neuroscience. She is a nutritional neuroscientist whose research examines the negative effects of food additives on neurological symptoms, as well as the positive protective effects of certain micronutrients on the brain. The main focus of her research is on glutamate, which is an excitatory neurotransmitter in the brain. This becomes dysregulated in many neurologic conditions, including chronic pain, migraine, multiple sclerosis, depression, anxiety, and PTSD. I enjoyed speaking with Kathleen on this topic, much of her research informs how we treat people with chronic pain by using nutrition and clinical practice. Without further ado, let's begin and let's meet Dr. Kathleen Holton.

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Nov 5, 2020

As always, it's an honor and a pleasure to be spending this time with you. If you're using any type of psychologically informed care, whether you're a physical therapist, an occupational therapist, a coach, a nurse, a physician, or a mental health provider, you'll notice that many people observe that pain impacts their thoughts and brings about emotional states that affect their body, aggravates pain and for some, increases their desire for drugs such as opioids. More and more patients are seeking integrative and comprehensive pain therapies that care for both their body as well as their mind. Some realize that pain medications alone are not enough to address the root cause of their problem.

In this episode, we speak with Professor Eric Garland, who teaches at the University of Utah, a licensed clinical social worker and a researcher who uses mindfulness to treat many chronic conditions. His research has been shown to be effective and support the recovery from alcohol dependence, opioid misuse, nicotine addiction, relieve pain as well as symptoms of post-traumatic stress disorder, reduces video game addiction and unhealthy eating behaviors. We'll take a deep dive into the theory, research and practical components of delivering mindfulness-based interventions.

Specifically, this episode centers around three concepts that I want to define before we begin this episode. The first is simply mindfulness, which is a state achieved by focusing one's awareness on the present moment while accepting thoughts, feelings, and bodily sensations. The second is reappraisal, which entails helping people shift their thinking and developing new, more helpful perspectives, beliefs, and actions to deal with stressful events. The third is the skill of savoring, which is a positive sense of reward needed to drive and sustain behavior change. This is an excellent episode for those living with chronic pain, stress and related conditions, as well as the practitioners who treat them. I enjoyed speaking with Eric and I know you will as well. Let's begin. Let's meet Professor Eric Garland.

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Oct 29, 2020

We're discussing topics and beliefs associated with racial bias in pain management and physical therapy. It has been reported that medical students and residents hold false beliefs about the biological differences between blacks and whites. It demonstrates that these beliefs predict racial bias in pain perception and the management of effective pain care. My guest is physical therapist Michael Holder. Michael graduated with a Bachelor of Science in Exercise Physiology and a Minor in Strength and Conditioning from the University of Delaware. He went on to earn his Doctorate in Physical Therapy from Misericordia University in 2013. He works in outpatient sports and orthopedics. He holds certifications in Vestibular Rehabilitation, Functional Nutrition for Chronic Pain, and Instrument-Assisted Soft Tissue Mobilization.

In this episode, we discuss how pain is treated differently in the African-American community, who are more likely to receive pain medication, blacks or whites, pain myths and false beliefs that are still alive to this day, hurt pain and sustain pain in African-American and other people of color, challenges to accessing physical therapy and other vital health services necessary for the adequate care of pain in minorities and African-Americans. Finally, issues related to minorities and people of color in the profession of physical therapy. Let's meet Michael Holder and discuss pain and racial bias.

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Oct 22, 2020

Welcome to this episode where we're discussing expert opinions and innovations on how to target central sensitization through using nutrition and diet and other lifestyle factors. This is a special episode where you can listen, learn and earn continuing education credit. This episode is sponsored by the Integrative Pain Science Institute. The Institute is approved for continuing education for physical therapists. It also meets the standards for the National Board for Certification in Occupational Therapy. The Integrative Pain Science Institute is approved by the American Psychological Association to sponsor getting education credits for psychologists and other mental health providers. Finally, the Institute is recognized by the National Board for Health and Wellness Coaching as an approved continuing education provider. Once you listen to this episode, and you want to rack up some extra continuing education units, all you have to do is go to the IntegrativePainScienceInstitute.com, go to the Courses tab, and then scroll down to where it says “Listen and Learn” and click Register to register for episode number 200. This episode is available for two credit hours. 

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Oct 15, 2020

We're discussing both the research and clinical applications of the use of a ketogenic diet to treat neurodegeneration autoimmunity and cancer. We're joined by not one, but two guests. I know you're going to love and learn lots of great information from. Our first guest is Dr. Matthew Phillips. He's a neurologist who is both studying and using a ketogenic diet. Our second guest is his patient Sarona Rameka, who is a stage-four cancer survivor. Dr. Phillips is a full-time clinical and research neurologist in New Zealand.

His passion is to explore the potential feasibility, safety and efficacy of metabolic therapies, particularly ketogenic diets and fasting in creating alternate metabolic states that may improve not only symptoms, but also function and quality of life for people with a variety of neurological conditions. Sarona is the first documented person in the world to utilize fasting and ketogenic diet as the primary management strategy for a metastatic cancer in the absence of surgery, chemotherapy, or radiotherapy culminating in a near complete regression. Nearly three years after being diagnosed with inoperable metastatic cancer, she shows no signs of disease and leads a full and active life. Without further ado, let's meet Dr. Matthew Phillips and his patient Sarona and learn all about the implications for a ketogenic diet.

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Oct 1, 2020

Welcome to Episode 198 of the Healing Pain Podcast. We're doing a little bit of a pivot. Historically, we have focused on the treatment of chronic pain mostly in populations of people that have conditions or diseases that contribute to the chronification but persistence of pain. We're looking at athletes, how they respond, and cope to pain specifically how contact and non-contact athletes cope with pain. As you’re reading and our expert guests, take the time to consider, is there something that you learn that you can apply to all different types of people with pain, not just athletes, but those who are non-athletic and you're helping them to promote some exercise or physical activity in their life to help them overcome chronic pain?

Joining me to discuss athletes and pain is sports psychologist, Claire Thornton. Claire is PhD examined athletes and pain with a focus on contact athletes specifically Rugby, American football players, and martial artists. Her main research interest centers around pain responses within this population in terms of pain tolerance, pain coping styles, challenge and threat perceptions and performance. Without further ado, let's begin. Let's meet Claire and discuss how different types of athletes cope with pain.

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Sep 24, 2020

In this episode, we're discussing the different types of psychological therapies available for the treatment of chronic pain. Do they help? Are they safe? How much confidence can we place in them and what we should further investigate regarding this topic as we move forward? My expert guest this episode is Dr. Amanda Williams. Amanda was a full-time clinician in a pain management program for many years, then she transitioned to teaching and research. She's a professor of clinical health psychology at The University College London and a consultant clinical psychologist at the Pain Management Centre University College London Hospital in the United Kingdom. We discussed the findings from her paper called , which can be found in the August 2020 Cochrane Library of Systematic Reviews. The paper updates the literature regarding the effectiveness of different kinds of psychological therapy, including traditional cognitive behavioral therapy, acceptance and commitment therapy, and behavioral therapy.

It also asks the question as to whether these interventions are safe and if we've investigated safety and harm enough in the literature. This paper was well-received by many, however, as with any study, there were some questions regarding the findings and how much emphasis we should place on psychological therapies versus other types of therapies to help people living with chronic pain. The paper also had some significant criticisms as to developing research base around acceptance and commitment therapy for chronic pain, a topic we've discussed many times on the show. It's important that as professionals and as general members of the public, we’re informed as to the argument and all sides of the literature, research, and perspectives with regard to the various treatments of psychological therapies for the treatment of chronic pain. We discuss all of this and more on this episode. Let's meet Dr. Amanda Williams.

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Sep 17, 2020

We're discussing the association between Alzheimer's and chronic pain. My expert guest is Dr. Dale Bredesen. He's a professor at UCLA and the President of the Buck Institute for Research on Aging. His work focuses on the mechanisms leading to neurodegeneration. With his research group, he's published over 220 scientific papers leading to the first description of the reversal of cognitive decline in patients with Alzheimer's disease. His book, The End of Alzheimer's, is a New York Times bestseller and is now available in 32 languages. Let's get ready and let's meet Dr. Dale Bredesen and learn about the link between Alzheimer's and chronic pain.

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