Love the show? Subscribe, rate, review, and share!
Join the Healing Pain Podcast Community today:
Thanks for joining me for another episode of the show. It's an honor and a pleasure to spend this time with you. If you follow along with other episodes, you may have noticed that we've taken a somewhat narrow focus on the effective treatment of pain either from an individual perspective or identifying which methods have evidence that we can utilize and weave into our existing clinical practice. We're going to take a wider, broader focus and look at the impact of chronic pain as a global health priority. Joining us as our expert guest is Dr. Christopher Williams. Chris is a research fellow and health services researcher with a background in both exercise science as well as physiotherapy.
He currently has a joint role within the public health unit where he established and leads the musculoskeletal health services program, a research practice program that focuses on improving the coordination of public health and clinical services to optimize the management of health risk factors associated with a musculoskeletal condition. This program collaborates with stakeholders from multiple settings including clinical care units, community health, and industry partners to optimize both prevention as well as treatment. His work focuses on developing and testing new approaches to prevention and care as well as practice change methods to influence the use and adoption of evidence-based approaches.
On this episode, you'll learn what makes pain a public health issue and how it differs from a population health issue, how pain management fits into public health, what we can learn from public health to help reduce the burden of pain, the biggest challenges we face when dealing with pain in a public health model and how research at times has failed to inform clinical practice and what we can do about it. I'm excited to be sharing this episode with you with regard to the impact of chronic pain as a public global health priority. Without further ado, let's begin, and let's meet Dr. Christopher Williams.
Love the show? Subscribe, rate, review, and share!
Join the Healing Pain Podcast Community today:
We are discussing nutrition and chronic musculoskeletal pain. This episode is an update because if you went into PubMed and looked for a systematic review or a meta-analysis on how diet and nutrition influence or impact chronic musculoskeletal pain, you would have only found one review. I'm excited to introduce you to a researcher who is also a physiotherapist who has completed the second systematic review. It was available in the March 2020 Journal of Clinical Medicine. It's an open access paper. The title of that review is Do Nutritional Factors Interact with Chronic Musculoskeletal Pain? A Systematic Review.
My expert guest is Omer Elma. He has been a physiotherapist since 2014 and he is pursuing his PhD with the Pain In Motion research group with a focus on the link between chronic musculoskeletal pain and nutrition. We'll discuss the findings of his systematic review that investigated the interaction between nutrition and chronic musculoskeletal pain. The mechanisms of action between nutrition and pain, how diet and nutrition interact with central pain processing mechanisms. The role of the gut microbiome and its interaction between nutrition and pain. Finally, how nutritional factors affect the sensitization of the central nervous system. Let's meet Omer Elma and look at how nutrition factors influence musculoskeletal pain.
Love the show? Subscribe, rate, review, and share!
Join the Healing Pain Podcast Community today:
Our expert guest is Professor Matteo Castaldo. He graduated as a physiotherapist in 2007. After a few years of practice and many courses in Manual Therapy, he decided to pursue a research PhD where they focus on chronic neck pain, chronic headache, its mechanisms and central sensitization. He's working as a post-Doctoral researcher exploring headaches and other chronic pain syndromes. He works part-time as a treating clinician specializing in headache and neck pain, as well as teaches post-graduate courses to a physical therapist and medical doctors. In this episode, you'll know all about the role of biomechanics and neck-related structures and headache type pain, how to properly assess headache and neck pain. Why physical therapy is helpful for treating these conditions and the shared mechanisms between neck pain, headache, and central sensitization.
Before we begin it, don't forget there's still time to take advantage of our summer 2020 free book giveaway. All you have to do is visit our show on Apple Podcasts and leave us a review and then fill out the form by going to the URL, www.IntegrativePainScienceInstitute.com/giveaway. I'll send you a free copy of my book, Heal Your Pain Now. Remember, there are only 50 copies available. Take advantage of this limited offer while it lasts. Let's begin and let's meet Professor Matteo Castaldo and learn about neck pain and chronic headaches.
We are ready to head into the summer break. If you’re a physical therapist or another health professional, you can probably relate to how challenging the last few months have been and, in some ways, still are. If you look back, we’ve been through the rise of a pandemic with an infectious agent many countries and states went on lockdown or stayed home orders. Along with that, there was social distancing, mandatory mask-wearing, schools and businesses closed, things came to a halt. As professionals, we had to deal with clinics closing and the decrease of new patients and existing patients that weren’t coming in.
Love the show? Subscribe, rate, review, and share!
Join the Healing Pain Podcast Community today:
My guest is Hannah Johnson. She is a clinician as well as an educator. She earned DPT in 2013, as well as a Geriatric Clinical Specialist certification in 2016. In 2018, she published her book, Psychosocial Elements of Physical Therapy in effort to fill the gap in mental health education for physical therapists and physical therapy students. Her PhD research explores how to improve interdisciplinary quality care in nursing homes. In this episode, you'll learn about the biggest obstacles in physical therapists management of complex patients. You’ll learn how residents of long-term care facilities can keep up their physical activity, as well as evidence-based supported practical strategies for managing behavior such as agitation, aggression, refusal of care and inappropriateness that are often associated with various medical, psychological and social conditions. I highly recommend you check out Hannah's book. It's an excellent resource for physical therapists and other health professionals. Without further ado, let's begin and let's meet Hannah.
In this episode, we're discussing the neuroscience and treatment of focal dystonia. My expert guest is Dr. Nancy Byl. Dr. Byl has been a practicing physical therapist for many years. She assumed leadership as Department Chair and participated in academic development, teaching, and administration at the University of California, San Francisco's Graduate Program in Physical Therapy. As a clinician and researcher, she's an expert in the cause and treatment of focal dystonia. Working with collaborators in neuroscience, she designed an animal model to study the etiology of focal hand dystonia. She created a paradigm shift in the understanding of focal dystonia as a case of neural maladaptation of sensory and motor processing.
Using imaging techniques, her team demonstrated that learning-based sensory-motor training for patients with focal dystonia, not only improved sensory discrimination and accuracy but modify the topography of the sensory cortex, improve neuronal firing patterns and improve motor control. In this episode, you'll learn all about the cause and the treatment of focal dystonia as well as Dr. Byl's evolution as a physical therapist, both in research, academia and clinical practice. Let's get started and let's meet Dr. Nancy Byl and discuss focal dystonia.
As always, it's an honor to be spending this time with you. If you read episode 187, then you met psychologist, Louise Sharpe, who shared her research and discuss these central components of psychological therapy for effective pain management. Her research distilled over 50 components of psychological treatment for pain into three essentials, which were psychoeducation, cognitive approaches and strategies to increase physical activity. In her paper, she named these three as the gold standard for pain care. I enjoyed this episode with Professor Sharpe. I believe her research and interview is useful and can help inform clinical practice. Make sure to give it a read before you dive into this episode.
While I was doing some research, I came across a commentary in response to the paper Professor Sharpe published. This commentary was written by Professor Lance McCracken and published in the European Journal of Pain. For those of you who may not know Lance McCracken, he is a professor of clinical psychology and Head of Division of Clinical Psychology at Uppsala University in Sweden. He has worked as a clinician and conducted research into chronic pain treatment for more than 30 years. He actively contributes to the evidence base on Acceptance and Commitment Therapy for chronic pain.
The title of his commentary was Necessary Components of Psychological Treatment for Chronic Pain: More Packages for Groups or Process-Based Therapy for Individuals. In his commentary, Professor McCracken proposes that instead of studying the components of psychological treatment, if we want better treatments for pain, what we mainly need to identify is the processes of change known to have an impact on outcomes. I was interested in Lance's commentary and his perspective, so I invited him to come to speak to us. This leads us to the episode where Professor McCracken discusses Process-Based Therapy.
Process-Based approaches have been growing. Some say that Process-Based Therapy should be the new gold standard of care because they can target a broader range of problems. In diagnosis-based protocols can target multiple problems at once and a more easily individualized and minister to the client. In this episode, you'll learn all about Process-Based Therapy, the science and evidence behind Process-Based Therapy, how it can help clinicians more effectively treat pain, and how it differs from protocols that focus on specific syndromes. Without further ado, let me introduce Professor Lance McCracken, and learn all about Process-Based Therapy.
Thanks for joining me for this episode. If you’ve been following along with each episode, you know that we often speak about the psychosocial variables that are effective for the management of chronic pain. Why do we spend so much time on this? Study after study confirms that psychological interventions alone are more importantly combined with interventions such as physical therapy are effective for the management of chronic pain. Theories and methods such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Mindfulness-based Stress Reduction, mindfulness explained pain and pain-neuroscience education all have supporting evidence and are a part of a comprehensive program for the management in chronic pain. With many treatments to choose from, a wise clinician may ask, “Which one works best?” Perhaps a better question, “Which components that are embedded in these methods are most effective for the management of chronic pain?” There has been little research to answer these questions or guidance to help the clinician choose the most important components as they’re creating a plan of care for people living with pain.
Joining me to discuss the necessary components of psychological treatment in pain management is Professor Louise Sharpe. She is an expert in health psychology with a particular expertise in Cognitive Behavioral treatments for patients with chronic pain and physical illness. She’s particularly interested in the way in which people adjust to illness and the interventions that prevented development of psychological problems and increase physical disability. On this episode, you’ll learn all about the efficacy of Cognitive Behavioral treatments for the management of chronic pain, the three essential components that should be a part of every Cognitive Behavioral approach and if we should shift our approach away from focusing on components and more toward process-based therapy. There’s a lot to unpack here in this episode with regards to which components are necessary for the treatment of chronic pain. Let’s begin and meet Professor Louise Sharpe.
In this episode, we're discussing the integration of population health, prevention, health promotion and wellness activities into clinical practice. With decades of research supporting the benefits of lifestyle changes on positive health outcomes, physical therapists and other health professionals are exploring and weaving integrative and lifestyle medicine into both insurance and cash-based practice settings, as well as community health and serving the private sector business. Lifestyle changes, including physical activity, nutrition and stress management all lead to improved health benefits in those with chronic disease and prevent or manage a number of non-communicable diseases, which lead to an increased quality of life. Physical therapists are well-positioned to treat non-communicable diseases through the integration of population health, prevention, health promotion, and wellness activities into clinical practice.
Joining us to discuss the topics of health promotion prevention, wellness in physical therapy practice is Professor Dawn Magnusson. She is an Assistant Professor in Physical Therapy at The University of Colorado. She received a Master's degree in Physical Therapy and then went on to pursue a PhD in Population Health Sciences. Her research employs community-based methods within a population health framework and informs the development of innovative community-based solutions to advance health equity for underserved children. In this episode, you'll learn all about population health, why physical therapists should care about population health, what the integration of population health and physical therapist practice looks like, how disease prevention, health promotion fit into population health and how physical therapists can become more active in population health, disease prevention, as well as health promotion. This is a big and important topic that has implications both for the entry-level of physical therapy education as well as clinical practice. Let's get ready and let's begin with Professor Dawn Magnusson.
This episode, I have the honor to share with you not only a bestselling author, consultant, master clinician and someone who has given a TEDx Talk that has over 1.5 million views, but Dr. Joan Rosenberg has become one of my closest friends. As a cutting-edge psychologist, she is known as an innovative thinker, acclaimed speaker, and a trainer. She is also a two-time TEDx speaker and a member of the Association of Transformational Leaders. She has been recognized for her thought leadership and influence for personal development for over three decades. As a licensed clinical psychologist, Dr. Rosenberg speaks on how to build confidence, emotional strength and resilience.
If you are interested in building your emotional resilience to any distressing event, then this is the person you want to follow and the episode you want to read. In this episode, you will learn why handling difficult feelings is the foundation of feeling confident, how to ride away the eight feelings or emotional states, how to cultivate confidence in your life and how to handle fear and anxiety. As you know, chronic pain hurts. It can also carry with it a second arrow that can wound you emotionally which is why the topic is so important and another reason why I was looking forward to sharing Joan’s work with you. Without further ado, let’s meet Dr. Joan Rosenberg.
We're discussing how to treat chronic pelvic pain with a focus on endometriosis. Our guest is Dr. Jessica Drummond. She's the CEO of the Integrative Women's Health Institute and author of Outsmart Endometriosis. Jessica holds a license in physical therapy as well as clinical nutrition and is a board-certified health coach. She has spent many years working with women overcoming pelvic pain. She also runs educational programs for women health professionals in more than 60 countries and leads virtual wellness programs for the treatment of endometriosis. She will discuss how to treat endometriosis through the lens of nutrition, lifestyle and functional medicine. You can learn more by visiting OutsmartEndo.com. Let's meet Dr. Jessica Drummond.
We're discussing the evaluation and treatment of lower back pain with Dr. Stuart McGill. Dr. McGill is a Professor Emeritus from the University of Waterloo where he has many years of experience. His laboratory and experimental research clinic investigated issues related to the cause and mechanisms of back pain, how to rehabilitate people living with pain, and how to enhance both injury resilience and performance. His advice is often sought by governments, corporations, legal experts, medical groups, and lead athletes and teams from around the world. His work produced over 240 peer-reviewed scientific journal papers, several textbooks and many international awards. On this episode, we'll discuss some of the more common truths and myths about back pain, how to effectively assess low back pain, lessons you can apply treating lower back pain in the average person, as well as with high-performing athletes and whether or not surgery is indicated for people with lower back pain. Let's get ready and let's meet Professor Stuart McGill.
In this episode, we will discuss the combination of physical therapy, nutrition and lifestyle interventions with a physical therapist, Shannon Morris. Shannon has many years of clinical practice, which includes the prevention and rehabilitation of injury and chronic pain. She is an advocate for physical therapists delivering and combining movement, nutrition and lifestyle interventions. She believes that in addition to exercise and physical activity, real food is a must if you want to heal, strengthen and proceed with a pain-free and happy life. Shannon is also a graduate of the Functional Nutrition for Chronic Pain Practitioner Certification Program here at the Integrative Pain Science Institute.
You'll learn all about Shannon's professional journey through the world of nutrition and physical therapy, as well as which lifestyle behaviors affect pain, metabolism, weight loss, longevity and can increase your healthspan. If you're a professional and you're interested in learning more about how nutrition plays a role in reversing and treating chronic pain, make sure to check out the on-demand clinical training by the Integrative Pain Science Institute. This free masterclass will teach you how to reverse chronic pain, inflammation and disease using functional nutrition. It's 100% free so you can check it out by going to the IntegrativePainScienceInstitute.com/masterclass. Let's meet Shannon Morris.
We have a new guest and a brand new topic. You'll be learning about how to address these social determinants of health in physical therapy practice. As physical therapists, we focus on alleviating pain, restoring physical function, and teaching pain self-management as well as promoting healthy lifestyle behaviors to prevent chronic disease. As doctoral trained licensed health professionals, we have excellent skills, tools, and technologies to address a variety of acute as well as chronic health conditions. Do you know how the social determinants of health, things like economics, education, neighborhood, and other factors influence the lifestyle choices patients make and how it impacts their outcome in physical therapy? Joining us to discuss the social determinants of health and physical therapy practice is Dr. Zachary Renthorn.
He is a board-certified orthopedic physical therapist and a certified health coach with clinical and research expertise in musculoskeletal pain conditions, physical activity, and health promotion. Zach is currently a PhD student in health promotion and wellness at Rocky Mountain University where his research focuses on how health professionals promote physical activity with their patients. On this episode, you'll learn all about the social determinants of health, how to identify whether patients are impacted by the social determinants of health, what clinicians can do to address the social determinants of health and the role public and healthcare policy has in shaping the social determinants of health. Let's begin and let's meet Dr. Zachary Renthorn and learn all about the social determinants of health.
Thanks for joining me. For those of you that follow along each week, you know that I release a new one once every seven days, so once a week with COVID-19 and the amount of stress that we have been all under. I wanted to do a special episode with regard to healthy ways you can cope with stress during this pandemic. When you can access and learn some healthy coping strategies with regard to stress, it will make you the people you care about and your community is stronger. Stress during an infectious disease outbreak such as COVID-19 can include fear and worry about your own health and the health of your loved ones, changes in your sleep or eating patterns, difficulty concentrating, a worsening of a chronic health condition, a worsening of a mental health condition. Finally, the increased use of alcohol, tobacco, or other drugs. Healthcare workers are under immense pressure amid the Coronavirus pandemic. They face shortages of protective equipment such as gloves and masks. They're pulling long shifts and they risk being infected by the virus.
Joining us is a licensed clinical social worker, Julie Hamilton. Julie has over 25 years of experience in the field of clinical social work, including supporting people living with anxiety, depression, and chronic pain. She's the Coordinator of Counseling, Health, and Wellbeing at the Detroit Mercy School of Dentistry, working with dental students as well as the faculty. She also serves as an Adjunct Instructor of Social Work at the University of Detroit Mercy. You'll learn how Julie has developed an Acceptance and Commitment Therapy Intervention for physicians, residents, nurses, and other medical personnel at the Henry Ford Health System. This includes a virtual support group that runs three times daily as well as a night shift, 1:00 AM support group to help those that are working overnight. I want to thank Julie for the work she's doing, supporting healthcare workers on the frontlines that are treating and helping them cope with the stressor at this time. I hope you enjoy this and learn from it. Please make sure to share it with your friends and family. Let's begin and let's meet Julie.
It's a pleasure to be spending this time with you. Speaking of time, we have a long episode. This is probably one of the longest episodes since I began the show a few years ago. The reason why is because the topic of forgiveness is an important topic for those living with chronic pain. It's also the first time that we are broaching this topic. I figure we take a nice deep dive into the science behind forgiveness, how it affects both cognitive behavior and motivational components and bring a human voice and experience to forgiveness and chronic pain. The definition of forgiveness is the act of willfully putting aside feelings of resentment toward an individual or an event that has committed a wrong, unfair, hurtful, or otherwise harmed you in some way.
Forgiveness is not equated with reconciliation or excusing someone and it is not merely accepting what happened or ceasing to be angry. Rather, forgiveness is the transformation of one's feelings, attitudes and behavior so that you're no longer dominated by resentment and can go on living the life you'd like to live. Forgiveness is often identified as an important part of life and it can also be an important part of pain rehabilitation. Here to speak to us about forgiveness is Dr. Karen Litzy. She's a licensed physical therapist, international speaker, host of the Healthy Wealthy & Smart podcast and owner of Karen Litzy Physical Therapy.
Through her work as a physical therapist, she has helped thousands of people overcome painful conditions, recover from surgery and return to their lives with family and friends. She has been a featured speaker at both national as well as international events, including the International Olympic Committee Injury Prevention Conference. In this episode, Karen shares her own story about developing pain, coping with pain, overcoming pain, and the role of forgiveness played in her recovery. I want to thank Karen for joining us to speak about this important topic and especially for her openness, honesty, and authenticity on the topic of forgiveness and chronic pain. Let's welcome Karen to the show and learn about forgiveness and chronic pain.
I hope you are well and safe wherever you are. We are a global community and I wanted to do an episode that could help you during the COVID-19 outbreak no matter where you are in the globe. Many healthcare professionals have been rapidly shifting to telehealth during the COVID-19 pandemic. As the shelter and home measures have been introduced and enforced, people with pain are looking for solutions since they can no longer attend in-person treatment for their pain. The potential for long-term isolation may have adverse effects on many living with persistent pain. Luckily in this day and age, we have eHealth and virtual measures where we can continue to provide care, treatment, and support for people living with pain.
I've been telling people that healthcare never closes and the treatment of pain should not stop. We have solutions to help people with pain. Here to speak to us about how to manage patients with pain during the COVID-19 outbreak using remote supported health service is Dr. Tonya Palermo. She is a Professor of Anesthesiology, Pediatrics, and Psychiatry at the University of Washington School of Medicine. She serves as the associate director for the Center for Child Health Behavior and Development or longstanding NIH-funded research program has focused on assessment and treatment of chronic pain in both children as well as adolescents.
She is specifically interested in cognitive-behavioral interventions and the delivery of psychological treatment via Telehealth and mHealth interventions for sleep disturbance, parent family factors, and the treatment of chronic pain. In this episode, you'll learn all about the public health considerations of COVID-19 for those living with persistent pain, the potential ramifications of not treating people with pain during the crisis, and finally, the research supporting delivery of pain care via telehealth. If you're a practitioner, make sure you download the free guide to this episode on Helpful Tips and Strategies to Implement Telehealth Into Your Practice. To download this free guide, all you have to do is text the word 176Download to the number 44222.
If you're on a computer, you can open up a new browser and type in the URL www.IntegrativePainScienceInstitute.com/176Download. If you're a practitioner, if you need a 100% HIPAA Compliant Telehealth platform, make sure to check out the Integrative Pain Science Institute's Professional Membership and Telehealth platform solution where we provide you with a Zoom telehealth platform. That's 100% HIPAA Compliant as well as all the training that you need to provide telehealth to your patients. I want to thank Dr. Tonya Palermo for joining us. We through this episode together because it's such an important topic. She'll talk about some of the research as well as an article that's coming out in The Journal of Pain. Let's begin and let's meet Dr. Palermo and talk about Telehealth for pain management.
We are talking about how to integrate Acceptance and Commitment Therapy alongside your existing physiotherapy or physical therapy practice. This episode is for physical therapists or physiotherapists, but it's also for you if you're an occupational therapist, a nurse, a doctor, a licensed massage therapist. Maybe even a mental health provider like a psychologist or social worker or a licensed professional counselor who is interested in learning how to shift their practice and seed their treatment with principles of Acceptance and Commitment Therapy. My guest is physiotherapist, Sarah Wilson. She qualified as a physiotherapist in 2001 following rotational post. She chose to specialize in pain management in 2006 and started to implement and learn about Acceptance and Commitment Therapy shortly thereafter.
Sarah has worked in both primary and secondary pain care before moving to the Bath Centre for Pain Services, which is a UK national center providing residential pain management programs for both groups as well as individuals. The Bath Centre provides care across the lifespan and uses an interdisciplinary Acceptance and Commitment Therapy approach. Sarah's current research interests include psychologically informed physiotherapy. You'll learn all about Acceptance and Commitment Therapy and how it can complement and improve a physiotherapist pain practice, what some challenges are for physiotherapists as they begin to implement ACT into their practice. Finally, some of the differences between Acceptance and Commitment Therapy and Pain Science Education.
If you're a physical therapist or a physiotherapist or another licensed health professional and you're interested in learning more about ACT and how you can implement it into your practice, make sure to register for the waitlist for the ACT For Chronic Pain course at the Integrative Pain Science Institute. You can simply do that by going to IntegrativePainScienceInstitute.com. Go to the Courses tab, scroll down and you'll find the ACT for Chronic Pain Course Waitlist. I'm excited to share this with you. Sarah has over a decade worth of experience implementing ACT into physiotherapist practice. Without further ado, let's meet physiotherapist, Sarah Wilson.
In this episode, you will meet two physical therapists who are breaking ground and have created Core Principles for the Education of Physical Therapists in the Context of the Opioid Crisis in the United States. Their work present model educators can use on a state, national and global level with regards to the development of opioid education for physical therapists and other licensed health professionals. The research which we'll discuss all about on this episode recognizes not only the role of physical therapists in the care of chronic pain but most importantly, a profession that engages patients who are at risk for opioid misuse and patients who have opioid use disorder as a primary diagnosis. This episode's expert guests are professors Julia Chevan and Amy Heath. Professor Chevan is a Professor of Physical Therapy and the Chair of the Department of Physical Therapy at Springfield College in Massachusetts.
Professor Amy Heath is an assistant professor in the Department of Physical Therapy at Western Michigan University. Both are authors of several peer-reviewed articles, book chapters, and abstracts related to the profession of physical therapy. You'll learn how to create Core Education Principles that physical therapists can use to educate the public, how to screen for and prevent opioid use disorder? The importance of the movement system and how physical therapists can engage in interprofessional care of chronic pain and opioid use disorder? As you all know, the care of chronic pain and the treatment of opioid use disorder is an important topic and developing education initiatives for physical therapists in response to the crisis is deeply needed. Without further ado, let's meet professors Amy Heath and Julia Chevan.
Thanks for joining me. We'll be talking about effective pain management in low and middle-income countries. I had touched base on this topic with Dr. Felipe Reis. He's a physical therapist and a researcher in Brazil, where we discussed initiatives for improving pain education in developing countries. I realized at that moment it was such an important topic that I wanted to reach out across the globe and find other professionals, other physiotherapists and other health professionals that are working on safe and effective pain management in low and middle-income countries. You may think to yourself, “I don't live in a low-income area. I don't live in a country that's developing,” but many of the social determinants of health that we grapple with in Western countries are also problems in developing countries. There's something for all of us to learn about this topic.
As we work our way into this topic and we meet our expert guest, let me share a couple of bullet points with you about what's happening with regard to pain management in low and middle-income countries. The first to note is that musculoskeletal pain disproportionately affects people these countries. About 20% of the general population of those countries experience chronic musculoskeletal pain. This estimate increases by 2 or 4 times among the working populations. It is the leading cause of disability in people between the ages of 50 to 70 years old. It's the second-leading cause in people aged 70 or above. Joining us to discuss pain in low and middle-income countries is Saurab Sharma. He's an assistant professor at Kathmandu University of Medical Sciences in Nepal, and also works at its affiliated hospital as a consultant musculoskeletal physiotherapist.
He is pursuing a PhD in researching pain at the University of Otago in New Zealand and his research aims to improve pain care in low and middle-income countries. Saurab is also providing a free white paper on this topic that you can download. It includes how we can strengthen health systems and respond to the burden of pain in low and middle-income countries and to support healthy aging. To download this free white paper, all you have to do is text the word, 1733 Download, to the number 44222, or you can open up a browser on your computer and type in the URL, www.IntegrativePainScienceInstitute.com/173download. Let's begin and let's meet Saurab Sharma.
We have a brand new topic. We're discussing how you can use mind-body medicine to treat chronic pain. Mind-body medicine refers to the interaction between the mind the body and the spirit. Specifically, the ways in which physical, emotional, social and spiritual factors together can directly affect health. With the advent of modern medicine and pharmacology, mind-body medicine had been downplayed in the Western world when researchers and practitioners start to see the benefits of combining approaches. We have substantial evidence to support mind-body practices, which focus on the interaction of the mind, the body and behavior to improve both physical as well as mental health.
My expert guest is Matt Erb. He is a Physical Therapist, originally trained at the University of Iowa and based out of Tucson, Arizona. He's a Senior Faculty Member and Clinical Supervisor for The Center for Mind-Body Medicine in Washington D.C. His clinical practice focuses on mind-body integrative care. He's the founder of Embody Your Mind specializing in high-quality teaching, consulting and integrative and mind-body medicine topics. I want to thank Matt for joining us. We cover lots of ground with regards to mind-body medicine and the biopsychosocial model pain. You're going to learn a lot about mind-body medicine and how you can implement it into your practice.
My expert guest is Dr. James McAuley. He is a Psychologist and Assistant Professor in the School of Medical Sciences, as well as a Senior Research Scientist at Neuroscience Research Australia, which is an independent not-for-profit institute based in Sydney, Australia. James is a leader in brain and nervous system research, including how to best treat many chronic pain syndromes. He has published over 170 scientific articles and lectures at international conferences on the best evidence for the treatment of persistent pain.
On this episode, you'll learn about the latest advances for the treatment of chronic low back pain, where the research is heading, and we’ll bust some myths about common treatments that are currently utilized for low back pain. We’ll discuss if there's evidence to support them in clinical practice. You might be surprised by what he's discovered and what works for the treatment of chronic low back pain. I enjoyed this episode with James. We dived into the research around what works and what does not work for chronic low back pain. Make sure to share this episode with your friends and family and hop on over to iTunes, and give me a five-star review so we can share this important work with your friends and colleagues.