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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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Feb 20, 2020

We have an interesting and important topic. We are discussing how to use Pain Neuroscience Education to treat PTSD and chronic pain in soldiers and veterans. My expert guest is Major Timothy Benedict. He is a physical therapist assigned to the Army Public Health Center in Aberdeen, Maryland. He's the Deputy Chief for the Advanced Analytics and Data Stewardship Division, the Clinical Public Health and Epidemiology Directorate, and assists with field investigations for the Injury Prevention Program. As part of Major Benedict's Ph.D. studies, he developed a military-specific Pain Neuroscience Education Intervention for soldiers and veterans. He also completed a randomized controlled trial examining Pain Neuroscience Education for soldiers with chronic low-back pain and post-traumatic stress.

On this episode, you'll learn all about the link between post-traumatic stress and chronic pain, how to explain the link between PTSD and pain to your patients, the evidence supporting Pain Neuroscience Education for individuals with pain and PTSD, how understanding the neuroscience of pain can help you build compassion and empathy for your patients and how this research applies to civilians such as firemen and police officers. If you've been following along with the show, you know that I often ask our guests to provide some type of free download, a quick PDF cheat-sheet or maybe something you can use in the clinic. Major Benedict has gone above and beyond any guest that's ever appeared on the show. He has provided you with a complete 44-page treatment manual on how to use Pain Neuroscience Education with soldiers and veterans.

This manual is complete with full-color illustrations, metaphors and language that is specific for this population. If you're a practitioner and you're someone who uses Pain Neuroscience Education with this particular population of clients or patients like soldiers, veterans, military, police or anyone in that realm, you're going to love getting your hands on this. It's free for you to download. All you have to do is text the word, “170 DOWNLOAD,” to the number 44222 or you can open up a new browser on your computer and you can type in the URL www.IntegrativePainScienceInstitute.com/170download and I'll send it right to your inbox for free. Let's begin with Major Timothy Benedict and learn about Pain Neuroscience Approach to treat PTSD and pain.

Feb 13, 2020

We are exploring how to explain central sensitization to patients using pain neuroscience education with physiotherapist, Eva Huysmans. Eva graduated with a Master's Degree in Physiotherapy and is in the middle of her PhD work. She is working on a randomized controlled trial investigating the effect of perioperative pain neuroscience education for patients undergoing surgery for lumbar radiculopathy. To date, Eva has co-authored over twenty peer-reviewed publications and a manual on pain neuroscience education for the clinician. Next to her research activities, she's working as a physiotherapist in the University Hospital in Brussels, where she helps people cope with chronic pain. During this episode, you'll learn how to recognize central sensitization in clinical practice.

How do you objectively evaluate central sensitization? Why are people with central sensitization not the only ones who need pain neuroscience education? All about the introduced term, nociplastic pain. Finally, where does pain neuroscience education fit into a treatment program and how should it be delivered? She has created manuals for clinicians to use pain neuroscience education. As part of this episode, she is providing you with a free download of a pain neuroscience education slide deck that you can use with your patients. To download this slide deck for free, all you have to do is text the word, 169DOWNLOAD, to the number, 44222 or IntegrativePainScienceInstitute.com/169Download. Let's learn all about central sensitization with Eva Huysmans.

Feb 6, 2020

Thanks for joining me for another episode of the show. We are talking about mindfulness and cognitive-based treatments for chronic pain management. If you've been following along with the show, you know that we talk a lot about mindfulness-based treatments for pain, as well as the various types of cognitive-behavioral approaches including Cognitive Behavioral Therapy, Acceptance And Commitment Therapy, mindfulness-based stress reduction and even pain neuroscience education. We have yet to explore the mechanisms as to why these approaches work or if there's one that works better for certain populations. Here to speak to us about the what, why and how of mindfulness-based chronic pain management techniques is Clinical Psychologist Dr. Melissa Day. Melissa completed her PhD in Clinical Psychology at the University of Alabama. She works as an award-winning pain researcher in Australia. Her research focuses on randomized trials to evaluate the efficacy and mechanisms of mindfulness and cognitive-behavioral interventions for the treatment of many chronic pain conditions. She also published a book titled Mindfulness-Based Cognitive Therapy for Chronic Pain: A Clinical Manual, and Guide. You can find that on Amazon.

In this episode, you'll learn the rationale for applying mindfulness-based approaches for chronic pain management. How mindfulness-based approaches are unique from Cognitive Behavioral Therapy. The evidence supporting mindfulness-based approaches for chronic pain management. Who might mindfulness-based treatment for chronic pain best be suited for? I know you're going to enjoy this episode because we get down into the weeds as to why mindfulness and cognitive-based treatments work for people with chronic pain or how they can help people with chronic pain cope better and more effectively. Let's begin and let's meet Dr. Melissa Day.

Jan 30, 2020

We are talking about potentially what is the healthiest diet on the planet. We know that nutrition and diet is a form of personalized medicine. We're going to talk about one of the most evidence-based and proven diets that can help you with chronic disease and chronic pain. My guest is Dr. Steven Masley. He is a physician, nutritionist, trained chef, bestselling author and creator of the number one all-time health program for public television. His work has been viewed over a million times on PBS, The Discovery Channel and over 700 different media outlets. His book is entitled The Mediterranean Method.

To get started with the Mediterranean diet, I have got a great download for you. You can download this for free. It's called The Quick Start Guide to Create Your Own Mediterranean Kitchen. To download this, all you have to do is text the word, 167download, to the number 44222 or go to IntegrativePainScienceInstitute.com/167download. I'm excited to talk to Dr. Steven Masley about The Mediterranean Method, his new book, and how the Mediterranean diet can be one of the healthiest diets on the planet. Let's get started and let's meet Dr. Steven Masley.

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Jan 16, 2020

We're placing a spotlight under chronic pain group visits. As a loyal follower of the show, you know that we tackle and raise awareness around some of the biggest and most important topics and issues affecting pain science, pain care and chronic disease. Our guest is passionate about a single solution to the biggest challenges facing healthcare and how it can eliminate the chronic disease, escalating costs, practitioner shortages, quality care affordability access, practitioner burnout, loneliness, and the physical and mental health conditions we see now. That solution is the healthcare system that functions from a group visit model. Our guest is my good friend, James Maskell.

James is the host of a podcast and a show called the Functional Forum, which has become the world's largest integrative medicine community. He's on a mission to create structures necessary to evolve humanity beyond chronic disease, including chronic pain. He lectures internationally and has been featured on TEDx, TEDMED, the Huffington Post, and is also the Founder of Knew Health, a payer solution for chronic disease reversal. In this episode, James will provide you with the guide to creating and structuring group visits including how they originated, what they are, how to run them, how to avoid pitfalls and overcome challenges. Also, best practices for launching and facilitating a group visit, as well as online and digital tools for ongoing support. James will also discuss his book on the episode, which is called The Community Cure. It's an excellent resource if you're interested in group visits, how to structure them and how to get reimbursed for them. You can download that book by going to www.TheCommunityCure.com. I highly recommend you download it and grab your copy. Let's begin and let's learn all about group visits with James Maskell.

 

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Jan 9, 2020

As always, it's an honor to be with you. Many of you know that I'm going to be launching a new act for chronic pain course that will come out in later January. Throughout the month of January, there'll be at least one, if not four different podcast episodes with regard to ACT, which is Acceptance and Commitment Therapy and the model of psychological flexibility. If you’re interested in learning more about ACT, make sure you check out the course and sign up for the wait list at the Integrative Pain Science Institute. The way you can do that, go to the IntegrativePainScienceInstitute.com and go to the Courses tab where you can sign up for the latest course release. There is a lot involved in Acceptance and Commitment Therapy for the treatment of chronic pain. The general goal of ACT is to increase something that's called psychological flexibility. Psychological flexibility can be defined as the ability to contact the present moment and change your persistent behavior when doing so, serves a valued end. That basically means when your behavior serves the things that you love or the things that you value in life.

Building patterns of behavior that promotes psychological flexibility is important to help people open up and we'll only approach some discomfort as they recover from chronic pain. Psychological flexibility is also important for practitioners to develop, particularly for a practitioner who has been trained in a traditional biomedical model of pain. If you are a practitioner who is starting to implement different types of psychologically informed care into your practice, know that psychological flexibility helps you as a practitioner drop the storyline that you're here to either fix or cure someone with pain. Instead, it places you in a position where you can walk arm and arm with someone as you help and support them through their journey to overcome pain.

It's a very different perspective when you look at the biomedical model versus a biopsychosocial model or using ACT as a method of psychologically informed care. Here to speak to us about psychological flexibility and ACT is physiotherapist, Tom Young. Tom has worked both in the United Kingdom and Canada as a physiotherapist with a specialization in chronic pain. He lives in Canada where he's worked in an adult chronic pain service and now works with complex pediatric pain. Tom is also now leading a research project on how physiotherapists can be trained to utilize psychologically informed practice. On this episode, Tom will discuss ACT, psychological flexibility and how he uses ACT in his practice as a pain specialized physiotherapist.

I wanted to do a quick listen or shout out. Starting 2020, if you leave me a five-star review on iTunes, I'm going to read it at the beginning of the show and mention your name. Today’s listener shout-out is for Emma who lives in Canada. Emma says, “Dr. Joe, I want to let you know how useful your emails and podcasts are for me. My chronic pain from fibromyalgia has completely turned my life upside down. I’m someone who used to exercise regularly. I cannot endure any type of exercise after developing fibromyalgia, not even gentle yoga, not even a massage. The knowledge about pain from your podcast has provided me with such an understanding of the body, the mind and pain that for the first time I feel in control over my situation. Knowledge is power. I no longer feel like I'm damaged goods and I have less anxiety about where I'm going. I am by no way 100% pain free, but I cringe at the thought of how debilitating I would be now if I had never learned about pain from your podcast. I know your focus may be on health professionals, but I'm so thankful to hear about your discussions and learn from you each week.”

Emma, we're thankful that you tune in each week to learn about pain. I'm so happy to hear that you're empowering yourself with information because like you said, “Knowledge is power for chronic pain.” Emma, we wish you well and make sure to keep us up to date on all the steps you're taking to overcome chronic pain each week. If you enjoy what you hear on the show, whether you're a practitioner or someone who lives with pain, hop on over to iTunes and give us a five-star review, along with some comments about what you enjoy about the podcast. You never know, you may be my next listener shout-out. Let's begin and dive into ACT and psychological flexibility with physiotherapist, Tom Young.

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Jan 2, 2020

In this episode, we are exploring the outcomes of the Pain Neuroscience Education and what to do about the partial reconceptualization of pain. If you're not familiar with the term reconceptualization of pain, it can be defined by three key concepts. The first is that the pain does not provide a measure of the state of tissues. The second is that pain is modulated by many factors across somatic, psychological and social domains. Finally, the relationship between pain and tissue becomes less predictable as pain persists. Pain Neuroscience Education, Pain Neurophysiology Education, explain the pain. Pain education is all different types of terms that relate to educational interventions for patients with chronic pain.

Pain Neuroscience Education assists patients to reconceptualize their pain away from the biomedical model towards a more biopsychosocial understanding by explaining pain biology. It's what we do here on the show. To help us understand the partial reconceptualization of pain is Dr. Cormac Ryan. He's a Professor of Clinical Rehabilitation at Teesside University in the United Kingdom. He has earned both a Masters in Physiotherapy and a PhD, where he explored the relationship between physical activity and chronic lower back pain. Ryan has published over 60 peer-reviewed journal articles and it has obtained over $1 million in research funding.

His research interests are primarily in the era of chronic pain and its impact on patients and developing new interventions to help patients better manage their condition. He has a particular interest in the area of Pain Neuroscience Education as an intervention for patients with chronic pain. You will learn what we mean by the partial reconceptualization of pain. Is a partial reconceptualization a success or a failure? What things we can do to maximize reconceptualization and where the research needs to go next with regards to Pain Neuroscience Education? Dr.

Ryan has also provided an interactive diagram and guide to explain the pain to patients with chronic musculoskeletal pain. Whether you're a practitioner or you're someone who's looking to overcome pain, this is something you're going to want to download and read through thoroughly. To download this diagram, all you have to do is text the word, 164Download, to the number 44222 or you can open up a new browser on your computer and type in the URL, www.IntegrativePainScienceInstitute.com/164download. I enjoyed this episode and I know you're going to enjoy it as much as I did. Let's get ready and let's meet Dr. Cormac Ryan.

 

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Dec 26, 2019

I wanted to take a moment to wish you a very happy holiday season and a healthy new year as we move into 2020. It's been an honor spending this time with you in 2019. I look forward to spending more time with you in 2020 as we dive into effective ways to treat chronic pain. This podcast is important both for practitioners who treat pain and people looking for solutions. I could not do it without your participation and your help. As we move into 2020, know that I'm thinking about you and I wish you a happy, healthy and very successful 2020 filled with lots of love.

In our episode, we are discussing how food sensitivities contribute to chronic pain. Our expert guest this week is Tom Malterre. Tom has been studying nutrition since he was ten years old. He has earned both a bachelor's and a Master's degree in nutrition from Bastyr University. He is a faculty member of the Institute for Functional Medicine. He has over fourteen years of clinical experience and is the author of a book called The Elimination Diet, which we'll be talking about more.

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Dec 19, 2019

We will look at a case study as to how one physical therapist is creating and evolving peer-to-peer models for the treatment of chronic pain. Adults living with chronic health conditions are more likely than other adults to seek peer advice and support from those that are experiencing or have overcome similar health challenges.Peer-to-peer support can happen online or offline via email, phone or even through social media. In fact, a Cochrane review described positive outcomes in people with chronic health conditions,including a reduction in pain, disability and fatigue once self-management programs were led by lay individuals rather than licensed health professionals.

Here to discuss peer-to-peer models for chronic pain is Dr. Jeremy Fletcher. He is a Doctor of Physical Therapy and a Professor at the University of South Alabama, Doctor of Physical Therapy Program.Prior to his career in academia, he served in the US Army as a physical therapist. He continues to serve his community through nonprofit board membership and organizational consultation with a focus on improving health-related quality of life. In addition to his role as a consultant, he’s also been trained in Acceptance and Commitment Therapy and combines it with his treatment of physical therapy.

In this episode,you will learn what is missing from our current management of patients with persistent pain from the social perspective of the bio psycho social model, how peer-to-peer interaction can bring value to the recovery process, the opportunities and challenges with integrating peers into clinical practice and should peers deliver clinical interventions such as the bulls eye that is used in Acceptance and Commitment Therapy. I'm excited to share Jeremy's work with you,as well as to discuss peer-to-peer models for the treatment of chronic pain and other health conditions. As we move in to the next year,you're going to see a lot more group programs happening both online and offline.

With those group programs,they'll often have a peer-to-peer component, which has been very helpful for those overcoming chronic pain. We will also talk a little bit about how practitioners can infuse Acceptance and Commitment Therapy into their treatment of chronic pain and other health conditions. If you're any practitioner who treats chronic pain, make sure to hop on the waiting list for the Acceptance and Commitment Therapy (ACT) for Chronic Pain Program that I'll launch in mid-January. Make sure you go to the Integrative Pain Science Institute.com, click on Courses and you'll see a tab there where you can join the wait list for the ACT for Chronic Pain Program. The program is appropriate for any health and wellness professionals. Let's meet Dr. Jeremy Fletcher.

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Dec 12, 2019

We are bringing awareness to the important topic of stigma and chronic pain. People living with chronic pain are often stigmatized in healthcare settings, although they are not alone. Patients with various medical conditions, those with mental illness, people who use substances, people living with HIV, refugees, immigrants, even patients with poorly controlled diabetes can all be subjected to stigma. Here to discuss stigma and chronic pain is Dr. Whitney Scott. Whitney completed her PhD in Clinical Psychology at McGill University in Montreal, Canada. She is a post-Doctoral fellow in the Health Psychology Section within the Institute of Psychiatry, Psychology and Neuroscience at King’s College London. Her research focuses on psychosocial factors, including experiences of injustice and stigma related to functioning and quality of life in people with chronic pain.

Whitney also investigates psychological treatments such as acceptance and commitment therapy for people who live in chronic pain and she is finishing up a fellowship that developed and evaluated a version of an online act for people with HIV and neuropathic pain. This is an important topic for those living with chronic pain and for the practitioners who treat them. Whitney and I appreciate you tuning in and downloading this episode. If you want to continue the conversation, make sure to join The Integrative Pain Science Institute Community Facebook Page. You can find us at www.Facebook.com/groups/IPSICommunity. Let's meet Dr. Whitney Scott and learn about stigma and chronic pain.

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Dec 5, 2019

In this episode, we are exploring food, mood and its connection to chronic pain. As you head into the holiday season, I wanted to make a special episode just for you because overeating and overindulging in food can be a challenge for each and every one of us. No doubt, you will attend holiday parties, office parties, celebrations with friends and families, and run into food around every corner from Thanksgiving straight through to the New Year. This is an important topic related to chronic pain because we know the food you eat can ease your pain or the food you eat can exacerbate your pain. One of the greatest challenges with food is that it can be used as a numbing agent for times when you're feeling down or anxious. Using food to deal with chronic pain is a vicious cycle that can lead to increased inflammation, weight gain, hormonal imbalance, irritable bowel syndrome and problems with mood and sleep, all of which make pain worst.

Joining us to discuss the food, mood, pain connection is Dr. Susan Albers. She is a New York Times bestselling author and clinical psychologist at the Cleveland Clinic. She's the author of eight mindful eating books, including her book called Hanger Management: Master Your Hunger and Improve Your Mood, Mind, and Relationships. She's been a guest on popular TV shows including Dr. Oz and The Today Show. Her books, programs and tips have been featured in Oprah Magazine, Family Circle, Prevention and the New York Times. In this episode, you'll learn all about hanger management and how to successfully manage it. The connection between food, mood, emotions and chronic pain. Some tips for eating more mindfully and because preventing hanger means staying one step ahead of it. Dr. Albers will provide you with a free PDF download to her Hanger Alert Scale. This tool will help you reach for good mood foods that are nutrient-dense and packed with fiber and protein to help reduce the stress in your body. To download the Hanger Alert Scale, all you have to do is text the word, 160DOWNLOAD, to the number 44222 or www.IntegrativePainScienceInstitute.com/160download.

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Nov 28, 2019

In this episode, we’re talking about making sense of beliefs and behaviors in pain care. Our expert guest is Dr. Samantha Bunzli who is a physiotherapist and has worked in clinical practice for several years before undertaking a PhD with Professor Peter O’Sullivan at Curtin University in Australia. Her PhD research was entitled, “A Qualitative Investigation of Pain-Related Fear in People with Low Back Pain.” She is a post-doctoral researcher at the University of Melbourne working to optimize treatment outcomes for people with osteoarthritis. Dr. Bunzli’s work is part of an international effort to change the narrative in musculoskeletal pain care. She’s been awarded major grants by the National Health and Medical Research Council of Australia to improve evidence-based decision-making among orthopedic surgeons and implement non-surgical care pathways for people with end-stage osteoarthritis.

In this episode, you’ll learn why the beliefs people hold about their musculoskeletal pain matter, where do unhelpful beliefs come from, and how the common-sense model could help us understand unhelpful beliefs and behaviors. Samantha describes findings from her qualitative research based on data collected through interviews from both patients as well as clinicians. She is keen to emphasize the qualitative research is more than just the collection of stories. It involves robust methods of data collection and analysis.

Rather than going into detail about these methods, Samantha has provided free access to all of her research in which she explains the science behind qualitative research and describes the contribution qualitative approaches can make in the field of pain science. This includes some of her first work in the Journal Of Orthopedic and Sports Physical Therapy. In 2017, an article titled, “Making Sense of Low Back Pain and Pain-Related Fear,” as well as the 2019 study in the Journal of Clinical Orthopedic Simulated Research titled, “Misconceptions and the Acceptance of Evidence-Based Nonsurgical Interventions for Knee Osteoarthritis: A Qualitative Study.” Let’s learn about how the common-sense model can help us understand unhelpful beliefs and behaviors when it comes to chronic musculoskeletal pain with Dr. Samantha Bunzli.

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Nov 21, 2019

In this episode, we are exploring physiotherapy, yoga therapy and pain science with physiotherapist, Neil Pearson. Neil is a Clinical Assistant Professor at the University of British Columbia and the founding chair of the Physiotherapy Pain Science Division in Canada. He is a recipient of the Canadian Pain Society's Excellence in Interprofessional Pain Education Award and faculty in international yoga therapist training programs. Neil develops pain care resources, collaborates in research and serves as a mentor for health professionals and yoga practitioners looking to enhance their therapeutic expertise. He's also a lead contributor to Pain BC's Pain Foundations and Gentle Movement Series as well as the coeditor of Yoga and Science in Pain Care: Treating the Person in Pain along with physiotherapists, Shelly Prosko and Marlysa Sullivan. You'll learn all about yoga and yoga therapy for pain management, as well as the neuroscience that supports its effectiveness and use in the world of yoga, yoga therapy and physiotherapy. I want to thank Neil for his contribution. This episode is a great tool that you can use if you're a yoga therapist, a physical therapist or a physiotherapist, and you're interested in the intersection between yoga and/or pain science. It's great to share with your patients, your clients or your colleagues.

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Nov 14, 2019

On this episode, we're exploring the significance of Polyvagal Theory on autonomic resilience as it pertains to the management of chronic pain. Our expert guest is Dr. Marlysa Sullivan. She is an assistant professor at the Maryland University of Integrative Health in both yoga therapy and health promotion. She's also an adjunct professor at the Emory University in the Doctor of Physical Therapy program where she teaches the integration of yoga and mindfulness in physical therapy. She has a new book out which is co-edited with physiotherapists, Shelly Prosko and Neil Pearson called Yoga and Science in Pain Care, which we'll be discussing through the lens of Polyvagal Theory. As a researcher, Marlysa has also contributed to the evidence base with regard to yoga therapy and Polyvagal Theory. If you'd like to get a taste of Dr. Sullivan's work with regards to yoga therapy and Polyvagal theory, she has provided a free download of her paper.

The paper's called Yoga Therapy and Polyvagal Theory: The Convergence of Traditional Wisdom and Contemporary Neuroscience. To download this paper, all you have to do is text the word, 157Download, to the number 44222. You can also open up a new browser on your computer and type in www.IntegrativePainScienceInstitute.com/157download. Before we begin, make sure you take a moment to join the Integrative Pain Science Institute and the Healing Pain Podcast community Facebook group. Here you'll be able to connect with like-minded health professionals from the world of physical therapy, psychology, occupational therapy, medicine, nursing. Almost every profession is part of this group and you can connect with them with regard to integrative pain care and what's happening in the world of integrative pain science. To join that group, just go to www.Facebook.com/groups/IPSICommunity. You can send me a quick email. My email address is Joe@IntegrativePainScienceInstitute.com and I'll send that link to you. Sit back, relax and let's get ready to learn about Polyvagal Theory and pain science with Dr. Marlysa Sullivan.

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Nov 7, 2019

We're discussing the power of massage and manual therapy, how it can be used to manage pain and discomfort in infants and children. Our expert guest is Christine Robenalt. Christine graduated from Marquette University in 2001 with a Master's degree in Physical Therapy. Although she's worked in many different practice settings, Pediatrics is both her specialty as well as her passion. In addition to her degree in Physical Therapy, she's also a certified infant massage instructor through Loving Touch International and has additional in-depth training in primitive reflex integration. Christine has also furthered her education by completing the Integrative Pain Science Institute’s Functional Nutrition for Chronic Pain practitioner certification program and implements evidence-based nutrition education for both children and their families. You'll learn all about the research supporting the benefits of massage for infants and children, when you can start massaging your infant and if there are any conditions when you should not perform massage on your infant or child, what to do if your child is bothered by massage, doesn't like to be touched or maybe wants to sit still.

Christine will provide a free video demonstration. Hopefully you can access this on the blog at the Integrated Pain Science Institute. She'll teach you how to help an infant or child with pain from constipation. Christine has also provided you with a free PDF download all about massage for infants. After downloading and reading this handout, you'll feel confident and excited to begin massage with your child and you'll learn how massage and other sensory experiences directly impact your child's growth, development and learning. To download this PDF, all you have to do is text the word 156Download to the number 44222. You can type in the URL, www.IntegrativePainScienceInstitute.com/156Download. Let's begin and let's meet my friend and colleague, Christine Robenalt. 

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Oct 24, 2019

We’re talking about the important topic of compassion and pain care. Our expert guest is my friend and colleague, Shelly Prosko. Shelly is a Canadian physiotherapist, yoga therapist, author, speaker and educator. She is someone who is empowering individuals to create and sustain meaningful change in their life by teaching and advocating for the integration of yoga into modern healthcare. You may know Shelly as the pioneer of PhysioYoga, which is a unique combination of physiotherapy and yoga. Shelly guest lectures at medical colleges, teaches at yoga therapy schools, provide yoga teacher trainings, speaks internationally at yoga therapy and medical conferences, contributes to yoga academic research and offers online and offline continuing education courses for both yoga and healthcare professionals on important topic such as chronic pain, pelvic pain, compassion and professional burnout.

Shelly has recently co-authored a book called Yoga and Science in Pain Care: Treating the Person in Pain. That’s available online. We’ll also discuss that book. You’ll learn all about the different components of compassion, why compassion and pain care is important for both people overcoming pain as well as the practitioners who treat them. What are some of the reasons why we don’t always provide compassionate pain care? We’ll discuss if compassion is something that can be trained and cultivated or is it something that you’re born with? Finally, how to differentiate between compassion, empathy, and compassion fatigue. To help celebrate the launch of her new book, Shelly is providing a free chapter written about Compassion and Pain Care from her book for you. To download that free chapter on Compassion and Pain Care, all you have to do is to text the word 155download to the number 44222 or if you’re on a computer or another device, open up a new browser and type in the URL, www.IntegrativePainScienceInstitute.com/155download.

Before we begin, I wanted to share a brand-new community with you that I started. I created a free Facebook community for those who follow the Healing Pain Podcast and the Integrative Pain Science Institute. Inside this group, you can access free tips, education resources, and connect with like-minded peers and friends. Anyone can join this group, but I would especially like to meet you if you are an integrated pain practitioner. This would include a physical therapist, a physiotherapist and occupational therapist, a physician, a health coach, a psychologist, a counselor, a social worker. No matter who you are, if you are a healthcare provider, I’m looking forward to personally meeting you and hearing all about the great things that you’re doing in the world of pain care. To join this group, all you have to do is go to www.Facebook.com/groups/ipsicommunity. If you can’t remember that long URL, you can simply send me an email at Joe@IntegrativePainScienceInstitute.com. Make sure to take the time to download our free gift. Make sure to take a moment to join that Facebook group. I can’t wait to meet you there. Let’s begin and let’s meet the wonderful and fabulous, Shelly Prosko.

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Oct 17, 2019

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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Oct 10, 2019

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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Oct 3, 2019

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 PsychotherapyAcceptance and Commitment Therapy for Chronic PainLiving 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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Sep 19, 2019

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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Sep 12, 2019

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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Sep 5, 2019

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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Aug 29, 2019

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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Aug 22, 2019

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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Aug 15, 2019

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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