Pain Reframed | Physical Therapy | Pain Management

This week, we welcome Dr. Paul Mintken to discuss, with us, the role of the physical therapist in solving the opioid epidemic. This viewpoint was recently published in the May edition of the Journal of Orthopaedic and Sports Physical Therapy by Dr. Mintken, Dr. Jeff Moore, and Dr. Tim Flynn. Dr. Paul Mintken is at the CU Physical Therapy Program in Denver, Colorado where he is a full professor, clinician, and researcher. One of Paul’s main pursuits is to help move the profession forward and educate students and younger PTs entering the field. Don’t forget!! It’s almost here!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: https://www.jospt.org/doi/abs/10.2519/jospt.2018.0606 @pmintkendpt paul.mintken@ucdenver.edu http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

Sometimes, there are pain areas that people aren’t always comfortable discussing. Even further, it’s easy for us to compare, for example, our hands to others around us. But some areas… well, let’s just say, we’re not going around comparing those! So we need a safe environment for patients to feel comfortable and confident getting the treatment they deserve. We welcome back Dr. Sandy Hilton to Pain Reframed! Sandy joined us way back on episode 7! Sandy and her business partner, Sarah Haag, of Entropy Physiotherapy, have made a community out of their clinic due to the forward-thinking environment they have created there, helping to ensure the patients feel welcome and comfortable. We will continue the discussion on how to handle sensitive pain topics and best treat our patients. Don’t forget!! It’s almost here!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conf

We have Dr. Jessie Podolak joining us this week to share her story and journey as a physical therapist working with patients who have chronic pain. Jessie shares a wealth of, not only knowledge and great tips, but incredible wisdom that is absolutely helpful to, not only your professional pursuit, but also your personal life. Jessie talks quite a bit about the need for PT’s to have self-care. Take care of yourself in order to take care of others. Additionally, rather than saying “soft skills” in relation to compassion, empathy, listening, mentorship, etc., say they are “higher order skills.” This is HUGELY important and something, we’ve found, that patients really do, deep down, want. Don’t forget!! It’s almost here!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: jessiepfreedompt@gmail.com http://ispinstitute.com http://www.alignconference.

We are so excited to welcome Lindsay Marth to Pain Reframed! Lindsay is our first Occupational Therapist to be on the show and so Lindsay will discuss what OT has to offer individually as well as from a team perspective. The discussion with Lindsay, this week, showcases the need for all of us to utilize different resources and tools available at the most appropriate times while dealing with persistent pain. Lindsay shares some fantastic resources with us as well as a really powerful and helpful tool (The VEMA Tool) to really help understand what motivates patients through difficult times. Don’t forget to save the date: It’s coming up soon!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: lindsay.marth@gmail.com http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

We have a very special and fascinating episode for you this week! Mark Cummings joins us to share his story and also his recent journey of pain. Mark also, specifically, shares how his base level of pain increased significantly and immediately after seeing an image of his fracture, continuing to show how cognitive our pain really is. Mark is an amazing musician who has a passion for the guitar: specifically his 1980s Martin. Mark also has Multiple Sclerosis and is very close to the release of a new CD, featuring incredible musicians from around Colorado. The proceeds of this album will go to support the National Multiple Sclerosis Society and their research in battling MS. Please check out this project and his new album (links are below)! Don’t forget to save the date: It’s coming up soon!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: http

Sometimes patients will hear mixed messages and contradictory advice, which can be a huge problem in their treatment and faith in the system, especially when they have high concern and fear levels. Thankfully, Dr. Becky Vogsland has been working with an amazing team to create a system where a common message is focused on to truly help patients. Becky’s story and their results are phenomenal! Becky has practiced at the Minneapolis VA in the areas of traumatic brain injury, polytrauma, orthopedics and chronic pain since 2007. To better serve her patients, Becky has obtained certifications as an Orthopedic Clinical Specialist, Certified Manual Trigger Point Therapist, Certified Spinal Manual Therapist, and in Rehabilitation Pilates and TRX. She is an adjunct faculty member at St. Catherine University teaching about traumatic brain injury and headaches. Don’t forget to save the date: It’s coming up soon!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerv

We have a special treat this week on Pain Reframed: Dr. Paul Beattie. Paul’s research is primarily on low back pain as well as the use of technology (primarily MRI) and now moving into the brain and Functional MRI. Paul’s research is absolutely fascinating in how the brain handles, and even creates, pain based on some various factors. Paul shares some of his research and findings in relation to the “and, not the or” approach of looking at best treatments of chronic pain working with the brain and the tissue. Don’t forget to save the date: It’s coming up soon!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: pbeattie@mailbox.sc.edu http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

Certain regions of our country have a particularly challenging time dealing with the opioid crisis. These regions, not only have the challenge of seeing improvements with the crisis, but are also still seeing a rise in opioid use. Dr. Todd Davenport focuses on population health and social determinants of health. In today’s episode and discussion, we’re looking at what these social determinants of health are that cause these populations to struggle to recover from opioid addiction issues and other related health issues from their quality of life. Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: @sunsopeningband http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

We’ve got something new and special for you this week on Pain Reframed! Welcome to the Pain Reframed PSA! In these episodes, we will be taking an important recent finding/article/etc. and talking directly to the public rather than trying to speak only to clinicians. Then we’ll ask you to share this important topic with your communities. In this first installment of the Pain Reframed PSA, we discuss a pragmatic trial (vs. a prescriptive trial) from the Journal of American Medical Association about moderate to severe chronic back, hip, or knee pain that has been going on for more than six months and the effect of opioid use vs. non-opioid use. We discuss the findings on this information and how you can utilize this in your personal care if this is something you deal with or someone you know deals with. Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be

Dr. Ron Andrews joins us on Pain Reframed this week! Ron is with the University of New Mexico, which is the only physical therapy school in the state paired with the only medical school in the state. Ron brings a wealth of knowledge and experience working interdisciplinary at the school as well as with UNM’s Project ECHO. Ron will be sharing some of his experiences and advice, as well as all about Project ECHO and how it’s been powerfully impacting patients. Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: http://echo.unm.edu randrews@salud.unm.edu http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

Dr. Elliot Feldman joins Pain Reframed this week! Elliot is standing up and taking the initiative, getting inside of the system, and making significant positive change with the treatment of patients. Elliot will share some incredible actions that he’s taken to change the conversation in the system’s delivery on how individuals who are in pain are managed. It wasn’t easy for Elliot but he remained strong so that he could really help those in need with the right treatments and right conversations. Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: efeldmansurf@gmail.com @efeldmansurf http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

This week, we are doing something different! We’re extremely excited to bring you stories about how we are 'winning' in physical therapy. We’ll be sharing victories of what past guests have accomplished (think Shark Tank Update) and exciting breaking news in the right direction. It’s always easy to focus on what’s wrong and what we need to fix, but it’s a good thing to also recognize and celebrate the victories taking place right in front of us! Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: Pain Neuroscience Education: Teaching People About Pain Study from Beth Darnall @bethdarnall http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

On location at the Horse and Dragon Brewing Company in Fort Collins, CO, we’ve got another Reframed Recap episode for you! On this episode, Dr. Tim Flynn and Dr. Jeff Moore will be digging deeper into the conversations and content shared in the episodes with John Gribbin (episode 34), Dr. Marta Ceko (episode 38), and Dr. Adriaan Louw (episode 42). Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

We welcome Liz Peppin to Pain Reframed! Liz is a long-time listener to Pain Reframed and also a Physician Assistant who has suffered from extreme pain for quite some time. Liz shares her extraordinarily powerful story dealing with pain, the frustrations of not finding solutions even after seeing multiple medical professionals, and then the successful side of her journey in how she is now, truly, reframing, not only her own pain, but the pain of the patients she has the privilege of seeing and helping. Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: http://facebook.com/lizpeppin @lizpeppin http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

Sleep is SO important. Sure, the topic has been batted around on Pain Reframed, but do we really know and believe that sleep is essential? Today, we’ll be chatting with Dr. Katie Siengsukon about sleep, as well as screening and sleep hygiene tactics that you need as a clinician and also that you need as a patient. Dr. Siengsukon provides instruction in neuroscience, neurorehabilitation, and sleep health promotion in the physical therapy and rehabilitation science graduate programs. She is currently the director of the Sleep, Health, and Wellness Laboratory and conducts research to better understand how sleep impacts function, learning, and overall health particularly with aging and in those with neurological conditions. Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: @KatieSleepPT csiengsukon@kumc.edu https://s

Everything is well and good until that patient is right there in front of you while you are trying to actually implement the concepts that we’ve discussed here on Pain Reframed. Today, we get “down in the trenches” and discuss these types of encounters with actual patient stories and strategies and language used in those sessions. Our goal today is to bring additional clarity and insight in these moments to help you implement these strategies more efficiently and effectively. Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

Dr. Adriaan Louw rejoins Pain Reframed to discuss talking with children about pain. Specifically, a recent paper studied Middle School education of pain and showed that the paradigms and foundations for pain begin for us when we are kids. Dr. Louw and his team are going into schools to set a correct and healthy foundation for what pain is and what discomfort actually means in order to set these kids on a healthier path throughout their lives. We hope you enjoy this episode and its transformative message of hope and progress! Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

We welcome Dr. Stacy Barrows to Pain Reframed this week! Stacy is one of the first instructors to teach how to use the foam rollers, and she has lectured extensively to health and fitness professionals on other topics such as the Feldenkrais Method®, treatment of the shoulder and arthritis. Stacy co-authored a study on Feldenkrais and pain management. Stacy, Jeff, and Tim discuss how PTs can help patients become more aware of their movement patterns as well as learning how to move more effortlessly and enjoying the process of movement. Stacy includes some in-the-moment examples that you can try while listening to Pain Reframed! Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: Twitter - @feldypt Doidge Brain Science Podcast:http://brainsciencepodcast.com/bsp/2015/bsp-116-doidge NYT article: https://www.nytimes.co

Happy New Year! To kick off 2018, we want to send a clear message that the patient voice is the most important voice. In order to do that, Dr. Tim Flynn and Dr. Jeff Moore are doing a compilation of some of the most powerful and hard-hitting messages from the patients that we interviewed on Pain Reframed in 2017. We will share clips from Laura Pritchett in episode 3, The Real Brian in episode 8, April Brown in episode 16, Sonya Huber in episode 18, and Dr. Andrew Rothschild in episode 33. Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmotion.com @eimteam

This week, on Pain Reframed, Dr. Tim Flynn and Dr. Jeff Moore share some of the most powerful and discussed conversations that have occurred here on Pain Reframed throughout 2017. We’re sharing clips from episodes with Sandy Hilton, Dr. Anna Lembke, Dr. Adam Ryan, Dr. Melissa Cady, Dr. Cheryl Keller Capone, Dr. David Hanscom, Dr. Ben Bobrow, Dr. Adriaan Louw, Dr. Beth Darnall, and Dr. Peter O’Sullivan. Thank you very much for listening to Pain Reframed this year and joining in on the amazing discussions! We couldn’t have done this without you and appreciate everything you’ve done for us in 2017. We will talk to you next week to kick 2018 off with some exceptional content! Happy New Year!! Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference. LINKS: http://ispinstitute.com http://www.alignconference.com/ http://evidenceinmoti