Pain Reframed

"Has anyone ever explained pain to you?" Rachel Zoffness, PhD, always asks her patients this one question in order to bridge the gap between her patient's understanding of their own pain and what other health care providers have told them about their pain. On today's episode of Pain Reframed, Dr. Zoffness joins Tim Flynn, PT, PHD, OCS, FAAOMPT, and Jeff Moore, PT, DPT, OCS, FAAOMPT, to discuss her new workbooks that she created to help bridge that education gap that patients have of their understanding of what their pain is telling them about their bodies. Dr. Zoffness wrote these workbooks for her own practice as a psychologist treating adolescents and young adults and is now ready to share this incredible resource with other providers. Links: https://www.zoffness.com/ The Chronic Pain and Illness Workbook for Teens The Pain Management Workbook @DrZoffness @jeffmooredpt @timothywflynn @EIMteam

On this week's episode of Pain Reframed, Tim Flynn, PT, PHD, OCS, FAAOMPT, and Jeff Moore, PT, DPT, OCS, FAAOMPT, discuss how to regroup and focus in 2021 on how clinicians can help their clients and patients during the global pandemic, by building up their immune systems through fitness, lifestyle choices and nutrition alongside social distancing and masks. They also talk about the rise of overdoses, the COVID-19 vaccines and how to move forward in 2021. Links: Rest, Relaxation, and the Immune System 11/13/2020 Is older age associated with COVID-19 mortality in the absence of other risk factors? General population cohort study of 470,034 participants The Hidden Epidemic of Opioid Overdoses During the Coronavirus Disease 2019 Pandemic

On this week's episode of Pain Reframed, David Clawson, MD, joins Tim and Jeff to discuss holistically approaching neck and back pain and spinal deformity, breaking down how Dr. Clawson has used that approach his field of physical medicine and rehabilitation. Dr. Clawson categorizes the threats that patients are up against -physical and mental, then dives into the review of systems to inform and determine his plan of care. Dr. Clawson also discusses in depth how to transition from the physical evaluation to the mental or spiritual evaluation that plays such a large part of pain. Links: @jeffmooredpt @timothywflynn Listen on Vurbl

On this week's episode of Pain Reframed, Tim Flynn and Jeff Moore talk with Andrew Pugh, MD and Keith Roper, DPT to discuss their new research paper "Dedicated emergency department physical therapy is associated with reduced imaging, opioid administration, and length of stay: A prospective observational study" and how this research affects their practice in emergency medicine. Links: Dedicated emergency department physical therapy is associated with reduced imaging, opioid administration, and length of stay: A prospective observational study @DrAEPugh @KeithRoperDPT @jeffmooredpt @timothywflynn

On this week's episode Liz and Jeff speak with Dr. Kirsty Bannister, a renowned researcher on conditioned pain modulation, about what we know, what we’re studying, and what we can look forward to in the future of this topic. Kirsty completed BSc, MRes and PhD degrees at University College London and and Imperial College before returning to UCL for a decade-long postdoctoral research position in the laboratory of Professor Anthony Dickenson. In 2017 Kirsty gained her faculty position upon joining King’s College London where she now runs her research group investigating the central modulation of pain. Specifically Kirsty's research team bridges the gap between bench and bedside pain research by conducting exploratory experiments that seek to molecularly, anatomically and/or functionally define descending control pathways in rodent and man using electrophysiology and human psychophysics respectively. Kirsty has led multiple symposia at world pain congresses including IASP and EFIC and she also performs Section Editor duties for multiple pain-related journals. Links: kirsty.bannister@kcl.ac.uk @bannister_lab Kirsty Bannister's Lab address: Wolfson CARD, King’s College London, London, SE1 1UL @jeffmooredpt @LizPeppin

In this episode, Liz and Tim speak with Dr. Heidi Jannenga PT, DPT, ATC, physical therapist and co-founder of WebPT, regarding the difficult topic of inequity in health care for people of color. We discuss the problems of implicit bias, systemic racism, and the 90% problem in the PT profession. Heidi also provides some small ways we can all work to improve. Links: Justice In June Why We Cannot—And Do Not—Serve Our Patients Equally Bridging the PT Diversity Gap Connect with Heidi via LinkedIn Some books regarding these topics: The New Jim Crow (Michelle Alexander) So You Want to Talk About Race (Ijeoma Oluo) How to be an Antiracist (Ibram X Kendi) Just Mercy (Bryan Stevenson) White Fragility (Robin DiAngelo)

In this episode, Liz and Adam talk to artist and educator Emily Lanctot about how art and pain cross paths. She discusses the ethics of museums accepting donations from families such as the Sacklers, who were largely responsible for the devastation of the opioid crisis. Emily also gives her insight on how to cope with grief, anxiety and pain through art and creativity. Links: emilylanctot.com @eimly_lanctot DeVos Art Museum @LizPeppin @adampaulryan Opioid Addiction Helpline: 1-800-662-HELP (4357)

On this week's episode of Pain Reframed, Colorado Attorney General Phil Weiser joins Tim Flynn to discuss how trauma affects every part of your life. His own family history of trauma has driven his mission as the Attorney General to fight the opioid epidemic by first, stopping and listening to his constituents, then addressing those issues through lawsuits and opioid-related task forces. Links: @COAttnyGeneral coag.gov/about-us/colorado-attorney-general Opioid Unit Connect on Facebook

On this week's Pain Reframed episode, Tim and Jeff are joined by Danesh Mazloomdoost, MD the author of Fifty Shades of Pain: How to Cheat on Your Surgeon with a Drug-Free Affair and fellowship-trained and dual board certified clinician in Anesthesiology and Pain Management. Dr. Mazloomdoost discusses different chapters in his book that cover topics like how pain medications can cause more pain in the long-term, how people should view surgery to relieve pain and how powerful hope can be. Links: Get the Top 5 Questions to ask your health care provider here: http://wellwardmed.com/book/ http://wellwardmed.com/team/drdanesh/ @wellwardmed @jeffmooreDPT @timothywflynn @EIMteam

Chris Johnson, MPT, ITCA, joins Liz and Jeff to discuss the unique challenges of treating pain in athletes. Chris worked at the world-renowned Nicholas Institute of Sports Medicine and Athletic Trauma of Lenox Hill Hospital as a physical therapist and researcher. In 2014, he opened Zeren PT to provide unparalleled physical therapy and performance coaching for multi-sport athletes in the Pacific Northwest. Chris is also the co-founder and CEO of RunCadence LLC, which is an IOS app that helps runners apply step rate manipulation to their training. Outside of his professional work, Chris races triathlon at the amateur elite level. He is a five-time USAT All American, three-time Kona Qualifier, and one of the dominant age group athletes in long course triathlon. Chris is also extensively published in the medical literature and is a sought after international public speaker. Links: chrisjohnsonpt.com @zerenpt chris@zerenpt.com 347.433.6789 @LizPeppin @jeffmooreDPT

In this episode, Liz and Jeff talk to Laura Seago, co-founder and Head of Content at Curable, about using the mind-body connection to treat pain. Laura focuses on creating virtual, neuroscience-based recovery programs for chronic pain. Her passion for creating these programs stems from her personal experience of recovery from migraines, sciatica, and chronic knee pain. She is an alumna of BuzzFeed and Google, both of which helped her to develop the digital storytelling skills Curable uses to engage chronic pain sufferers with bite-sized audio lessons and easy-to-use techniques. Links: www.curablehealth.com info@curablehealth.com https://www.curablehealth.com/podcast @curablehealth

Liz and Jeff chat with Dr. Leonard Van Gelder, DPT, CSCS, TPS, CSMT about relational frame theory, the most empirically-studied theory of human language and cognition and how this relates to the psychological flexibility of patients' ability to incorporate new concepts into their existing stories, and prognosis for recovery. Leonard Van Gelder has been involved in the movement and rehabilitation field for over 15 years. During this time, he has studied, published research, and presented at regional and international conferences on the science of stretching, strength and conditioning, and therapeutic pain science interventions. He has explored a diverse spectrum of manual therapy and movement approaches, and emphasizes a biopsychosocial approach to manual therapy, movement, and education in his practice. He owns and practices clinically at Dynamic Movement and Recovery (DMR) in Grand Rapids, MI. Links: www.dynamicprinciples.com www.dmrmove.com leonard@dynamicprinciples.com @LizPeppin @JeffMooreDPT Recommended resources: Learning RFT by Niklas Torneke ACT Made Simple by Russ Harris

In this episode, Liz and Jeff chat with Walt Fritz. Walt has been a physical therapist since 1985 and has integrated manual therapy into that model ever since 1992. He trained with many traditional tissue-based instructors, including myofascial release and craniosacral therapy, but became dissatisfied with the narratives used to describe the work and effects and began to move into a more biologically plausible explanation. While continuing to use a hands-on approach that visibly resembles those earlier models, he has neutralized the implied message by now referring to the work he uses and teaches as "manual therapy." Building on concepts firmly grounded in the biopsychosocial model, as well as the possibly undervalued third leg of the evidence-based practice model (patient preferences and values), his model of intervention and professional education stresses a patient-led experience. He believes that manual therapy need not be a passive modality, one that fosters patient dependency, but a subset of therapeutic intervention that reduces fear of movement and encourages self-efficacy, one well-grounded in evidence-based practice. Links: www.LimaPainRelief.com www.WaltFritz.com @jeffmooredpt @LizPeppin @eimteam

On this episode of Pain Reframed, Liz and Jeff talk with Evan Parks, Psy. D., a clinical psychologist on staff at Mary Free Bed Rehabilitation Hospital and an adjunct assistant professor at Michigan State University College of Human Medicine. He is also the host of the Pain Rehab podcast and writes a regular column for Psychology Today. We discuss the 10-week outpatient chronic pain program at Mary Free Bed, explaining pain to patients, and more! Links: www.PainRehabSource.com https://www.maryfreebed.com/ https://www.psychologytoday.com/us/blog/pain-rehabilitation @DrEvanParks https://www.facebook.com/painrehabsource www.linkedin.com/in/drevanparks @eimteam @jeffmooredpt @LizPeppin

Dr. Justin Dunaway joins Pain Reframed this week! Justin has extensive experience in outpatient orthopedics, not only in the United States, but also in Haiti. Justin and his wife, Dr. Morgan Denny, founded and run the organization STAND Haiti. The STAND Haiti Project establishes permanent access to orthopedic rehabilitative services in the country of Haiti through direct patient care and clinical training of its citizens. Through STAND Haiti, Justin and his team go to Haiti multiple times a year to see patients who have a significantly different relationship with healthcare and different level of resources and education than in the United States. Interestingly, the difference of access to resources and education brings up some fascinating discussion. Jeff, Justin, and Tim share their thoughts on these differences and how having a “blank slate” in treatment and care can actually be beneficial. Justin shares his experience in going through the Therapeutic Pain Specialist Certification program and how it helped him and changed the way he manages pain. The certification was instrumental in teaching Justin ways to take the ideas on pain management and apply it in a framework that works for him and his patients. LINKS: http://www.standhaitiproject.org/http://evidenceinmotion.com

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. Links: @KatieSleepPTcsiengsukon@kumc.eduhttps://sleepfoundation.org/@eimteam

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. LINKS: jessiepfreedompt@gmail.comhttp://www.alignconference.com/@eimteam@jeffmooredpt@timothywflynn

In this episode of Pain Reframed, hosts Tim Flynn and Jeff Moore are joined by Dr. Britt Smith, PT, DPT, OCS, FAAOMPT, a physical therapist and private clinic owner, to discuss the importance of taking a historical perspective during challenging times. Dr. Smith has spent his life studying history and the humanities and bringing that mindset into the care of his patients and into the care of society. His research focuses on back pain through a historical perspective and this discussion centers on President John F. Kennedy’s struggles with chronic back pain. Links: @brittmsmith @timothywflynn @jeffmooredpt

Dr. Marc Ringel joins us on Pain Reframed to discuss the humanistic perspective on healthcare. Dr. Ringel has served in so many different aspects of the healthcare profession, but his perspective on the humanistic side is very powerful. This week, Marc, Jeff, and Tim will be talking about what it is to be human and how to deliver kind care. The power of touch and face-to-face communication can’t be replaced with technology, no matter how helpful technology is for us. Also, as a philosophy major, Dr. Ringel became interested in the history of science and in the "mind-body problem." For most of his career Dr. Ringel has written, spoken, and consulted on issues related to medical informatics and telemedicine. LINKS: Marc’s Book: Digital Healing: People, Information, and Healthcaremarcringelmd@google.comPain Reframed Facebook Grouphttp://evidenceinmotion.com@eimteam

Dr. Marc Rubenstein is the owner of Jersey Physical Therapy and Jersey LiveWell, a health management company that works with individuals to reduce chronic disease burden and partners with companies to save on healthcare costs. A long-time listener of Pain Reframed, Marc is dedicated to helping chronic pain patients throughout his community. LINKS: Twitter - @EIMTeam Twitter - @MarcRubyDPT Twitter - @BethDarnall Listen to Dr. Beth Darnall's episodes - Pain Catastrophizing and We Have Ignored the Pain Psychology of Patients