Pain Reframed | Physical Therapy | Pain Management

Scott Mann, a retired U.S. Army Special Forces officer, story-teller and human connections coach is joining Tim and Jeff to talk through how finding your personal story can help you overcome trauma and find healing. Scott discusses his time in the military and how that has affected his life moving forward, including his organization, Rooftop Leadership; his play, Last Out: Elegy of a Green Beret; his book, Game Changers; and his non-profit, The Hero’s Journey. Scott also gives his recommendations for healthcare providers treating patients that have lost trust in the healthcare system, from his personal experience creating relationships in challenging environments.   Links: http://www.rooftopleadership.com/ Scott Mann http://www.theheroesjourney.org/ https://www.amazon.com/Game-Changers-Abridged-Citizens-Extremists/dp/1978442971 http://www.lastoutplay.com/ @timothywflynn @jeffmooredpt

Listen in for an update from your Pain Reframed host, Tim Flynn, PT, PhD, on how COVID-19 will be affecting new episodes of the podcast. We appreciate your continued support, and we hope we can continue to add value to your practice and to your lives.

On this week's episode of Pain Reframed, Jarod Hall, PT, DPT, OCS and Jim Heafner, PT, DPT, OCS join Jeff and Tim to discuss a pamphlet called "Wrinkles on the Inside: The Good News about Aging."  This pamphlet talks about how the relationship between imaging and aging to educate patients and health care providers at clinics. Links: Wrinkles on the Inside: The Good News about Aging @Jarod_Hall @jheafner @timothywflynn @jeffmooredpt

Sophia L. Thomas, DNP, APRN, FNP-BC, PPCNP-BC, FNAP, FAANP, is president of the American Association of Nurse Practitioners® (AANP). A family and pediatric nurse practitioner (NP) at the Daughters of Charity Health System in Kenner (New Orleans), Louisiana, Dr. Thomas’ clinical practice has focused on providing care to the medically underserved families. Dr. Thomas is active within several professional organizations, including the Louisiana Association of Nurse Practitioners (LANP). She has served in elected and appointed leadership and committee positions, including as president of LANP, and previously in AANP as Region 6 Director. Dr. Thomas was inducted as a Fellow in both the AANP in 2012 and the National Academy of Practice in Nursing in 2013. In addition to her advocacy, Dr. Thomas impacts NP education as clinical faculty for Georgetown University’s FNP program as well as through publications and presentations on multiple clinical topics. As AANP President and spokesperson, her multimedia reach includes

In this episode of Pain Reframed, Liz and Adam interview Robert North, MD, PhD regarding a study published in Brain, "Electrophysiological and transcriptomic correlates of neuropathic pain in human dorsal root ganglion neurons." This study provides important foundational evidence for spontaneous firing observed in dorsal root ganglia from symptomatic dermatomes, and sets the stage for future investigations which may lead to novel clinical treatments for peripheral neuropathic pain. North is Chief Neurosurgery resident at Baylor College of Medicine (Houston, TX) and its affiliated hospitals, including MD Anderson Cancer Center.   Links: Original study: https://www.ncbi.nlm.nih.gov/pubmed/30887021 Email Dr. North: north@bcm.edu @LizPeppin @adampaulryan @EIMTeam

What is the relationship between food and pain? On this week's episode of Pain Reframed, Joe Tatta, PT, DPT, joins Jeff to talk through how nutrition affects pain and the nervous system and how a licensed health care professional can address nutrition with their patients. Links: Can a Physical Therapist Give Nutrition Advice? What the law says about a PT counseling on nutrition Heal Your Pain Now @DrJoeTatta joe@integrativepaininstitute.com @JeffMooreDPT

Jeff, Liz and Adam candidly talk about the results of a recent study that looks at the proportions of patients with new chronic musculoskeletal pain condition that were prescribed nonopioid medication, opioids, PT, counseling and other nonpharmacologic treatments. This has generated a lot of discussion in the medical community and in this episode we bring in three disciplines to talk about it. Links: Patients with newly diagnosed musculoskeletal pain are prescribed opioids more often than recommended Management of Patients with a Musculoskeletal Pain Condition that is Likely Chronic: Results from a National Cross Sectional Survey @jeffmooredpt @LizPeppin @adampaulryan @EIMTeam

On this week's episode of Pain Reframed, Dr. Adriaan Louw and Aaron Gani join Liz and Adam to discuss how BehaVR is using virtual reality to add education, activation and motivation to your pain neuroscience education.  Links: Interdisciplinary Pain Neuroscience Continuing Education in the Veterans Affairs: Live training and live-streaming with 1-year follow-up BehaVR @BehaVR_al Adriaan Louw @eimteam Can pain beliefs change in middle school students? A study of the effectiveness of pain neuroscience education

As we near the end of the year, we want to share some of our favorite episodes from 2019. First on the list, Dr. Lisa Holland joins Tim and Jeff for Part 2 of their conversation on blending the Eastern and Western models of treatment. If you haven't listened to their first conversation, check out Episode 113. Lisa, Tim and Jeff talk about a "Human Systems Model of Care" that focus on the human that is in your clinic. They discuss what exactly that model of care looks like, how that affects your patients and what that will look like to your patients.   Links: Connect with Lisa Holland https://www.linkedin.com/in/lisaholland/ @EIMTeam @timothywflynn @jeffmooredpt

Julliard graduate, Soo Yeon Kim joins Liz and Adam on this week's episode to talk about how pain affected her as a performer and artist in a culture where weakness must be hidden away. Join Soo Yeon as she talks through how she finally came to a point in her life that helped her breakthrough the cycle of pain and stress. Links: Soo Yeon Kim @EIMTeam @LizPeppin @adampaulryan

Rachel Zoffness, PhD is a pain psychologist in the San Francisco Bay Area who specializes in treating teens and children dealing with persistent pain. She is also an Assistant Professor at the UCSF School of Medicine where she teaches pain neuroscience. Through her practice, she developed a workbook, The Chronic Pain & Illness Workbook for Teens, gives youth, parents and healthcare providers a guide to working through chronic pain. Links: https://www.zoffness.com/ Rachel Zoffness' Book: The Chronic Pain & Illness Workbook for Teens @DrZoffness @EIMTeam @timothywflynn @jeffmooredpt

Lauren Elliott, South College DPT Student, joins Jeff and Tim to talk about her story of persistent pain, how her pain started, how her healthcare team addressed her pain and how she was able to overcome it. Lauren is pursuing her passion of helping others who are in persistent pain by becoming a physical therapist herself. Listen in to Lauren's five year journey and where she's going next. Links: lauren.26.elliott@gmail.com @EIMTeam @timothywflynn @jeffmooredpt

Dr. Lisa Holland joins Tim and Jeff for Part 2 of their conversation on blending the Eastern and Western models of treatment. If you haven't listened to their first conversation, check out Episode 113. Lisa, Tim and Jeff talk about a "Human Systems Model of Care" that focus on the human that is in your clinic. They discuss what exactly that model of care looks like, how that affects your patients and what that will look like to your patients.   Links: Connect with Lisa Holland https://www.linkedin.com/in/lisaholland/ @EIMTeam @timothywflynn @jeffmooredpt

John Seip, DPT, CSMT, and Peter Drinkwine, DPT, have the unique positions of working as PT's in the Emergency Department at a trauma hospital in Duluth, Minnesota. John and Peter join Liz and Adam to share their experiences helping patients with acute, chronic, and acute-on-chronic pain find hope and direction in some of the most desperate times in their lives.   Links: Research in Physical Therapy: https://academic.oup.com/ptj/article/99/9/1150/5554395 Research in American Journal Emergency Medicine: https://www.ncbi.nlm.nih.gov/pubmed/29853343 @PeterDrinkwine @EIMTeam @LizPeppin @adampaulryan http://www.apta.org/NSC/  John and Peter’s upcoming NSC 2019 presentation: https://apta.confex.com/apta/nsc2019/meetingapp.cgi/Session/1752

In this episode, Sahar Swidan, Pharm.D., R.Ph., ABAAHP, FAARFM, FMNM, FACA, joins Liz, and Adam discuss all things medication treatments for persistent pain, including some exciting up-and-coming medication treatments, new trials, tapering and more. Listen in for details on low-dose naltrexone (LDN), ketamine, oxytocin, and CGRP inhibitors for various persistent pain conditions.   Links: https://sahar.world/ @Sahar_Slyngshot @EIMTeam @LizPeppin @adampaulryan painreframed.com

Scott Mann, a retired U.S. Army Special Forces officer, story-teller and human connections coach is joining Tim and Jeff to talk through how finding your personal story can help you overcome trauma and find healing. Scott discusses his time in the military and how that has affected his life moving forward, including his organization, Rooftop Leadership; his play, Last Out: Elegy of a Green Beret; his book, Game Changers; and his non-profit, The Hero’s Journey. Scott also gives his recommendations for healthcare providers treating patients that have lost trust in the healthcare system, from his personal experience creating relationships in challenging environments.   Links: http://www.rooftopleadership.com/ Scott Mann http://www.theheroesjourney.org/ https://www.amazon.com/Game-Changers-Abridged-Citizens-Extremists/dp/1978442971 http://www.lastoutplay.com/ @timothywflynn @jeffmooredpt

Todd Hargrove joins Dr. Tim and Dr. Jeff on today's episode to talk through how Todd went from practicing attorney to a Feldenkrais Method practitioner and certified rolfer. Todd' discusses his book, Playing with Movement which delves into how environment affects your movement and how to bring enjoyment back to exercise. Using his unique perspective, Todd answers the questions: Is there a way to integrate the Feldenkrais Method into more traditional musculoskeletal health care? How can the Feldenkrais Method affect pain? Links: Playing with Movement @ToddHargrove @EIMTeam @timothywflynn @jeffmooredpt

In this episode, Liz and Adam talk with Lynne Greenberg, PhD, about her personal experience with pain. Her poignant memoir, The Body Broken, tracks her experience with pain from misdiagnosis and misunderstanding to connection and realization. Lynne teaches at Hunter College in New York City, where she specializes in 17th century British literature. Lynne, Liz and Adam talk about her journey into the desert of pain and back out again, including some of the ways she now co-exists with pain, despair, and hope.   Links: The Body Broken lagreenb@hunter.cuny.edu @EIMTeam @LizPeppin @adampaulryan painreframed.com

On this week's episode, Jodi Young, PT, DPT, OCS, FAAOMPT, joins Dr. Tim and Dr. Jeff to discuss her latest research article from JOSPT, Nonoperative Management Prior to Hip Arthroscopy for Femoroacetabular Impingement Syndrome, and how it addresses the question of how imaging can affect a patient's perspective.  Join Jodi, Tim and Jeff as they answer the questions: How should patients synthesize the research for their own situation? What do PTs need to do to insure patients understand the role of imaging? And, where will Jodi go next in her research?   Links: Nonoperative Management Prior to Hip Arthroscopy for Femoroacetabular Impingement Syndrome Jodi.young@bellincollege.edu @jlyoung2 @EIMTeam @timothywflynn @jeffmooredpt      

On today's Pain Reframed podcast, Casey Gunderson, CTRS, joins our hosts Liz Peppin, PA-C, TPS, and Adam Ryan, MD, to discuss her role as a Recreational Therapist in a diverse, interdisciplinary pain treatment team at the Minnesota Department of Veterans Affairs.  Join Casey, Liz and Adam as they discuss how she helps veterans have fun to assist them on their path toward healing. Casey shares a shares a powerful story of a veteran who nervously started the veteran climbing program. His fears and disabilities were overcome through connection and trust in just three short weeks climbing with Casey and the group. Links: @EIMTeam @LizPeppin @adampaulryan Casey Gunderson painreframed.com