Pain Reframed | Physical Therapy | Pain Management

On this week's episode of Pain Reframed, Dr. Lisa Holland joins Dr. Tim and Dr. Jeff as she discusses integrating Eastern and Western approaches to healthcare. She addresses what's missing in western medicine and how eastern medicine can bring an allopathic approach to healthcare.   Join Lisa, Tim and Jeff as they talk motivational interviewing, changing general vernacular and addressing trauma at all levels to build resilience.   Links: @EIMTeam @timothywflynn @jeffmooredpt Lisa Holland  

On this week's episode of Pain Reframed, Kathy Travnicek, MD joins Adam Ryan, MD and Liz Peppin, PA-C to discuss her own journey through the healthcare system when an ED clinician misdiagnosed a subarachnoid hemorrhage as a wine headache. As a pain management and rehabilitation specialist at Pain Institute of Nevada, fortunately, Kathy was able to advocate for herself and has now fully recovered. Join Liz, Adam and Kathy as they talk through what went wrong in Kathy's experience, how healthcare professionals can better take care of their patients, and the pain scale.   Links: @EIMTeam @LizPeppin @adampaulryan Kathy Travnicek  painreframed.com

Jeff Hathaway, PT, DPT, the CEO of Breakthrough Physical Therapy in North Carolina, joins hosts Dr. Tim Flynn and Dr. Jeff Moore to discuss his brainchild, VR for Pain Neuroscience Education. Since VR hasn’t been widely implemented in traditional healthcare settings, Jeff Hathaway discusses his strategy for educating the public and other healthcare providers about the benefits of VR, and about how he made VR a reality in his clinics. Listen in as Jeff Hathaway, Tim Flynn and Jeff Moore talk through how VR enhances pain neuroscience education, how other patient stories play a key role and the future of VR in the clinic.    Links: @EIMTeam @timothywflynn @jeffmooredpt @ProActivePT Jeff Hathaway: 607.227.6366 https://www.evidenceinmotion.com/ https://www.ispinstitute.com/  

This week, on Pain Reframed, Dr. Tim Flynn and Dr. Jeff Moore are joined by Dr. Peter O’Sullivan.  Peter is Professor of Musculoskeletal Physiotherapy at Curtin University, in Perth, Australia. In addition to his teaching and research at Curtin University, he works in clinical practice as a Specialist Musculoskeletal Physiotherapist (as awarded by the Australian College of Physiotherapists in 2005). He is recognized internationally as a leading clinician, researcher and educator in the management of complex musculoskeletal pain disorders. Tim, Jeff, and Peter discuss being authentic with patients and walking alongside with them in ways the medical industrialized complex doesn’t.  Peter shares his success story of deeply caring for patients for a long time and being willing to drop his pride and ego when the patient wasn’t getting better.  It’s allowed him to learn, to grow, and to, ultimately, help patients so much more. Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference 

This week, on Pain Reframed, Dr. Tim Flynn and Dr. Jeff Moore are joined by Dr. Beth Darnall, who is a pain psychologist, clinical scientist, and Clinical Professor at Stanford University.  Beth has a focus on pain catastrophizing as well as treating some of the key issues that prevent patients from succeeding with other pain treatments. Clinically, Beth provides psychological services to patients with catastrophic burn, spinal cord injury or amputation.  Her desire to specialize in the management of chronic pain was inspired by her clinical experiences and by her own personal experience with chronic pain.  Beth brings a wealth of knowledge to the episode as they discuss some key aspects to managing patients with chronic pain as well as altering systems to maximize positive treatment effects. LINKS: https://bethdarnall.com/ @bethdarnall http://ispinstitute.com http://evidenceinmotion.com @eimteam

Welcome back to Pain Reframed!  This week, we welcome back Dr. Anna Lembke, by popular demand, to discuss how we can specifically help patients to come down off of opioid addiction in a healthy and attainable manner that the patient can also handle. Dr. Lembke describes her acronym: B.R.A.V.O. and how it helps providers to help their patients through the tapering process. B: Brooching the subject R: Risk-benefit calculator A: Addiction happens V: Validation and velocity O: Other treatments for pain LINKS: Drug Dealer, MD on Amazon http://ispinstitute.com http://evidenceinmotion.com @eimteam

Welcome back to Pain Reframed!  This week, we welcome Dr. Anna Lembke who is the Chief of Addiction Medicine and Assistant Professor of Psychiatry and Behavioral Sciences at Stanford University School of Medicine.  Anna is also the author of the powerful and eye-opening book “Drug Dealer, MD.” Dr. Lembke shares her professional journey and what led her to write “Drug Dealer, MD.”  The premise behind her book is extremely jaw-dropping and shows a very real perspective to what happens between Doctor and Patient in the medical profession and in terms of the opioid crisis.  She reads a passage out of her book and she, Tim, and Jeff discuss just what that looks like and what we, as PT’s need to do to fix this pain problem and help our patients! On the other hand, Anna is not attacking doctors as she believes they are “trapped in the system” and she, therefore, has a great deal of empathy for them.  Her desire is to help them to get them out of the bureaucracy in order to solve the problem for patients.  This is a

Pain Reframed has some exciting episodes coming up, but we are taking a short summer break. During the break, we will repost some of our biggest hits, and can't wait to bring you brand new episodes soon!

We're excited to have Keith Meldrum on this week's episode of Pain Reframed! He shares his journey with chronic pain, what led him to the biopsychosocial model in particular, and how a simple statement changed the path of his recovery. A civil engineer by trade, Keith has been living with chronic pain for over 30 years, after a near-fatal car accident in 1986. Years of surgeries eventually ended in being told that his pain was all in his head. Since then, he's taught himself about the biopsychosocial model and began advocating for it. He continues to speak out about the importance of pain science through social media, his blog, and other avenues.  LINKS: Twitter - @ISPITeam Twitter - @keith_meldrum Keith's blog - A Path Forward Learn pain science techniques you can immediately use with your patients here

We have the pleasure of welcoming Dr. Judy Grisel for a particularly emotional episode of Pain Reframed this week. She shares her personal struggle with addiction, the havoc it wreaked on her life and relationships, and what it was that eventually got through to her and convinced her to get sober. She also discusses how she's helping her own daughter avoid making the same mistakes, using techniques we can all implement, both in our clinics and in our personal lives. Dr. Judy Grisel is a behavioral neuroscientist whose research focuses on determining root causes of drug addiction. She studies sex differences in the role of stress and endorphins on drug reward and works to identify innate factors that contribute to individual differences in the liability toward addiction.  In addition to being a professor and researcher, Judy is a New York Times bestselling author. Her book, Never Enough, uses her past as an addict to explore the neuroscience behind how drugs work, the changes they cause in the brain, and where

Tim and Jeff are joined by Dr. Roger Chou on this week's episode of Pain Reframed! A professor and physician at Oregon Health & Science University (OHSU), Dr. Chou was part of the team that developed the CDC's Guideline for Prescribing Opioids for Chronic Pain in 2016. More recently, he co-published an editorial in the New England Journal of Medicine, examining the current state of opioid prescribing in the United States. Tim, Jeff, and Dr. Chou discuss the impact of both of these works and the steps we can take in our clinics to make sure we're always putting the patient first.  Dr. Roger Chou is a Professor in the Departments of Medicine, and Medical Informatics & Clinical Epidemiology at Oregon Health & Science University (OHSU) School of Medicine, and Staff Physician in the Internal Medicine Clinic at OHSU. He has served as Director of the Pacific Northwest Evidence-based Practice Center since 2012. He has conducted systematic reviews in a number of areas, including chronic pain and musculoske

We're excited to have Dr. Marc Rubenstein on this week's episode of Pain Reframed! He, Tim, and Jeff discuss the idea of empowered relief, taught by Dr. Beth Darnall, a former guest on this podcast, and how it can help us with our ultimate goal: helping chronic pain patients help themselves.  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. For more tools to help your chronic pain patients, check out these courses. LINKS: Twitter - @ISPITeam Twitter - @MarcRubyDPT Twitter - @BethDarnall Listen to Dr. Beth Darnall's episodes - Pain Catastrophizing and We Have Ignored the Pain Psychology of Patients

This week on #PainReframed, Liz Peppin and Adam Ryan are joined by Dr. Justin Dueweke, an emergency room physician. They discuss the current culture around pain in the ER, how it affects our patients, and the steps we can each take to change it.  Dr. Justin Dueweke is a board-certified emergency medicine physician. He works with a private practice in southern Michigan and is affiliated with one of the busiest emergency departments in the U.S. Justin is a firm believer that the words we use have a powerful effect on our patients' outcomes. He is passionate about changing how pain is discussed in the ER, and ultimately treated. Do you want to help change the culture around pain in your community? Check out these pain science courses to see which one is right for you. LINKS: Twitter - @ISPITeam The Influence of Patient Choice of First Provider on Costs and Outcomes: Analysis From a Physical Therapy Patient Registry (JOSPT) Study Says Cost Savings of Physical Therapy for LBP Are Significant (APTA)

This week, Dr. Jeff Moore & Dr. Tim Flynn examine our tendency as clinicians to take guidelines a step too far. They discuss opioid tapering, in particular, and how well-meaning healthcare professionals might end up doing more harm than good by reading too much into the latest CDC recommendations.  Do you want to learn more about how to treat pain in a way that's best for your patients? Join us for a Therapeutic Neuroscience Education (TNE) course near you! LINKS: Twitter - @ISPITeam Find a TNE course near you   No Shortcuts to Safer Opioid Prescribing Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Pocket Guide: Tapering Opioids for Chronic Pain

On our latest episode of Pain Reframed, Tim Flynn and Jeff Moore are joined by Dr. John Zapatna, an orthopaedic physical therapist with a background in neurology. They discuss our tendency to operate in silos, why that harms our patients, and how we can work to create a more holistic approach to healthcare. Dr. Zapanta received his Doctor of Physical Therapy degree at Regis University in Denver, CO. He completed an Orthopaedic Physical Therapy Residency program in Scottsdale, AZ.  He is Board Certified in Orthopaedic Physical Therapy (OCS) and is a Fellow in the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT). Dr. Zapanta’s clinical interests are in the management of neuromuscular, musculoskeletal, and cardiopulmonary conditions while integrating a patient-centered hands-on approach to rehabilitation. He annually presents at state and national conferences and participates in expanding healthcare access locally and globally. He is an adjunct faculty of Physical Therapy at South College in

Liz Peppin and Adam Ryan are back with their second episode of Pain Reframed! This week, they’re joined by Dr. John Lehtinen, an addiction specialist in a primarily rural area in Michigan. They discuss John’s work with the opioid crisis and how we can each help our communities battle this epidemic. Dr. Lehtinen has a varied background, including sports medicine as well as addiction medicine. He has previously worked with the U.S. Olympics teams at the Summer games in 1992, 1996, and 2008. He is passionate about helping his patients return to the activities that they love.

This week, Liz Peppin and Adam Ryan are hosting their first episode! To kick things off, they're interviewing Dr. DeAndre Caldwell, a physical therapist in Delaware who works in a hospital-based outpatient center. DeAndre has spent much of his career working with patients who have neck and back pain, which started him on his journey with chronic pain. A graduate of the ISPI Therapeutic Pain Specialist (TPS) program, DeAndre is passionate about using his pain neuroscience education knowledge to advocate for his patients. LINKS: Twitter - @DrCaldwellpt Twitter - @ISPITeam Therapeutic Pain Specialist Certificate

This week on the Pain Reframed podcast, Dr. David Hanscom joins Tim Flynn and Jeff Moore to discuss the strategies he uses to help chronic pain patients, and why recovery is ultimately in the hands of the patient, not the clinician. Dr. Hanscom is an orthopedic complex spinal deformity surgeon who now understands that most chronic pain from any source is solvable – usually without surgery. He is the creator of the DOC (Direct your Own Care) program, which is the subject of his book, Back in Control: A Surgeon’s Roadmap out of Chronic Pain. He also publishes a weekly blog and maintains a website, www.backincontrol.com, to provide resources for chronic pain patients and their families. Dr. Hanscom distinguishes himself from many spine surgeons in that he strongly encourages non-surgical solutions for his patients, a belief which stems from his own battle with chronic pain. Learn more about Dr. Hanscom's story by listening to episode 23! LINKS: Twitter - @DrDavidHanscom Twitter - @ISPITeam https://www.ispinstit

We're celebrating our 100th episode this week! To mark this special occasion, and stay true to our mission of creating an interdisciplinary conversation about pain, we're bringing two new co-hosts on to Pain Reframed. Tim and Jeff will continue to host episodes, but Liz Peppin and Adam Ryan will take over for them once a month. This week, Jeff and Tim discuss their hopes for the next 100 episodes of Pain Reframed, Adam and Liz introduce themselves, and one of our hosts shares a very personal story that reminds us why we're on a mission to change the conversation around pain in America. LINKS: Listen to Adam's first episode here Listen to Liz's first episode here  Join us for a course near you Twitter - @ISPITeam

This week, Dr. Jeff Moore & Dr. Tim Flynn discuss the current state of affairs regarding the opioid epidemic. They look at multiple papers and discuss what strides are being made in confronting this epidemic, as well as what still needs to be done to best help our patients. Do you want to learn how to help your patients cope with pain without using opioids? Join for us for a Therapeutic Neuroscience Education (TNE) course near you! LINKS: Twitter - @ISPITeam Find an ISPI TNE course near you Trends and Patterns of Geographic Variation in Opioid Prescribing Practices by State, United States, 2006-2017 (JAMA Network) Initial Opioid Prescriptions among U.S. Commercially Insured Patients (New England Journal of Medicine) Is Pain a Sensation or an Emotion? (The New York Times)