Pain Reframed | Physical Therapy | Pain Management

We're bringing Adriaan Louw back on this episode of Pain Reframed! He, Jeff, and Tim discuss a recent article on pain neuroscience education (PNE) and why helping patients with chronic pain takes multiple types of interventions. LINKS: Twitter - @ISPITeam Abstract - http://bit.ly/2UV9tdg Learn how to use PNE in your clinic

It's time for another Pain Reframed Recap! We've gotten a lot of great nuggets from our guests, so we want to delve into them. Jeff and Tim also discuss a recent report on using virtual reality to treat chronic pain that Tim published with Adriaan Louw and Colleen Louw. Reminder for our listeners in Tennessee: Dr. Ted Jones (episode 93) is looking for a rehab specialist to join his multidisciplinary pain practice in Knoxville! LINKS: Twitter - @ISPITeam Facebook - @ISPInstituteTeam Web - https://www.ispinstitute.com/

This week, we're welcoming Dr. Melissa Cady, "the Challenge Doctor," back to Pain Reframed! Dr. Cady is a Doctor of Osteopathy, board-certified anesthesiologist, and board-certified and fellowship-trained in Pain Science. She shares her experience as a physician, how she's trying to empower her patients, and why it's important to be present. LINKS: Web - Challenge Doctor Web - International Spine and Pain Institute Twitter - @challengedoctor Twitter - @ISPITeam YouTube - Dr. Melissa Cady

We're welcoming Michelle Morrow to Pain Reframed! A self-described type-A, perfectionist personality, Michelle's mental health struggles during residency showed her the importance of self care. She, Tim, and Jeff share how each of them incorporate self care into their daily routines, despite their busy schedules. We hope you can use some of these techniques in your own life! Michelle Morrow, DPT, is a physical therapist who believes in providing patient-centered care at all times. Michelle takes into account the patient's goals, desires, culture, and strengths to put together a plan of individualized care that best suits the patient. She believes in making each patient the director of their care, while she helps facilitate the patient's goals. She is very passionate about her profession and using her talents to serve others. LINKS: International Spine and Pain Institute (ISPI) Twitter - @ISPITeam Twitter - @michellemDPT

We have a very special episode of Pain Reframed this week! Joining us is Dr. Sharon Dunn, President of the American Physical Therapy Association (APTA). We discuss what she and the APTA have been doing to combat the opioid crisis and help our profession. She also shares some thoughts on public awareness of what our roles are as PTs and where the current trend is going in regards to insurance and access to physical therapy. It’s a great conversation that we hope will leave you with optimism that we’re moving in the right direction! Less than a MONTH away!! March 8-10, 2019 in Denver, Colorado, the Align Conference will be taking place, focusing on movement and pain. LINKS: Twitter - @DunnSdunn2 sharondunn@apta.org http://ispinstitute.com http://evidenceinmotion.com Twitter - @EIMTeam Twitter - @ISPITeam

Dr. Ted Jones joins us on Pain Reframed this week! Dr. Tim Flynn, Dr. Jeff Moore, and Dr. Ted Jones discuss how Ted is, as a pain addiction expert, able to help patients with challenging cases, particularly concerning opioid addiction and abuse. The conversation comes from the psychological perspective with the intent to help get patients back into health and a life worth living. Dr. Ted Jones is a licensed clinical psychologist with more than 30 years experience in the areas of general mental health, applied research, substance abuse and chronic pain. He has specialized in the field of chronic pain for more than 15 years. He has a full-time clinical private practice, while also conducting applied clinical research and offering educational services to health professionals. He is part of the psychology practice Behavioral Medicine Institute and works exclusively at Pain Consultants of East Tennessee. He founded Ted Jones Research in 2013 as a way to promote and expand his emerging applied clinical research pro

Dr. Adriaan Louw returns to Pain Reframed! We have an episode that might bring you down at first… but then it will bring you back up and deliver incredible hope at the end! The first part of our episode is a truthful, real look at what is truly going on in our industry. It’s a challenge and a call to action. But there is hope! There is a reason to be excited! Adriaan, Tim, and Jeff have a powerful and intense conversation that delivers a great message of doing the small things well, right now. Do that one thing you can do right now and do it consistently. Then get others to do the same. That small change will compound into something significantly greater across the industry. Do the basics well, and excellence will follow. It’s RIGHT around the corner! March 8-10, 2019 in Denver, Colorado, the Align Conference will be taking place, focusing on movement and pain. LINKS: http://ispinstitute.com http://evidenceinmotion.com @eimteam

We welcome Liz Peppin back to Pain Reframed! Liz was on Pain Reframed on Episode 45 in February of 2018. She shared her story of dealing with pain, not finding the solutions she needed, but then being able to turn it around, reframing her pain and, now, reframing the pain of her patients. 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 is one of the most involved people within the Pain Reframed community. She’s heavily engaged with the Facebook Group and takes the information we share on Pain Reframed and puts it into action within her own practice. On this episode, Liz, Tim, and Jeff discuss what she’s specifically doing with the information shared and she encourages each of us to make change and better our practices and our industry. ALSO! Save the date!! It’s coming up quickly! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain. LINKS: http://facebook.com/lizpe

HAPPY NEW YEAR!!! We hope your 2019 is off to a great start! We welcome Dr. Eric Christensen to Pain Reframed! We’re extremely excited to have Eric on the show. Not only is Eric a friend and colleague, but he’s the owner of Chandler Physical Therapy in Chandler, AZ and author of the book “Breathe Better.” Eric, Tim, and Jeff will be discussing Eric’s book and how and why Eric wrote and uses the book for patient care. Eric graduated with his Doctorate of Physical Therapy program from Regis University in 2009, where he published a journal article on the effect of whiplash on the cross-sectional area of the muscles surrounding the throat as well as presenting at multiple conferences. He graduated from Colorado State University with a degree in Exercise Science and a focus in Sports Medicine. In practice, Eric enjoys working with all populations of patients in the orthopedic and neurological field. He has specialized in custom orthotic prescription and casting, vestibular reprogramming, and manual therapy. Eric t

We hope you had a Merry Christmas and Happy Holidays, and are continuing to enjoy the Holiday season! This week, we have a holiday episode for you. It’s the season for giving, so this week, we have some giving to do for you! We get asked quite a few questions on a regular basis from you, and we enjoy being able to provide you with answers, solutions, and other thoughts to your questions. This week, our gift to you is just that. We’ll be covering a couple topics, including: Is Virtual Reality a reality? Is it going to be a reality for us as PTs? What are the benefits of it? “How do I get the rest of the people around me on board?” Enjoy this episode and thank you so much for listening and making 2018 an incredible year for us and for our entire community! We wish you a very HAPPY NEW YEAR and we look forward to talking to you next week, in 2019! ALSO! Save the date!! It’s coming up quickly! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain. LINKS:

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. Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain. LINKS: Marc’s Book: Digital Healing: People, Information, and Healthcare marcringelmd@google.com Pain Reframed Facebook Group http://ispinstitute.com http://evidenceinmotion.com @

Dr. Karen Litzy joins Dr. Tim Flynn and Dr. Jeff Moore on Pain Reframed this week! Karen is a physical therapist and host of the podcast: “Healthy, Wealthy, and Smart.” Karen has personally dealt with persistent pain and, therefore, understands how to come alongside patients empathetically and effectively. Karen tells her story of dealing with pain for around a decade. She also shares her wisdom, experience, and insights in how to create success with your patients in their pain journey. Dr. Litzy offers a “concierge” model of physical therapy where she travels to patients’ homes or offices. This allows her to dedicate a full hour of one-on-one treatment to each and every client. She’s able to have plenty of time to evaluate, treat, re-evaluate, and educate her patients. Karen’s podcast, “Healthy, Wealthy, and Smart,” provides up to date clinical information combined with business strategies from the best and brightest thought leaders in physical therapy, wellness and entrepreneurship. Save the date!! March 8-

We are extremely excited to welcome Dr. Victor Montori, author of “Why We Revolt: A Patient Revolution for Careful and Kind Care” to Pain Reframed! Dr. Montori’s book speaks honestly and knowledgeably about the faults of industrial medicine. Dr. Montori’s message is for us to rise up and make this system better for the care of our patients. Dr. Montori, originally from Peru, is a Mayo Clinic Endocrinologist for patients with diabetes, as well as researcher, focusing on ways to make care more patient-centered. His mission is for patient revolution versus healthcare corruption, in order to provide careful and kind care for all. Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain. LINKS: @vmontori https://patientrevolution.org Pain Reframed Facebook Group http://ispinstitute.com http://evidenceinmotion.com @eimteam

We have Dr. Kelly joining us on Pain Reframed this week! Dr. Kelly is an osteopathic physician, who is starting her new business, “Counseling International” any day now! Dr. Kelly has incredible passion with her practice and even engages with patients who have been down and out in their lives: those who’ve made mistakes along the way. Dr. Kelly shares some powerful stories of working with patients out of prison and jail and encouraging us that ANY of us could be that person. We’re not as far removed from our patients as it may seem. We’ve all made mistakes in our lives and Dr. Kelly’s passion for helping her patients, who may be more in need of our care than many other populations, is amazing and something we can all learn from. Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain. LINKS: Pain Reframed Facebook Group http://ispinstitute.com http://evidenceinmotion.com @eimteam

Happy Thanksgiving! Welcome to a special edition of Pain Reframed! This week, we want to share what we’re thankful for in our Thanksgiving episode. First of all, we are absolutely thankful for YOU! We really appreciate, not only you listening, but also for getting involved and helping to change our profession for the better. It’s beyond amazing how much of a difference you are making. We are so thankful for you. We’ll also share a few more things we are thankful for and give you some resources to help you continue to learn even more to help you master your practice and help your patients! Have a HAPPY THANKSGIVING and a wonderful Holiday weekend!! Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain. LINKS: Pain Reframed Facebook Group http://ispinstitute.com http://evidenceinmotion.com @eimteam

We’ll be discussing the fusion of a traditional medical model with yoga in this week’s episode of Pain Reframed! We welcome Sarah Martin, Physician Assistant and Certified Yoga Therapist, to discuss what she’s doing to blend the traditional treatment of those dealing with pain with utilizing yoga to help enhance healing through the mind body connection. Sarah gives excellent tips in how we, as PTs, can be trained to utilize the mind body connection healing, including different kinds of of breath work and postures, for example, into chronic pain care. Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain. LINKS: http://sacredhealingyoga.net sacredhealingyoga@gmail.com https://tria.com http://ispinstitute.com http://evidenceinmotion.com @eimteam

Today, we have another story from the “patient’s” point of view! We welcome Jenn Shelton, a world-class ultramarathoner, to Pain Reframed to discuss her story and experiences with injury and pain. She has a very fascinating story about how she experienced pain, in a way that’s a little different than what you might expect! You may have heard of Jenn through being featured in the book “Born to Run.” She set course records in several of the most demanding American ultramarathons, becoming one of the top female ultrarunners in the United States. Jenn is now an ambassador to outdoor sports and adventuring, helping people to get involved in nature. Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain. LINKS: Twitter - @jennshelton https://www.instagram.com/sheltonjenn/ http://www.jennshelton.com/ http://ispinstitute.com http://evidenceinmotion.com @eimteam

Science News and the media shared some recent research on what morphine does in terms of pain reactivity as well as what is happening with post-surgical opioids. We welcome Dr. Peter Grace to discuss these findings and to unpack this information to help us in this battle against the opioid crisis. Peter has a balanced viewpoint that should give us some good information to consider, going forward. Additionally, Tim, Jeff, and Peter discuss Peter’s current research on understanding the mechanisms of pain and the role of peripheral immune cells and neuropathic pain. They also discuss the transition from acute to chronic pain and the effect of opioids and morphine substances on moving into that persistent pain pattern. Peter is an Assistant Professor in the Department of Critical Care Research, at the University of Texas MD Anderson Cancer Center. His research aims to understand the neuroinflammatory mechanisms that drive chronic pain, in order to identify new treatment strategies. Don’t forget to save the date:

We are so excited to welcome Bianca Frogner to Pain Reframed! Bianca published a paper, in May, titled: “Physical Therapy as the First Point of Care to Treat Low Back Pain: An Instrumental Variables Approach to Estimate Impact on Opioid Prescription, Health Care Utilization, and Costs.” Bianca, Tim, and Jeff will discuss the findings and outcomes from this paper in today’s episode. Bianca is an Associate Professor in the Department of Family Medicine, Director of the Center for Health Workforce Studies (CHWS), and Deputy Director of the Primary Care Innovation Lab (PCI-Lab) in the School of Medicine at the University of Washington. Don’t forget to save the date: March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain. LINKS: https://onlinelibrary.wiley.com/doi/abs/10.1111/1475-6773.12984 Twitter - @uwchws Twitter - @biancafrogner http://ispinstitute.com http://evidenceinmotion.com @eimteam

We welcome, back to Pain Reframed, Dr. Adriaan Louw! Adriaan, Jeff, and Tim are discussing ISPI’s new Front Office Program, which is designed to help front office staff to interact with patients in a way that will help them in their healing process. Saying something to a patient and/or treating them in a certain way can, as we know, help or hurt that patient. Our goal is to make the patient’s experience the best possible and to allow for optimal healing. Adriaan also gives us an update on his middle school education about reframing pain and teaching students at a younger age to understand healthy foundations for what pain and discomfort truly is. Don’t forget to save the date: March 8-10, 2019 in Denver, Colorado, the Align Conference will be taking place, focusing on movement and pain. LINKS: http://ispinstitute.com https://www.gofundme.com/adriaanlouw-research http://evidenceinmotion.com @eimteam