Pain Reframed | Physical Therapy | Pain Management

Dr. Ken Miller joins us, this week, on Pain Reframed.  Ken has more than 20 years of experience working primarily with older adults and more than 7 years teaching other PTs how to, best, do the same. Ken has been an educator, physical therapist and consultant for the home health industry for over 20 years and serves as a guest lecturer, adjunct teaching assistant and adjunct professor in the DPT program at Touro College in Bay Shore, New York. He has presented on a variety of topics including: objective testing, professionalism, interdisciplinary team modeling, osteoporosis, differential diagnosis of dizziness, documentation, patient engagement, student program development and home health regulations. He serves as Chair of the Practice Committee of the Home Health Section (HHS) of the APTA. As the Chair, he led the development of the Providing Physical Therapy section in the home handbook, Third Edition, Home health student program road map and tool kit and the home health section objective test toolbox. Ken

This week, on Pain Reframed, Sonya Huber joins Dr. Jeff Moore and Dr. Tim Flynn to share her story and perspective of chronic pain and how it’s affected her life. She writes about chronic pain, as well as many other topics, on her blog and in her books. Sonya is the author of five books, including three books of creative nonfiction: Opa Nobody, Cover Me: A Health Insurance Memoir, and Pain Woman Takes Your Keys: Essays from a Nervous System (forthcoming in 2017). Her other books include a textbook, The Backwards Research Guide for Writers: Using Your Life for Reflection, Connection, and Inspiration and The Evolution of Hillary Rodham Clinton. LINKS: http://sonyahuber.com @sonyahuber Facebook: /sonyahuber http://ispinstitute.com http://evidenceinmotion.com @eimteam

Welcome back to Pain Reframed!  This week, Dr. Adam Ryan joins us to discuss the prescription and regulation of opioids.  Adam is an obstetrician-gynecologist in Iron Mountain, Michigan, and was a huge inspiration to Dr. Jeff Moore with his knowledge, communication, patient care, and being present with others. Adam, Jeff, and Tim discuss where the opioid problem came from and how we got to where we are today.  With that, Adam also shares his unique perspective from, not only rural America, but also from a busy practice, not having the time he wishes he could have with the patients.  Also, a very interesting commentary on how patients can and sometimes do push back when trying to educate them on opioids. The conversation moves towards trying to find solutions to addressing this problem effectively when the cards are really stacked against.  It’s an excellent, powerful, and necessary conversation in today’s episode! LINKS: http://ispinstitute.com http://evidenceinmotion.com @eimteam

Welcome back to Pain Reframed!  We have another phenomenal episode from the patient perspective!  April Brown joins us this week to discuss her journey and experience with persistent pain, how she navigated through it, and how she came out on top of it. One of the main goals, here at Pain Reframed, is to dive into the perspective of the patient to understand, not only how professionals can up their game, but also some tips and insight into how to manage persistent pain in the best and healthiest way possible. LINKS: http://ispinstitute.com http://evidenceinmotion.com @eimteam

Welcome back to Pain Reframed!  Today, we have the second Reframed Recap!  Dr. Tim Flynn and Dr. Jeff Moore look back at previous episodes and interviews to dig deeper and add more commentary and insights learned from these interviews and discussions! This week, we’ll be looking back at the conversations and awesome content shared in the episodes and interviews with Sandy Hilton, The Real Brian, and Dr. Anna Lembke. LINKS: http://ispinstitute.com http://evidenceinmotion.com @eimteam

Welcome back to Pain Reframed!  Dr. Jeff Moore and Dr. Tim Flynn go back to the patient to get the patient perspective on the pain experience and navigating the medical system.  This week, Dr. Cheryl Keller Capone joins us as a patient of, not only chronic pain, but some serious and challenging physical issues that she has had to deal with, manage, and overcome. Cheryl has had significant challenges in her pain journey, but also some successes.  She shares some of the strategies and stories behind her successful journey and, as always, there are some great calls to action to each of us to continually improve in our strategies and journeys. LINKS: https://cherylkellercapone.wordpress.com/ @kellercaponephd Instagram - @cherylkellercapone https://www.facebook.com/DrCherylKellerCapone/ http://ispinstitute.com http://evidenceinmotion.com @eimteam

Welcome back to Pain Reframed!  This week, Dr. Kory Zimney joins us from the University of South Dakota (Tim’s old stomping grounds where he grew up!).  Dr. Zimney has been practicing physical therapy since 1994, following his graduation from the University of North Dakota with his Masters in Physical Therapy. He completed his transitional DPT graduate from the Post Professional Doctorate of Physical Therapy Program at Des Moines University, Class 2010. He moved into full time academics in 2013. Past clinical work experiences have been with various community-based hospitals working in multiple patient care areas of inpatient, skilled rehab, home health, acute rehab, work conditioning/hardening and outpatient. He also was department manager of rehabilitation services at St. Luke's Health System in Sioux City for 8 years. He still maintains clinical practice one day a week at Mercy Business Health Services in Sioux City, IA working with outpatient work related injuries and providing on-site loss prevention and

Welcome back to Pain Reframed!  This week, Adriaan Louw, known for his work in pain and pain neuroscience education as well as the head of the International Spine and Pain Institute, joins us, once again, to discuss the idea of pain science and whether it should be hands on or hands off.  Adriaan and Dr. Louie Puentedura just published a paper on this topic in the Journal of Manual and Manipulative Therapy. Also, coming up next Friday, June 9-11, 2017, is the Clinical Conference on Neuroplasticity and Pain in Minneapolis, MN!  We are very excited about this conference as it will cover topics including the clinical application of neuroscience, back pain, sensory processing disorders, and motor control just to name a few. LINKS: PAPER: A clinical perspective on a pain neuroscience education approach to manual therapy Clinical Conference on Neuroplasticity and Pain - Minneapolis, MN http://ispinstitute.com http://evidenceinmotion.com @eimteam

Welcome back to Pain Reframed!  This week, Roger Kerry joins us!  Roger is an Associate Professor at The University of Nottingham, a Physiotherapist, and Philosopher of Science-in-training.  Roger is also a musician, part of an Americana band, and he shares some fun tidbits about that! Roger will be discussing how we think and how we look at the whole aspect of treating pain, not only from a philosophical point of view, but also in how we NEED to treat our patients and understand where they are at from a fundamental level. LINKS: @RogerKerry1 @skiffleshow http://www.nottingham.ac.uk/healthsciences/index.aspx http://www.skiffleshow.com/ http://ispinstitute.com http://evidenceinmotion.com @eimteam

Welcome back to Pain Reframed!  This week, we welcome Professor Karim Khan to the show!  Karim’s expertise is on mechanical loading of the musculoskeletal system and he will be discussing musculoskeletal care.  He calls out the overutilization of many of the things we see in musculoskeletal care and is instrumental in bringing people together to ensure making a difference in patients’ lives. Jeff, Tim, and Karim discuss many things in this episode including surgery vs. manual therapy, loading, obesity and nutrition, and how many companies are pushing agendas through misinformation. LINKS: @BJSM_BMJ 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

We are going back to the patient’s perspective this week on Pain Reframed!  The Real Brian joins Dr. Jeff Moore and Dr. Tim Flynn to discuss pain and the intense story behind Brian’s experience in dealing with pain and a surgery that didn’t go exactly as expected. Brian discusses his journey with back and leg pain, starting in 2002, and how it affected him throughout the last decade.  In 2013, his lower disc ruptured and he, at that point, had to get “emergency” surgery to remove the disc fragment from pressing up against and traumatizing the sciatic nerve.  The surgery should have been a success (with a 1% chance of complications) but the surgery left Brian with no nerve signal down into his leg.  Brian shares the story of his journey from debilitating pain to surgical complications to how he has overcome these limitations today. Additionally, Brian, Tim, and Jeff talk about the transparency of medical professionals in needing to own up to their mistakes and find solutions to the problems at hand.  They also

Welcome back to Pain Reframed!  This week, we welcome Sandy Hilton of Entropy Physiotherapy to the show!  Sandy and her business partner, Sarah Haag, have done some incredible things at Entropy Physiotherapy.  They have made a community out of their clinic due to the amazing environment they have created there, helping to ensure the patients feel welcome and comfortable.  Sandy is instrumental in the areas of pain management as well and will be discussing her thoughts and expertise on this topic. Sandy, Tim, and Jeff discuss pain sciences, how much we actually know about it, what we can do to continually learn and grow and treat the patient as a whole, and the idea of turning pain science into the “air we breathe and not the thing we do.” LINKS: http://entropy-physio.com/ @sandyhiltonpt The Pain Science and Sensibility Podcast http://ispinstitute.com http://evidenceinmotion.com @eimteam

Welcome back to Pain Reframed!  Today, we launch the very first Reframed Recap!  During this episode, as well as other Reframed Recap episodes, Dr. Tim Flynn and Dr. Jeff Moore will be looking back at previous episodes and interviews to add even more commentary and insights learned from these interviews. This week, we’ll be looking back at the nuggets of wisdom dropped in the episodes and interviews with Dr. Adriaan Louw, Laura Pritchett, and Dr. Justin Dunaway. LINKS: http://evidenceinmotion.com http://ispinstitute.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

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 ISPI Pain Certification program and how it helped him and chang

Renowned author Laura Pritchett joins us here on Pain Reframed!  Laura is the author of multiple books, including “Stars Go Blue,” “Red Lightning,” “Sky Bridge,” and just recently, “The Blue Hour.”  She’s also working on her upcoming book, “The Death Book.” Laura is the first of many guests who will be talking, not from the clinician's perspective, but from the perspective of those who have experienced very serious pain conditions. Laura shares her journey with physical pain and how she’s learned how to manage that pain through specific and effective thought processes.  She, not only discusses the tough times when dealing with the pain, but also what was going through her head and how she was able to combat those thoughts to reduce, or even eliminate, the pain that wasn’t serious or possibly even there at all. Laura also recommends a great program that helped her: Mindfulness-Based Stress Reduction. LINKS: http://www.laurapritchett.com/ @authorlaura http://evidenceinmotion.com http://ispinstitute.com @eimte

The legendary Dr. Adriaan Louw joins us as our first guest here on Pain Reframed!  Adriaan is, not only an exceptional speaker, but an expert in pain science and manual therapy.  Adriaan looks at pain and physical therapy through the lens of neuroscience.  Jeff, Tim, and Adriaan get passionate about helping patients through pain rather than giving in to the opioid crisis.  As we listen to this conversation, approximately 72 people will die from opioids.  Solutions are discussed on today’s episode. Adriaan will be a frequent guest here on Pain Reframed to continue to bring you valuable content.  Adriaan is also the co-founder and CEO of the International Spine and Pain Institute, which creates and implements cutting edge, high quality, and research based education and resources for physical therapists related to spinal disorders, orthopedics, and neuroscience. Pain Reframed is sponsored by the International Spine and Pain Institute.  Please visit ispinstitute.com to learn more! LINKS: http://evidenceinmotion.

Welcome to Pain Reframed!  In our first episode, Dr. Tim Flynn and Dr. Jeff Moore are introducing you to a podcast about pain and how pain is managed in our society.  Pain is a large issue right now and we want to bring powerful and helpful insights on how we can manage pain in a much more efficient and effective way. We’re committed to changing language and practice patterns across disciplines and points of care in order to reduce the unnecessary suffering that results from the propagation of misinformation, insufficient understanding of the pain experience, and the over-medicalization of pain in society. Throughout this podcast, Tim and Jeff will share their expertise, as well as the expertise from others in the medical and psychological fields, about pain management and our roles in dealing with pain.  We want to create a sustainable, multi-disciplinary, international conversation on pain. In today’s episode, we introduce what Pain Reframed is, why Pain Reframed is needed, who we hope will engage with us h