Cover image of Pain Reframed | Physical Therapy | Pain Management
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Education
Society & Culture
Health & Fitness

Pain Reframed | Physical Therapy | Pain Management

Updated 3 days ago

Education
Society & Culture
Health & Fitness
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Pain Reframed is a podcast about pain and how pain is managed in our society. Pain is a large issue right now and we will bring powerful and helpful insights on how we can manage pain in a much more efficient and effective way. Pain Reframed is 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. Dr. Tim Flynn and Dr. Jeff Moore 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.

Read more

Pain Reframed is a podcast about pain and how pain is managed in our society. Pain is a large issue right now and we will bring powerful and helpful insights on how we can manage pain in a much more efficient and effective way. Pain Reframed is 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. Dr. Tim Flynn and Dr. Jeff Moore 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.

iTunes Ratings

131 Ratings
Average Ratings
113
12
1
2
3

Good show

By Dr Feilgood - Feb 09 2018
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On pain education and all things pain

Such Great Stuff

By Kaizen Physical Therapy - Nov 30 2017
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Thanks so much for doing this you two. This is something everyone can benefit from listening too.

iTunes Ratings

131 Ratings
Average Ratings
113
12
1
2
3

Good show

By Dr Feilgood - Feb 09 2018
Read more
On pain education and all things pain

Such Great Stuff

By Kaizen Physical Therapy - Nov 30 2017
Read more
Thanks so much for doing this you two. This is something everyone can benefit from listening too.
Cover image of Pain Reframed | Physical Therapy | Pain Management

Pain Reframed | Physical Therapy | Pain Management

Updated 3 days ago

Read more

Pain Reframed is a podcast about pain and how pain is managed in our society. Pain is a large issue right now and we will bring powerful and helpful insights on how we can manage pain in a much more efficient and effective way. Pain Reframed is 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. Dr. Tim Flynn and Dr. Jeff Moore 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.

Rank #1: 65: Reconciling Biomechanics with Pain Science with Dr. Greg Lehman

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Dr. Greg Lehman joins us this week on Pain Reframed. We have a fantastic episode, jam-packed with content, information, and resources about the topic of pain science and how the treatment of pain can become infinitely more simple!

Greg has a course, “Reconciling Biomechanics with Pain Science,” which teaches and discusses some of the debates of physical therapy in conservative musculoskeletal care as well as performance and rehab. Jeff had an opportunity to attend this 2-day weekend and learned a great deal as it is an absolutely amazing and educational course. Greg, Jeff, and Tim will be chatting about, in more detail, Greg’s course and diving deeper into this topic.

LINKS:

Jul 05 2018
38 mins
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Rank #2: 102: Backs, Necks, and Explaining Pain | Dr. DeAndre Caldwell

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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

Apr 18 2019
38 mins
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Rank #3: 51: Population Health and Social Determinants of Health | Dr. Todd Davenport

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Certain regions of our country have a particularly challenging time dealing with the opioid crisis. These regions, not only have the challenge of seeing improvements with the crisis, but are also still seeing a rise in opioid use. Dr. Todd Davenport focuses on population health and social determinants of health.

In today’s episode and discussion, we’re looking at what these social determinants of health are that cause these populations to struggle to recover from opioid addiction issues and other related health issues from their quality of life.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference.

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Mar 22 2018
31 mins
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Rank #4: 69: Pain Catastrophizing | Dr. Beth Darnall

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We welcome back, to Pain Reframed, Dr. Beth Darnall, who is a pain psychologist, clinical scientist, and Clinical Professor at Stanford University. Beth has such a passion and commitment to making a difference in the management of persistent pain as well as reducing the opioid epidemic.

In episode 28 with Beth, we discussed the fact that we tend to ignore the pain psychology of patients. Today, we’re continuing that discussion and getting also into the topic of pain catastrophizing and what to do about it.

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.

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Aug 02 2018
30 mins
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Rank #5: 41: Feldenkrais Method with Dr. Stacy Barrows

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We welcome Dr. Stacy Barrows to Pain Reframed this week! Stacy is one of the first instructors to teach how to use the foam rollers, and she has lectured extensively to health and fitness professionals on other topics such as the Feldenkrais Method®, treatment of the shoulder and arthritis. Stacy co-authored a study on Feldenkrais and pain management.

Stacy, Jeff, and Tim discuss how PTs can help patients become more aware of their movement patterns as well as learning how to move more effortlessly and enjoying the process of movement. Stacy includes some in-the-moment examples that you can try while listening to Pain Reframed!

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

Jan 11 2018
37 mins
Play

Rank #6: 75: Top 5 Commonly Asked Questions from Patients

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We have the top five commonly asked questions from patients today! Dr. Tim Flynn is out celebrating his 35th anniversary with his wife, so The Real Brian fills in to help Dr. Jeff Moore answer some of these commonly heard and very important questions that patients typically ask. Our discussion today culminates a lot what we talk about on Pain Reframed into one episode, hitting on some of the essentials!

  1. Are you guys saying that damaged structures in our body never cause pain?
  2. You hear that pain comes from the brain. How can I manage and even sort of control the pain with my mind?
  3. If the "issue isn't in the tissue" why do treatments that are directed towards the tissue often help temporarily?
  4. I’m wanting to take a more conservative approach to my treatment. How do I talk to my doctor if she seems biased towards medication and surgery?
  5. What are the best ways to exercise, move, strength-train, etc?

LINKS:

Sep 13 2018
41 mins
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Rank #7: 23: Safe and Effective Alternatives to Surgical Management | Dr. David Hanscom

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This week, on Pain Reframed, Dr. David Hanscom joins Dr. Tim Flynn and Dr. Jeff Moore!  David is an orthopedic surgeon and has an incredible story on how he found success with his own experience of pain.  As a result, David has some amazing and effective strategies that he developed and uses with his patients.  David is the author of the book “Back in Control.”

David will discuss with Jeff and Tim safe and effective alternatives to surgical management.  David will share a successful model you can follow in your practice to put surgery in the appropriate point of the care pathway, still using surgery responsibly, but also using an evidence-based paradigm to get to that point correctly.

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Aug 31 2017
44 mins
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Rank #8: 48: Initiating Change with Dr. Elliot Feldman

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Dr. Elliot Feldman joins Pain Reframed this week! Elliot is standing up and taking the initiative, getting inside of the system, and making significant positive change with the treatment of patients. Elliot will share some incredible actions that he’s taken to change the conversation in the system’s delivery on how individuals who are in pain are managed. It wasn’t easy for Elliot but he remained strong so that he could really help those in need with the right treatments and right conversations.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

Mar 01 2018
26 mins
Play

Rank #9: 27: Neuroplasticity and Persistent Pain with Dr. Adriaan Louw

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This week, on Pain Reframed, Dr. Tim Flynn and Dr. Jeff Moore, once again, reunite with Dr. Adriaan Louw, co-founder and CEO of the International Spine and Pain Institute!  We will be diving into the topic of neuroplasticity and how it relates to the management of patients with persistent pain.

Adriaan, Tim, and Jeff discuss what neuroplasticity is, what is going on, neurologically, with the patient when dealing with persistent pain, and some really cool and new evidence-based practices that are currently going on, and in the works, for dealing with neuroplasticity and persistent pain!

Also, save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

Sep 28 2017
28 mins
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Rank #10: 3: The Powerful Story of an Author Who Overcame Her Pain | Laura Pritchett

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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:

Mar 31 2017
33 mins
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Rank #11: 43: Down in the Trenches

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Everything is well and good until that patient is right there in front of you while you are trying to actually implement the concepts that we’ve discussed here on Pain Reframed. Today, we get “down in the trenches” and discuss these types of encounters with actual patient stories and strategies and language used in those sessions. Our goal today is to bring additional clarity and insight in these moments to help you implement these strategies more efficiently and effectively.

Don’t forget to save the date: June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

Jan 25 2018
29 mins
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Rank #12: 4: Understand the Patient to Understand the Pain | Dr. Justin Dunaway | STAND Haiti Project

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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 changed the way he manages pain.  The ISPI Pain Certification Program 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:

Apr 06 2017
35 mins
Play

Rank #13: 81: Neuroinflammatory Mechanisms that Drive Chronic Pain | Dr. Peter Grace

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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: March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain.

LINKS:

Nov 01 2018
19 mins
Play

Rank #14: 12: Hands On in Pain Science is Better | Adriaan Louw

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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:

Jun 01 2017
26 mins
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Rank #15: 90: The Power of Breathing with Dr. Eric Christensen

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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 takes a developmental approach to rehabilitation utilizing the Selective Functional Movement Assessment. He uses functional movement patterning and manual therapy to return patients to prior levels of function.

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:

Jan 03 2019
24 mins
Play

Rank #16: 52: Functional MRI with Dr. Paul Beattie

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We have a special treat this week on Pain Reframed: Dr. Paul Beattie. Paul’s research is primarily on low back pain as well as the use of technology (primarily MRI) and now moving into the brain and Functional MRI.

Paul’s research is absolutely fascinating in how the brain handles, and even creates, pain based on some various factors. Paul shares some of his research and findings in relation to the “and, not the or” approach of looking at best treatments of chronic pain working with the brain and the tissue.

Don’t forget to save the date: It’s coming up soon!! June 8-10, 2018 in Denver, Colorado, the Align Conference will be taking place, focusing on neuropathic (nerve) pain.  All of the various concepts of calming the nerves down will be covered at this conference.

LINKS:

Apr 05 2018
35 mins
Play

Rank #17: 92: Do the Small Things Well | Dr. Adriaan Louw

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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:

Jan 31 2019
23 mins
Play

Rank #18: Summer Replay | 28: We Have Ignored the Pain Psychology of Patients | Dr. Beth Darnall

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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:

Aug 01 2019
33 mins
Play

Rank #19: 19: Physical Therapy and the ICF Model for the Older Population | Dr. Ken Miller

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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 has authored numerous articles for the Journal of Geriatric Physical Therapy, GeriNotes and The Quarterly Report Newsletters.

Ken shares his insights and advice on how to incorporate the ICF model as well as how to focus on key variables like depression, inactivity, and other obstacles that the older population faces when it comes to persistent pain and effective treatment.

LINKS:

Jul 27 2017
37 mins
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Rank #20: 22: Successful Mindset and Pain Management Strategies | Dr. Cheryl Keller Capone

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Welcome back to Pain Reframed!  This week, Dr. Cheryl Keller Capone returns to discuss her success strategies in dealing with chronic pain!  She’ll be sharing some very important mindset strategies that has helped her since we last hear from her!

Cheryl joined Tim and Jeff on episode 14 and had significant challenges in her pain journey.  She outlined those challenges with pain from early on in her life as well as major challenges going through the healthcare system in episode 14.  In today’s episode, Cheryl has continued her growth and pain management in her life and shares her latest success stories!

LINKS:

Aug 24 2017
38 mins
Play

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