Peripheral neuropathy is the result of damage to the nerves located outside of the brain and the spinal cord. People who have this condition typically suffer from persistent long-term pain as well as other symptoms. There is no shortage of conventional treatments for neuropathy, but these do not address the condition at its root. Over the years, integrative approaches have become more popular in treating both diabetic and chemo-induced neuropathy, and there is a strong evidence base to back thei...
Jul 27, 2022•36 min
My guest is Dr. Anabela Silva . She is a Physiotherapist as well as an Adjunct Professor and the Director of the Physiotherapy Program at the University of Aveiro in Portugal. Her research interests include the effectiveness of pain, neuroscience education, exercise, and the exploration of factors associated with the onset of pain and the maintenance of pain in children and adolescents. We'll discuss some of her recent investigations regarding pain and children and adolescents. We'll discuss the...
Jun 29, 2022•26 min
In my profession of physical therapy, the lack of gay, lesbian, bisexual, transgender, and queer-specific education has given rise to deficiencies in our cultural competence and our humility. When deficiencies exist in a profession’s educational system, as well as its continued education system, it can create a climate of discrimination and disparity. This ultimately leads to decreased access to health and effective healthcare. In the context of chronic pain, which is what we discuss on this sho...
Jun 15, 2022•59 min
We are discussing the power of peer support and group learning and chronic pain recovery. My expert guest is Dr. Amber Richard Bauer. Amber is a doctor of Physical Therapy focusing on Chronic Pain Recovery and Pain Education. She's also a certified instructor for Empowered Relief and a facilitator for mental health ten-week virtual pain care program. Amber uses elements of Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Pain Neuroscience, Education, and Mindfulness paired with h...
Jun 01, 2022•36 min
It is great to be here with you again. In each episode, we generally discuss the impact of physical therapy treatments on the management of chronic pain and other chronic diseases. From there, we have explored other overlapping problems and conditions, such as things like opioids, the over-prescribing of opioids or addiction, and the movement to choose physical therapy as an alternative to opioid medication. A clear movement also exists for a physical therapist to play a more pivotal role in tre...
May 25, 2022•49 min
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May 11, 2022•40 min
It's great to be here with you. Thanks for joining. In this episode, we are discussing a new assessment tool to guide behavior change, which is called The Physical Therapy Healthy Lifestyle Appraisal . It was developed by Dr. MarySue Ingman, who you will meet in a couple of moments. This is the first validated assessment tool for a physical therapy practice, where we can look at nutrition, physical activity, stress, sleep, and tobacco use. What I like and appreciate about this tool is that it's ...
May 11, 2022•37 min
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May 04, 2022•36 min
We have a new topic that we are highlighting on the show. We are discussing resilience and growth after trauma, also known as post-traumatic growth, which is a theory that explains the positive human transformation that can occur after any type of physical trauma, psychological or emotional trauma, spiritual trauma, or even after struggling with a prolonged illness. Joining us to discuss trauma and post-traumatic growth is Dr. Melissa Zeligman . She is an Assistant Professor of Counseling Educat...
Apr 27, 2022•35 min
In this episode, we are discussing the latest evidence which supports the use of a ketogenic diet and its potential impact on pain and central nervous system sensitization. My guest is Dr. Rowena Field . She is a physiotherapist with many years of experience, primarily in chronic pain management. We discussed the results of her recent PhD dissertation, where she investigated the use of a ketogenic diet for the treatment of chronic pain and now incorporates this approach in her physiotherapy prac...
Apr 20, 2022•50 min
As always, I am delighted and honored to be spending this time with you. I recorded an episode on embodied cognition and the body's role in thought with Psychologist Rebecca Fincher-Kiefer . In that episode, we discuss the importance of using the body as a therapeutic tool for helping modulate difficult emotions or thoughts that people may encounter from chronic pain or other various chronic health conditions. As physical therapists, using the body as a tool for healing from pain or other condit...
Apr 13, 2022•34 min
If you have been following along with this show for some time, you know the one area that interests me. A question I often ask myself and propose to you is how can we educate the public about effective pain management and raise awareness of the physical therapy profession? I have been working with a select group of professionals one-on-one on different types of outreach projects and protocols as well as connecting with innovative physical therapists who have created practice models or businesses...
Apr 06, 2022•29 min
In this episode, we are discussing embodied cognition and the role of bodily processes in thought. In the field of pain care, we strongly lean on theories of how the brain works and how we can use the nervous system to modulate pain. Many of these theories are rooted in the idea that the brain is the seat of cognition and views the brain as a CEO, which controls both thinking as well as our body. However, newer theories such as embodied cognition take a different perspective which emphasizes the...
Mar 30, 2022•40 min
In this episode, we're discussing how mindful movement can shift the experience of exercise or physical activity for people. This is important because the mindful movement can help people exercise in a way that is more fluid and easier, alleviate pain and with body image something they oftentimes struggle with when they begin an exercise program. Some of you may know that as a kid and adolescent and even into college, I was a gymnast. Mindful movement is something that was comfortable for me. Ho...
Mar 23, 2022•41 min
We're going to talk about psychological aspects of pain rehabilitation that physical therapists perceive as important. When we're talking about research, a new topic or providing new information, oftentimes I'm talking to a pain researcher. It may be someone with a PhD or someone who is actively engaged in investigating different aspects of pain from a lifestyle and a biopsychosocial perspective. In this episode, I'm introducing you to Alexa Knuth , who is a student physical therapist. Alexa is ...
Mar 16, 2022•24 min
In this episode, we are discussing perfectionism and stress in the physical therapy students. Stress and burnout in the PT profession are personal interests of mine. I have done some research and explored how to use ACT in preventing burnout and creating resiliency in physical therapists. We briefly explored this topic of perfectionism in episode 217 with physical therapist Andrea Moore. She is a PT who specializes in treating women in overcoming perfectionism, and the intersection between pain ...
Mar 02, 2022•28 min
We're discussing the intersection between PTSD, Post-Traumatic Stress Disorder and CRPS, which is Complex Regional Pain Syndrome. My guest is Dr. Deborah Brandt . She is a retired Doctor of Physical Therapy. She teaches about issues regarding chronic pain and the use of somatic therapy practices. Her personal experience with and the study of complex post-traumatic stress disorder as well as complex regional pain syndrome, which she identifies as being complex psychophysical phenomena, has enrich...
Feb 23, 2022•32 min
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Feb 16, 2022•1 hr 4 min
In this episode, we are discussing the impact of physical therapy on long-term opioid use for patients undergoing a total knee replacement. My expert guest is Professor Deepak Kumar. He is an Assistant Professor in the Department of Physical Therapy and Athletic Training at Boston University and the Section of Rheumatology at Boston University School of Medicine . He directs the Movement and Applied Imaging Lab at Boston University. The goal of Dr. Kumar's research is to improve the quality and ...
Feb 09, 2022•26 min
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Feb 02, 2022•20 min
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Jan 19, 2022•35 min
In this episode, we were discussing how to build a Stepped Care Model for the treatment and intervention of chronic pain. The Stepped Care Model for chronic pain originated in the VA health system and has been used in a number of other places. This model prioritizes the role of primary care providers in optimizing pharmacological management as well as the timely and equitable access to patient-centered evidence-based non-pharmacologic approaches. Joining us to discuss this model is Dr. Matthew B...
Jan 12, 2022•27 min
In this episode, we are discussing an important reimbursement issue related to physical therapy, as well as pain care in general. That is value-based healthcare. Value-based healthcare is a healthcare delivery model in which providers, including hospitals, as well as practitioners, are paid based on the patient's health outcome. This model differs from the traditional fee-for-service or a capitated approach in which providers are typically paid based on the amount of services they deliver. Joini...
Jan 05, 2022•41 min
In this episode, we are discussing how to use functional nutrition to treat and alleviate chronic musculoskeletal pain. My guest is Aparna Natarajan . She is a Certified Nutrition Specialist with a Master's degree in Nutrition and Functional Medicine. She is a clinician, a researcher, and an educationist who has contributed to the Institute for Functional Medicine's Meal Planning Program as a subject matter expert. She's cultivated an understanding of the mind-body connection and combines both t...
Dec 29, 2021•45 min
Welcome back. We're discussing how to beat cancer holistically with Chris Wark . Chris is a cancer survivor, a best-selling author, and a patient advocate. He was diagnosed with Stage 3 colon cancer at the age of 26. After surgery, Chris made the decision to go against his doctor's advice, opted out of chemotherapy, and chose to use nutrition as well as other natural therapies to heal. Chris has become one of the most well-known cancer survivors on the planet and reaches millions of people per y...
Dec 22, 2021•55 min
In this episode, we're talking about pain education and specifically asking the question, "What do patients value learning about pain?" Our expert guest is physiotherapist and pain researcher Hayley Leake . After working clinically for six years, Hayley embarked on a PhD mission at the University of South Australia with Professor Lorimer Moseley's research group. Her research aims to optimize pain education for adolescents and adults living with chronic pain. Pain education is a popular treatmen...
Dec 15, 2021•32 min
We have an important episode. We're discussing the association between chronic pain and suicide. The information you'll learn in this episode may help you screen for the risk of suicide more effectively. It may help you effectively treat suicide, and by learning and sharing this information, you may save a life. According to the American Foundation for Suicide Prevention, suicide is the tenth leading cause of death in the United States. In 2019, approximately 48,000 Americans died by suicide. In...
Dec 08, 2021•42 min
We explore how overweight and obesity are linked with persistent pain and the importance of physical therapists promoting combined nutrition, exercise, and weight loss programs when treating chronic pain syndrome. Joining us as an expert guest is Anneleen Malfliet. She is an Assistant Professor, Postdoctoral Researcher, and a member of the Pain in Motion international research group. Research in clinical investigations centers on chronic pain with a special interest in spinal pain, central sensi...
Dec 01, 2021•37 min
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Nov 24, 2021•27 min
In this episode, we're exploring the concept of interoception, and how it impacts both physical and mental well-being. Interoception can be defined as one sense of their internal state of the body. This is a full-body sensory experience that has both a conscious as well as a subconscious or semi-conscious layer to it. As practitioners, we're able to train the sense just as we would train balance or proprioception. Interoception includes the brain's processing of signals relayed up from the body ...
Nov 17, 2021•37 min
