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The Modern Pain Podcast
Modern Pain Care
Podcast by Modern Pain Care
Jun 3, 2021
Lumbar stenosis is a common imaging finding we often see in clinic. Is it always clinically relevant? How do we test this clinically? We must be careful to treat people and not images. Listen in this week as Mark and Jarod share their experience with lumbar stenosis Related articles: https://www.sciencedirect.com/science/article/abs/pii/S1047965102000761?via%3Dihub http://www.ncbi.nlm.nih.gov/pubmed/25844995 https://pubmed.ncbi.nlm.nih.gov/24373681/ If you are looking for coaching or mentorship in your practice jump on https://modernpaincare.com/supercharged and see if we can help
May 28, 2021
What is a Clinical Process?
The first 8+ years of Mark's career was spent moving back and forth to new tools to add to the toolbox His clinical process was to throw the kitchen sink at patients and hope for the best. If people improved or worsened he had no idea what in the kitchen sink may have contributed. A clinical process is what saved his career What does it mean to have a clinical process? Tune in to this week's episode of the Modern Pain Podcast and find out
May 20, 2021
Coaching And Mentoring Experiences: An Interview With Howard Yan
We have been having a blast with our first clinician enrolled in our Complete Clinician Supercharged Program. We have had a lot of questions about the structure and experiences in the program. We figured who best to tell you then the people themselves. Listen to Howard Yan share his experience with our coaching and mentorship program as a clinician on year 4 of his career and working in a challenging setting. If you are interested in discussing mentorship or coaching in your practice then go to https://modernpaincare.com/supercharged to book a call to talk with us to see if the program is a good fit.
May 20, 2021
Coaching And Mentoring Experiences: An Interview With Kyle Yuro
We have been having a blast with our first clinician enrolled in our Complete Clinician Supercharged Program. We have had a lot of questions about the structure and experiences in the program. We figured who best to tell you then the people themselves. Listen to Kyle Yuro share his experience with our coaching and mentorship program as a brand new PT out of DPT school If you are interested in discussing mentorship or coaching in your practice then go to https://modernpaincare.com/supercharged to book a call to talk with us to see if the program is a good fit.
May 13, 2021
Do "Unmotivated Patients" Really Exist??
Recently we had someone ask us how we get patient buy-in when the person appears unmotivated. Is someone truly unmotivated or are we missing something? How do we structure encounters and treatment programs to maximize the chance of compliance? Join Jarod and Mark as they discuss this and more on this week's episode of the Modern Pain Podcast Helpful Resources: https://www.ncbi.nlm.nih.gov/pubmed/29327405 https://www.ncbi.nlm.nih.gov/pubmed/29434416
May 6, 2021
Dosing Exercise For Osteoarthritis
There has been a great movement to better understand and apply exercise patients. Strength and conditioning principles are important to understand when we are dosing exercise to meet the specific performance goals of our patients Dosing for performance and dosing for pain are two different concepts How do Jarod and Mark approach that in clinic? How can we find the best dose for the unique person in front of us? Join Mark and Jarod as they discuss this and more on this week's episode of the Modern Pain Podcast Related Resources: https://www.ncbi.nlm.nih.gov/pubmed/31536554 http://www.ncbi.nlm.nih.gov/pubmed/24662498 https://pubmed.ncbi.nlm.nih.gov/29664187/
Apr 30, 2021
Utilization of Technicians in the Clinic
We get asked a lot about the utilization of techs in the clinic. Is this a bad thing? What's the best way to deliver high-value care while incorporating the use of technicians into care? Tune in to this week's episode of the Modern Pain Podcast and find out!
Apr 22, 2021
Prescribing Exercise Across the Continuum
I think we can all agree that we were not prepared well to prescribe exercise in school We often are so focused on getting people to "discharge" we miss a huge opportunity to have a bigger impact on a person's health How many of us could write out exercise programming for the household athlete all the way to the fitness athlete? Join Mark with special guests CJ DePalma and Joe Camoratto as they discuss their new program Across the Continuum. We are excited to have them join the Modern Pain Care team and can't wait to see the impact they will have on many practices. If you're interested in joining the program check out https://modernpaincare.com/across-the-continuum-interest IG - @acrossthecontinuum Dr. Joe Camoratto IG - @dr.joe.dpt Dr. CJ DePalma IG- @the_movement_dr
Apr 15, 2021
Opioid Use Disorder With Special Guest Marcos Lopez
Opioid use disorder is something many patients in pain unfortunately are dealing with. Marcos Lopez is a physical therapist doing some amazing things in this space to help those suffering with opioid use disorder How does Marcos approach this? How should clinicians be approaching this? Join us for this week's episode of the Modern Pain Podcast to find out ------------------- Want to hear Marcos deliver his masterclass on this topic. Join us in the Complete Clinician Lifelong Learning Academy to hear this masterclass and many more at - https://modernpaincare.com/lifelong-learning-academy Related Resources: https://journals.lww.com/painrpts/fulltext/2020/10000/physical_therapy_and_opioid_use_for.12.aspx https://pubmed.ncbi.nlm.nih.gov/29180553/ https://pubmed.ncbi.nlm.nih.gov/31542740/
Apr 8, 2021
What to Do with Lateral Shifts?
Lateral shifts are a common clinical presentation that can respond to specific treatment Louis Gifford had public criticisms of the push to correct a lateral shift due to the thoughts it was an adaptive response early on. Some still recommend these are dealt with immediately and there is little time to consider this adaptive and for it to be left alone. So what do we do? When may it be adaptive and best left alone? When may "correcting" the shift be the best choice? Tune in to this week's episode of the Modern Pain Podcast and find out. Resources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2700497/ https://giffordsachesandpains.com/download-material/the-full-mckenzie-debate/ Looking for free resources and training?? - Jump in our Facebook group - https://www.facebook.com/groups/painmastermind Looking for coaching or mentoring in your practice?? - Check out https://modernpaincare.com/supercharged/
Apr 1, 2021
Understanding Clinical Prediction Rules for Lumbar Manipulation
You learned about them. You studied them. You were tested on them. But the real question is, how important are they to use? Clinical prediction rules (CPRs) were developed using multivariate statistical methods to help clinicians select particular interventions to use depending on a cluster of findings a patient presented with. Given the black and white matter of how the CPRs were created, this allowed for the opportunity to write a lot of test questions whether it was the NPTE or the OCS exam. However, as many practicing clinicians know, the clinic is not black and white and we cannot always shoehorn patients into classifications or rules. So what do we do instead? Listen in as Jarod and Mark discuss this on this week's episode of the Modern Pain Podcast
Mar 25, 2021
Dosing Principles for Neurodynamics
If you read studies often we are left with 3 sets of 10 reps or 3 sets of 30 seconds as what we have to go on for rep schemes around dosing. Does that best meet the individual in front of you? How can we dose things specific to the needs of the person in front of you? Join Jarod and Mark as they discuss this and more on this week's episode of the Modern Pain Podcast
Mar 18, 2021
Blood Flow Restriction with Special Guest Nick Rolnick
Join us this week as we have Nick Rolnick from BFR Pros joining us to talk all things blood flow restriction Nick gives a great summary of BFR and answers questions from our live stream. Nick will be delivering a masterclass in our Complete Clinician Lifelong Learning Academy. Grab a free 14-day trial - modernpaincare.com/lifelong-learning-academy Recommended Links: https://pubmed.ncbi.nlm.nih.gov/32246768/ https://www.frontiersin.org/articles/10.3389/fphys.2019.00533/full https://www.jospt.org/doi/abs/10.2519/jospt.2019.8375 https://insights.ovid.com/strength-conditioning/scjr/2020/10/000/blood-flow-restriction-training-physique-athlete/4/00126548 https://bjsm.bmj.com/content/51/13/1003 https://pubmed.ncbi.nlm.nih.gov/21917016/
Mar 11, 2021
Lower Extremity Neurodynamics
Where do neurodynamics fit in lower extremity conditions? Tune in and find out as Jarod and Mark unpack this and more on this week's episode of the Modern Pain Podcast
Mar 4, 2021
Upper Extremity Neurodynamics: Part 2
What does it mean to apply neurodynamics in a purposeful and methodical manner? Are you systematically applying loads in these tests? How do you document neurodynamics and use them as markers of progress in your notes? How methodical are you in considerations of patient positioning in in the reliability of your testing? Where does the c-spine fit in neurodynamic treatments? How do you protect yourself from trying to find neurodynamics when they aren't there? Join Mark and Jarod as they discuss this and more in episode 51 of the Modern Pain Podcast
Feb 25, 2021
Upper Extremity Neurodynamics
Neurodynamics can give us clues of possible neuropathic pain components to extremity conditions? What conditions often have a neurodynamic component? How do neuodynamics point toward possible spinal treatments for extremity problems? How do Jarod and Mark use them in practice? Join us for this week's episode of the Modern Pain Podcast and find out!
Feb 18, 2021
Neurodynamics In The Clinic: An Overview
Neurodynamics is an examination and treatment strategy that can give you great information and treatment strategies with a patient. It also can be a way to quickly aggravate a patient's condition How do we know how much, when, who, where...etc? Is it strictly a mechanical phenomenon? Join Jarod and Mark as they unpack this and more on this week's episode of the Modern Pain Podcast
Feb 11, 2021
Is Painful Manual Therapy OK?
Is Painful Manual Therapy OK? by Modern Pain Care
Feb 5, 2021
Repeated Motions in the Neck
Repeated motions is a examination and intervention skill that can be very helpful for patients? How do we apply it in clinic? What are the common errors in application? How do we fit it to the unique N=1 encounter? Join Jarod and Mark as they unpack this and more on this week's episode of the Modern Pain Podcast Related links: https://www.jospt.org/doi/full/10.2519/jospt.2016.6158 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822320/ https://pubmed.ncbi.nlm.nih.gov/22795390/
Jan 30, 2021
Medial Scapular Border Pain
Join us in our first episode where we share clinical pearls that have helped us greatly along the way. Pain in region of the medial border of the scapula is a common problem we see in clinic. Do we continue blasting the rhomboids and mid traps with cupping, scraping, needling, taping, manipulation, mobilization? We say it's coming from the neck until you prove otherwise. Listen in and find out why
Jan 21, 2021
Nothing Works For Pain
🤬🤬We often have people approach us and say we have a very cynical view on things and have the view that nothing works for pain🤬🤬 This is not where we stand. 🤔 Are there interventions that are special and provide unique and superior benefits for pain? 🤔 Who makes the decision on what the best intervention is for the unique human in front of you? 🤔 Have we been operating under a clinician-centered care paradigm? 🤔 If person-centered care is the goal, how do we move there? 🔥🔥Join Jarod and Mark as they discuss this and more in this week's episode of the Modern Pain Podcast🔥🔥 Links: https://pubmed.ncbi.nlm.nih.gov/26755405/ https://pubmed.ncbi.nlm.nih.gov/25550671/ https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-020-04610-w https://www.ncbi.nlm.nih.gov/pubmed/20713495 Want to get help and coaching in your practice? https://modernpaincare.com/courses/
Jan 14, 2021
Issues With The IT Band???
✅ A recent article discussed the history and current evidence behind IT band pathology. 🤔 What is the history of this diagnosis? 🤔 What does current evidence say in regards to the IT band? 🤔 How do we deal with this in clinic? Join Jarod and Mark as they unpack this and more in this week's episode of the Modern Pain Podcast. Helpful links: https://pubmed.ncbi.nlm.nih.gov/33351908/ https://pubmed.ncbi.nlm.nih.gov/18723456/ https://pubmed.ncbi.nlm.nih.gov/26755689/
Jan 7, 2021
There have been some great conversations going on about patient expectations recently. ✅ Bringing the patient's unique thoughts and beliefs into each encounter is crucial. ✅ Therapeutic alliance and patient expectations are concepts we must understand to best create patient interactions that drive people to their desired outcomes. 🤔 Where do expectations come from? 🤔 How does the culture our patient lives in and the one our clinic advertises and delivers on influence expectations? 🤔 Can we really say most patients share the same expectations? 👉 Join Jarod and Mark as they discuss this on this week's episode of the Modern Pain Podcast. Links: https://pubmed.ncbi.nlm.nih.gov/23508341/ https://pubmed.ncbi.nlm.nih.gov/22528659/ https://thesciencept.com/flush-your-stool-down-the-funnel/ https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-9-19 Modern Pain Care Coaching Program: https://modernpaincare.com/courses/
Dec 17, 2020
Is Subacromial Impingement Even A Thing?
A recent systematic review has come out with the title, "No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis" ✅ Often we are taught impingement is due to limited subacromial space. ✅ The type of acromion has also been theorized as a contributing factor? 🤔 What has science told us in regards to these issues? 🤔 Are impingement theories holding up to scientific testing? 🤔 Most importantly, what does all this mean when you sit in front of a patient with shoulder pain? 🔥🔥 Join Jarod and Mark as they discuss this and more in this week's episode of the Modern Pain Podcast.🔥🔥 Article Links: https://pubmed.ncbi.nlm.nih.gov/29490599/ https://www.researchgate.net/publication/233562428_Subacromial_impingement_syndrome_a_musculoskeletal_condition_or_a_clinical_illusion https://pubmed.ncbi.nlm.nih.gov/19336812/ ps://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32457-…
Dec 10, 2020
A Third Of The World Needs Rehab
🌏🌏 The Lancet recently released an OPEN ACCESS study titled - "Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019" (link in comments below) 🌏🌏 🤔 The study had some interesting conclusions 🗣🗣 "We argue that rehabilitation needs to be brought close to communities as an integral part of primary health care to reach more people in need."🗣🗣 🤔 MSK conditions were the most prevalent disease area with low back pain being the most prevalent condition 🤔 So how do we get rehabilitation more into main stream care of MSK conditions? 🤔What barriers to we have to overcome systemically, culturally, and beyond? 🔥🔥 Join Jarod and Mark as they discuss this and more on this week's episode of the Modern Pain Podcast. 🔥🔥 Article Link: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)32340-0/fulltext
Dec 3, 2020
There has been discussion going around about discs Do they slip? Are clinicians spreading misinformation? What do people in pain believe? What does research say? How do you navigate a discussion of discs with patients? Join Jarod and Mark as they discuss this and more on this week's episode of the Modern Pain Podcast
Nov 19, 2020
SI Joint Dysfunction????
😩😩This joint nearly had me quit PT.😩😩 😥😥 It convinced me that I will never be capable of feeling that millimeters of movement that supposedly were the key to "fixing" people.😥😥 😀 Thankfully science has been very helpful in putting the SI joint in perspective 🤔 Can we detect millimeters of movement reliably? 🤔 Does SI joint dysfunction even exist? 🤔 Is this a case of palpatory pareidolia? (not sure what pareidolia means? I guess you'll have to tune in) 🤔Do we have professions who have identified themselves with the the SI joint and a myriad of theoretical "problems" it can have? 🤔 Is there nuance to SI joint discussions or is it all or none? Helpful links: https://www.sciencedirect.com/science/article/pii/S0268003314000308 https://pubmed.ncbi.nlm.nih.gov/31355883/ https://www.youtube.com/watch?v=mvW2lj194MQ
Nov 12, 2020
The Issues With Black and White Thinking
A recent post was made in the DPT student group that peeked our interest. https://www.facebook.com/groups/DPTStudent/permalink/3566671440045574/ It was a great example of how black and white thinking is not helpful when dealing with complex issues such as pain The discussion on the post was interesting. What is black & white thinking? Why does it often fail in complex systems such as a human being? How do we combat black & white thinking?
Nov 5, 2020
F Our Differences
Jarod released a blog (link in comments) on our site that put into words a lot of the frustration we see and encounter daily. Are their truly special interventions out there? Are we arguing over the wrong things in patient care? What about the people who do not improve with natural history? Where should our focus be? Join Jarod and Mark as they discuss this and more in this week's episode of the Modern Pain Podcast Link to blog - https://modernpaincare.com/blog/f-our-differences
Oct 29, 2020
Clinician Roundtable Discussion on Exercise
We had a great discussion this past weekend in our Lifelong Learning Academy. It was so good we felt we needed to share it with you all. Jarod Hall, Marcos Lopez, and Mark Kargela got together to discuss their talks they shared in the academy and had a great discussion where there were clinical pearls were flying everywhere We hope you enjoy the discussion and get some value to help you in your practice! For more information on the Complete Clinician Lifelong Learning Academy check it out at - https://www.modernpaincare.com/lifelong-learning-academy
Oct 22, 2020
Key Critical Thinking Skills to Survive and Thrive
🤜🤛Critical thinking and sound clinical reasoning go hand in hand.🤜🤛 😫It is not easy to teach in a classroom. 🗣🗣We usually are quick to criticize the thinking of others. 🤔Are we just as quick to criticize our own? 🤔Do we consciously make an effort to think about our thinking? 🤔Where are you in your critical thinking skills? Books referenced: Coddling of the American Mind - https://www.amazon.com/gp/product/B076NVFT5P Thinking Fast and Slow - https://www.amazon.com/Thinking-Fast-Slow-Daniel-Kahneman-ebook/dp/B00555X8OA/ref=sr_1_2 The Righteous Mind - https://www.amazon.com/Righteous-Mind-Divided-Politics-Religion-ebook/dp/B0052FF7YM/ref=sr_1_1 Being Wrong - https://www.amazon.com/Being-Wrong-Adventures-Margin-Error-ebook/dp/B003JBHW08/ref=sr_1_1
Oct 15, 2020
Does Exercise Need To Be Specific?
🏋️🚴It's hard to argue over the value of exercise in the treatment of pain. 🚴🏋️ 🤔 But do we need to be specific? 🤔 Around the spine do we need to be specific in our efforts at strengthening where we focus on attempting to isolate muscles? 🤔 What about simple global exercise? 🤔 What about directional preference? 🤔 Where does the patients beliefs and preferences fit in?
Oct 8, 2020
What do we do with a frozen shoulder?
Frozen shoulders are somewhat of a clinical enigma We don't necessarily understand their cause and have yet to find a great treatment that speeds up their natural history significantly. A recent study in the Lancet compared PT, arthroscopic release, and manipulation under anesthesia... The winner was..... None of them! None were superior in their outcomes. So what do we do with people we see with frozen shoulder? Study link - https://www.ncbi.nlm.nih.gov/pubmed/33010843 YouTube Video summary - https://www.youtube.com/watch?v=I88uzfD8Y4s&feature=youtu.be
Oct 1, 2020
Symptom Irritability - It's Complex
✅ Understanding symptom behavior is crucial to being able to appropriately plan your examination and treatments. ✅ A big part of this is understanding the irritability of a symptom. Irritability has three components to make a judgement: 1️⃣ How easily is it provoked 2️⃣ How intense are the symptoms provoked 3️⃣ How much does it take to reduce symptoms back to baseline 🤔 Is irritability a measure of the tissue? 🤔 Are there more things than simple nociceptive messages into the system that influence a patient's reports?
Sep 10, 2020
Can You Go Wrong Getting Strong?
💪💪"You can't go wrong getting strong!!!!"💪💪 ✅ That has been a popular battle cry lately in the rehab fields. 🤔 Is this always the case? 🤔Can you truly never go wrong? 🤔Where does this fit in person-centered healthcare? 🔥🔥Join Mark and Jarod as they discuss this and more🔥🔥
Aug 27, 2020
What Is The Deal With Trigger Points?
🤯🤯Nothing seems to raise blood pressures and evoke emotional responses as the debate around trigger points.🤯🤯 🤬🤬With dry needling becoming a more popular intervention in patient care the debate has become more common and emotional. 🤬🤬 🤝🤝Instead of emotions ruling the discussion join Jarod and Mark as they have a chat around trigger points and the science behind the trigger point theory. 🤝🤝 Resources: 🤯🤯Nothing seems to raise blood pressures and evoke emotional responses as the debate around trigger points.🤯🤯 🤬🤬With dry needling becoming a more popular intervention in patient care the debate has become more common and emotional. 🤬🤬 🤝🤝Instead of emotions ruling the discussion join Jarod and Mark as they have a chat around trigger points and the science behind the trigger point theory. 🤝🤝 Resources: https://pubmed.ncbi.nlm.nih.gov/25477053/ https://pubmed.ncbi.nlm.nih.gov/29025044/ https://bjsm.bmj.com/content/b…
Aug 15, 2020
Why The Toolbox Approach May Not Be A Great Idea
🛠🛠Often you will hear clinicians discuss having a lot of tools in the toolbox.🛠🛠 🤔 Is this always a great pursuit? 🤔 Do we risk having tools without a process of application? 🤔 Would thinking of patient care as a process not product be helpful? ✅Join Mark and Jarod as they discuss this and more Article links: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3360492/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3172949/
Aug 6, 2020
Pain Science Is Not An Intervention
🤔🤔 Do we "pain science" people? 🤔🤔 ✅ That seems to be the thoughts of a lot of people out there. 🗣🗣We regularly hear, "Well you do the pain science thing..." 🗣🗣 ✅ This tells me that there is a large lack of understanding of what pain science is and what it is not. 📅📅 Join Jarod and Mark as they discuss why pain science is not an intervention and how it is best incorporated into a person-centered framework of care. 📅📅 https://www.modernpaincare.com/complete-clinician
Jul 30, 2020
How to Deal With Beliefs of Bone on Bone
😔 Most of us have experienced this and it can be frustrating!!! 😨 A patient discusses their condition and tells you they feel they are dealing with bone on bone 🛑 It can be a huge barrier. 🛑 😨 Understandably, most with this belief are hesitant to load or engage in rehabilitation. 🏋🏾♀️🏋️♂️ Exercise and loading is considered dangerous or harmful. ❓❓❓How do you deal with this clinically? ✅✅Join Jarod and Mark as they discuss their strategies to help people challenge this belief and successfully move forward in their pursuit of valued goals. ✅✅ Helpful links: https://www.ncbi.nlm.nih.gov/pubmed/30886966 https://www.ncbi.nlm.nih.gov/pubmed/26721229 https://www.ncbi.nlm.nih.gov/pubmed/23789746
Jul 27, 2020
Professional Debate in the Face of Opposing Views
👴👩🦱🧔🏿🧕🏼If you are human you have a unique context you have grown and learned in that has shaped your beliefs and perceived knowledge👴👩🦱🧔🏿🧕🏼 🗣 Others bring unique beliefs and knowledge from their own context ✅ Sometimes our views and beliefs do not align. 🗣 🤼♀️ You have likely witnessed discussions on social media turn ugly ✅ Professional dialogue and debate can serve a vital role in helping us improve our knowledge and understanding of the world. 📅 Join Jarod and Mark as they relive their past failures in this area. Learn strategies to debate along with common logical fallacies we fall victim to in professional debate.
Jul 9, 2020
Modern Pain Care For Patellofemoral Pain Syndrome
🤔 What is patellofemoral pain sydnrome? 🤔 Should we just call in pain in the region of the anterior knee? 🤔 Do biomechanics have a role? 🤔 Is the knee extension machine truly the devil? ✅ We'll be answering these question and more in our weekly pain points. Check the links below for some primer articles and blogs to wet your appetite! https://pubmed.ncbi.nlm.nih.gov/15995427/ https://bjsm.bmj.com/content/52/18/1170 https://www.running-physio.com/pfps2/ https://www.running-physio.com/pfps1/
Jul 3, 2020
General Vs Specific Exercise For Low Back Pain
✅Many of us were taught that specific activation of the transverse abdominus and multifidi are a key component of any back exercise program. ✅ Research has challenged this thought. 🤔 Is there a time for bracing work? 🤔 Where can "core stability" go wrong? 🤔 How can you prescribe exercise for back pain in a person-centered way versus allowing biomechanical theory dictate our choices to patients? Join Jarod and Mark as they unpack this topic in Modern Pain Care's weekly pain points! Links to articles discussed: https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-15-416 https://pubmed.ncbi.nlm.nih.gov/22146280/ https://pubmed.ncbi.nlm.nih.gov/22884190/ https://pubmed.ncbi.nlm.nih.gov/30381024/ https://pubmed.ncbi.nlm.nih.gov/22270245/
Jun 19, 2020
Using Manual Therapy to Evaluate Top Down Pain Modulation
🤔 The research has not really supported many mechanical effects of manual therapy ✅ Yet we do see it change pain in session ✅ Joel Bialosky, Steve George and others have shown us that the mechanisms of manual therapy are mainly neurophysiological ❓ What can we learn about the patient's pain modulation abilities through manual therapy? ❓ What do we do with this information? ❓ Most importantly how do we give people the ability to do it actively? 🔥 Join Jarod and Mark as they discuss this and more in Modern Pain Care's Weekly Pain Points See Less
Jun 13, 2020
The Pain of Healthcare Spending
💸💸Healthcare spending is a major issue!! 💸💸 📉 📉The return on investment is severely lacking📉📉 ✅ This recent JAMA study points to low back pain and neck pain as the areas of highest spending. https://jamanetwork.com/journals/jama/article-abstract/2762309 📉 📉 These areas often have poor data on the utilization of conservative care options 📉📉 🗣🗣 This data needs to be shared with patients and providers 🗣🗣 We need to do better! ✅ Join Jarod and Mark as they reflect on this article and talk of ways you can use it in conversations with providers and patients.
Jun 5, 2020
Where Does Stretching Fit?
🤔🤔 Where does stretching fit in current practice?🏋️♀️🏋️♂️ 🤔 Are we truly elongating tissue? 🤔 What is the sensory theory of stretching? 🤔 Does stretching hinder performance? 🤔 Should we be prescribing stretching? 🤔 Are there times we should not be stretching? ✅ Join Jarod and Mark for our weekly pain points to find the answers to these questions and more!✅
May 28, 2020
Why You Need Philosophy In Your Practice
🤔🤔Critical thinking is vital to our growth and performance as clinicians🤔🤔 ❓ Do you ever think about your thinking? ❓ Is biomedical and related philosophy best helping our patients? ❓ What are some alternative philosophical viewpoints that may better serve our patients?
May 21, 2020
The Issues With Evidence-Based Practice
🤔 The evidence-based practice movement has given us a huge amount of value in healthcare 🤔 🤯 It is not perfect though. 🤯 ❓ How can experts have such hugely different assessments of the evidence? ❓ How do you improve your research consumption skills? Join Jarod and Mark as they discuss this in Modern Pain Care's Weekly Pain Points
May 14, 2020
How To Handle Requests For Passive Care
✅ Passive care requests can be challenging to address. ❓ How do you get patients to engage in active management strategies? ❓ How do you not lose patients? ❓ How do you meet people in the middle 🤔 Join Jarod and Mark as they discuss some strategies you can use with your patients.
May 7, 2020
Should You Even Learn Manual Therapy
Should you learn manual therapy? ❓❓We have had people asking us this question for some time so we think it's time to share our views with everyone❓❓ 🤔 Is it worth learning manual therapy? 🤔 Is fellowship training a good idea for you? 🤔 Does manual therapy have a place in modern practice? Join Dr. Jarod Hall and Dr. Mark Kargela as they discuss their perspectives!!
Apr 30, 2020
Can Pain Science and Biomechanics Get Along??
You have not lived unless you have been a part of the usual mud slinging and name calling that happens when biomechanics and pain science are discussed 🤔 Why such anger? 🤔 Why can't they co-exist? 🤔 Is it really an either/or discusssion? Join CJ Depalma, Jarod Hall, and Mark Kargela as they discuss this often heated topic.
Sep 26, 2019
Modern Pain Podcast - Episode 14 - Rachel Zoffness
Listen as Rachel Zoffness, PhD, a pain psychologist shares her unique perspective on pain from a pain psychology point of view and some of the challenges in pain psychology. She also discusses her amazing book - The Chronic Pain & Illness Workbook for Teens.
Aug 21, 2019
Modern Pain Podcast - Episode 13 - Marcos Lopez
Listen as Dr. Marcos Lopez shares his perspective as a physical therapist practicing in an opioid addiction setting. He discusses the sobering statistics and helps us better understand how we can help someone who is struggling with opioids in their journeys.
Jul 4, 2019
Modern Pain Podcast - Episode 12 - Ben Cormack
Listen as Mark interviews Ben Cormack of Cor-Kinetic (cor-kinetic.com) where they discuss core stability and person centered exercise. Ben brings up examples from his current caseload and discusses his journey and approach to the person in pain.
Jun 5, 2019
Modern Pain Podcast Episode 11 - Peter O'Sullivan
Listen as Mark and special guest interviewer, Joletta Belton, have an amazing discussion around person-centered care. Peter shares a ton of great clinical pearls and Joletta and Peter both discuss their interaction at the San Diego Pain Summit
May 14, 2019
Modern Pain Podcast - Episode 10 - John Launer
Listen as Mark interviews author and clinician John Launer where they discuss narrative-based communication in practice.
May 3, 2019
Modern Pain Podcast - Episode 9 - Morten Hoegh
Listen as Mark interviews Martin Hoegh a physiotherapist and soon to be PhD from Denmark. They discuss research, neuroscience, theory, philosophy and much more!
Apr 27, 2019
Modern Pain Podcast - Episode 8 - David Hanscom Part Three
Mark interviews David Hanscom, MD for the third and final part of their interview series. This episode dives deeper into the family in pain and goes into some of the treatment strategies David uses in his practice to better help the family in pain.
Apr 21, 2019
Modern Pain Podcast - Episode 7 - David Hanscom Part Two
Listen to part two of our discussion with orthopedic spine surgeon Dr. David Hanscom as he discusses his approach to working with families of those who are dealing with difficult pain situations.
Apr 14, 2019
Modern Pain Podcast - Episode 6 - David Hansom Part One
Listen as orthopedic spine surgeon Dr. David Hanscom shares a bit about his journey to quitting his practice as a spinal surgeon. We discuss the neurophysiology of pain and how it affects the experience of those who are living with pain.
Sep 20, 2018
Modern Pain Podcast - Episode 5 - Interview with Mick Thacker
Dr. Mark Kargela interviews Dr. Mick Thacker a world respected researcher on his current work around predictive processing and its application to clinical practice.
1 hr 24 min
Sep 2, 2018
Modern Pain Podcast - Episode 4 - Interview with Bronnie Thompson
Listen to Dr. Mark Kargela interview New Zealand Occupational Therapist and PhD Bronnie Thompson where they discuss communication skills and strategies when interacting with a person in pain
1 hr 11 min
May 30, 2018
Modern Pain Podcast - Episode 3 - Patient Story of Keith Meldrum
Joletta and Mark interview Keith Meldrum, a fire chief, in British Columbia Canada. Listen to Keith's powerful message to clinicians and hear his journey from a severe injury and the difficulties he faced until an encounter with a clinician who simply said, "I believe you" changed the course of his recovery.
Apr 15, 2018
Modern Pain Podcast - Episode 2 - Patient Story of Tami Link
This month Joletta Belton and Dr. Mark Kargela interview Tami Link, a yoga practitioner, who shares her story of pain and learning to live well again through a challenging journey that changed directions when she began to see her pain story through a pain science lens.
Mar 3, 2018
Modern Pain Podcast - Episode 1 - Patient Story of Samantha Bonsack
Listen as Dr. Mark Kargela and his guest co-host Joletta Belton interview Samantha Bonsack and hear her amazing story of triumph in the face of a very dark and challenging period of her life with severe persistent pain.
1 hr 27 min