Shows
OTs In Pelvic HealthWhy Pain Science Matters + How To Talk With Our Clients About It....Simply!Lorimer Moseley's Quiz for Clients About Pain Science OT Elevate: The Biopsychosocial Approach to Colorectal ConditionsLindsey's NewsletterTed TalksPredictive Processing as a Theory to Understand Pain with Mick ThackerWhy do we hurt? by Professor Lorimer MoseleyPodcasts One Thing pain podcast with Mick ThackerPain Science and Sensibility with Sandy Hilton & Cory BlickenstaffThe Healing Pain podcast by Dr Joe TattaBooksExplain Pain by David Butler and Lorimer Moseley The Explain Pain Handbook: Protectometer by Lorimer Moseley & David But...2022-11-2132 min
Pain Science and Sensibility053 Is Therapeutic Alliance a Bust? Sandy and Cory discuss a recent paper that did not find an effect of providing education with therapeutic alliance in a chronic low back pain population. Does that settle the question of whether establishing a therapeutic alliance is worthwhile, or is there more to it? Of course there's more to it. Listen in on the conversation and see if you agree with our take. Education With Therapeutic Alliance Did Not Improve Symptoms in Patients With Chronic Low Back Pain and Low Risk of Poor Prognosis Compared to Education Without Therapeutic Alliance: A Randomized...2021-10-2732 min
Pain Science and Sensibility052 Beyond the BPS Model?In this episode, Sandy and Cory take a look at this popular publication from 2019 proposing an "Enactive Approach" to pain. There's a lot to cover in this paper as it takes us through a history of pain science up to the Biopsychosocial model at which point it proceeds to point out some flaws in the model. GASP! Take a listen as the discussion unfolds. An enactive approach to pain: beyond the biopsychosocial model. Peter Stilwell & Katherine Harman. Phenomenology and the Cognitive Sciences. 18, pages637–665(2019). doi: 10.1007/s11097-019-09624-7. Music by Kevin MacLeod - inc...2021-02-271h 03
Pain Science and Sensibility2020 PT Podcast Network Holiday ExtravaganzaThe gang is all here (except Greg) for another festive dump of holiday cheer! Happy Holidays everyone!!!2020-12-1459 min
Pain Science and Sensibility050 Pain Flare-UpPain flare-ups are one of the most frustrating things for patients and clinicians alike. Are they normal? Who gets them? Why is it important to know their prevalence? What are Sandy and Cory's thoughts on dealing with them? All this and more in episode 50! Prevalence, Severity, and Correlates of Pain Flares in Response to a Repeated Sit-to-Stand Activity: A Cross-sectional Study of 14 902 Patients With Knee and Hip Osteoarthritis in Primary Care. Søren T Skou, Dorte T Grønne, Ewa M Roos. J Orthop Sports Phys Ther. 2020 Jun;50(6):309-318. doi: 10.2519/jospt.2019.9125. Epub 2019 Sep 6. Musi...2020-11-1743 min
Pain Science and Sensibility049 Contemplating Possibilities and the Impermanence of PainWe are joined in this episode by Professor Lorimer Moseley AO for a casual chat about pain. Lorimer gave us his thoughts on recent and future clinical research and the translation of the evidence into the clinic. Is there an expiration date for recovery from persistent pain? How can we enhance learning the things that matter? Was it a mistake to think that we could/should explain pain? Does Sandy work pelvic health examples into this conversation? Music by Kevin MacLeod - incompetech.com: Intro - Brandenburg No4 and Meatball Parade Close - Meatball Parade2020-08-2554 min
Pain Science and Sensibility048 The SI Joint Narrative Do you use SI joint tests? What type of information do the tests give you? Should you be using them? These are just a few of the questions that arise in the discussion of this recent perspective paper. Join us for episode 48! Changing the Narrative in Diagnosis and Management of Pain in the Sacroiliac Joint Area. Palsson TS, Gibson W, Darlow B, et al. Phys Ther. 2019;99(11):1511-1519. doi:10.1093/ptj/pzz108 Due to copyright laws, unless the article is open source we cannot legally post the PDF on...2020-06-2757 min
Pain Science and Sensibility047 Is It Safe For Women To Lift Heavy Things? Is it safe to exercise and lift heavy things for people with pelvic organ prolapse symptoms? Or put more bluntly, will lifting heavy weights make your lady bits fall out? Is lifting weight asking for trouble? That is the question that our guest this month is seeking to answer and Sandy and Cory sit down to ask some questions about her recently published cross sectional study that is a start to this research. There are some important implications of this and potentially some misconceptions that are driving current approaches. Please listen as we are joined by physiotherapist...2020-05-0850 min
Pain Science and Sensibility046 Is There an Advantage to Pain Free Rehab? These questions arise very frequently in rehabilitation. Should it hurt? Is it OK if it hurts? Will I set myself back if it hurts? Will I get better if it doesn't hurt? In this episode we examine a pair of articles that examine these questions. One article is an RCT that covers pain free vs. painful exercise in an acutely injured population, while the other is a systematic review and meta analysis of the approach in chronic pain populations. Pain-Free Versus Pain-Threshold Rehabilitation Following Acute Hamstring Strain Injury: A Randomized Controlled Trial....2020-03-1343 min
Pain Science and Sensibility045 A Review of Surgery for Rotator Cuff Tears A recent Cochrane review looked at studies of people with rotator cuff tears comparing those who had surgery with those who did not. What do you think they found? Did surgery provide benefit? Is it OK to go without surgery in these cases? Sandy and Cory discuss these findings and provide their clinical commentary in this episode of Pain Science and Sensibility. Surgery for rotator cuff tears. Karjalainen TV, Jain NB, Heikkinen J, Johnston RV, Page CM, Buchbinder R. Cochrane Database Syst Rev. 2019 Dec 9;12:CD013502. doi: 10.1002/14651858.CD013502. ...2020-01-2739 min
Pain Science and Sensibility044 Cognitive Functional Therapy Vs. Group Therapy Plus EducationThis episode covers a recent paper that compares a popular and trending approach, Cognitive Functional Therapy, against a group treatment and exercise intervention. The primary outcomes were pain and disability. The results may surprise you. Join Sandy and Cory as they discuss the findings, what to make of them, and the clinical impact. Cognitive functional therapy compared with a group-based exercise and education intervention for chronic low back pain: a multicentre randomised controlled trial (RCT). O'Keeffe M, O'Sullivan P, Purtill H, Bargary N, O'Sullivan K. Br J Sports Med. 2019 Oct 19. pii: bjsports-2019-100780. doi: 10.1136/bjsports-2019...2019-11-2052 min
Pain Science and Sensibility043 An Interview with Dr Henrik Vaegter In the last episode (42) a systematic review was discussed regarding the value of pre-operative measures in predicting pain post-operatively. In this episode, Dr. Henrik Vaegter, an author of that review joins us to discuss that research as well as several other fascinating topics regarding exercise and pain. In this interview we discuss topics of Exercise Induced Hypoalgesia, Conditioned Pain Modulation, and Temporal Summation of Pain, all of which are among the focus of Dr. Vaegter's research. What do the findings in these phenomenon tell us about how we should or should not address exercise in our patients...2019-10-0948 min
Pain Science and Sensibility042 Does Preop Pain Predict Postop Pain? In this episode Sandy and Cory discuss a systematic review which investigated what pre operative pain tells us about a person’s propensity for post operative pain. Is it predictive? If so, would changing it matter? The discussion gets into these topics and more. Are preoperative experimental pain assessments correlated with clinical pain outcomes after surgery? A systematic review. Sangesland A, Støren C, Vaegter HB. Scand J Pain. 2017 Apr;15:44-52. doi: 10.1016/j.sjpain.2016.12.002. Epub 2016 Dec 19. Due to copyright laws, unless the article is open source we can...2019-08-3044 min
Pain Science and Sensibility041 Bedtimes and Pain: Can You Sleep It Off? This study looked at pain score associations between people with "typical" and "atypical" bedtimes. Sandy and Cory discuss the topic of sleep and pain broadly as well. So, perk up and see if you can make through this episode without dozing off. Does bedtime matter among patients with chronic pain? A longitudinal comparison study. McHugh RK, Edwards R, Ross E, Jamison R. PAIN Reports. May/June 2019 - Volume 4 - Issue 3 - p e747. doi: 10.1097/PR9.0000000000000747. We also discussed this paper: Effects of sleep changes on pain-related...2019-06-1254 min
Pain Science and Sensibility040 Does Activity Counteract Sitting? In this month's episode we are examining more of a general health question. But it is one that is very relevant to people in pain. Much has been made of "Sitting is the new smoking" with some indications that the negative effects of sitting may not be able to be undone with exercise and activity. This study looked at that concept in particular. Join us for Episode 40. Sitting Time, Physical Activity, and Risk of Mortality in Adults. Stamatakis E, Gale J, Bauman A, Ekelund U, Hamer M, Ding D. J Am...2019-05-1341 min
Pain Science and Sensibility039 Pain Education in Low Back Pain This paper, with results that many find very surprising, has started a bit of a buzz in the PT world. What do we make of the results? Can we trust the results? What does this mean in clinical practice? We were able to discuss these topics and more with the researchers themselves as Adrian Traeger and James McAuley were kind enough to share their time and help us navigate these new findings. Don't miss this episode! Effect of Intensive Patient Education vs Placebo Patient Education on Outcomes in Patients With Acute Low Back...2019-04-0256 min
Pain Science and Sensibility038 Living Well with Chronic Pain Research on chronic pain tends to aim at identifying factors that are in deficit, or are the so called "risk factors" for those who develops chronic pain. In this episode, we discuss a paper that takes a different angle in looking at what factors do those people who are successfully living well with chronic pain share. The primary author is friend of the show, Bronnie Thompson, who has made guest appearances in previous episodes. Living well with chronic pain: a classical grounded theory. Lennox Thompson B, Gage J, Kirk R. Disabil...2019-02-0948 min
Pain Science and Sensibility2018 PT Podcast Network Holiday ExtravaganzaThat's right everyone! It's that time of year again! All the PT Podcast Network voices (except for Adam) have gathered together to bring you some podcast holiday cheer! This very special episode is brought to you by My PT Insurance. Head on over to their website at myptins.com/ptinquest to be entered into a drawing for a $250 Amazon gift card (contest ends February 28, 2019). While you are there listeners can get a $20 discount off their already low price for a professional liability policy - starting as low as $149! Click the link for more info! Music by...2018-12-1151 min
Pain Science and Sensibility037 Brain Representations of Expectancy ViolationThis episode covers a recent meta analysis looking at differences in brain patterns when an expectancy violation, thought to be important in effectiveness of exposure based therapies (see episodes 12, 15, and 31), occurs passively versus actively. Active expectancy violation is thought to be more likely to bring about a change in behavior. This research looked to see if there was a difference that could be identified in activated brain areas between the 2 conditions. Learning about Expectation Violation from Prediction Error Paradigms – A Meta-Analysis on Brain Processes Following a Prediction Error. D’Astolfo L and Rief W. Front Psyc...2018-11-1449 min
Pain Science and Sensibility036 Mechanism Based Pain CareIn this episode, Sandy and Cory discuss a recent paper proposing a "Mechanism Based approach to physical therapy management of pain." This paper proposes 5 mechanisms to consider when managing people in pain and how some common PT interventions may impact these mechanisms. The discussion goes into some of the details of these proposals as well as some of the criticisms that have been generated with regards to the paper. A Mechanism-Based Approach to Physical Therapist Management of Pain. Chimenti RL, Frey-Law LA, Sluka KA. Phys Ther. 2018 May 1;98(5):302-314. doi: 10.1093/ptj/pzy030. Due to...2018-09-2853 min
Pain Science and Sensibility035 The Smallest Worthwhile Effect of PhysiotherapyHow much of an improvement would you need to see in order to feel that physiotherapy was going to be worthwhile for your low back, neck, or shoulder pain? This is the question that this study examines and that is discussed in this episode. Also Sandy considers opening a steak restaurant. The smallest worthwhile effect of primary care physiotherapy did not differ across musculoskeletal pain sites. Christiansen DH, de Vos Andersen NB, Poulsen PH, Ostelo RW. J Clin Epidemiol. 2018 May 28. pii: S0895-4356(17)31379-3. doi: 10.1016/j.jclinepi.2018.05.019. [Epub ahead of print] Due to...2018-08-1752 min
Pain Science and Sensibility034 How Well Do We Remember Past Pains?In this episode the topic of pain memory recall is explored. How well do we remember our past pains? Are there differences in recall between populations? What might account for the differences when they occur? All of these topics covered in episode in which Sandy and Cory discuss a recent research article on the topic. Hippocampal morphology mediates biased memories of chronic pain. Berger SE, Vachon-Presseau É, Abdullah TB, Baria AT, Schnitzer TJ, Apkarian AV. Neuroimage. 2018 Feb 1;166:86-98. doi: 10.1016/j.neuroimage.2017.10.030. Epub 2017 Nov 6. Due to copyright laws, unless the article is open source we c...2018-07-051h 01
Pain Science and Sensibility033 Reconsidering the IASP Definition of PainIn episode 33, Sandy and Cory are joined once again by Pain Specialist Physician, Milton Cohen. Dr. Cohen and his group have submitted a new clinical definition of pain. In the discussion, we unpack the new definition term by term and discuss issues that Dr. Cohen and his group have spelled out regarding the current and famous IASP definition. Does the current definition have important shortcomings? Do you feel that patients would agree that the current definition fits with the experience of being in pain? Does this new definition make the clinical encounter and potential directions of treatment more clear...2018-05-2256 min
Pain Science and Sensibility032 Are There Ethical Concerns With Mindfulness Approaches?A recent paper looks at the philosophical underpinnings of the practice of mindfulness and raises some concerns regarding the ethics of its use. In this episode, these concerns are discussed as well as the larger implications of informed consent and respect for patient values. Forgetting ourselves: epistemic costs and ethical concerns in mindfulness exercises. Ratnayake S, Merry D. J Med Ethics. 2018 Mar 9. pii: medethics-2017-104201. doi: 10.1136/medethics-2017-104201. [Epub ahead of print] Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the...2018-03-2250 min
Pain Science and Sensibility031 Expectancy Violation UpdateWe return to exposure based therapy and an update of the topic covered in the popular episodes 12 and 15, expectancy violation. This time we discuss a clinical commentary paper reviewing the state of the evidence related to the claims of Craske et al. How have the claims held up? What is the state of the science on the topic? This and more in episode 31. Exposure therapy augmentation: A review and extension of techniques informed by an inhibitory learning approach. Weisman JS, Rodebaugh TL. Clin Psychol Rev. 2018 Feb;59:41-51. doi: 10.1016/j.cpr.2017.10.010. Epub 2017 Oct 26. Due...2018-02-101h 02
Pain Science and SensibilityEpisode 30: I am a Placebo: An Interview With Dr. Nortin Hadler, MDOur guest in this episode is Dr. Nortin Hadler, a rheumatologist and professor of medicine at the University of North Carolina in Chapel Hill, who has spent decades right in the middle of several health care debates. Dr. Hadler, or as Sandy likes to call him "Quote Machine," spent an hour with us reflecting on a range of topics. What is medicalization and why is so important? What predicts poor health outcomes related to regional pain disorders most robustly? What is the difference between a treatment act and a treatment encounter? Why do people shop in the placebo aisle...2017-12-2856 min
Pain Science and Sensibility029 Discussion of the book Meanings of PainThis episode has Sandy and Cory discussing a recently released book, tilted Meanings of Pain. Can we measure pain? What is the impact when we try? How do the roles we assume impact the care we provide and how it is received? Listen in as our hosts consider these and other topics that have been raised by this very interesting and comprehensive book. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining...2017-11-2559 min
Pain Science and Sensibility028 Does Manual Therapy Suck?In this episode of Pain Science and Sensibility, it’s another British Invasion! So, I guess that would make us the Ed Sullivan show? Special guest Adam Meakins, host of the NAF physio podcast, joins us for a discussion regarding his proclamation that “Manual Therapy Sucks.” His provocative stance has stirred a lot of attention and discussion. So, stepping away from our normal format of discussing a specific paper, in this episode we’re discussing the merit, or lack thereof, for manual therapy. Also, is there a 6 degrees of Greg Lehman effect? Manual Therapy SUCKS... Meakins A....2017-10-2840 min
Pain Science and Sensibility027 Transverse Abdominals in Low Back PainSandy and Cory discuss a popular topic in the treatment of low back pain; the role of the transverse abdominus. This paper examines the role in pregnancy related low back pain but the episode goes on to discuss the topic more broadly. Now suck in that naval and listen along! The transverse abdominal muscle is excessively active during active straight leg raising in pregnancy-related posterior pelvic girdle pain: an observational study. Mens JMA, Pool-Goudzwaard A. BMC Musculoskelet Disord. 2017 Aug 25;18(1):372. doi: 10.1186/s12891-017-1732-9.2017-09-1955 min
Pain Science and Sensibility026 Can We Predict Who's at Risk for Persistent PainWhat is stratified care? Can we get the right patients to the right care at the right time? In this episode we look at a study examining some of the background required to answer these questions. Can we predict who is at risk for developing persistent pain? If we can then we might be better able to direct them to the right care. The findings may surprise you. The Value of Prognostic Screening for Patients With Low Back Pain in Secondary Care. Karran EL, Traeger AC, McAuley JH, Hillier SL, Yau YH, Moseley GL. J...2017-08-1854 min
Pain Science and Sensibility025 Comparing and Using Low Back Pain Clinical GuidelinesEpisode 25 has our hosts, and special guest Kelly Newman SPT discussing a recent review article comparing 3 of the major clinical guidelines for the treatment of low back pain. What is a clinical guideline? How are their recommendations established and why are there differences between them? What is "the burden of proof" and why is it relevant to this discussion? Clinical guidelines for low back pain: A critical review of consensus and inconsistencies across three major guidelines. O'Connell NE, Cook CE, Wand BM, Ward SP. Best Practice & Research Clinical Rheumatology. 2017. http://dx.doi.org/10.1016/j.berh.2017.05.0012017-06-301h 03
Pain Science and Sensibility024 Trigger Points, the "Third Space", and the Merit of Pain Theories with Dr. Milton CohenSpecial Guest Milton Cohen MD, Rheumatologist/Specialist Pain Physician, joins the show to discuss a variety of topics in this far ranging interview. Dr. Cohen and his research group has written extensively on topics ranging from critical appraisals of the biomedical and biopsychosocial framework to the nature of the therapeutic interaction. In the show we discuss these topics as well as the concept of the "Aporia" of pain. Additionally, his group's 2015 paper on the face validity of the trigger point phenomenon that was widely debated on social media is discussed in addition to their concerns with Moseley and Vlaeyen's "...2017-06-011h 13
Pain Science and Sensibility023 Modeling Pain and Other Bayesian TopicsEpisode 23 has Sandy and Cory discussing a review article about modeling pain using a Bayesian statistical model. Fear not! You'll not need an abacus to follow along as the discussion moves from considering the model to potential use and problems with the "Bayesian Brain" concepts that are currently en vogue. What is the big deal with Bayes theorem? Why has it become so popular and why is it being applied to pain? Pain: A Statistical Account. Tabor A, Thacker MA, Moseley GL, Körding KP. PLoS Comput Biol. 2017 Jan 12;13(1):e1005142. doi: 10.1371/journal.pcbi.1005142. eCollection 2017 Jan.2017-05-111h 00
Pain Science and Sensibility022 Do Systematic Biases Impact Care?Episode 22 has Sandy and Cory discussing a systematic review on whether biases are present in healthcare decisions and if so, do they have a negative impact. Are biases something that we need to worry about? Is Cory a robot? Also, Sandy coerces her DPT student Christa Wolf to join the show for an important perspective from the student side. Take a listen as the crew discusses these matters and their implications in matters such as the concept of N of 1. Cognitive biases associated with medical decisions: a systematic review. Gustavo Saposnik, Donald Redelmeier, Christian C. Ruff...2017-04-1159 min
The Voice of the PatientEp. 12 - Jared Updike: A Chronic Pain Success StoryJared Updike shares his story about his experience with pain in this episode. He received diagnoses of psychogenic pain, central sensitization, myofascial pain syndrome, and fibromyalgia. Jared wrote a terrific blog post ("Doctor Masseuse"), which I discovered via Paul Ingraham's post on PainScience.com. Jared Updike is Los Angeles-based software developer who learned about chronic pain and fatigue at the school of hard knocks. He hopes other sufferers can become their own health advocates, learning to manage their issues through patient education and their own informed, considered experimentation. He dishes out life advice and writes about technology, ph...2017-04-0758 min
Pain Science and Sensibility21 Aerobic Exercise for PainIn this episode, Sandy and Cory are joined by special guest Roderick Henderson who is a physical therapist and strength coach. The group reviews a recent article on the impact of aerobic exercise on pain sensitivity and also goes on to talk about several topics concerning strength and conditioning aspects of care for people in pain. How much should we push our patients in pain? What constitutes "strength training?" Is Rod being attacked by a pack of wild dogs? Effects of aerobic exercise on pain sensitivity, heart rate recovery, and health-related quality of life in patients with...2017-03-071h 02
Pain Science and Sensibility020 Neuropathic Pain at the PelvisIn episode 20 Sandy and Cory discuss an exploratory research paper on Sandy's area of expertise, pelvic pain. The presence or absence of neuropathic pain in this population is not well known and Sandy provides some insight into how this gap along with some common misconceptions play out in unfortunate ways for patients with these presentations. Cory's mettle is tested once again in another low front pain episode but he contributes a self report question that is sure to make you wink. There are some interesting similarities with other, more well understood conditions of the body. For example, what is...2017-01-1659 min
Pain Science and SensibilityHoliday Extravaganza 2016The PT Podcast Network crew are here to spread some holiday cheer with the annual PT Podcast Network Extravaganza! They talk Jedis, rectums, Festivus, and horrible jet lag - all the holiday standards. Some say it's unlistenable...but you get to judge for yourself! Music for The PT Podcast Holiday Extravaganza: Kevin MacLeod - incompetech.com2016-12-1157 min
Pain Science and Sensibility018 What IS a Picture WorthCory and Sandy continue their search for clinical excellence (and interesting new screening tools), including an in-depth look at the benefit of using pain drawings as part of clinical assessment. Can these drawings be used to indicate signs of central sensitization? If not, are they useful anyway? How excited is Cory about the Cubs in the World Series? Expanded Distribution of Pain as a Sign of Central Sensitization in Individuals With Symptomatic Knee Osteoarthritis. Di Lernia D, Serino S, Cipresso P, Riva G. Phys Ther. 2016 Aug;96(8):1196-207. doi: 10.2522/ptj.20150492. Epub 2016 Mar 3. Due to...2016-11-131h 04
Pain Science and Sensibility017 Are There Ghosts in Your MachineIn episode 17, Sandy and Cory attempt to tackle a difficult theoretical paper (difficult for non-neuroscientists, at least) discussing some potential implications of interoception in chronic pain. The discussion wades into "embodied cognition" and "predictive processing" among many other models that this paper attempts to cover. Also, we uncover the real reason why Sandy is going to Japan. Ghosts in the Machine. Interoceptive Modeling for Chronic Pain Treatment. Di Lernia D, Serino S, Cipresso P, Riva G. Front Neurosci. 2016 Jun 30;10:314. doi: 10.3389/fnins.2016.00314. eCollection 2016. Due to copyright laws, unless the article is open source we c...2016-10-0657 min
Pain Science and Sensibility016_CBT_in_the_WorkplaceIn this episode Sandy and Cory discuss a recent RCT in which a CBT approach was applied to the workplace. Cory works in the occupational setting and so is able to offer some insight into how this type of care might be provided. The discussion goes in some interesting directions as both of our co-hosts feel that there is application for these findings no matter the setting. Also, we find out that both Sandy and Cory are planning evil deeds for their cats. Early Workplace Communication and Problem Solving to Prevent Back Disability: Results of a Randomized...2016-08-281h 01
Pain Science and Sensibility015 Maximizing Exposure Therapy RevisitedIn this special episode of Pain Science and Sensibility we are co-releasing with the Naked Physio Podcast, joining up with Paul Lagerman and Bronnie Thompson (who you may remember was also a special guest on Episode 11) to revisit and expand thoughts on the Inhibitory Learning paper from Episode 12. Listen in as Sandy and Cory learn that their inventive pronunciation skills can also be applied to places in New Zealand.2016-07-281h 26
Pain Science and SensibilityEpisode 14: Motor Control and Walking for PainIn episode 14, Sandy and Cory take on a Cochrane review looking at trunk motor control exercises for low back pain and another paper comparing specific exercise vs. just walking in low back pain. The findings may surprise you. As a special treat, guests Mike Stewart of "Know Pain Mike" fame, and Andrew Rothschild join in for the clinical application discussion. Sandy tries to keep Cory awake as he suffers from severe caffeine deficiency throughout the show.2016-06-191h 08
Pain Science and Sensibility013 Pelvic Floor HyperalgesiaWe're talking about pelvises (or is it pelvi?) on episode 13! We discuss a specific paper that is both specific to pelvic pain and highlights some controversies that are more general in pain science. This is in Sandy's wheel house and she doesn't disappoint as she walks through some clinical applications while Cory tries to compensate for his discomfort with bad jokes.2016-05-241h 04
Pain Science and Sensibility012 Maximizing Exposure TherapyIn this episode of Pain Science and Sensibility Sandy and Cory dive into some specific applications of Graded Exposure some of which are very surprising and may have some astounding implications for what we do with our patients. Are we accidentally encouraging "safety behaviors" that may negatively impact progress? When is the best time to educate the patient in attempt to provide explanations or change cognitions? The answers, at least according to this approach, may shock you.2016-04-0356 min
Pain Science and Sensibility011 Function vs ActivityIn Episode 11 Cory and Sandy get pedantic about the definition of "function" vs "activity" and are joined by a surprise guest when Dr. Bronwyn Thompson wanders by. Sandy learns another tool for helping her patients with sleep challenges and we get to nibble on a muffin and sip coffee while Bronnie teaches us some Kiwi words and a different perspective on activity and engagement.2016-03-0646 min
PT Podcast021 Cory BlickenstaffIn Episode 19 we chatted with one of the hosts of The Pain Science and Sensibility Podcast, Sandy Hilton. Here on Episode 21, we talk to the other host Cory Blickenstaff. Cory works in a private practice in Vancouver, WA. He has presented nationally on topics related to treating pain as well as work site industrial care delivery models. He authored the monograph on work injury prevention and management in the APTA home study course “The Injured Worker.” Cory is also active on social media discussing and debating current practice issues and applications and occasionally writes on the Leaps and Bounds blog...2016-01-271h 09
Pain Science and Sensibility010 Neurodynamics and FibromyalgiaIn this episode, Sandy and Cory discuss the popular treatment method of neurodynamics. While discussing a recent RCT which used the method in a group of patients with a fibromyalgia diagnosis the hosts also go in to some depth of how they use neurodynamics in the clinic. Also, Sandy's secret mission to convince Cory that he's a pelvic health therapist in denial continues.2016-01-1858 min
Pain Science and SensibilityHoliday ExtravaganzaIt's that time of year again and the PT Podcast Network crew are in the holiday spirit! The gang got together, as best they can scattered across the world, to share a little eggnog and make fun of each other. So pour yourself a drink, sit by the fire (or pool in the Southern Hemisphere), and enjoy a little holiday cheer.2015-12-141h 00
Pain Science and Sensibility008 Pain: Of Mice and Men?How do you know if a mouse feels pain? Not to spoil the surprise, but it involves being stuffed head first into a glove. What might this mean for us larger animals? In this episode, Sandy and Cory discuss an animal study article which examines the role of exercise and pain. Grab a beverage and pull up your hamster wheel for Episode 8!2015-12-0146 min
Pain Science and Sensibility007 CBT for Chronic Pain Delivered Through the InternetEpisode 7 explores two studies on the effects of a cognitive behavioral therapy program for chronic pain delivered through the internet. This is obviously the first step toward a post apocalyptic version of reality in which we are ruled by our computer/machine overlords. Or is it? The fate of world may depend on this episode! Also, Cory is a dumbass. These are among many probing topics in this episode of Pain Science and Sensibility.2015-11-0155 min
Pain Science and Sensibility006 To Exercise or Not to Exercise with Chronic PainWhich patients with persistent pain will flare up with exercise? Should they exercise? In episode 6 Sandy and Cory discuss a paper that tackles these difficult questions while interjecting the normal clinical commentary of how they address these scenarios in their own practice settings. Also, Sandy cuts down the grandest tree in the forest with a herring. But will she get a shrubbery?2015-10-0853 min
Pain Science and Sensibility005 Follow-Up Discussion to the James McAuley InterviewEpisode 5 is a short (30 min) follow up to Episode 4. James McAuley provided so much great information to consider that Sandy and Cory needed more time to discuss applications to the clinic.2015-09-1536 min
Pain Science and Sensibility004 Revisiting Self Efficacy with James McAuleyIn this interview episode of Pain Science and Sensibility, Sandy and Cory are joined by guest Dr. James McAuley, PhD. James was an author of the article discussed in episode 1 as well as a recent systematic review and meta-analysis of mediation studies of self-efficacy. The crew discuss this and James offers some brilliant insight into both the research surrounding self efficacy as well as its application to the clinic. This one is jam packed with information so get ready to get your learn on!2015-08-301h 00
Pain Science and Sensibility003 Catastrophizing and Graded ExposureIn episode 3, Sandy and Cory discuss a research article on the role of catastrophizing and it's impact on the effectiveness of graded exposure treatments. They discuss how they look at catastrophizing in the clinic and the difficulty of graded exposure. Sandy discusses the clinical skills that she's gained from improvisational acting. Cory learns, much to his dismay, of the association between Pokémon and cheap liquor.2015-08-0552 min
Pain Science and Sensibility002 New Theory of Chronic PainIn episode 2, Sandy and Cory discuss the "Imprecision Hypothesis of Chronic Pain" recently published by Lorimer Moseley and Johan Vlaeyen. Potential clinical implications are discussed as well as a rebuttal that has already been submitted. Hard hitting questions are tackled, like "Is pain a stimulus or a response?", "How does associative learning apply to clinical treatment?", and "Does Cory have the mental fortitude to beat a 5 year old in Battleship?"2015-07-0155 min
Pain Science and Sensibility001 Self-efficacy and Fear of Movement in Chronic Back PainIn the first ever episode of the Pain Science and Sensibility Podcast Sandy and Cory explore a recent research article on self-efficacy and fear of movement and how they mediate changes in pain and/or disability in chronic back pain populations. They discuss how these findings apply to the clinic and Cory tries to convince Sandy to open a pizza place in her clinic.2015-06-0946 min