053 Is Therapeutic Alliance a Bust?
Pain Science and Sensibility
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. Miyamoto GC, Fagundes FRC, de Melo do Espírito Santo C, et al. JOSPT. 2021 Aug;51(8):392-400. doi: 10.2519/jospt.2021.9636. Epub 2021 May 7. Music by Kevin MacLeod – : Intro – Brandenburg No4 and Meatball Parade Close...
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052 Beyond the BPS Model?
Pain Science and Sensibility
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. Peter Stilwell & Katherine Harman. Phenomenology and the Cognitive Sciences. 18, pages637–665(2019). doi: 10.1007/s11097-019-09624-7. Music by Kevin MacLeod - : Intro - Brandenburg No4 and Meatball Parade Close - Meatball Parade
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2020 PT Podcast Network Holiday Extravaganza
Pain Science and Sensibility
The gang is all here (except Greg) for another festive dump of holiday cheer! Happy Holidays everyone!!!
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050 Pain Flare-Up
Pain Science and Sensibility
Pain 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! 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. Music by Kevin MacLeod - : Intro - Brandenburg No4 and Meatball Parade Close - Meatball Parade
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049 Contemplating Possibilities and the Impermanence of Pain
Pain Science and Sensibility
We are joined in this episode by 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 - : Intro - Brandenburg No4 and Meatball Parade Close - Meatball Parade
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048 The SI Joint Narrative
Pain Science and Sensibility
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! 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 we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, . Music by Kevin MacLeod - : Intro - Brandenburg No4 and Meatball Parade Close -...
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047 Is It Safe For Women To Lift Heavy Things?
Pain Science and Sensibility
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 and PhD candidate,...
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046 Is There an Advantage to Pain Free Rehab?
Pain Science and Sensibility
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. Hickey JT, Timmins RG, Maniar N, Rio E, Hickey PF, Pitcher CA, Williams MD, Opar DA. J Orthop Sports Phys Ther. 2020 Feb;50(2):91-103. doi:...
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045 A Review of Surgery for Rotator Cuff Tears
Pain Science and Sensibility
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. 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. Due to copyright laws, unless the article is we cannot legally post the...
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044 Cognitive Functional Therapy Vs. Group Therapy Plus Education
Pain Science and Sensibility
This 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. 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-2019-100780. [Epub ahead of print] Due to copyright laws, unless the article is we cannot legally post the PDF on the...
info_outlineIn 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? Listen in and judge for yourself. Be sure to catch a call to action as well as a bonus discussion of the new 'nociplastic' category of pain at the end of the show.
Reconsidering the International Association for the Study of Pain definition of pain.
Cohen M, Quintner J, van Rysewyk S.
Pain Rep. 2018 Mar 5;3(2):e634. doi: 10.1097/PR9.0000000000000634. eCollection 2018 Mar.
A rebuttal article also referenced in the show:
The International Association for the Study of Pain definition of pain: as valid in 2018 as in 1979, but in need of regularly updated footnotes.
Treede RD.
Pain Rep. 2018 Mar 5;3(2):e643. doi: 10.1097/PR9.0000000000000643. eCollection 2018 Mar.
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 an article, contact us.
Music by Kevin MacLeod - incompetech.com:
Intro - Brandenburg No4 and Meatball Parade
Close - Meatball Parade