#92. Is Physical Therapy, The Panacea of Chronic Pain?
Pedia Pain Focus
Have you ever had any of your patients say that they don't think physical therapy helps their pain? Or that the physical therapy made their pain worse? It would certainly not surprise me, if you said yes. And in that case, this is definitely is the episode you want to listen to carefully. And if your answer to my question was no, this is an episode for you too, my friend. Because sooner or later you too will join this elite club with rest of us. However, this episode will give you the framework and tools to change that in your practice. Learn it from our guest who magically...
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#91. Mental Health and Pediatric Pain; Chicken or the Egg?
Pedia Pain Focus
Pain and mental illnesses coexist, often more than any of other illnesses. Both of them have a profound effect on a child's child’s quality of life, individually. Now imagine the magnitude of impact when they co-exist. In this episode, Dr. Anjana Kundu, with guest speaker Dr. Mirabelle Mattar, a child, and adolescent psychiatrist, discusses the intricate and dynamic relationship between pediatric pain and mental health, likely cause or affect and prognosis for a child with pain in the setting of mental health issues or vice-versa. They also discussed the factors...
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#90. Can We Prevent Pain from Becoming Chronic?
Pedia Pain Focus
Acute pain may be a protective and adaptive phenomenon, but chronic pain is nothing but damaging and a burden in every way possible and for all involved directly or indirectly. So how do we reduce or can we reduce burden? Join me in this episode to learn the factors that contribute to chronicity of pain and whether we can prevent it. Takeaways in This Episode Complexities of pain and its impact for the individuals and the society What differentiates acute from chronic pain and why that is important Various factors contributing to pain and its chronicity Modifiable vs....
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#89. The Pain of Being a Redhead
Pedia Pain Focus
An anesthesiologist or a dentist might tell you that redheads need more anesthesia or local anesthetic. Yet research around their pain perception, tolerance, modulation and response to different pain medications is much more variable and complicated. Join me to learn the recent and emerging evidence about the pain among redheads and what you can do for effectively and safely managing it!
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#88. Pharmacovigilance to Evaluate Efficacy and Net Clinical Benefit in Pediatric Pain Medicine
Pedia Pain Focus
What if you had the lessons from the hindsight AND the foresight while managing children's pain? How would that change your practice? How would that change the outcomes of pediatric pain treatments?
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87. Shifting the Paradigm in Pediatric Pain Medicine
Pedia Pain Focus
Pediatric pain has long been and continues to be neglected for many reasons and because of many challenges. In this episode we discuss those factors and more importantly, the way forward to make the paradigm shift, overcoming challenges and recognizing opportunities.
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#86. Essential Elements of a Successful Patient Encounter
Pedia Pain Focus
A clinical care visit is like flying a plane. It has to be smooth (charming), safe (thorough) yet efficient and on time!
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#85. Pain Amongst Children with Autism Spectrum Disorder
Pedia Pain Focus
Rising prevalence of Autism Spectrum Disorders, contradicting opinions and misconceptions around pain sensitivity and expression among these patients pose unique challenges for clinicians.
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#84. Post-Concussive Headache and Symptom Management in Children
Pedia Pain Focus
Headache is a presenting symptom in 90% of children after a traumatic head injury and for many it may persist for years. It can be extremely debilitating and difficult to treat, posing several unique diagnostic and therapeutic challenges. Join me in conversation with Blake Windsor, MD a pediatrician with a subspecialty in training for pediatric pain medicine, a board certified headache specialist and Chief of Primas Health Pediatric Pain Medicine.
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#83. Reengineering Pediatric Perioperative Care for Optimal Outcomes
Pedia Pain Focus
Postoperative outcomes and success of the interventions is certainly dependent on the analgesia and anesthesia care, but what truly drives the outcomes is a complex interplay of biopsychosocial factors; an alignment between the patients and family's goals and medical as well as surgical interventions. How one goes about achieving that is what this episode is all about!
info_outlineAsk Ashley Koff, RD, what she recommends as a healthy diet. Her answer? It’s always personal.
When it comes to pediatric pain management, nutrition is both challenging and essential for our patients. And the idea of nutrition can be overwhelming, and contradictory, for healthcare professionals as well. My guest, an award winning expert dietician, is also a master at taking big, complex and overwhelming concepts and turning them into simple, bite sized pieces that are easy to understand and put into practice.
Nutritional advice has become a fact sheet based afterthought of our medical practice. Most of us didn’t receive the proper training that we need to provide useful guidance to patients, and we only realize this when we need to apply that advice to our own lives and family members.
What’s worse, in this era of social media, there is so much emphasis on selling yourself as a physician that the baseline of our oath gets lost. As Ms. Koff puts it beautifully - We don’t need to advertise what we can do. We have the tools and knowledge to help people, we need to dig deeper and share how it applies to each individual patients’ lifestyles, instead of defaulting to a one size fits all answer. How many times have you said sugar is inflammatory without considering the diet of that season that the patient might be eating? Does the patient even have access to healthy options at home?
A natural marketer, Ms. Ashley Koff had an interest in selling from a young age and studied marketing at Duke prior to her dietetics and nutrition degree. During her own health journey, she herself tried fad and even self-described crazy diets and exercises, but never felt healthy, until a integrative gastroenterologist changed her life simply asking her the questions and showing her a better way to make better and appropriate choices. That started her on her current journey as one of the most respected and sought after Dieticians in the country.
In this episode, we discuss the mistakes we are all guilty of making when it comes to nutritional advice. She shares her best practices and free nutritional resources for you and your patients to use. And she specifically relates that to pain management, especially for children and how we can best support our patients and empower them to make better choices.
Takeaways
- What nutrition truly means
- Popsicle for breakfast anyone? How a breakfast popsicle might be what a pain patient needs!
- What personalization in nutrition means and how it can and should be tailored to our own and our patients' bodies?
- What our medical training lacks when it comes to nutrition and how the focus of practice today is skewed towards selling ourselves and gaining followers. How to turn that around!
- Pain and nutrition especially when it comes to children
- How nutritional considerations for pediatric pain patients differ from consideration for a healthier life style
- What Gamifying nutrition for kids looks like and the results it yields.
- What is the rainbow evaluation and how you can you do it and how often
- Debunking the myths of nutrients vs. nutrition, good and bad foods.
- Role of supplements vs. natural intake. Food sourced nutrients vs. supplements and isollette nutrients
- Role sweeteners and sugars play in our body and in pain (Hint: It’s not as bad as the rap it gets)
- Her message to healthcare professionals (Hint: Show not tell!)
Links
Free Resources: https://thebetternutritionprogram.com/free-resources-from-the-better-nutrition-program/
Episode 50: Stepping Up Pain Care Efforts for African American Patients
Episode 26: Manage Memory, Manage Pain!
Episode 10: Disparities in Pediatric Pain Care
Proactive Pain Solutions Physicians Academy
Clinicians Pain Evaluation Toolkit
About the Guest
An award-winning nutrition expert, Ashley helps lead the national conversation on better nutrition as a speaker, author, media and industry expert. Selected among CNN’s Top 100 health makers, recognized in the Top 10 Social Health Makers in Nutrition (Sharecare.com) and among the top “50 Natural Influencers” in health and nutrition to follow on Twitter (NewHope360 and Shape.com), Koff was also selected for the first list of Top 10 Registered Dietitians in the US by Today’s Dietitian Magazine.
Beyond running a thriving integrative nutrition practice working with top entertainment and national leaders, Koff’s a highly sought after strategic nutrition consultant for companies like Procter & Gamble, Califia Farms, Nature’s Path, Westin, SmartyPants and was appointed the California state representative for the Let’s Move campaign. She’s currently an advisor for Victress Capital, the Partnership for a Healthier America and Tufts University Friedman School of Nutrition’s Entrepreneurship Program and a partner at BeyondBrands.