Show cover of Pain Reframed

Pain Reframed

Pain Reframed is a podcast for physical therapists, occupational therapists, physical therapy assistants and other health care providers about pain and how pain is managed in our society. Pain is a large issue right now and we will bring powerful and helpful insights on how we can manage pain in a much more efficient and effective way. Pain Reframed is committed to changing language and practice patterns across disciplines and points of care in order to reduce the unnecessary suffering that results from the propagation of misinformation, insufficient understanding of the pain experience, and the over-medicalization of pain in society. Dr. Tim Flynn and Dr. Jeff Moore will share their expertise, as well as the expertise from others in the medical and psychological fields, about pain management and our roles in dealing with pain. We want to create a sustainable, multi-disciplinary, international conversation on pain.


145: Explaining Pain as a Pain Psychologist | Rachel Zoffness
"Has anyone ever explained pain to you?" Rachel Zoffness, PhD, always asks her patients this one question in order to bridge the gap between her patient's understanding of their own pain and what other health care providers have told them about their pain. On today's episode of Pain Reframed, Dr. Zoffness joins Tim Flynn, PT, PHD, OCS, FAAOMPT, and Jeff Moore, PT, DPT, OCS, FAAOMPT, to discuss her new workbooks that she created to help bridge that education gap that patients have of their understanding of what their pain is telling them about their bodies. Dr. Zoffness wrote these workbooks for her own practice as a psychologist treating adolescents and young adults and is now ready to share this incredible resource with other providers. Links: The Chronic Pain and Illness Workbook for Teens The Pain Management Workbook @DrZoffness @jeffmooredpt @timothywflynn @EIMteam
47:10 1/28/21
January 2021 Kickoff
On this week's episode of Pain Reframed, Tim Flynn, PT, PHD, OCS, FAAOMPT, and Jeff Moore, PT, DPT, OCS, FAAOMPT, discuss how to regroup and focus in 2021 on how clinicians can help their clients and patients during the global pandemic, by building up their immune systems through fitness, lifestyle choices and nutrition alongside social distancing and masks. They also talk about the rise of overdoses, the COVID-19 vaccines and how to move forward in 2021. Links: Rest, Relaxation, and the Immune System 11/13/2020 Is older age associated with COVID-19 mortality in the absence of other risk factors? General population cohort study of 470,034 participants The Hidden Epidemic of Opioid Overdoses During the Coronavirus Disease 2019 Pandemic
29:40 1/21/21
143: Pain Reframed: The Body Keeps Score | David Clawson, MD
On this week's episode of Pain Reframed, David Clawson, MD, joins Tim and Jeff to discuss holistically approaching neck and back pain and spinal deformity, breaking down how Dr. Clawson has used that approach his field of physical medicine and rehabilitation. Dr. Clawson categorizes the threats that patients are up against -physical and mental, then dives into the review of systems to inform and determine his plan of care. Dr. Clawson also discusses in depth how to transition from the physical evaluation to the mental or spiritual evaluation that plays such a large part of pain. Links: @jeffmooredpt @timothywflynn Listen on Vurbl
47:37 12/10/20
142: Dedicated Emergency Department Physical Therapy | Keith Roper and Andrew Pugh
On this week's episode of Pain Reframed, Tim Flynn and Jeff Moore talk with Andrew Pugh, MD and Keith Roper, DPT to discuss their new research paper "Dedicated emergency department physical therapy is associated with reduced imaging, opioid administration, and length of stay: A prospective observational study" and how this research affects their practice in emergency medicine. Links: Dedicated emergency department physical therapy is associated with reduced imaging, opioid administration, and length of stay: A prospective observational study @DrAEPugh @KeithRoperDPT @jeffmooredpt @timothywflynn  
31:49 10/22/20
141: From Bench to Bedside: Pain Modulation Research | Kirsty Bannister
On this week's episode Liz and Jeff speak with Dr. Kirsty Bannister, a renowned researcher on conditioned pain modulation, about what we know, what we’re studying, and what we can look forward to in the future of this topic. Kirsty completed BSc, MRes and PhD degrees at University College London and and Imperial College before returning to UCL for a decade-long postdoctoral research position in the laboratory of Professor Anthony Dickenson. In 2017 Kirsty gained her faculty position upon joining King’s College London where she now runs her research group investigating the central modulation of pain. Specifically Kirsty's research team bridges the gap between bench and bedside pain research by conducting exploratory experiments that seek to molecularly, anatomically and/or functionally define descending control pathways in rodent and man using electrophysiology and human psychophysics respectively. Kirsty has led multiple symposia at world pain congresses including IASP and EFIC and she also performs Section Editor duties for multiple pain-related journals.  Links: @bannister_lab Kirsty Bannister's Lab address: Wolfson CARD, King’s College London, London, SE1 1UL @jeffmooredpt @LizPeppin
41:33 10/16/20
140: Racial Inequity in Health Care | Heidi Jannenga
In this episode, Liz and Tim speak with Dr. Heidi Jannenga PT, DPT, ATC, physical therapist and co-founder of WebPT, regarding the difficult topic of inequity in health care for people of color. We discuss the problems of implicit bias, systemic racism, and the 90% problem in the PT profession. Heidi also provides some small ways we can all work to improve.   Links: Justice In June Why We Cannot—And Do Not—Serve Our Patients Equally Bridging the PT Diversity Gap Connect with Heidi via LinkedIn Some books regarding these topics: The New Jim Crow (Michelle Alexander) So You Want to Talk About Race (Ijeoma Oluo) How to be an Antiracist (Ibram X Kendi) Just Mercy (Bryan Stevenson) White Fragility (Robin DiAngelo)
33:01 10/8/20
139: Art, Ethics, and Opioids
In this episode, Liz and Adam talk to artist and educator Emily Lanctot about how art and pain cross paths. She discusses the ethics of museums accepting donations from families such as the Sacklers, who were largely responsible for the devastation of the opioid crisis. Emily also gives her insight on how to cope with grief, anxiety and pain through art and creativity. Links: @eimly_lanctot DeVos Art Museum @LizPeppin @adampaulryan Opioid Addiction Helpline: 1-800-662-HELP (4357)
38:11 7/9/20
138: An Attorney General Fighting the Opioid Epidemic |Phil Weiser
On this week's episode of Pain Reframed, Colorado Attorney General Phil Weiser joins Tim Flynn to discuss how trauma affects every part of your life. His own family history of trauma has driven his mission as the Attorney General to fight the opioid epidemic by first, stopping and listening to his constituents, then addressing those issues through lawsuits and opioid-related task forces.  Links: @COAttnyGeneral Opioid Unit Connect on Facebook
18:52 6/4/20
137: Fifty Shades of Pain | Danesh Mazloomdoost
On this week's Pain Reframed episode, Tim and Jeff are joined by Danesh Mazloomdoost, MD the author of Fifty Shades of Pain: How to Cheat on Your Surgeon with a Drug-Free Affair and fellowship-trained and dual board certified clinician in Anesthesiology and Pain Management. Dr. Mazloomdoost discusses different chapters in his book that cover topics like how pain medications can cause more pain in the long-term, how people should view surgery to relieve pain and how powerful hope can be.   Links: Get the Top 5 Questions to ask your health care provider here: @wellwardmed @jeffmooreDPT @timothywflynn @EIMteam
33:37 5/29/20
136: Pain and Training in the Athlete | Chris Johnson
Chris Johnson, MPT, ITCA, joins Liz and Jeff to discuss the unique challenges of treating pain in athletes. Chris worked at the world-renowned Nicholas Institute of Sports Medicine and Athletic Trauma of Lenox Hill Hospital as a physical therapist and researcher. In 2014, he opened Zeren PT to provide unparalleled physical therapy and performance coaching for multi-sport athletes in the Pacific Northwest. Chris is also the co-founder and CEO of RunCadence LLC, which is an IOS app that helps runners apply step rate manipulation to their training. Outside of his professional work, Chris races triathlon at the amateur elite level. He is a five-time USAT All American, three-time Kona Qualifier, and one of the dominant age group athletes in long course triathlon. Chris is also extensively published in the medical literature and is a sought after international public speaker. Links: @zerenpt 347.433.6789 @LizPeppin @jeffmooreDPT
35:05 5/21/20
135: The Curable Universe | Laura Seago
In this episode, Liz and Jeff talk to Laura Seago, co-founder and Head of Content at Curable, about using the mind-body connection to treat pain. Laura focuses on creating virtual, neuroscience-based recovery programs for chronic pain. Her passion for creating these programs stems from her personal experience of recovery from migraines, sciatica, and chronic knee pain. She is an alumna of BuzzFeed and Google, both of which helped her to develop the digital storytelling skills Curable uses to engage chronic pain sufferers with bite-sized audio lessons and easy-to-use techniques. Links: @curablehealth
34:08 5/14/20
134: Psychological Flexibility and Relational Frame Theory | Leonard Van Gelder
Liz and Jeff chat with Dr. Leonard Van Gelder, DPT, CSCS, TPS, CSMT about relational frame theory, the most empirically-studied theory of human language and cognition and how this relates to the psychological flexibility of patients' ability to incorporate new concepts into their existing stories, and prognosis for recovery. Leonard Van Gelder has been involved in the movement and rehabilitation field for over 15 years. During this time, he has studied, published research, and presented at regional and international conferences on the science of stretching, strength and conditioning, and therapeutic pain science interventions. He has explored a diverse spectrum of manual therapy and movement approaches, and emphasizes a biopsychosocial approach to manual therapy, movement, and education in his practice. He owns and practices clinically at Dynamic Movement and Recovery (DMR) in Grand Rapids, MI.    Links: @LizPeppin @JeffMooreDPT   Recommended resources: Learning RFT by Niklas Torneke ACT Made Simple by Russ Harris
26:48 5/8/20
133: Stressing a Patient-led Experience | Walt Fritz
In this episode, Liz and Jeff chat with Walt Fritz. Walt has been a physical therapist since 1985 and has integrated manual therapy into that model ever since 1992. He trained with many traditional tissue-based instructors, including myofascial release and craniosacral therapy, but became dissatisfied with the narratives used to describe the work and effects and began to move into a more biologically plausible explanation. While continuing to use a hands-on approach that visibly resembles those earlier models, he has neutralized the implied message by now referring to the work he uses and teaches as "manual therapy." Building on concepts firmly grounded in the biopsychosocial model, as well as the possibly undervalued third leg of the evidence-based practice model (patient preferences and values), his model of intervention and professional education stresses a patient-led experience. He believes that manual therapy need not be a passive modality, one that fosters patient dependency, but a subset of therapeutic intervention that reduces fear of movement and encourages self-efficacy, one well-grounded in evidence-based practice. Links: @jeffmooredpt @LizPeppin @eimteam
35:48 4/30/20
132: Outpatient Chronic Pain Program |Dr. Evan Parks
On this episode of Pain Reframed, Liz and Jeff talk with Evan Parks, Psy. D., a clinical psychologist on staff at Mary Free Bed Rehabilitation Hospital and an adjunct assistant professor at Michigan State University College of Human Medicine.  He is also the host of the Pain Rehab podcast and writes a regular column for Psychology Today. We discuss the 10-week outpatient chronic pain program at Mary Free Bed, explaining pain to patients, and more! Links:    @DrEvanParks  @eimteam @jeffmooredpt @LizPeppin
35:38 4/24/20
Replay | 4: Understand the Patient to Understand the Pain | Dr. Justin Dunaway
Dr. Justin Dunaway joins Pain Reframed this week! Justin has extensive experience in outpatient orthopedics, not only in the United States, but also in Haiti. Justin and his wife, Dr. Morgan Denny, founded and run the organization STAND Haiti. The STAND Haiti Project establishes permanent access to orthopedic rehabilitative services in the country of Haiti through direct patient care and clinical training of its citizens. Through STAND Haiti, Justin and his team go to Haiti multiple times a year to see patients who have a significantly different relationship with healthcare and different level of resources and education than in the United States. Interestingly, the difference of access to resources and education brings up some fascinating discussion. Jeff, Justin, and Tim share their thoughts on these differences and how having a “blank slate” in treatment and care can actually be beneficial. Justin shares his experience in going through the Therapeutic Pain Specialist Certification program and how it helped him and changed the way he manages pain. The certification was instrumental in teaching Justin ways to take the ideas on pain management and apply it in a framework that works for him and his patients. LINKS: @eimteam
35:41 4/9/20
Replay | 44: Sleep and Physical Therapy with Dr. Catherine Siengsukon
Sleep is SO important. Sure, the topic has been batted around on Pain Reframed, but do we really know and believe that sleep is essential? Today, we’ll be chatting with Dr. Katie Siengsukon about sleep, as well as screening and sleep hygiene tactics that you need as a clinician and also that you need as a patient. Dr. Siengsukon provides instruction in neuroscience, neurorehabilitation, and sleep health promotion in the physical therapy and rehabilitation science graduate programs. She is currently the director of the Sleep, Health, and Wellness Laboratory and conducts research to better understand how sleep impacts function, learning, and overall health particularly with aging and in those with neurological conditions.   Links: @KatieSleepPT @eimteam
27:46 4/2/20
Replay | 56: Higher Order Skills with Dr. Jessie Podolak
We have Dr. Jessie Podolak joining us this week to share her story and journey as a physical therapist working with patients who have chronic pain. Jessie shares a wealth of, not only knowledge and great tips, but incredible wisdom that is absolutely helpful to, not only your professional pursuit, but also your personal life. Jessie talks quite a bit about the need for PT’s to have self-care. Take care of yourself in order to take care of others. Additionally, rather than saying “soft skills” in relation to compassion, empathy, listening, mentorship, etc., say they are “higher order skills.” This is HUGELY important and something, we’ve found, that patients really do, deep down, want.   LINKS: @eimteam @jeffmooredpt @timothywflynn
34:14 3/31/20
131: Chronic back pain through a historical perspective|Britt Smith
In this episode of Pain Reframed, hosts Tim Flynn and Jeff Moore are joined by Dr. Britt Smith, PT, DPT, OCS, FAAOMPT, a physical therapist and private clinic owner, to discuss the importance of taking a historical perspective during challenging times. Dr. Smith has spent his life studying history and the humanities and bringing that mindset into the care of his patients and into the care of society. His research focuses on back pain through a historical perspective and this discussion centers on President John F. Kennedy’s struggles with chronic back pain. Links: @brittmsmith @timothywflynn @jeffmooredpt
25:15 3/27/20
Replay | 88: It's Your Presence That is So Important | Dr. Marc Ringel
Dr. Marc Ringel joins us on Pain Reframed to discuss the humanistic perspective on healthcare. Dr. Ringel has served in so many different aspects of the healthcare profession, but his perspective on the humanistic side is very powerful. This week, Marc, Jeff, and Tim will be talking about what it is to be human and how to deliver kind care. The power of touch and face-to-face communication can’t be replaced with technology, no matter how helpful technology is for us. Also, as a philosophy major, Dr. Ringel became interested in the history of science and in the "mind-body problem." For most of his career Dr. Ringel has written, spoken, and consulted on issues related to medical informatics and telemedicine. LINKS: Marc’s Book: Digital Healing: People, Information, and Healthcare Pain Reframed Facebook Group @eimteam
27:03 3/26/20
Replay | 107: Keeping Patients Out of the Clinic | Dr. Marc Rubenstein
Dr. Marc Rubenstein is the owner of Jersey Physical Therapy and Jersey LiveWell, a health management company that works with individuals to reduce chronic disease burden and partners with companies to save on healthcare costs. A long-time listener of Pain Reframed, Marc is dedicated to helping chronic pain patients throughout his community. LINKS: Twitter - @EIMTeam Twitter - @MarcRubyDPT Twitter - @BethDarnall Listen to Dr. Beth Darnall's episodes - Pain Catastrophizing and We Have Ignored the Pain Psychology of Patients
32:33 3/24/20
Replay | 118: Creating Relationships in Difficult Environments | Scott Mann
Scott Mann, a retired U.S. Army Special Forces officer, story-teller and human connections coach is joining Tim and Jeff to talk through how finding your personal story can help you overcome trauma and find healing. Scott discusses his time in the military and how that has affected his life moving forward, including his organization, Rooftop Leadership; his play, Last Out: Elegy of a Green Beret; his book, Game Changers; and his non-profit, The Hero’s Journey. Scott also gives his recommendations for healthcare providers treating patients that have lost trust in the healthcare system, from his personal experience creating relationships in challenging environments.   Links: Scott Mann @timothywflynn @jeffmooredpt
30:02 3/19/20
Update on Podcast Schedule due to COVID-19
Listen in for an update from your Pain Reframed host, Tim Flynn, PT, PhD, on how COVID-19 will be affecting new episodes of the podcast. We appreciate your continued support, and we hope we can continue to add value to your practice and to your lives.
00:26 3/18/20
130: Wrinkles on the Inside | Jim Heafner and Jarod Hall
On this week's episode of Pain Reframed, Jarod Hall, PT, DPT, OCS and Jim Heafner, PT, DPT, OCS join Jeff and Tim to discuss a pamphlet called "Wrinkles on the Inside: The Good News about Aging."  This pamphlet talks about how the relationship between imaging and aging to educate patients and health care providers at clinics. Links: Wrinkles on the Inside: The Good News about Aging @Jarod_Hall @jheafner @timothywflynn @jeffmooredpt
29:24 3/6/20
129: How NPs are Bringing Care to Underserved Populations |Sophia Thomas
Sophia L. Thomas, DNP, APRN, FNP-BC, PPCNP-BC, FNAP, FAANP, is president of the American Association of Nurse Practitioners® (AANP). A family and pediatric nurse practitioner (NP) at the Daughters of Charity Health System in Kenner (New Orleans), Louisiana, Dr. Thomas’ clinical practice has focused on providing care to the medically underserved families. Dr. Thomas is active within several professional organizations, including the Louisiana Association of Nurse Practitioners (LANP). She has served in elected and appointed leadership and committee positions, including as president of LANP, and previously in AANP as Region 6 Director. Dr. Thomas was inducted as a Fellow in both the AANP in 2012 and the National Academy of Practice in Nursing in 2013. In addition to her advocacy, Dr. Thomas impacts NP education as clinical faculty for Georgetown University’s FNP program as well as through publications and presentations on multiple clinical topics. As AANP President and spokesperson, her multimedia reach includes print, radio and television. She also speaks extensively throughout the U.S. and internationally, advocating for NP scope of practice legislation and for improving patient access to quality, affordable health care.   Links: @AANP_NEWS @PresidentAANP @WeChooseNPs @LizPeppin @adampaulryan @EIMTeam The American Association of Nurse Practitioners
33:54 2/20/20
128: The Role of the Dorsal Root Ganglion in Neuropathic Pain | Robert North
In this episode of Pain Reframed, Liz and Adam interview Robert North, MD, PhD regarding a study published in Brain, "Electrophysiological and transcriptomic correlates of neuropathic pain in human dorsal root ganglion neurons." This study provides important foundational evidence for spontaneous firing observed in dorsal root ganglia from symptomatic dermatomes, and sets the stage for future investigations which may lead to novel clinical treatments for peripheral neuropathic pain. North is Chief Neurosurgery resident at Baylor College of Medicine (Houston, TX) and its affiliated hospitals, including MD Anderson Cancer Center.   Links: Original study: Email Dr. North: @LizPeppin @adampaulryan @EIMTeam
35:33 2/13/20
127: The Relationship Between Food and Pain | Joe Tatta
What is the relationship between food and pain? On this week's episode of Pain Reframed, Joe Tatta, PT, DPT, joins Jeff to talk through how nutrition affects pain and the nervous system and how a licensed health care professional can address nutrition with their patients. Links: Can a Physical Therapist Give Nutrition Advice? What the law says about a PT counseling on nutrition Heal Your Pain Now @DrJoeTatta @JeffMooreDPT
24:27 2/7/20
126: A Candid Discussion About Prescribing Patterns
Jeff, Liz and Adam candidly talk about the results of a recent study that looks at the proportions of patients with new chronic musculoskeletal pain condition that were prescribed nonopioid medication, opioids, PT, counseling and other nonpharmacologic treatments. This has generated a lot of discussion in the medical community and in this episode we bring in three disciplines to talk about it. Links: Patients with newly diagnosed musculoskeletal pain are prescribed opioids more often than recommended Management of Patients with a Musculoskeletal Pain Condition that is Likely Chronic: Results from a National Cross Sectional Survey @jeffmooredpt @LizPeppin @adampaulryan @EIMTeam
45:38 1/30/20
125: Education, Motivation, and Activation with VR |Adriaan Louw and Aaron Gani
On this week's episode of Pain Reframed, Dr. Adriaan Louw and Aaron Gani join Liz and Adam to discuss how BehaVR is using virtual reality to add education, activation and motivation to your pain neuroscience education.  Links: Interdisciplinary Pain Neuroscience Continuing Education in the Veterans Affairs: Live training and live-streaming with 1-year follow-up BehaVR @BehaVR_al Adriaan Louw @eimteam Can pain beliefs change in middle school students? A study of the effectiveness of pain neuroscience education
34:36 1/23/20
Winter Replay |121: Communicating with Humans | Dr. Lisa Holland
As we near the end of the year, we want to share some of our favorite episodes from 2019. First on the list, Dr. Lisa Holland joins Tim and Jeff for Part 2 of their conversation on blending the Eastern and Western models of treatment. If you haven't listened to their first conversation, check out Episode 113. Lisa, Tim and Jeff talk about a "Human Systems Model of Care" that focus on the human that is in your clinic. They discuss what exactly that model of care looks like, how that affects your patients and what that will look like to your patients.   Links: Connect with Lisa Holland @EIMTeam @timothywflynn @jeffmooredpt
23:55 12/12/19
124: A Professional Violinist's Pain Journey | Soo Yeon Kim
Julliard graduate, Soo Yeon Kim joins Liz and Adam on this week's episode to talk about how pain affected her as a performer and artist in a culture where weakness must be hidden away. Join Soo Yeon as she talks through how she finally came to a point in her life that helped her breakthrough the cycle of pain and stress. Links: Soo Yeon Kim @EIMTeam @LizPeppin @adampaulryan
38:28 12/6/19