PNE: Right Message, Wrong Door

Implementing pain neuroscience education (PNE) into practice has revolutionized my career. The ability to re-frame a patient’s pain experience with modern explanations of pain, built on a biopsychosocial foundation, has been a professional game changer. Though this shift has not occurred without bumps and bruises along the way.  While I have used PNE to help countless people shift…

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A Bridge for Inference

Inference is a fascinating word. It has dual meanings that can describe both the process of thinking and the conclusions from thinking. Inference is associated with the intellectual ability to reason, think, and solve problems. Vocabulary.com defines it as:
“conclusions drawn from supporting evidence and reasoning”.
Our lives are full of inferences where logical deductions are made based on…

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Manual Therapy: How Do You Measure It?

The title of this blog was inspired by a slide I found on Twitter, by Dr. Chad Cook PT (@chadcookpt) during his lecture at the 2017 New Zealand Manipulative Physiotherapists Association Conference. Dr. Cook’s slide offered five points on manual therapy; this blog will focus on the fourth point.

Manual therapy is a better choice for pain modulation than…

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O Body Part, Where Art Thou? (Says the Brain) – Part III: Making Patients Think

The final blog in this 3-part series introduces Graded Motor Imagery (GMI) and its role in treating pain and movement dysfunctions.  The introduction is used to help create a focus on a key principle of GMI: making patients think. Engaging a patient’s mind during daily clinical practice can be challenging, but in doing so there may be a…

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O Body Part, Where Art Thou? (Says the Brain) – Part II

Part I (here) of this blog series considered neuroplastic cortical changes known as brain map smudging. Primary somatosensory cortex (S1- homunculus) smudging is a potential biological and physiological change that can occur with any injury or bout of pain. Simply stated, the brain’s sensory cortex develops an altered appreciation of the location and awareness of a represented body part…

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The Dark Side of Focus

Highly successful achievements often require a time of singular focus. Singular focus has positive characteristics that help to shift our mindset for accomplishment. Having adequate resources, a clear vision, commitment, and dedication to the task all enhance the ability to achieve. Consider your own personal and professional victories. Many have arrived on the heels of possessing a combination of these…

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