The Next Big Thing

It’s that time of the New Year for predictions on what the “Next Big Thing” for 2017 might be.
I want to go on record to say, pain neuroscience is NOT the “Next Big Thing” in physical therapy. This may surprise a few of you, but hopefully I can explain. Now that I get to check the “20+” box…

Read Full Article >

REALLY!?!

The longer I practice and the more I learn through reading the research about various interventions, I look at some treatments that are being delivered and say, REALLY!?! But that gets me wondering: “What treatment does my patient REALLY need?” I’m not asking what treatments have been shown in study to get people better or what treatments that I…

Read Full Article >

Therapeutic Ritual

Rituals are a sequence of activities, performed in a sequestered place, and performed according to set sequence. Rituals are something we all partake in as part of living in society. We just had the centuries old ritual of going door to door wearing customs and asking for candy on October 31st. We also saw the breaking of the 108-year…

Read Full Article >

Control versus Influence

I came across an interesting concept in an excellent book I recently read – CBT for Chronic Pain and Psychological Well-Being. In the session looking at “orientation to change”, Dr. Carlson points out that when an individual feels they have some control over a situation, they are more apt to act and advocate for themselves. This thinking is in alignment…

Read Full Article >

Pain is an OUTPUT

There was an interesting study that came out in June of this year that got a bit of press and activity on social media that our research group at ISPI had a bit of banter through some emails that I thought I would share in this post as a summary of our discussion. As Adriaan stated when he started the…

Read Full Article >

Shopping Basket Approach to Interventions

In Louis Gifford’s Aches and Pains book Graded Exposure Section 4, he shares thoughts about what he termed his ‘Shopping Basket’ approach to care. He details all the different compartments to consider in one’s care for an individual in pain (Biomedical, Psychosocial, Disability/functional restrictions, Impairments, General health, and Pain). I have stretched this metaphor into my interventions…

Read Full Article >