Pain Reframed Podcast Launched This Week

Problems that don’t get discussed don’t get fixed, and we have a serious pain problem in the United States. How bad? A recent report by the Center of Disease Control “CDC Guideline for Prescribing Opioids for Chronic Pain – United States, 2016” informs us that 259 million prescriptions were written for opioid pain medication in 2012 alone, enough for…

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Is Pain Neuroscience Education the Same as Cognitive Behavioral Therapy?

We often get the question: is pain neuroscience education the same as cognitive behavioral therapy? The literal answer is no. Cognitive behavioral therapy (CBT) is a psychosocial intervention that is based on a combination of basic principles from behavioral and cognitive psychology. It was originally designed to treat depression, but is now used for various mental disorders. To deliver CBT…

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The APTA’s #ChoosePT is a start…but we have a long way to go

I often think of myself as a “connector” in the profession of physical therapy and within my community. In the role of a connector, I get to talk with PT students, mentor residents and fellows in training, advise practice directors and owners, serve on the Board of my state association and participate in the Department of Health’s opioid work…

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Pain Neuroscience Wisdom from a 19th Century Electrical Engineer

History is full of stories that teach timeless wisdom. Sometimes these stories provide a glimpse into the problem solving prowess of a genius that can remind us to imitate the same approach. One of my favorites is the below story of Charles Steinmetz’s interaction with Henry Ford.
Charles Proteus Steinmetz, the Wizard of Schenectady
(adapted from Smithsonian Magazine 8…

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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…

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Hope, Goals and Jimmy Fallon

I heard a great story from a patient of mine last week. It’s great because it involves my absolute favorite celebrity on the planet: Jimmy Fallon. It’s also great because as the patient and I talked pain neuroscience education (PNE), his story wove right into a point I was trying to make with him, and one I think…

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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…

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Facing Fear and Finding Safety

For far too long I have undervalued the importance of acknowledging fear in the lives of patients with pain. I have always given fear the token head nod, acknowledging its presence; but my lack of deeper understanding has caused many missed opportunities for treatment. Facing fear is to embrace fear with the intention to disrupt it. This blog considers two…

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Fear & Loathing in America

In many ways, there has never been a better time to be alive. In this NY Times piece The Dalai Lama & Arthur C. Brooks do not sugar coat the fact that serious inequalities and violence persist in our world, however, they also describe how fundamentally strange it is to see such anger, political frustration, and anxiety about the future…

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