Provide Care for Patients Like a Fox Not a Hedgehog

Pain, especially persistent pain, is complex and usually a multifactorial problem. Because it is multifactorial and having a number of factors and causes involved it is very rare a single intervention will solve it. Sure, we will hear the stories from individuals who report that a single intervention was what fixed their back pain or fibromyalgia symptoms – just read the…

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“It’s Going To Be Okay.”

When teaching weekend courses we often refer to this statement as some of the most powerful words in medicine. The ability to deliver reassurance to our patient that things are going to be okay can have a powerful effect on their outcome. As with everything that can have a powerful effect, that effect can be positive or negative depending on…

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Do Professional Athletes Always Get the “Best Care”?

Do professional athletes always get the “best care”, they are the “best athletes” so they should right? Well, that might depend on how someone defines “best care”. Many of the therapists that read this blog on a regular basis might question the “best” portion behind some of the “care” delivered to our athletes that so many in our culture hold…

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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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Pain: everything works, but nothing is effective

When treating patients, some therapists love their treatment of choice and share their testimonials of how it works. While other therapists love to bash that treatment of choice and share the research on how that treatment has not been shown to be effective. I don’t even want to begin the laundry list of “tools” in the “toolbox” that PT…

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