The Modern Pain Podcast

In this episode of The Modern Pain Podcast, host Mark Kargela interviews Trevor Barker, a remarkable individual who transitioned from battling chronic pain with a medicalized approach to living well despite the pain. Trevor shares his compelling journey from relying on heavy medications and invasive treatments to embracing a holistic and human-centric approach that significantly improved his quali...

n this episode of the Modern Pain Podcast, host Mark Kargela discusses the philosophy of science as it pertains to pain research with philosophers Rani Lill Anjum and Elena Rocca. The conversation revolves around their book, which critiques traditional scientific approaches and emphasizes the importance of understanding philosophical biases in research. The trio explores how empirical methods ofte...

In this episode of the Modern Pain Podcast, host Mark Kargela sits down with Emily Rich, an occupational therapist and POTS specialist, to discuss Postural Orthostatic Tachycardia Syndrome (POTS) and related conditions like Ehlers Danlos Syndrome and Mast Cell Activation Syndrome. Emily shares her personal journey with POTS, her PhD research, and offers practical tips for clinicians to better iden...

In this episode of the Modern Pain Podcast, host Mark Kargela sits down with clinician and long COVID experiencer, Daria Oller. Daria shares her journey from contracting COVID-19 in March 2020 to becoming an advocate for education and understanding about long COVID. This discussion delves into the complexities of treating long COVID, the importance of listening to patients, the need to move beyond...

In this episode of the Modern Pain Podcast, host Mark Kargela dives into the complex relationship between exercise and pain management. He explores traditional beliefs about exercise, discusses graded exposure and graded activity techniques, and emphasizes the importance of personalized, patient-centered approaches. Mark highlights the need to tailor exercise to individual patient preferences and...

In this episode, we explore the critical role of empathy in clinical settings. As a clinician, acknowledging a patient's pain by simply listening and validating their feelings can be profoundly impactful. Learn the importance of saying 'I hear you' and offering sincere apologies to foster a deeper connection and support for those in need. A Path Forward - Keith's Facebook Blog...

In this episode, we welcome Paul, a former massage therapist turned scientific writer, who shares his journey from clinical practice to founding the PainScience.com website. Paul discusses the evolution of his career, the challenges of transitioning to science writing, and the importance of maintaining ethical standards in a field often dominated by simplistic solutions. He also delves into the mi...

Mark welcomes pain coaching expert Richmond Stace to discuss his journey from nursing to becoming a pioneer in pain coaching. Richmond shares his multidisciplinary background, touching on the psychological and physical aspects of dealing with chronic pain. They talk about the importance of connecting with patients, understanding their beliefs, and guiding them through meaningful change. Richmond a...

If you have struggled to balance what you feel is best practice  in pain care and the business demands of the setting you're in then this episode is for you.  We had Andrew Rothschild in for a chat and we discussed this and how you can maintain high value care and meet the demands we all face in the business of healthcare.   We talk about when it may be time for you to leave and find a better...

Join us for an enlightening episode with Nick Rainey as we delve into modern strategies in pain management and their transformative potential for your clinical practice. Learn about the importance of mentorship in developing your pain management expertise and how integrating sales techniques can enhance patient engagement and outcomes. Whether you're a seasoned professional or just starting o...

Episode Summary: In this episode of the Modern Pain Podcast, host Mark Kargela is joined by Brett Neilson, a physical therapist and professor at Hawaii Pacific University. Recorded live at the Pain Science in Motion conference in Las Vegas, the episode delves into the crucial intersection between sleep and chronic pain management. Brett shares insights from his scoping review on the integration of...

Diego Hidalgo a Spanish physiotherapist and osteopath discusses their recent paper - ‘It’s all connected, so it all matters’ - the fallacy of osteopathic anatomical possibilism. In the podcast they discuss: • Anatomical Possibleism in Osteopathy and PT • Anatomy, Pathologization, and Pain Discussion • Pain Treatment and Cultural Differences • Concerns Over Over-Diagnosing and Anatomical Possibleis...

In this conversation, Mark Kargela interviews Michael Shacklock about his journey and influences in the field of neurodynamics. They discuss the transition from the traditional view of neural tension testing to neurodynamics, the influence of pain science on clinical practice, and the importance of integrating the biological examination with psychosocial factors. Michael also shares his focus on l...

To go deeper and get support in your practice make sure you check out our community In this conversation, Mark Kargela interviews Jason Silvernail about the definition and description of Orthopedic Manual Physical Therapy (OMPT). They discuss the misconceptions and misunderstandings surrounding manual therapy and how OMPT differs from other forms of manual therapy. They also highlight the distingu...

In this conversation, Mark Kargela interviews Ian Harris, an orthopedic surgeon and researcher, about the challenges and problems in healthcare. Ian discusses his journey from being a practicing surgeon to becoming interested in the scientific method and evidence-based medicine. He talks about the resistance he has faced in challenging the status quo and the difficulties in changing the way surgeo...

In this episode, physiotherapist Adam Dobson discusses lumbar radiculopathy and its management. He highlights the challenges in assessing and diagnosing lumbar radiculopathy, emphasizing the importance of precise terminology and understanding mixed presentations.  Adam also explains the role of the neurological examination and the stepped-care approach in managing lumbar radiculopathy. He emphasiz...

Simon Kelly discusses his journey as a healthcare professional and his exploration of the role of physiotherapy in pain management. He questions the necessity of physiotherapy for every individual and the challenges of building a virtual practice. Simon also delves into the limitations of the biomedical model of medicine and the need for a more holistic approach. **********************************...

Summary In this conversation, Mark Kargela interviews Seth Peterson about various topics in physical therapy practice and education. They discuss the challenges of PT education, the role of manual therapy, the influence of social media on PT practice, the importance of mentorship, the value of communication in PT practice, the state of continuing education in PT, and the role of PTs as primary car...

Dr. Howard Schubiner discusses the link between childhood trauma and pain, as well as the brain's role in creating pain. He highlights the challenges in training healthcare professionals to understand and address mind-body pain. Dr. Schubiner introduces the symptom perception model and explains the process of pain reprocessing therapy. He emphasizes the importance of ruling out structural pro...

In this conversation, Derek discusses his journey in pain rehabilitation and the challenges faced in providing comprehensive care. He emphasizes the need for prevention and early intervention in pain management, as well as the importance of addressing the biopsychosocial factors that contribute to pain. Derek also shares strategies for introducing new narratives to patients and overcoming barriers...

Join the Modern Pain Pro community In this conversation, Mark Kargela and Logan Buckley discuss the importance of communication in physiotherapy and how improv can enhance patient care. Logan shares his journey from being a physical therapist to discovering improv and how it has impacted his communication skills. They explore the role of communication in working with persistent pain patients and t...

This episode dives into the shifting paradigms around strength exercise in managing shoulder pain and what is behind the positive effects we see clinically.  Jared Powell, a Ph. D. candidate, and shoulder physio specialist, joins us to discuss this and helps us get an understanding of the current state of evidence and how he positions exercise in his practice along with how he communicates it.  Ja...

Join our exclusive Modern Pain Pro community where we go deep on all things pain  In the episode "Beyond Techniques: Transforming Pain Care" of the Modern Pain Podcast, the focus is on the limitations of relying solely on new techniques in pain management. It emphasizes the importance of understanding the broader context of a patient's life and experiences. The discussion revolves a...

Join our exclusive Modern Pain Pro community  - where we go deep on all things pain  This episode offers insights for physical therapists, especially new graduates, on thriving in professional environments where colleagues may have differing treatment philosophies. It emphasizes the importance of understanding clinic culture, respecting diverse treatment approaches, and integrating evidence-based...

Go deeper in our Modern Pain Pro Community The Client Experience Company In this conversation, Mark and Jerry discuss the need for upstream thinking in healthcare and the barriers that prevent clinicians from seeing beyond the clinic. They emphasize the importance of managing expectations and building alliances with patients. They also explore the value of consumer-facing resources and the resista...