The Modern Pain Podcast

🌏🌏 The Lancet recently released an OPEN ACCESS study titled - "Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019" (link in comments below) 🌏🌏🤔 The study had some interesting conclusions🗣🗣 "We argue that rehabilitation needs to be brought close to communities as an i...

There has been discussion going around about discsDo they slip? Are clinicians spreading misinformation? What do people in pain believe? What does research say? How do you navigate a discussion of discs with patients? Join Jarod and Mark as they discuss this and more on this week's episode of the Modern Pain Podcast ********************************************************************* 📸 - Fo...

😩😩This joint nearly had me quit PT.😩😩😥😥 It convinced me that I will never be capable of feeling that millimeters of movement that supposedly were the key to "fixing" people.😥😥😀 Thankfully science has been very helpful in putting the SI joint in perspective🤔 Can we detect millimeters of movement reliably?🤔 Does SI joint dysfunction even exist?🤔 Is this a case of palpatory pare...

A recent post was made in the DPT student group that peeked our interest.https://www.facebook.com/groups/DPTStudent/permalink/3566671440045574/It was a great example of how black and white thinking is not helpful when dealing with complex issues such as painThe discussion on the post was interesting. What is black & white thinking? Why does it often fail in complex systems such as a human bein...

Jarod released a blog (link in comments) on our site that put into words a lot of the frustration we see and encounter daily. Are their truly special interventions out there? Are we arguing over the wrong things in patient care? What about the people who do not improve with natural history? Where should our focus be? Join Jarod and Mark as they discuss this and more in this week's episode of...

We had a great discussion this past weekend in our Lifelong Learning Academy. It was so good we felt we needed to share it with you all. Jarod Hall, Marcos Lopez, and Mark Kargela got together to discuss their talks they shared in the academy and had a great discussion where there were clinical pearls were flying everywhereWe hope you enjoy the discussion and get some value to help you in your pra...

🤜🤛Critical thinking and sound clinical reasoning go hand in hand.🤜🤛😫It is not easy to teach in a classroom.🗣🗣We usually are quick to criticize the thinking of others.🤔Are we just as quick to criticize our own?🤔Do we consciously make an effort to think about our thinking?🤔Where are you in your critical thinking skills? Books referenced:Coddling of the American Mind - https://www.amazon.com/...

🏋️🚴It's hard to argue over the value of exercise in the treatment of pain. 🚴🏋️🤔 But do we need to be specific?🤔 Around the spine do we need to be specific in our efforts at strengthening where we focus on attempting to isolate muscles?🤔 What about simple global exercise?🤔 What about directional preference?🤔 Where does the patients beliefs and preferences fit in? ***********************...

Frozen shoulders are somewhat of a clinical enigmaWe don't necessarily understand their cause and have yet to find a great treatment that speeds up their natural history significantly. A recent study in the Lancet compared PT, arthroscopic release, and manipulation under anesthesia...The winner was.....None of them! None were superior in their outcomes. So what do we do with people we see wit...

✅ Understanding symptom behavior is crucial to being able to appropriately plan your examination and treatments.✅ A big part of this is understanding the irritability of a symptom. Irritability has three components to make a judgement:1️⃣ How easily is it provoked2️⃣ How intense are the symptoms provoked3️⃣ How much does it take to reduce symptoms back to baseline🤔 Is irritability a measure of...

💪💪"You can't go wrong getting strong!!!!"💪💪✅ That has been a popular battle cry lately in the rehab fields.🤔 Is this always the case?🤔Can you truly never go wrong?🤔Where does this fit in person-centered healthcare?🔥🔥Join Mark and Jarod as they discuss this and more🔥🔥 ********************************************************************* 📸 - Follow us on Instagram  -  htt...

🤯🤯Nothing seems to raise blood pressures and evoke emotional responses as the debate around trigger points.🤯🤯🤬🤬With dry needling becoming a more popular intervention in patient care the debate has become more common and emotional. 🤬🤬🤝🤝Instead of emotions ruling the discussion join Jarod and Mark as they have a chat around trigger points and the science behind the trigger point theory. 🤝...

🛠🛠Often you will hear clinicians discuss having a lot of tools in the toolbox.🛠🛠🤔 Is this always a great pursuit?🤔 Do we risk having tools without a process of application?🤔 Would thinking of patient care as a process not product be helpful?✅Join Mark and Jarod as they discuss this and moreArticle links:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3360492/https://www.ncbi.nlm.nih.gov/pmc/artic...

🤔🤔 Do we "pain science" people? 🤔🤔✅ That seems to be the thoughts of a lot of people out there.🗣🗣We regularly hear, "Well you do the pain science thing..." 🗣🗣✅ This tells me that there is a large lack of understanding of what pain science is and what it is not.📅📅 Join Jarod and Mark as they discuss why pain science is not an intervention and how it is best incorporated...

😔 Most of us have experienced this and it can be frustrating!!!😨 A patient discusses their condition and tells you they feel they are dealing with bone on bone🛑 It can be a huge barrier. 🛑😨 Understandably, most with this belief are hesitant to load or engage in rehabilitation.🏋🏾‍♀️🏋️‍♂️ Exercise and loading is considered dangerous or harmful.❓❓❓How do you deal with this clinically?✅✅Joi...

👴👩‍🦱🧔🏿🧕🏼If you are human you have a unique context you have grown and learned in that has shaped your beliefs and perceived knowledge👴👩‍🦱🧔🏿🧕🏼🗣 Others bring unique beliefs and knowledge from their own context✅ Sometimes our views and beliefs do not align.🗣 🤼‍♀️ You have likely witnessed discussions on social media turn ugly✅ Professional dialogue and debate can serve a vital role i...

🤔 What is patellofemoral pain sydnrome?🤔 Should we just call in pain in the region of the anterior knee?🤔 Do biomechanics have a role?🤔 Is the knee extension machine truly the devil?✅ We'll be answering these question and more in our weekly pain points. Check the links below for some primer articles and blogs to wet your appetite!https://pubmed.ncbi.nlm.nih.gov/15995427/https://bjsm.bmj....

✅Many of us were taught that specific activation of the transverse abdominus and multifidi are a key component of any back exercise program.✅ Research has challenged this thought.🤔 Is there a time for bracing work?🤔 Where can "core stability" go wrong?🤔 How can you prescribe exercise for back pain in a person-centered way versus allowing biomechanical theory dictate our choices to p...

🤔 The research has not really supported many mechanical effects of manual therapy✅ Yet we do see it change pain in session✅ Joel Bialosky, Steve George and others have shown us that the mechanisms of manual therapy are mainly neurophysiological❓ What can we learn about the patient's pain modulation abilities through manual therapy?❓ What do we do with this information?❓ Most importantly...

💸💸Healthcare spending is a major issue!! 💸💸📉 📉The return on investment is severely lacking📉📉✅ This recent JAMA study points to low back pain and neck pain as the areas of highest spending. https://jamanetwork.com/journals/jama/article-abstract/2762309📉 📉 These areas often have poor data on the utilization of conservative care options 📉📉🗣🗣 This data needs to be shared with patients and...

🤔🤔 Where does stretching fit in current practice?🏋️‍♀️🏋️‍♂️🤔 Are we truly elongating tissue?🤔 What is the sensory theory of stretching?🤔 Does stretching hinder performance?🤔 Should we be prescribing stretching?🤔 Are there times we should not be stretching?✅ Join Jarod and Mark for our weekly pain points to find the answers to these questions and more!✅ ************************************...

🤔🤔Critical thinking is vital to our growth and performance as clinicians🤔🤔❓ Do you ever think about your thinking?❓ Is biomedical and related philosophy best helping our patients?❓ What are some alternative philosophical viewpoints that may better serve our patients? ********************************************************************* 📸 - Follow us on Instagram  -  https://www.instagram.c...

🤔 The evidence-based practice movement has given us a huge amount of value in healthcare 🤔🤯 It is not perfect though. 🤯❓ How can experts have such hugely different assessments of the evidence?❓ How do you improve your research consumption skills? Join Jarod and Mark as they discuss this in Modern Pain Care's Weekly Pain Points ************************************************************...

✅ Passive care requests can be challenging to address.❓ How do you get patients to engage in active management strategies?❓ How do you not lose patients?❓ How do you meet people in the middle🤔 Join Jarod and Mark as they discuss some strategies you can use with your patients. ********************************************************************* 📸 - Follow us on Instagram  -  https://www.inst...

Should you learn manual therapy?❓❓We have had people asking us this question for some time so we think it's time to share our views with everyone❓❓🤔 Is it worth learning manual therapy?🤔 Is fellowship training a good idea for you?🤔 Does manual therapy have a place in modern practice? Join Dr. Jarod Hall and Dr. Mark Kargela as they discuss their perspectives!! *************************...