How do you answer your patient when they ask why they still have back or neck pain more than 12 months after an injury? Shouldn't their body have healed by now? Why does their knee pain get worse every time they do their exercises, put tape on it, go for a walk or just climb the stairs?

What is going on? Why do they still have pain? How are you going to explain it, and how can you help them?

In this podcast with Dr Tim Mitchell and Dr Darren Beales, you'll discover:

• 4 types of pain, and how they change your assessment and treatment
• Why some patients become sensitised following an injury
• Questions you need to ask in your subjective
• How to identify red flags
• Is night pain and disturbed sleep a red flag?
• When your patient is sensitised to pain, can you differentiate between central and peripheral sensitisation?
• Important aspects to include in your objective assessment
• Assessing movement and function
• How hyperalgesia and allodynia affect your treatment
• Why it can backfire if you tell your patient they have central sensitisation and pain is in their brain
• How to challenge a patient's beliefs about their pain, like they "just need a massage" or their "pelvis is out" so that it won't backfire and make their faulty belief even stronger
• When should your patients return to work or have adjusted duties?
• How to use the Musculoskeletal clinical translation framework and apply it in your clinical practice

Links associated with this episode:

• Increase your confidence and results with patients with a free trial Clinical Edge membership
• Discover a quick simple shoulder assessment in three free videos with Jo Gibson
• Let David Pope know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Infographics by Clinical Edge
• Musculoskeletal Clinical Translation Framework
• Dr Tim Mitchell
• Dr Darren Beales
• Twitter: @PeteOSullivanPT
• TWITTER: @hels_slater
• Curtin University - Master of Clinical Physiotherapy

Resources associated with this episode:

BJSM Podcast - Lorimer Moseley

Pain Options - Pain Resources

Pain Health - Pain Self-checks

Örebro Musculoskeletal Pain Questionnaire

Örebro Musculoskeletal Pain Questionnaire Short Form

Agency for Clinical Innovation - Best practice care for people with acute low back pain

Pain-Ed

Other Episodes of Interest:

PE 035 - Know pain with Mike Stewart Part 1

PE 036 - Know pain with Mike Stewart Part 2