Welcome back to Pain Reframed!  This week, we welcome back Dr. Anna Lembke, by popular demand, to discuss how we can specifically help patients to come down off of opioid addiction in a healthy and attainable manner that the patient can also handle.

Dr. Lembke describes her acronym: B.R.A.V.O. and how it helps providers to help their patients through the tapering process.

• B: Brooching the subject
• R: Risk-benefit calculator
• A: Addiction happens
• V: Validation and velocity
• O: Other treatments for pain

LINKS:

• Drug Dealer, MD on Amazon
• http://ispinstitute.com
• http://evidenceinmotion.com
• @eimteam

We are going back to the patient’s perspective this week on Pain Reframed!  The Real Brian joins Dr. Jeff Moore and Dr. Tim Flynn to discuss pain and the intense story behind Brian’s experience in dealing with pain and a surgery that didn’t go exactly as expected.

Brian discusses his journey with back and leg pain, starting in 2002, and how it affected him throughout the last decade.  In 2013, his lower disc ruptured and he, at that point, had to get “emergency” surgery to remove the disc fragment from pressing up against and traumatizing the sciatic nerve.  The surgery should have been a success (with a 1% chance of complications) but the surgery left Brian with no nerve signal down into his leg.  Brian shares the story of his journey from debilitating pain to surgical complications to how he has overcome these limitations today.

Additionally, Brian, Tim, and Jeff talk about the transparency of medical professionals in needing to own up to their mistakes and find solutions to the problems at hand.  They also discuss the power of physical therapy and the incredible success of pain management from, not only a physical side, but also a mental side.

LINKS:

• http://realbrianshow.com
• http://www.facebook.com/iamtherealbrian
• @iamtherealbrian
• @realbrianshow
• http://ispinstitute.com
• http://evidenceinmotion.com
• @eimteam

Welcome back to Pain Reframed!  This week, we welcome Sandy Hilton of Entropy Physiotherapy to the show!  Sandy and her business partner, Sarah Haag, have done some incredible things at Entropy Physiotherapy.  They have made a community out of their clinic due to the amazing environment they have created there, helping to ensure the patients feel welcome and comfortable.  Sandy is instrumental in the areas of pain management as well and will be discussing her thoughts and expertise on this topic.

Sandy, Tim, and Jeff discuss pain sciences, how much we actually know about it, what we can do to continually learn and grow and treat the patient as a whole, and the idea of turning pain science into the “air we breathe and not the thing we do.”

LINKS:

• http://entropy-physio.com/
• @sandyhiltonpt
• The Pain Science and Sensibility Podcast
• http://ispinstitute.com
• http://evidenceinmotion.com
• @eimteam

Welcome back to Pain Reframed!  Today, we launch the very first Reframed Recap!  During this episode, as well as other Reframed Recap episodes, Dr. Tim Flynn and Dr. Jeff Moore will be looking back at previous episodes and interviews to add even more commentary and insights learned from these interviews.

This week, we’ll be looking back at the nuggets of wisdom dropped in the episodes and interviews with Dr. Adriaan Louw, Laura Pritchett, and Dr. Justin Dunaway.

LINKS:

• http://evidenceinmotion.com
• http://ispinstitute.com
• @eimteam

Welcome back to Pain Reframed!  This week, we welcome Dr. Anna Lembke who is the Chief of Addiction Medicine and Assistant Professor of Psychiatry and Behavioral Sciences at Stanford University School of Medicine.  Anna is also the author of the powerful and eye-opening book “Drug Dealer, MD.”

Dr. Lembke shares her professional journey and what led her to write “Drug Dealer, MD.”  The premise behind her book is extremely jaw-dropping and shows a very real perspective to what happens between Doctor and Patient in the medical profession and in terms of the opioid crisis.  She reads a passage out of her book and she, Tim, and Jeff discuss just what that looks like and what we, as PT’s need to do to fix this pain problem and help our patients!

On the other hand, Anna is not attacking doctors as she believes they are “trapped in the system” and she, therefore, has a great deal of empathy for them.  Her desire is to help them to get them out of the bureaucracy in order to solve the problem for patients.  This is a fantastic and intriguing episode worth your time!

LINKS:

• Drug Dealer, MD on Amazon
• http://evidenceinmotion.com
• http://ispinstitute.com
• @eimteam

Dr. Justin Dunaway joins Pain Reframed this week!  Justin has extensive experience in outpatient orthopedics, not only in the United States, but also in Haiti.  Justin and his wife, Dr. Morgan Denny, founded and run the organization STAND Haiti.  The STAND Haiti Project establishes permanent access to orthopedic rehabilitative services in the country of Haiti through direct patient care and clinical training of its citizens.

Through STAND Haiti, Justin and his team go to Haiti multiple times a year to see patients who have a significantly different relationship with healthcare and different level of resources and education than in the United States.  Interestingly, the difference of access to resources and education brings up some fascinating discussion.  Jeff, Justin, and Tim share their thoughts on these differences and how having a “blank slate” in treatment and care can actually be beneficial.

Justin shares his experience in going through the ISPI Pain Certification program and how it helped him and changed the way he manages pain.  The ISPI Pain Certification Program was instrumental in teaching Justin ways to take the ideas on pain management and apply it in a framework that works for him and his patients.

LINKS:

• http://www.standhaitiproject.org/
• http://evidenceinmotion.com
• http://ispinstitute.com
• @eimteam

Renowned author Laura Pritchett joins us here on Pain Reframed!  Laura is the author of multiple books, including “Stars Go Blue,” “Red Lightning,” “Sky Bridge,” and just recently, “The Blue Hour.”  She’s also working on her upcoming book, “The Death Book.” Laura is the first of many guests who will be talking, not from the clinician's perspective, but from the perspective of those who have experienced very serious pain conditions.

Laura shares her journey with physical pain and how she’s learned how to manage that pain through specific and effective thought processes.  She, not only discusses the tough times when dealing with the pain, but also what was going through her head and how she was able to combat those thoughts to reduce, or even eliminate, the pain that wasn’t serious or possibly even there at all. Laura also recommends a great program that helped her: Mindfulness-Based Stress Reduction.

LINKS:

• http://www.laurapritchett.com/
• @authorlaura
• http://evidenceinmotion.com
• http://ispinstitute.com
• @eimteam

The legendary Dr. Adriaan Louw joins us as our first guest here on Pain Reframed!  Adriaan is, not only an exceptional speaker, but an expert in pain science and manual therapy.  Adriaan looks at pain and physical therapy through the lens of neuroscience.  Jeff, Tim, and Adriaan get passionate about helping patients through pain rather than giving in to the opioid crisis.  As we listen to this conversation, approximately 72 people will die from opioids.  Solutions are discussed on today’s episode.

Adriaan will be a frequent guest here on Pain Reframed to continue to bring you valuable content.  Adriaan is also the co-founder and CEO of the International Spine and Pain Institute, which creates and implements cutting edge, high quality, and research based education and resources for physical therapists related to spinal disorders, orthopedics, and neuroscience.

Pain Reframed is sponsored by the International Spine and Pain Institute.  Please visit ispinstitute.com to learn more!

LINKS:

• http://evidenceinmotion.com
• http://ispinstitute.com
• @eimteam

Welcome to Pain Reframed!  In our first episode, Dr. Tim Flynn and Dr. Jeff Moore are introducing you to a podcast about pain and how pain is managed in our society.  Pain is a large issue right now and we want to bring powerful and helpful insights on how we can manage pain in a much more efficient and effective way.

We’re committed to changing language and practice patterns across disciplines and points of care in order to reduce the unnecessary suffering that results from the propagation of misinformation, insufficient understanding of the pain experience, and the over-medicalization of pain in society.

Throughout this podcast, Tim and Jeff will share their expertise, as well as the expertise from others in the medical and psychological fields, about pain management and our roles in dealing with pain.  We want to create a sustainable, multi-disciplinary, international conversation on pain.

In today’s episode, we introduce what Pain Reframed is, why Pain Reframed is needed, who we hope will engage with us here at Pain Reframed, and how this podcast will benefit you.

LINKS:

• http://evidenceinmotion.com
• http://ispinstitute.com
• @eimteam