Pain Reframed

Tim and Jeff are joined by Dr. Roger Chou on this week's episode of Pain Reframed! A professor and physician at Oregon Health & Science University (OHSU), Dr. Chou was part of the team that developed the CDC's Guideline for Prescribing Opioids for Chronic Pain in 2016. More recently, he co-published an editorial in the New England Journal of Medicine, examining the current state of opioid prescribing in the United States. Tim, Jeff, and Dr. Chou discuss the impact of both of these works and the steps we can take in our clinics to make sure we're always putting the patient first.

Dr. Roger Chou is a Professor in the Departments of Medicine, and Medical Informatics & Clinical Epidemiology at Oregon Health & Science University (OHSU) School of Medicine, and Staff Physician in the Internal Medicine Clinic at OHSU. He has served as Director of the Pacific Northwest Evidence-based Practice Center since 2012. He has conducted systematic reviews in a number of areas, including chronic pain and musculoskeletal conditions, screening and prevention, diagnostic testing, and prognosis. He has served as Director of the American Pain Society clinical guidelines program, the GRADE methodologist for the World Health Organization's Division of Reproductive Health, is a member of the Cochrane Back Review Editorial Board, and co-chair of the National Quality Forum Musculoskeletal Standing Committee. Dr. Chou is on several journal editorial boards and is an author on numerous scientific articles published in peer-reviewed journals.

LINKS:

Twitter - @ISPITeam

No Shortcuts to Safer Opioid Prescribing (New England Journal of Medicine)

Learn more about the roles that physical therapists and physical therapy assistants can play in reducing the opioid epidemic

We're excited to have Dr. Marc Rubenstein on this week's episode of Pain Reframed! He, Tim, and Jeff discuss the idea of empowered relief, taught by Dr. Beth Darnall, a former guest on this podcast, and how it can help us with our ultimate goal: helping chronic pain patients help themselves.

Dr. Marc Rubenstein is the owner of Jersey Physical Therapy and Jersey LiveWell, a health management company that works with individuals to reduce chronic disease burden and partners with companies to save on healthcare costs. A long-time listener of Pain Reframed, Marc is dedicated to helping chronic pain patients throughout his community.

For more tools to help your chronic pain patients, check out these courses.

LINKS:

Twitter - @ISPITeam

Twitter - @MarcRubyDPT

Twitter - @BethDarnall

Listen to Dr. Beth Darnall's episodes - Pain Catastrophizing and We Have Ignored the Pain Psychology of Patients

This week on #PainReframed, Liz Peppin and Adam Ryan are joined by Dr. Justin Dueweke, an emergency room physician. They discuss the current culture around pain in the ER, how it affects our patients, and the steps we can each take to change it.

Dr. Justin Dueweke is a board-certified emergency medicine physician. He works with a private practice in southern Michigan and is affiliated with one of the busiest emergency departments in the U.S. Justin is a firm believer that the words we use have a powerful effect on our patients' outcomes. He is passionate about changing how pain is discussed in the ER, and ultimately treated.

Do you want to help change the culture around pain in your community? Check out these pain science courses to see which one is right for you.

LINKS:

Twitter - @ISPITeam

The Influence of Patient Choice of First Provider on Costs and Outcomes: Analysis From a Physical Therapy Patient Registry (JOSPT)

Study Says Cost Savings of Physical Therapy for LBP Are Significant (APTA)

This week, Dr. Jeff Moore & Dr. Tim Flynn examine our tendency as clinicians to take guidelines a step too far. They discuss opioid tapering, in particular, and how well-meaning healthcare professionals might end up doing more harm than good by reading too much into the latest CDC recommendations.

Do you want to learn more about how to treat pain in a way that's best for your patients? Join us for a Therapeutic Neuroscience Education (TNE) course near you!

LINKS:

Twitter - @ISPITeam

Find a TNE course near you

No Shortcuts to Safer Opioid Prescribing

Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review

Pocket Guide: Tapering Opioids for Chronic Pain

On our latest episode of Pain Reframed, Tim Flynn and Jeff Moore are joined by Dr. John Zapatna, an orthopaedic physical therapist with a background in neurology. They discuss our tendency to operate in silos, why that harms our patients, and how we can work to create a more holistic approach to healthcare.

Dr. Zapanta received his Doctor of Physical Therapy degree at Regis University in Denver, CO. He completed an Orthopaedic Physical Therapy Residency program in Scottsdale, AZ. He is Board Certified in Orthopaedic Physical Therapy (OCS) and is a Fellow in the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT). Dr. Zapanta's clinical interests are in the management of neuromuscular, musculoskeletal, and cardiopulmonary conditions while integrating a patient-centered hands-on approach to rehabilitation. He annually presents at state and national conferences and participates in expanding healthcare access locally and globally. He is an adjunct faculty of Physical Therapy at South College in Knoxville, TN & faculty with the NeuroRecovery Training Institute (NRTI).

LINKS:

Twitter - @John_C_Zapanta

Twitter - @ISPITeam

https://www.ispinstitute.com/

https://www.neurorti.com/

Liz Peppin and Adam Ryan are back with their second episode of Pain Reframed! This week, they're joined by Dr. John Lehtinen, an addiction specialist in a primarily rural area in Michigan. They discuss John's work with the opioid crisis and how we can each help our communities battle this epidemic.

Dr. Lehtinen has a varied background, including sports medicine as well as addiction medicine. He has previously worked with the U.S. Olympics teams at the Summer games in 1992, 1996, and 2008. He is passionate about helping his patients return to the activities that they love.

This week, Liz Peppin and Adam Ryan are hosting their first episode! To kick things off, they're interviewing Dr. DeAndre Caldwell, a physical therapist in Delaware who works in a hospital-based outpatient center.

DeAndre has spent much of his career working with patients who have neck and back pain, which started him on his journey with chronic pain. A graduate of the ISPI Therapeutic Pain Specialist (TPS) program, DeAndre is passionate about using his pain neuroscience education knowledge to advocate for his patients.

LINKS:

Twitter - @DrCaldwellpt

Twitter - @ISPITeam

Therapeutic Pain Specialist Certificate

This week on the Pain Reframed podcast, Dr. David Hanscom joins Tim Flynn and Jeff Moore to discuss the strategies he uses to help chronic pain patients, and why recovery is ultimately in the hands of the patient, not the clinician. Dr. Hanscom is an orthopedic complex spinal deformity surgeon who now understands that most chronic pain from any source is solvable – usually without surgery. He is the creator of the DOC (Direct your Own Care) program, which is the subject of his book, Back in Control: A Surgeon's Roadmap out of Chronic Pain. He also publishes a weekly blog and maintains a website, www.backincontrol.com, to provide resources for chronic pain patients and their families. Dr. Hanscom distinguishes himself from many spine surgeons in that he strongly encourages non-surgical solutions for his patients, a belief which stems from his own battle with chronic pain.

Learn more about Dr. Hanscom's story by listening to episode 23!

LINKS:

Twitter - @DrDavidHanscom

Twitter - @ISPITeam

https://www.ispinstitute.com/

We're celebrating our 100th episode this week! To mark this special occasion, and stay true to our mission of creating an interdisciplinary conversation about pain, we're bringing two new co-hosts on to Pain Reframed. Tim and Jeff will continue to host episodes, but Liz Peppin and Adam Ryan will take over for them once a month.

This week, Jeff and Tim discuss their hopes for the next 100 episodes of Pain Reframed, Adam and Liz introduce themselves, and one of our hosts shares a very personal story that reminds us why we're on a mission to change the conversation around pain in America.

LINKS:

Listen to Adam's first episode here

Listen to Liz's first episode here

Join us for a course near you

Twitter - @ISPITeam

This week, Dr. Jeff Moore & Dr. Tim Flynn discuss the current state of affairs regarding the opioid epidemic. They look at multiple papers and discuss what strides are being made in confronting this epidemic, as well as what still needs to be done to best help our patients.

Do you want to learn how to help your patients cope with pain without using opioids? Join for us for a Therapeutic Neuroscience Education (TNE) course near you!

LINKS:

Twitter - @ISPITeam

Find an ISPI TNE course near you

Trends and Patterns of Geographic Variation in Opioid Prescribing Practices by State, United States, 2006-2017 (JAMA Network)

Initial Opioid Prescriptions among U.S. Commercially Insured Patients (New England Journal of Medicine)

Is Pain a Sensation or an Emotion? (The New York Times)