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

105. Pain Reframed PSA: Opioid Tapering

Pain Reframed is a podcast for physical therapists, occupational therapists, physical therapy assistants and other health care providers about pain and how pain is managed in our society.  Pain is a large issue right now and we will bring powerful and helpful insights on how we can manage pain in a much more efficient and effective way. Pain Reframed is 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. Dr. Tim Flynn and Dr. Jeff Moore 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.

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"Has anyone ever explained pain to you?" Rachel Zoffness, PhD, always asks her patients this one question in order to bridge the gap between her patient's understanding of their own pain and what other health care providers have told them about their pain. On today's episode of Pain Reframed, Dr. Zoffness joins Tim Flynn, PT, PHD, OCS, FAAOMPT, and Jeff Moore, PT, DPT, OCS, FAAOMPT, to discuss her new workbooks that she created to help bridge that education gap that patients have of their understanding of what their pain is telling them about their bodies. Dr. Zoffness wrote these workbooks for her own practice as a psychologist treating adolescents and young adults and is now ready to share this incredible resource with other providers. Links: https://www.zoffness.com/ The Chronic Pain and Illness Workbook for Teens The Pain Management Workbook @DrZoffness @jeffmooredpt @timothywflynn @EIMteam

145: Explaining Pain as a Pain Psychologist | Rachel Zoffness

On this week's episode of Pain Reframed, Tim Flynn, PT, PHD, OCS, FAAOMPT, and Jeff Moore, PT, DPT, OCS, FAAOMPT, discuss how to regroup and focus in 2021 on how clinicians can help their clients and patients during the global pandemic, by building up their immune systems through fitness, lifestyle choices and nutrition alongside social distancing and masks. They also talk about the rise of overdoses, the COVID-19 vaccines and how to move forward in 2021. Links: Rest, Relaxation, and the Immune System 11/13/2020 Is older age associated with COVID-19 mortality in the absence of other risk factors? General population cohort study of 470,034 participants The Hidden Epidemic of Opioid Overdoses During the Coronavirus Disease 2019 Pandemic

January 2021 Kickoff

On this week's episode of Pain Reframed, David Clawson, MD, joins Tim and Jeff to discuss holistically approaching neck and back pain and spinal deformity, breaking down how Dr. Clawson has used that approach his field of physical medicine and rehabilitation. Dr. Clawson categorizes the threats that patients are up against -physical and mental, then dives into the review of systems to inform and determine his plan of care. Dr. Clawson also discusses in depth how to transition from the physical evaluation to the mental or spiritual evaluation that plays such a large part of pain. Links: @jeffmooredpt @timothywflynn Listen on Vurbl

143: Pain Reframed: The Body Keeps Score | David Clawson, MD

On this week's episode of Pain Reframed, Tim Flynn and Jeff Moore talk with Andrew Pugh, MD and Keith Roper, DPT to discuss their new research paper "Dedicated emergency department physical therapy is associated with reduced imaging, opioid administration, and length of stay: A prospective observational study" and how this research affects their practice in emergency medicine. Links: Dedicated emergency department physical therapy is associated with reduced imaging, opioid administration, and length of stay: A prospective observational study @DrAEPugh @KeithRoperDPT @jeffmooredpt @timothywflynn  

142: Dedicated Emergency Department Physical Therapy | Keith Roper and Andrew Pugh

On this week's episode Liz and Jeff speak with Dr. Kirsty Bannister, a renowned researcher on conditioned pain modulation, about what we know, what we’re studying, and what we can look forward to in the future of this topic.  Kirsty completed BSc, MRes and PhD degrees at University College London and and Imperial College before returning to UCL for a decade-long postdoctoral research position in the laboratory of Professor Anthony Dickenson. In 2017 Kirsty gained her faculty position upon joining King’s College London where she now runs her research group investigating the central modulation of pain. Specifically Kirsty's research team bridges the gap between bench and bedside pain research by conducting exploratory experiments that seek to molecularly, anatomically and/or functionally define descending control pathways in rodent and man using electrophysiology and human psychophysics respectively. Kirsty has led multiple symposia at world pain congresses including IASP and EFIC and she also performs Section Editor duties for multiple pain-related journals.  Links: kirsty.bannister@kcl.ac.uk @bannister_lab Kirsty Bannister's Lab address: Wolfson CARD, King’s College London, London, SE1 1UL @jeffmooredpt @LizPeppin

105. Pain Reframed PSA: Opioid Tapering

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