In this episode of the Modern Pain Podcast, host Mark Kargela sits down with Jim Stark, an insightful and experienced physical therapist with over 30 years in the field. Jim discusses the limitations of our current 'illness care system' and shares his journey of integrating holistic and spiritual approaches into physical therapy, focusing on chronic and persistent pain. Learn about the importance of being authentic, the concept of narrative medicine, and powerful, practical strategies like breathing exercises for durable impact. Jim also highlights the significance of seeing patients outside the confines of conventional treatment and creating a supportive environment for true healing. Don't miss his valuable advice and resources for clinicians aiming to enrich their practice and transform patient care.

00:00 Introduction to the Illness Care System
01:06 Jim's Path to Physical Therapy
02:20 Spiritual Growth and Patient Healing Stories
03:47 Changing the Narrative in Healthcare
07:55 The Role of PTs and OTs in Pain Management
12:36 Breathing Techniques for Pain Relief
19:18 Strategies for Patient Empowerment
31:34 Conclusion and Final Thoughts

Free resources from Jim 

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Join us in this episode of the Modern Pain Podcast as we sit down with Brian Pulling to explore groundbreaking research on why people with knee osteoarthritis avoid physical activity despite its known benefits. Brian shares insights from a study using the Implicit Association Test (IAT) to uncover subconscious beliefs associating movement with danger. We delve into how these implicit threat associations differ from explicit beliefs and the implications for clinical practice. Brian also shares his personal journey from physical therapy training in the U.S. to becoming a leading researcher in Australia. This episode is packed with valuable information for clinicians looking to improve pain management strategies and help patients move more confidently.

ARTICLE

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, host Dr. Mark Kargela interviews physical therapist Chris Hughen. Chris shares his journey from aspiring strength coach to established physical therapist, highlighting the importance of mentorship, the pitfalls of chasing certifications, and the value of embracing uncertainty in clinical practice. Chris also discusses how his background in coaching influences his patient interactions and the necessity of maintaining good professional relationships. Tune in for valuable lessons on pain management and building a successful career in physical therapy.

Chris' Instagram
Chris' Podcast
E3 Rehab

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

Join us for an insightful episode where host Mark Kargela engages with expert Jen Uschold, a physical therapist and lifestyle medicine coach. Delve into the integration of traditional physical therapy with coaching and mental fitness to foster stronger client-therapist relationships in pain management. Discover the significance of motivational interviewing, emotional intelligence, and 'mental fitness' principles covering positive psychology, performance science, CBT, and neuroscience. Explore the synergistic relationship between Positive Intelligence (PQ) and Physical Therapy (PT), the impact of Acceptance and Commitment Therapy (ACT), and innovative approaches to managing chronic pain. Learn how to address both manual therapy and cognitive strategies, promoting meaningful activities beyond mere pain control. This episode is a treasure trove for clinicians seeking to improve patient care through a holistic and personalized approach

Links:
Jen's Website for PT
Website for Mental Fitness and Divorce Prep -Code for your listeners to get 20% off the Mental Fitness 7 week course: IRISE20
Jen's LinkedIn
Jen's Instagram

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, Mark Kargela explores the false dichotomy of passive versus active care in pain management, emphasizing that neither is inherently detrimental. He discusses the unique roles of passive care techniques like manual therapy and active care, which encompasses more than just exercise. Mark highlights the importance of personalized, patient-centered approaches that consider the patient's values and life circumstances. The episode underscores the significant impact of communication skills, advocating for meaningful clinician-patient dialogues to better understand patients' stories and barriers. This approach aims to foster a therapeutic alliance and guide patients back to meaningful lives.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, host Mark Kargela explores the intersection of environmental considerations and physiotherapy with Filip Maric, Founder of the Environmental Physiotherapy Association, and Jessica Stanhope, a Research Fellow at the University of Adelaide. The discussion delves into the environmental blind spots in physiotherapy practice, emphasizing the importance of incorporating natural environments into treatment settings. The episode highlights research linking green spaces to better health outcomes, such as reduced pain and arthritis, and examines how physiotherapy education can integrate environmental awareness. The conversation invites clinicians to contemplate the physical environments patients interact with, both inside and outside clinical settings, and consider innovative ways to make impactful changes in their practice.

***Helpful LInks***
Environmental Physiotherapy Association  

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, host Mark Kargela is joined by Mathilde Kehler to explore the transformative shift from a 'fixer' to a 'coach' in helping patients manage chronic pain. They delve into the importance of positioning the patient as the main character, focusing on their goals, and leveraging their resources rather than just diagnosing and treating symptoms. Mathilde shares her journey from physiotherapy to creating a pain coach program, emphasizing the need for personalized, patient-centered care. The episode highlights the critical role of communication, listening, and effective questioning in pain management, aiming to build patient self-efficacy and meaningful change. They also discuss the challenges and strategies for clinicians transitioning to this approach and the potential future of pain coaching in healthcare systems.


***LINKS***
Mathilde's Website
Smerteguiden Instagram

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of The Modern Pain Podcast, host Mark Kargela interviews Trevor Barker, a remarkable individual who transitioned from battling chronic pain with a medicalized approach to living well despite the pain. Trevor shares his compelling journey from relying on heavy medications and invasive treatments to embracing a holistic and human-centric approach that significantly improved his quality of life. He details his involvement with Pain Revolution and how community support and shared experiences have played a pivotal role in his ongoing journey. Clinicians and patients alike will find valuable insights into the power of social and psychological factors in managing chronic pain. This episode underscores the importance of empathy, patient voices, and the impactful role of supportive relationships in the healing process.

Chronic Pain Champions Facebook Group
Pain Revolution

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

n this episode of the Modern Pain Podcast, host Mark Kargela discusses the philosophy of science as it pertains to pain research with philosophers Rani Lill Anjum and Elena Rocca. The conversation revolves around their book, which critiques traditional scientific approaches and emphasizes the importance of understanding philosophical biases in research. The trio explores how empirical methods often fail to address the complexity of individual pain experiences, the ethical dilemmas in excluding certain populations from research, and the significance of patient stories in clinical practice. This episode aims to provide clinicians with a deeper understanding of the philosophical underpinnings of the science they use in their own practices.

NEW TEXTBOOK - Philosophy of Science
CauseHealth Book - Rethinking Causality, Complexity and Evidence for the Unique Patient
Unpacking the Complexity of Evidence YouTube Playlist

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness

In this episode of the Modern Pain Podcast, host Mark Kargela sits down with Emily Rich, an occupational therapist and POTS specialist, to discuss Postural Orthostatic Tachycardia Syndrome (POTS) and related conditions like Ehlers Danlos Syndrome and Mast Cell Activation Syndrome. Emily shares her personal journey with POTS, her PhD research, and offers practical tips for clinicians to better identify and manage these complex conditions. Emily emphasizes the importance of humility in clinical practice, the use of occupationally specific exercises, and supportive care strategies. This episode is packed with insights and actionable advice for healthcare professionals looking to improve their treatment approach for patients with POTS and related syndromes. Be sure to check out the show notes for additional resources.

***HELPFUL LINKS***
Utah ADAPT program
POTS Providers Course
POTS Providers List
Dysautonomia International

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness