🎙️ Have you ever treated someone with what seemed like a typical MSK problem—but the pain just didn’t add up? Burning, zinging, unpredictable symptoms? In this episode, Mark Kargela breaks down the clinical presentation of neuropathic pain, how to screen for it confidently, and 4 common mistakes that lead to missed diagnoses.

✅ Learn how to distinguish neuropathic from nociceptive and nociplastic pain
✅ Use simple tools like a paperclip and a coin to screen for small fiber dysfunction
✅ Understand how to palpate nerves (not trigger points) and recognize their sensitivity
✅ Get clarity on terms like somatic referred pain, radicular pain, and radiculopathy

📥 Download the free Neuropathic Pain Screening Cheat Sheet here:
👉 https://modernpaincare.com/neuropathic

📃 Related Papers:
Terminology IASP paper
Validity of Small Fiber Tests 
Neuropathic Pain Grading System

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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

🎙️ Is whiplash just a musculoskeletal issue—or are we missing something bigger?

In this episode, we talk with Dr. Annina Schmid and Dr. Joel Fundaun—two of the world’s leading researchers on nerve involvement in whiplash. They reveal the surprising evidence from recent studies showing that many patients with Grade II whiplash have signs of neuropathic pain, nerve inflammation, and sensory loss—and they share simple ways frontline clinicians can catch it early.

✅ Learn how small fiber deficits, neurodynamic testing, and bedside tools like pinprick and thermal tests can help
✅ Find out why current guidelines may under-treat nerve involvement in whiplash
✅ Hear how to reframe rehab beyond musculoskeletal care

Whether you’re a PT, physician, or pain researcher, this episode bridges the gap between clinical research and real-world application.

🎧 Listen to the full episode now and subscribe for more deep dives into modern pain care.

📚 Papers:

1. Nerve pathology and neuropathic pain after whiplash injury: a systematic review and metaanalysis
2. The presence and prognosis of nerve pathology following whiplash injury: a prospective cohort study 
3. Evidence for peripheral neuroinflammation after acute whiplash 

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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 chats with Tom Walters, DPT—founder of Rehab Science, educator, and digital health innovator.

Tom shares how he transitioned from a traditional orthopedic physical therapist to building a global online brand helping millions through coaching, education, and his bestselling book. We dive into:

✅ Why coaching and education may be more impactful than hands-on care
✅ How Rehab Science became a leader in virtual rehab & social media health content
✅ Handling criticism in the online health space (and how to grow from it)
✅ The dangers of outdated treatment models in physical therapy
✅ How Tom is serving both clinicians & the general public through modern pain care

👉 If you’re a clinician, fitness pro, or just someone who cares about where healthcare is headed—you don’t want to miss this one.

📚 Grab Tom’s Book (Rehab Science): https://amzn.to/4bQB0oB (affiliate link - helps the channel)
💻 Follow Tom on Instagram & YouTube (@rehabscience)
🌐 More from Modern Pain Care: https://modernpaincare.com

💡 Stay tuned until the end where Tom shares details on upcoming courses and certifications aimed at bridging the gap between rehab and fitness!

#TomWalters #RehabScience #DigitalHealthcare #PainCare #PhysicalTherapy #ModernPainPodcast #Coaching #PTBusiness #ChronicPain #PainScience #FitnessProfessionals #VirtualRehab

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🎙️ - Listen to our Podcast - https://www.modernpaincare.com

____________________________________
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 interviews Sandy Hilton, a pioneering physical therapist and expert in pelvic health and pain care. 🚨

Sandy shares her fascinating journey from treating loggers in Oregon to leading change in pelvic health and pain management globally. We discuss why pain care is falling behind, the massive issues with the modified Oswestry assessment, and why treating pain with pain must stop.

👉 You’ll learn:

• How Sandy entered the world of pelvic health unexpectedly

• Why many pain treatments still make things worse

• How to improve access to care, even with limited resources

• The real reason men avoid pelvic health care

• How pelvic health therapists were early adopters of pain science principles

• What’s wrong with current clinical tools and how we can do better

• Sandy’s vision for the future of pain care

💡 Whether you’re a clinician, student, or someone navigating pain, this conversation will challenge you to rethink how we approach healing.

🎯 Don’t forget to:

✅ SUBSCRIBE for weekly interviews on modern pain care

✅ SHARE with colleagues and friends who need to hear this!

🔗 Helpful Links:

📝 Take the Modern Pain Podcast Research Survey: https://modernpaincare.com/research

🎙️ Listen to the full podcast here: https://modernpaincare.com

📩 Contact Sandy Hilton: [email protected]

📚 Related Topics: pain science, pelvic health therapy, chronic pain treatment, manual therapy myths, and patient-centered care.

#PainManagement #PelvicHealth #SandyHilton #ModernPainPodcast #PainCare #PhysicalTherapy #PainScience #ChronicPain #PTPodcast #Healthcare

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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

Participate in our research study 
Amy's First Episode 

✅ Ever battled with chronic pain or long COVID symptoms? Discover Amy Eicher's remarkable journey from being dismissed and misdiagnosed to becoming her own best advocate. In this episode of the Modern Pain Podcast, Amy shares her personal story of dealing with chronic pain, understanding long COVID, and navigating the intricacies of the healthcare system. Expect eye-opening insights, practical takeaways on resilience, pacing, and self-advocacy, and much more. Stick around for an engaging conversation that healthcare professionals, patients, and anyone interested in the human side of chronic illness should not miss!

Restoring Venus - https://restoringvenus.com/
Restoring Venus Facebook - https://www.facebook.com/RestoringVenus/
Restoring Venus TikTok - https://www.tiktok.com/@restoringvenuspaincoach
Restoring Venus YouTube -  @restoringvenusamyeicher  

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🎙️ - Listen to our Podcast - https://www.modernpaincare.com

____________________________________
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 challenges clinicians to rethink their approach to pain treatment. He discusses how the pursuit of certainty can lead practitioners to rely too heavily on specific tools, neglecting the complexity and individual nature of pain. Using the parable of the blind men and the elephant, he illustrates the pitfalls of mistaking partial perspectives for the whole truth. Mark advocates for a values-based approach, emphasizing the importance of understanding patients' personal goals and experiences to provide meaningful care.

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🎙️ - Listen to our Podcast - https://www.modernpaincare.com

____________________________________
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 discusses the evolution of pain treatment from a solely biomechanical model to a more holistic biopsychosocial approach. Initially rooted in biomechanics, Mark shares his journey of realizing the limitations of this model and the rise of psychologically informed care. He emphasizes the importance of integrating both biomechanics and psychological strategies for effective pain management. Through various patient case studies, Mark illustrates the need for balance and the middle ground in modern pain treatment. He also urges clinicians to move beyond outdated narratives and adopt a more comprehensive approach tailored to individual patient needs.

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🎙️ - Listen to our Podcast - https://www.modernpaincare.com

____________________________________
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, join Mark Kargela as he discusses the challenges in pain care and the gaps in clinician education. Discover how to provide psychologically informed care and learn about a new comprehensive community-based program designed to empower clinicians as pain management leaders. Mark shares insights on the need for a paradigm shift from quick fixes to lasting, meaningful change and invites you to be part of this transformative journey. 

Join the waiting list and stay updated on when you can bring your community the pain management it deserves - https://modernpaincare.com/painprogram 

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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 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