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

In this episode of the Modern Pain Podcast, host Mark Kargela sits down with clinician and long COVID experiencer, Daria Oller. Daria shares her journey from contracting COVID-19 in March 2020 to becoming an advocate for education and understanding about long COVID. This discussion delves into the complexities of treating long COVID, the importance of listening to patients, the need to move beyond traditional exercise biases, and tips for clinicians on managing the fluctuating symptoms of this condition. The conversation highlights the significance of seeing the patient as a whole person and the crucial role of multidisciplinary approaches in improving care for long COVID sufferers. Daria also talks about resources available for clinicians and patients alike. Tune in to gain valuable insights into the ongoing challenges and strategies for addressing long COVID in clinical practice.

**RESOURCES**
Long Covid Physio 
World Physiotherapy Briefing Paper 
Ed Yong's Works 

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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 dives into the complex relationship between exercise and pain management. He explores traditional beliefs about exercise, discusses graded exposure and graded activity techniques, and emphasizes the importance of personalized, patient-centered approaches. Mark highlights the need to tailor exercise to individual patient preferences and values rather than imposing generic fitness routines. He also discusses the role of narrative and patient mindset in successful pain therapy. Perfect for clinicians seeking to enhance their understanding and methodologies in helping patients with chronic pain

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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, we explore the critical role of empathy in clinical settings. As a clinician, acknowledging a patient's pain by simply listening and validating their feelings can be profoundly impactful. Learn the importance of saying 'I hear you' and offering sincere apologies to foster a deeper connection and support for those in need.

A Path Forward - Keith's Facebook Blog
Keith's X Profile

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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, we welcome Paul, a former massage therapist turned scientific writer, who shares his journey from clinical practice to founding the PainScience.com website. Paul discusses the evolution of his career, the challenges of transitioning to science writing, and the importance of maintaining ethical standards in a field often dominated by simplistic solutions. He also delves into the misconceptions around pain science and the need for a deeper understanding of physiology. Whether you're a healthcare professional or someone interested in pain management, this episode offers valuable insights into the complexities of pain and the science behind it.

Paul's website 
Paul's membership 

***TIMESTAMPS***
00:00:00 Intro to Episode
00:02:25 Interview Start
00:03:13 Paul's journey
00:05:13 What brought Paul to a career in scientific writing?
00:09:43 How has Paul handled critical comments on his work?
00:14:21 Did he have to sacrifice followers for integrity?
00:17:15 Paul's evoluation as an online writer
00:24:05 Paul's biggest influences in his writing
00:28:13 Paul's key resources his development
00:33:43 Skepticism versus nihlism
00:39:42 Paul's concern over current approaches to pain science
00:45:45 Limitations in professional boundaries and emerging fields
00:48:48 Where to find Paul and his current project

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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

Mark welcomes pain coaching expert Richmond Stace to discuss his journey from nursing to becoming a pioneer in pain coaching. Richmond shares his multidisciplinary background, touching on the psychological and physical aspects of dealing with chronic pain. They talk about the importance of connecting with patients, understanding their beliefs, and guiding them through meaningful change. Richmond also delves into the role of motivational interviewing and the broader philosophy of pain management, emphasizing the need for high standards in practice. Aspiring pain coaches and healthcare professionals will find valuable insights and practical advice on improving patient care through a compassionate and individualized approach. 

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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

If you have struggled to balance what you feel is best practice  in pain care and the business demands of the setting you're in then this episode is for you.  We had Andrew Rothschild in for a chat and we discussed this and how you can maintain high value care and meet the demands we all face in the business of healthcare.   We talk about when it may be time for you to leave and find a better fit for you as well.

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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 enlightening episode with Nick Rainey as we delve into modern strategies in pain management and their transformative potential for your clinical practice. Learn about the importance of mentorship in developing your pain management expertise and how integrating sales techniques can enhance patient engagement and outcomes. Whether you're a seasoned professional or just starting out, this episode is packed with valuable insights to elevate your approach to pain care. Tune in and learn from one of the leading experts in the field.

**Helpful Links**
​Rainey Pain and Performance​
​OMPT definition paper

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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

Episode Summary:
In this episode of the Modern Pain Podcast, host Mark Kargela is joined by Brett Neilson, a physical therapist and professor at Hawaii Pacific University. Recorded live at the Pain Science in Motion conference in Las Vegas, the episode delves into the crucial intersection between sleep and chronic pain management. Brett shares insights from his scoping review on the integration of sleep measures in chronic low back pain research, highlighting a significant gap in current practices. The conversation covers the impact of sleep on pain, the role of wearables, and practical advice for clinicians on how to incorporate sleep assessments and interventions into their practice. Brett emphasizes the importance of understanding individual sleep needs and using tools like the CBTI Coach app to help patients improve their sleep quality.

CBT-i Coach App
Scoping Review

TIMESTAMPS:
00:00:00 Episode begins
00:01:43 Interview Start
00:02:53 Brett's Work on Sleep
00:05:04 What did they find in their systematic reveiw?
00:08:25 Clinical pearls gained in pre-conference course
00:10:43 What apps or tools are out there for clinicians?
00:13:46 Can tracking sleep excessively become anxiety generating?
00:14:57 How do we determine the right amount of sleep for the individual?
00:19:47 Mindulness or meditation for sleep
00:23:12 How do we get this in curriculum?
00:26:20 How do we get this as every day practice?
00:31:59 Sleep as a part of the big picture in pain

Key Takeaways:
Sleep and Chronic Pain Connection: There is a strong link between poor sleep and chronic pain. Addressing sleep issues can potentially alleviate pain symptoms.

Research Findings: A scoping review revealed that less than 10% of chronic low back pain trials include sleep measures, highlighting an area for improvement in research practices.

Role of Wearables: While wearables can provide useful sleep data, they should be used cautiously to avoid causing anxiety. It's best to view sleep data in the context of long-term trends rather than daily fluctuations.

Screening and Interventions: Simple questions about sleep quality can help identify patients who may benefit from further sleep assessment. Tools like the CBTI Coach app, developed by the VA, can assist clinicians in guiding patients through cognitive behavioral therapy for insomnia.

Individualized Approach: Quality of sleep is more important than quantity. Clinicians should tailor their recommendations based on the individual needs and experiences of their patients.

Practical Tips for Clinicians: Incorporate basic sleep questions into patient assessments, use validated sleep measures, and educate patients on sleep hygiene practices. Encourage patients to find relaxation strategies that work for them, whether it's mindfulness, reading, or other calming activities.

Educational Integration: Teaching about sleep and its impact on health should be integrated into PT education to better prepare future clinicians.

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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

Diego Hidalgo a Spanish physiotherapist and osteopath discusses their recent paper - ‘It’s all connected, so it all matters’ - the fallacy of osteopathic anatomical possibilism.

In the podcast they discuss:
• Anatomical Possibleism in Osteopathy and PT
• Anatomy, Pathologization, and Pain Discussion
• Pain Treatment and Cultural Differences
• Concerns Over Over-Diagnosing and Anatomical Possibleism
• Addressing Chronic Pain Challenges
•  Holistic Approach to Pain Management
•  Evidence-Based Approach and Transition to Modern Practice Challenges

‘It’s all connected, so it all matters’ - the fallacy of osteopathic anatomical possibilism
Jarvik study

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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