Wednesday Nov 01, 2023

Ep15: ”Hands-off” Physiotherapy—Hypnosis for Pain with Alex Chisholm

Alex Chisholm, PT, BScPT, PgCPain, FACHS is a Physiotherapist with over 30 years of clinical experience. Alex received her postgraduate certificate in Multidisciplinary Pain Management from the University of Alberta. She is one of the executives of the Pain Science division of the Canadian Physiotherapy Association and was part of the working group that helped create the Chronic Pain Toolkit with Physiotherapy Alberta. She is a Fellow of the Alberta Clinical Hypnosis Society, previously the Canadian Federation of Clinical Hypnosis, and is a member of the Alberta Pain Society’s Planning committee for their annual Pain conference. In addition, she is a certified ‘Comfort Talk’ trainer. Alex currently works on the Burns and Plastics team at the Foothills Medical Center where she pursues her passion for burn survivor rehabilitation, and has taught nationally and internationally on Pain, Hypnosis and Pain management techniques. In this episode, we talked about what hypnosis is, how it can help patients, practical considerations when using hypnosis, and the power of therapeutic alliance and word choice.

 

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  2. Hansen E, Zech N. Nocebo Effects and Negative Suggestions in Daily Clinical Practice - Forms, Impact and Approaches to Avoid Them. Front Pharmacol. 2019 Feb 13;10:77.
  3. Fusco N. et al. Hypnosis and communication reduce pain and anxiety in peripheral intravenous cannulation: Effect of Language and Confusion on Pain During Peripheral Intravenous Catheterization (KTHYPE), a multicentre randomised trial. Br J Anaesth. 2020 Mar;124(3):292-298.
  4. Lang EV, Rosen MP. Cost analysis of adjunct hypnosis with sedation during outpatient interventional radiologic procedures. Radiology. 2002 Feb;222(2):375-82.
  5. Lang EV. et al. Can words hurt? Patient-provider interactions during invasive procedures. Pain. 2005 Mar;114(1-2):303-9.
  6. Kinney M. et al. The impact of therapeutic alliance in physical therapy for chronic musculoskeletal pain: A systematic review of the literature. Physiother Theory Pract. 2020 Aug;36(8):886-898.
  7. Ferreira PH. et al. The therapeutic alliance between clinicians and patients predicts outcome in chronic low back pain. Phys Ther. 2013 Apr;93(4):470-8. doi: 10.2522/ptj.20120137. Epub 2012 Nov 8.
  8. Provençal SC. et al. Hypnosis for burn wound care pain and anxiety: A systematic review and meta-analysis. Burns. 2018 Dec;44(8):1870-1881.
  9. Romanowski KS. et al. American Burn Association Guidelines on the Management of Acute Pain in the Adult Burn Patient: A Review of the Literature, a Compilation of Expert Opinion, and Next Steps. J Burn Care Res. 2020 Nov 30;41(6):1129-1151.
  10. Jensen MP, Patterson DR. Hypnotic approaches for chronic pain management: clinical implications of recent research findings. Am Psychol. 2014 Feb-Mar;69(2):167-77.
  11. Milling LS. et al. Hypnosis and the Alleviation of Clinical Pain: A Comprehensive Meta-Analysis. Int J Clin Exp Hypn. 2021 Jul-Sep;69(3):297-322.

Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episode posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to critically reflect on the content. While there is an effort to incorporate research evidence, and the topic is researched by the host (Tiffany), we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

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