Paincast

Ep14: Yoga for Pain with Lisa Greenbaum

Lisa Greenbaum is a Certified Yoga Therapist and E-RYT 500 Yoga Teacher and Educator. She is the founder of Lisa Greenbaum Yoga + Wellness, a Yoga Education School with a trauma-informed lens. Recognizing that the chronic physical pain we experience is intensified through the chronic stress, poor sleep and mental health challenges that go along with the pain, Lisa’s approach is centred on creating balance for the nervous system that includes meditation, breath work and movement to quiet the fight/flight response and build ease within the body and mind. In this episode, we talked about what yoga is, how yoga can be adapted for people experiencing pain, and how physiotherapists can work with yoga therapists. There is also a breathing meditation demonstration at the end for you to experience.
 
Resources:
Training for Yin+Restore practice, pain management including Chair Yoga https://lisagreenbaum.com/yoga-for-wellness/
Virtual classes that I teach https://lisagreenbaum.com/weekly-online-yoga-classes/
Study on Yoga and Pain: A Mind/Body complex system https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9996306/
Study - Needle electromyographic evaluation of trigger point response to a psychological stressor https://pubmed.ncbi.nlm.nih.gov/8008795/
Yoga Therapist Search https://www.iayt.org/search/search.asp?csy=209092
IAYT also lists a number of studies on Yoga Therapy and Chronic Pain: https://www.iayt.org/page/YTT_IJYT_Pain
 
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

Ep13: Strength Training for Pain with Dr. Michael Mash

Dr. Michael Mash is a Physical Therapist in the United States. He is also the founder of Barbell Rehab, an education company helping fitness and rehab professionals improve the management of their clients dealing with pain. He has a special interest in resistance training for improving strength, power, and longevity. In this episode, we talked about conceptualizing strength training from the biopsychosocial perspective, the role of strength training in pain management, and how physiotherapists can work with fitness professionals. 
Website: https://barbellrehab.com/
Instagram: @barbellrehab
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

Ep12: Supporting Children with Complex Pain with Amanda de Chastelain

Amanda de Chastelain has been working at the Alberta Children's Hospital since 2014 at their outpatient orthopaedics, complex pain clinic, and burn clinic. She is also a current board member and the past president of the Canadian Physiotherapy Association.
In this episode, we talked about pain in the pediatrics context, concrete ways to support children experiencing complex pain and their families, and effective ways of communicating concepts of pain with children.
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

Ep11: Mobilization with Movement: Integrating Manual Therapy with Pain Neuroscience with Jack Miller and Jim Millard

The Mulligan concept, or Mobilization with Movement (MWM) is an approach to manual therapy that combines active movement, pain neuroscience, patient autonomy, and hands-on mobilization. We have two very qualified guests to discuss this topic. 
Jack is the senior editor of the Canadian Physiotherapy Association’s Orthopaedic Journal, executive member of the Orthopaedic Division of CPA, the President of the Canadian Academy of Manipulative Physical Therapy, a member of the CPA Specialization accreditation committee, and was a founding member of the Mulligan Concept Teacher’s Association. Jack has presented at conferences internationally, published research articles and multiple textbook chapters, and taught high-level, evidence-based manual therapy courses internationally since 1990. Jack works clinically as an advanced practice consultant triaging patients for imaging, laboratory investigations, medical interventions and surgery.
Jim is the National Director of Clinical Training and Development at CBI Health. Jim has been a clinician for over 30 years and has been teaching the Mulligan Concept in Canada since 2007. He is passionate about communication and storytelling in health care and also teaches clinical relationship building. The writing and study of stories and poetry build empathy and narrative competence to not only get to know ourselves but to meet others where they truly are. Jim utilizes poetry to reflect upon the uncertainty and mystery of being a clinician. He released his first book of poetry, Cuoreosity: The heArt of Being in 2022.
In this episode, we discussed MWM's philosophies, therapeutic effects in the literature, and practical considerations when applying MWM. 
Links:
https://bmulligan.com/
https://www.mulligancanada.com/ 
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

Ep10: Interviewing Leaders in Physiotherapy (Part 2)

I had the pleasure and privilege of attending the annual Canadian Physiotherapy Association Congress in Quebec City last month in July. Episodes 09 and 10 showcase what our CPA, provincial branches, and CPA division leaders are working on. I also asked them about what they like about getting involved, why they wanted to take on these roles, what they hope to see in the profession, and ways we as physiotherapists and students can get involved.
This is part 2 of the 2-part series on leaders in physiotherapy, featuring 6 divisions within the CPA. Part 1 featured the CPA and 2 provincial branches.
List of interviewees:(00:01:40) Lyndal Solomons (Acupuncture and Dry Needling Division - chair)(00:11:24) Melissa Cursons (Pediatric Division - chair)(00:17:22) Meaghan Adams (Neurosciences Division - chair)(00:24:42) Arthur Woznowski-Vu (Pain Science Division - past chair)(00:30:25) Meghan Curle (Orthopaedic Division - chair)(00:39:06) Karim Meghji (Private Practice Division - chair)
Link to learn more about CPA divisions: https://physiotherapy.ca/membership/divisions/

Ep09: Interviewing Leaders in Physiotherapy (Part 1)

I had the pleasure and privilege of attending the annual Canadian Physiotherapy Association Congress in Quebec City last month in July. Episodes 09 and 10 showcase what our CPA, provincial branches, and CPA division leaders are working on. I also asked them about what they like about getting involved, why they wanted to take on these roles, what they hope to see in the profession, and ways we as physiotherapists and students can get involved.
This is part 1 of the 2-part series on leaders in physiotherapy, featuring the CPA and 2 provincial branches. Part 2 will feature 6 divisions of the CPA.
List of interviewees:(00:01:44) Oren Cheifetz (Ontario Physiotherapy Association - president)(00:05:56) Courtney Bean (Ontario Physiotherapy Association - president-elect)(00:17:35) Geoff Schneider (Alberta Association of Physiotherapy - president)(00:29:46) Amanda de Chastelain (Canadian Physiotherapy Association - past president and current board member)
Link to learn more about CPA branches: https://physiotherapy.ca/membership/branches/

Ep08: Interviewing Physiotherapists about Pain at the CPA Congress

I had the pleasure and privilege of attending the annual Canadian Physiotherapy Association Congress in Quebec City last month. This episode compiles 10 interviews I had during the congress, featuring physiotherapy students, researchers, new grads, and experienced physiotherapists, from all over Canada and abroad. These 10 interviews cover acute care, rehab, private practice, in musculoskeletal, neuro, sports, and cardioresp, across pediatric, general population, and older adults care. I asked about their views on pain, how they manage and support patients in pain, and the value of physiotherapy in their contexts. I have added timestamps of each interview in the episode description if you'd like to jump around interviews.
List of interviewees:(00:01:55) Aaron - PT Year 2 student at UofT(00:07:56) DeAnna - Neuro PT in BC(00:11:55) Blaise Dubois - keynote speaker, President of The Running Clinic(00:21:19) Lizzy - PT consultant for a school in Ottawa(00:26:01) Stephanie - PT Year 2 student at Dalhousie, interested in burn care(00:31:37) Jennifer - MSK chronic pain PT and PhD candidate in China(00:39:59) Brandyn - Assistant Lecturer and PhD candidate at UofA(00:48:44) Khang - MPT/PhD student at McMaster University(00:57:06) Isabel - MSK and pelvic floor PT in Switzerland(01:17:44) Simona - PT Year 1 student at UofT

Ep07: Pain Story: Living with Chronic Pain with Elijah

This episode features the patients' perspective of pain. Elijah developed idiopathic lower extremity joint pain (i.e., hip, knee and ankle pain of an unknown cause) in 2018, during his final year at university. He has gone through very difficult times because of the pain. He is still living with it, but it thankfully has been stabilized. In this episode, we explored his journey of going through and coming out of severe joint pain, his physical, emotional and social experiences of pain, his consultations with various healthcare professionals, and what it means to live well with pain. 
 
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

Ep06: Cognitive Functional Therapy for Low Back Pain with Dr. Mark Hancock

Mark is a professor of physiotherapy at Macquarie University in Sydney. He has over 20 years of clinical experience as a musculoskeletal physiotherapist working in a primary care setting. Mark now works primarily as a researcher, focusing on the diagnosis and management of back pain. He has published over 200 peer-reviewed papers and his work has been accompanied by editorials and received wide media attention. He is a part of the RESTORE trial, which is the largest clinical trial on Cognitive Functional Therapy (CFT), a biopsychosocial model of care for back pain. In this episode, we talked about what CFT is, discussed various aspects of the recent RESTORE trial, as well as practical questions about implementing CFT. For more about the RESTORE trial, please visit the website https://www.restorebackpain.com/.
Full citation of the RESTORE trial: Kent, P., Haines, T., O'Sullivan, P., Smith, A., Campbell, A., Schutze, R., & Hancock, M. (2023). Cognitive functional therapy with or without movement sensor biofeedback versus usual care for chronic, disabling low back pain (RESTORE): a randomised, controlled, three-arm, parallel-group, phase 3, clinical trial. The Lancet, 401(10391), 1866-1877.
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

Ep05: Addressing pain through advanced practice physiotherapy with Rob Werstine

"Don’t wait until the opportunity has passed, prepare yourself to take to take advantage of the upcoming opportunities" — Rob Werstine
Rob Werstine is an Advanced Practice Provider in the Rapid Access Clinic for Low Back Pain at the London Health Sciences Centre. Partnering with Jack Miller, he started Key Clinical Skills Inc. which has been providing Advanced Practice education across Canada since 2016 to improve the ability of hundreds of non-physician healthcare professionals to take on Advanced Practice roles. In this episode, we talked about the value of advanced practice providers in the healthcare system, the current advanced practice model, and how physiotherapists are well-positioned to respond to the need for better pain management in Canada.
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