Dr. Joe Tatta | The Healing Pain Podcast

We are talking about the controversial topic of whether Manual Therapy for trigger point should be used for the alleviation or the treatment of chronic pain. How is one physiotherapist doing some interesting work to help people taper off of opioid medications using psychologically-informed physical therapy principles? My guest is Diarmuid Denneny. He is a professional lead physiotherapist at the Pain Management Center at the University of College London Hospital’s NHS Foundation Trust. He has worked in a specialized pain management center for several years and is clinically advanced as a physiotherapist as well as an independent prescriber. In addition to his clinical and managerial work, Diarmuid is the Chair of the Physiotherapy Pain Association and a member of the Guidelines Development Committee for the NICE Chronic Pain Guidelines. He was awarded an NIHR Pre-doctoral Fellowship in 2017 and 2018. He is interested in the development of clinical academic roles for physiotherapists. He also has a particular

We are talking about how to use mindfulness to treat or alleviate chronic pain. Our expert guest is Dr. Ronald Siegel. He’s an Assistant Professor of Psychology at Harvard Medical School where he has taught for over 35 years. He’s a longtime student of mindfulness meditation and serves on the board of directors and faculty of The Institute for Meditation and Psychotherapy. He teaches internationally about the application of mindfulness practice in psychotherapy and maintains a private clinical practice in Lincoln, Massachusetts. Dr. Siegel is co-editor of the critically acclaimed text, Mindfulness and Psychotherapy, author of a comprehensive guide for general audiences called The Mindfulness Solution: Everyday Practices for Everyday Problems, co-editor of Wisdom and Compassion in Psychotherapy, co-author of the professional guide, Sitting Together: Essential Skills for Mindfulness-Based Psychotherapy and co-author of the sub-treatment guide called Back Sense, which integrates Western and Eastern approaches fo

We’ve got an episode that is full of some good news that I can’t wait to share with you. When I first started this podcast over a few years ago, the CDC had released information about the opioid crisis as well as the overprescribing of opioids and its contribution to addiction, abuse and fatalities. Since then, the CDC guidelines have been pushing toward early non-drug or what is known as non-pharmacologic treatment options for patients with pain. We are definitely making some progress. Along with these guidelines, there’s a huge opportunity for physical therapists to help people who are struggling with chronic pain. One way we can do this is to intervene quickly and early in the care of people with pain. I spoke about this a bit in Episode 133 with Dr. Marcia Spoto, who discussed physical therapists as primary spine care providers. In this episode, we’ll explore how the research is supporting early physical therapy for people with pain. A study conducted by our guest, Dr. Eric Sun, found that patients who re

I'm super honored and grateful that you decided to join me and read this episode where we are talking about the evolution of integrative healthcare and its influence on pain care. As I was putting together the pieces of the podcast, I realized that the word integrative and integrative health is one that's thrown around with not on a very solid definition. Integrative healthcare is simply an individualized holistic and evidence-based approach to healthcare as well as pain care. A true integrative practitioner can help you improve not only your physical health but also your mental as well as your spiritual well-being. True integrative healthcare consists of a comprehensive physical examination, a review of your medical records and laboratory tests, a thorough discussion about education regarding lifestyle management behavioral modification, and if needed a referral or recommendation to services such acupuncture, massage therapy, nutrition, counseling, yoga, mindfulness. There are many types of practitioners and

We're discussing the important topic of how to improve children's pain management. If you're not aware of the lack of pain management that children or adolescents experience, it's because it doesn't receive a lot of attention. I want to share a vital statistic that our guest speaker shared with me. Did you know that more than two-thirds of children in hospitals experienced painful procedures with absolutely no pain management? They don't receive any pain management. This includes pain management during routine vaccinations, while undergoing medical procedures, after surgery and in the context of chronic pain and chronic disease. Out of all the countries on our globe, Canada is a leader in pain research and children's pain. Even though we have tons of books and information and research articles, one of the great challenges is that this information is not being placed into practice where practitioners can use it to help people with pain. Joining us to discuss children's pain and how to improve children's pain m

As you have followed along with each episode of this show, you probably got the feeling that I'm a little bit passionate about how nutrition can be used to treat chronic pain and other chronic diseases. I have had physicians on the show discussing nutrition, health coaches, chiropractors, nurses and physical therapists all talking about how nutrition can impact chronic pain. As I reflect back on these 140 episodes, the one thing we have not discussed is how to treat acute pain using nutrition and physical therapy. We're going to cover that very topic when we talk with my friend, Dr. Carolyn Dolan. Carolyn is a physical therapist who combines traditional physical therapy with nutrition to treat both acute and chronic pain in her physical therapy practice. In 2012, Carolyn was experiencing chronic fatigue, chronic pain, chronic sinus infections and was overweight. Her journey to better health letter led her to the world of nutrition and to designing a simple lifestyle program with the profound potential to tran

We have clinical psychologist, Dr. Jill Stoddard. She's going to be talking about the topic of Experiential Practice in Acceptance and Commitment Therapy for Chronic Pain. Jill is the Founder and Director of the Center for Stress and Anxiety Management, an outpatient psychotherapy clinic specializing in Acceptance and Commitment Therapy as well as Cognitive Behavioral Therapy for anxiety. She received her PhD in Clinical Psychology from Boston University and completed her postdoctoral fellowship at the University of California, San Diego School of Medicine. She's an award-winning teacher as well as an ACT trainer who has co-authored articles on ACT, CBT, anxiety, trauma and pain. She's also co-authored two books, the first being The Big Book of ACT Metaphors as well as her second book which is called Be Mighty: A Woman's Guide to Liberation from Anxiety, Worry, and Stress Using Mindfulness and Acceptance, which will be published in January of 2020. The reason why I want to have Jill come onto the show and e

I’m super honored that you're spending this time with me. As many of you know, the month of June is Gay Pride or what is known as LGBT Pride Month across the globe. This is a time of celebration as well as one of increased awareness where the LGBT community promotes their equality, builds community and celebrate sexual diversity and gender variance. If you've been following along with the blog, I interviewed clinical psychologist, Lore Dickey, about transgender healthcare. Now, you'll meet Dr. Chris Condran who is a Doctor of Physical Therapy to discuss LGBT inclusion in the physical therapy curricula and profession. Chris is an Orthopedic Physical Therapist and an instructor in the Transitional Doctorate of Physical Therapy Program at Arcadia University where he teaches health and wellness promotion as well as case analysis. His educational background includes a Master’s in Exercise Physiology and MBA in business administration, a DPT in physical therapy and he's enrolled in the EdD program at the Universit

It's a pleasure to be spending this time with you. One of the activities that I do each week is I set aside some time to sit down and brainstorm about all the various topics that are related to chronic pain. The reason why I do that is it helps me find interesting and inspiring people to share with you on this show. If you follow this show for probably for a couple of years I've been doing it, you know that I've spoken about popular topics such as pain education, pain psychology, exercise, physical therapy and nutrition. One topic that interests me and quite frankly is the topic that doesn't receive enough attention in the media or receive grant money for research is the topic of health disparities. A health disparity is a difference in the health status of different groups of people. For example, patients such as racial minorities and women have been identified as not receiving adequate pain care. Another group that faces significant barriers, adequate healthcare are transgender people. Transgender is an umb

If you're following the latest in pain science or maybe you've attended certain lectures, you know that pain science education is on the tip of everyone's tongue these days. Whether you come from the explain pain camp, that's my personal favorite, or maybe the pain neuroscience education camp, pain biology and intervention, more and more professionals are using to treat chronic pain. There's a good reason for this. We have a growing body of evidence that states that pain education can improve things like pain, pain catastrophizing, fear avoidance, as well as pain interference, so much so that the experts now agree that every practitioner should be greasing their wheels with pain biology education as an intervention to help people cope. Even though pain education has seeped its way into the foundation of your practice, the one thing we still don't know is which patients with chronic pain are more likely to improve their knowledge following pain biology education. Joining us to discuss pain science education an

If you follow this show for some time, you know that one of the aims of this show is to help reconceptualize pain from a biomedical perspective and increase the awareness of a biopsychosocial approach to pain care. Chronic pain has long been recognized as an experience that can threaten your need for safety, both physically and psychologically, but what about feeling safe from a social context? Social context can be a powerful mediator and influence how pain is experienced. The social context of pain is such an important topic that there's even a movement to change the definition of pain from being an unpleasant sensory and an emotional experience to one that emphasizes pain as an experience associated with sensory, emotional, cognitive and social components. Joining us to talk about the pain in a social context is Dr. Kai Karos. Kai earned a Bachelor's and a Master's in Psychology at Maastricht University in the Netherlands. He then went on to complete a PhD where he investigated the effects of threatening s

I’ve been so excited to put this all together for you and to share with you. You will meet an exceptional physical therapist who is helping women with chronic pain and anxiety by combining physical therapy with functional nutrition. Lauren Bahr is a licensed physical therapist. She’s a health coach and she’s a graduate of the Functional Nutrition for Chronic Pain certification program at the Integrative Pain Science Institute. Lauren combines physical therapy together with functional nutrition in the plan of care for her clients with chronic pain and anxiety in her private practice, which is called Simply Balanced Wellness. What I love about this interview with Lauren is not only is she passionate about the type of practitioner that she’s become, but clear about sharing her entire journey of learning and discovery to arriving at the place she is, where she’s now able to combine traditional physical therapy, pain education, functional nutrition and even some of the coaching skills with helping her clients with

We're going to talk about primary spine care providers. If you follow this blog for quite some time, you know that spine problems and spine disorders are among the most common, most costly and most disabling problems that we experienced in Western society with regard to chronic pain. For the purpose of this blog, when we talk about spine-related disorders. We're talking about a group of conditions that include back pain, neck pain, all the various types of headaches and migraines, radiculopathy and other types of symptoms that are related directly to the spine. If you want to know an interesting and perhaps shocking statistic, virtually 100% of the population is affected by this group of disorder s at least once in their life, if not twice. One proposed solution to treating chronic spinal pain in our healthcare system is to train practitioners who can function as primary care providers for the care of the spine itself. There are already physical therapists and chiropractors who function in a primary care role

It’s great to be with you sharing the latest information on pain science and the care of chronic pain. On this episode, our expert guest is Dr. JP Caneiro. JP holds a PhD in Musculoskeletal Physiotherapy. He’s part of an international team of clinicians and researchers that developed a behavioral intervention named Cognitive Functional Therapy. JP holds a research position at Curtin University where he runs a multicenter trial for low back pain as well as lectures in the Master’s of Physiotherapy program. Clinically, JP focuses on the management of complex pain working at Body Logic Physiotherapy in Perth, Australia. He’s also an associate editor for the British Journal of Sports Medicine and for two educational websites. The first one being called BodyInMind.org and the second, Pain-Ed.com. In addition to the great information that JP will share on this episode, he’s also generously providing you with four free downloads that you have to get your hands on because they’re so good. They’re so important whether

On this episode, we are discussing the insufficient evidence for invasive procedures and chronic pain in how we can move our sick care system toward an integrative model of pain care. Joining us is Dr. Wayne Jonas. He is a practicing family physician, an expert in integrative health and a widely published scientific investigator. He served as the Director of Alternative Medicine at the National Institutes of Health and was the Director of the World Health Organization's Center for Traditional Medicine. He published a book called How Healing Works and in September of 2018, he published a systematic review and meta-analysis called Are Invasive Procedures Effective for Chronic Pain? Make sure to download this free gift called a Guide to Nutrition for Chronic Pain. To receive the Guide to Nutrition for Chronic Pain, all you have to do is text the word 131 Download to the number 44222 or if you're on your computer, you can open up a browser and type in the URL www.DrJoeTatta.com/131Download and you'll receive inst

In this episode, we are talking about the rapidly expanding field of telehealth, which is the use of electronic communication to remotely provide healthcare information services to patients who need physical therapy. Telehealth is gaining more and more attention as providers, patients and payers all seek more effective, and cost-efficient ways to deliver care. Here to speak with us about telehealth and physical therapy is Rob Vining. He has been a physical therapist for many years and has worked across all settings with the focus on outpatient orthopedics. His current mission is to bring telehealth and technology into the practice of physical therapy. He Cofounded the software company, PTLive and created the educational platform Telehealth PT. He hosts the Telehealth 20 Podcast and PT TechTalk. He is also a guest lecturer at physical therapy programs about telehealth in the physical therapy profession. As a free gift to accompany this episode, Rob is providing you with the telehealth library. This package i

I am excited that you're here with me as we discuss the latest in pain care and pain science. We are discussing the topic of pain catastrophizing, which has been identified as a prognostic indicator of poor outcomes for many types of chronic pain syndromes. Interventions to address pain catastrophizing are commonly used by many pain professionals including physical therapists and psychologists but have not been tested in patients who are undergoing total knee arthroplasty or what is known as a total knee joint replacement. To speak with us about whether pain coping skills training can potentially help patients undergoing total knee arthroplasty is Dr. Dan Riddle. He is a Professor of Physical Therapy, Orthopedic Surgery and Rheumatology at Virginia Commonwealth University. His clinical and research interests are in the lower extremity and musculoskeletal disorders with the primary focus on osteoarthritis and joint arthroplasty. Dr. Riddle studies diagnostic, prognostic and intervention-based research techniq

Patients have a very unique perspective on what they are going through. Yet health professionals tend to leave them out of the picture. Showing the importance of how health systems should get feedback from what patients want is Zoe Letwin. Zoe has a master’s degree in Professional Education and is currently a second year PhD student in the Health Profession Education field at Western University. Gathering up all her knowledge and insights, she talks about Inter-professional Pain Education and shares her competency-based framework that details the ways practitioners can create a competent person-centered partner in pain care. Zoe builds up from her passion about creating a culture of empathy in pain education and values lifelong learning, taking us into how the complexity of pain should involve everyone together. Sign up for the latest episode at www.drjoetatta.com/podcasts. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainsciencei

Dr. Chad Cook, PT, PhD, the Program Director of the Doctor of Physical Therapy Program at Duke University, brings to light the value of psychologically-informed care. Getting deep into how it contributes to physical therapy and pain care, he lays down some literature about it - from the studies to the biases in them - showing how psychologically-informed practices are so hot right now and where they should improve. Dr. Cook talks about why pain mechanisms are important for every pain practitioner to understand and why this can benefit not only them as practitioners but those who are in pain or knows someone in pain. Sign up for the latest episode at www.drjoetatta.com/podcasts. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

Do you know that you can use meditation to lessen stress and accomplish more in your life? This is what Emily Fletcher teaches. Emily is the founder of Ziva and the creator of The Ziva Technique, and is regarded as a leading expert in meditation for high performance. She joins us to talk about her meditation, her book called Stress Less, Accomplish More, The Ziva Technique and its benefits, and more. If you're interested in learning more about mindfulness, meditation, and manifesting wonderful things in your life, you will learn a lot from this great podcast. Sign up for the latest episode at www.drjoetatta.com/podcasts. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram