Dr. Joe Tatta | The Healing Pain Podcast

In this episode, we are discussing the impact of physical therapy on long-term opioid use for patients undergoing a total knee replacement. My expert guest is Professor Deepak Kumar. He is an Assistant Professor in the Department of Physical Therapy and Athletic Training at Boston University and the Section of Rheumatology at Boston University School of Medicine. He directs the Movement and Applied Imaging Lab at Boston University. The goal of Dr. Kumar's research is to improve the quality and quantity of movement during everyday life in people with knee osteoarthritis to reduce pain, improve physical function and maintain joint health. We're going to review the findings of Professor Kumar’s study called the Association of Physical Therapy Interventions With Long-term Opioid Use After Total Knee Replacement. You can find that article in the October 2021 edition of the Journal of the American Medical Association. This show has implications for people with chronic pain. Also, there is important information he

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In this episode, we were discussing how to build a Stepped Care Model for the treatment and intervention of chronic pain. The Stepped Care Model for chronic pain originated in the VA health system and has been used in a number of other places. This model prioritizes the role of primary care providers in optimizing pharmacological management as well as the timely and equitable access to patient-centered evidence-based non-pharmacologic approaches. Joining us to discuss this model is Dr. Matthew Bair. His principal research focuses on chronic pain, psychological comorbidity, and developing strategies to improve pain management in the primary care setting. He has a strong background in conducting clinical trials, developing and testing interventions that combine pharmacologic and non-pharmacologic treatments, and his funded work often contrasts pharmacological and behavioral approaches for pain management. He has served on several national Veterans Affairs committees related to improving pain management as well

In this episode, we are discussing an important reimbursement issue related to physical therapy, as well as pain care in general. That is value-based healthcare. Value-based healthcare is a healthcare delivery model in which providers, including hospitals, as well as practitioners, are paid based on the patient's health outcome. This model differs from the traditional fee-for-service or a capitated approach in which providers are typically paid based on the amount of services they deliver. Joining me on this episode to discuss the trend of value-based healthcare, specifically in the physical therapy profession, is Dr. Alice Bell.   She earned her Doctorate in Physical Therapy Degree from the University of Montana. Now is on staff as a Senior Payment Specialist in the Public Affairs Unit of the American Physical Therapy Association. Her professional activities include serving as a member of the Centers for Medicare Technical Expert Panel for alternative payment systems, the CPT Editorial Panel, and is an APTA

In this episode, we are discussing how to use functional nutrition to treat and alleviate chronic musculoskeletal pain. My guest is Aparna Natarajan. She is a Certified Nutrition Specialist with a Master's degree in Nutrition and Functional Medicine. She is a clinician, a researcher, and an educationist who has contributed to the Institute for Functional Medicine's Meal Planning Program as a subject matter expert. She's cultivated an understanding of the mind-body connection and combines both the science, as well as the art of nutrition, Reiki, and emotional freedom technique.   We will discuss the importance of nutrition and overcoming chronic pain, as well as the benefits of an elimination diet for those living with chronic pain. If you enjoy this episode, make sure to stay tuned because I have a perspective paper that is being published in PTJ, the Journal of Physical Therapy, on the topic of nutrition and chronic pain, specifically for the physical therapy professional, though it relates to other professi

Welcome back. We're discussing how to beat cancer holistically with Chris Wark. Chris is a cancer survivor, a best-selling author, and a patient advocate. He was diagnosed with Stage 3 colon cancer at the age of 26. After surgery, Chris made the decision to go against his doctor's advice, opted out of chemotherapy, and chose to use nutrition as well as other natural therapies to heal. Chris has become one of the most well-known cancer survivors on the planet and reaches millions of people per year as a blogger, podcaster, speaker, as well as a global health coach. In this episode, we'll discuss how to beat cancer primarily by using nutrition and other lifestyle-based interventions. Without further ado, let's begin and let's meet Chris Wark. 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 Heali

In this episode, we're talking about pain education and specifically asking the question, "What do patients value learning about pain?" Our expert guest is physiotherapist and pain researcher Hayley Leake. After working clinically for six years, Hayley embarked on a PhD mission at the University of South Australia with Professor Lorimer Moseley's research group. Her research aims to optimize pain education for adolescents and adults living with chronic pain. Pain education is a popular treatment approach for treating persistent pain that involves learning a variety of concepts related to pain and is thought to be an important part of recovery. In this episode, we discussed targeted concepts and themes that seem to be the most important of value to those living with chronic pain when delivering a pain education intervention. Without further ado, let's begin and meet Physiotherapist and Pain Researcher, Hayley Leake. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast

We have an important episode. We're discussing the association between chronic pain and suicide. The information you'll learn in this episode may help you screen for the risk of suicide more effectively. It may help you effectively treat suicide, and by learning and sharing this information, you may save a life. According to the American Foundation for Suicide Prevention, suicide is the tenth leading cause of death in the United States. In 2019, approximately 48,000 Americans died by suicide. In that same year, there were an estimated 1.4 million suicide attempts. Chronic pain is a risk factor for suicide, and research indicates that chronic pain is present in about 10% of those who die by suicide. It's important as licensed healthcare professionals and loved ones of those who live with chronic pain that we learn how to ask the right questions, assess for risk factors, and intervene to help prevent suicide rates. In a few moments, you'll meet Clinical Psychologist, Dr. Joan Rosenberg, who has conducted resear

We explore how overweight and obesity are linked with persistent pain and the importance of physical therapists promoting combined nutrition, exercise, and weight loss programs when treating chronic pain syndrome. Joining us as an expert guest is Anneleen Malfliet. She is an Assistant Professor, Postdoctoral Researcher, and a member of the Pain in Motion international research group. Research in clinical investigations centers on chronic pain with a special interest in spinal pain, central sensitization nutrition, and diet. In this episode, we will explore the broader lifestyle perspective when considering the link between obesity and chronic pain, how a clinician can assess the presence of obesity or be overweight. Finally, how to approach weight reduction and organize a weight management program in clinical practice. There is a lot packed into this episode. You will gain a lot from the information and data that Anneleen has around the impact of obesity on chronic pain. Let's begin and meet Anneleen Malfliet

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In this episode, we're exploring the concept of interoception, and how it impacts both physical and mental well-being. Interoception can be defined as one sense of their internal state of the body. This is a full-body sensory experience that has both a conscious as well as a subconscious or semi-conscious layer to it. As practitioners, we're able to train the sense just as we would train balance or proprioception. Interoception includes the brain's processing of signals relayed up from the body into specific sub-regions of the brain, such as the brainstem, the insula and the somatosensory cortex. This felt a sense of our body, its organs, and all of our physiologic processes allow for specific, as well as subtle or nuanced representation of our emotional and physical state. Interoception is important for maintaining homeostasis in the body. It improves one’s self-awareness or body awareness. It's a critical component of mindfulness training, especially when you're working with body-based conditions, such as r

I had the opportunity to speak on a panel for the development of a new chronic pain app. There were three of us that were practitioners on that panel. It was myself, a social psychologist and our guest, Dr.Natalie Dattilo. We were fielding questions both from people living with pain as well as practitioners. I had the opportunity to get to know Natalie and I wanted to share her with you and introduce you to her because I found her approach to be very refreshing. For me, it was refreshing even though we know that mental health is finally getting the attention it deserves both in pain care and other aspects of illness. What I like about her approach is that she focuses on well-being and resilience. Instead of focusing on what's wrong, she's focusing on what can we improve and how can we improve someone's resiliency so that they can cope and overcome whatever physical or mental health challenge that they're facing. She is a licensed Clinical and Health Psychologist who specializes in the treatment of depression,

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Professor Annette Willgens is going to be sharing some amazing information about mindfulness. I want to share her bio with you before we begin. She is a Clinical Associate Professor at the Doctor of Physical Therapy Program at Temple University. She has over 30 years of experience in both clinical practice as well as educating students and professionals.   Her scholarly agenda, which is what makes me excited, includes studying mindfulness and how it relates to resilience and stress management. Why I love her work so much is because she's working from the inside. She's working inside an active DPT program to educate future DPTs, future physical therapists, and oftentimes other health professionals that she works with on an interprofessional basis in the university setting.   Mindfulness is important for lots of different physical as well as mental health conditions. It is not being taught so much in PT school. We're excited to share this information with you. I'm personally excited to share her with you. I lov

This was a fun episode for me for lots of different reasons. The first reason, I spent a lot of time over past episodes talking about cognitive-behavioral therapies, in essence, if you will, the more top-down approaches for the treatment of chronic pain as well as other health conditions. Being a physical therapist, I work with both the mind as well as the body. I want to turn some attention toward more of the embodied therapies, more of the bottom-up approaches, and how they can have a very positive influence and impact on someone's pain and their overall health. In this episode, we are going to discuss awareness through movement and how the Feldenkrais Method can be used as a tool for pain management. My guest for this episode is Professor Teresa Miller. She is the Founding DPT Program Director at St. John's University, a graduate of the American Physical Therapy Association Educational Leadership Fellowship, and a Guild Certified Feldenkrais Practitioner. She is an Associate Professor Emeritus from State U

Friends, thanks for joining me on this episode. I am speaking with Physical Therapist Zachary Stearns about how to screen for psychological factors when treating patients with chronic pain. Zachary is a physical therapist in Durham, North Carolina. He's board-certified in Orthopedic Physical Therapy and has worked in outpatient clinics, which have a focus on musculoskeletal pain management. He's currently working on a large research study, which is called the AIM-back program. This is a collaborative effort between Duke University and the U.S Department of Veterans Affairs. He's also a PhD student in Health Sciences. In this episode, we discuss the benefits of screening for psychological factors or what we call “yellow flags” in chronic pain management. What types of screening tools can you use? Self-report measures that you can use in your practice. As physical medicine professionals, should we be screening for suicidality? If we do have a positive screening, how do we approach that? How do we follow through

In this episode, we have two incredible guests. I'm excited to bring two guests with some incredible experience and research behind them to talk about an important topic, which is bringing ACT to a multidisciplinary pain clinic setting. My guests are Physical Therapist Corinne Cooley and Psychologist Heather King. First, I'll tell you about Corinne. She is a Physical Therapist at the Stanford Pain Management Center and a Clinical Residency Faculty Member in the Stanford Orthopaedic Clinical Residency Program in California. She works with pain physicians and pain psychologists to help optimize complex patient care plans, and leads the exercise and movement portion of interdisciplinary outpatient programs.   Psychologist, Heather King, is a Clinical Associate Professor in the Department of Anesthesiology and Peri-Operative Pain Medicine. She also serves as the Director of the Pain Psychology Fellowship at Stanford. Her areas of expertise are Cognitive Behavioral Therapy for pain as well as insomnia, and Accepta

In this episode, we're tackling the important but often times not spoken about the impact of trauma and PTSD on the experience of chronic pain. We're going to be sharing a masterclass that was delivered by a physical therapist, Dr. Jeremy Fletcher, on the topic of trauma-informed pain care and why all of us as healthcare professionals should be more sensitive to the needs of people living with trauma and PTSD. Jeremy does share a number of slides. It's got some great data and some beautiful slides to share with everyone.   Let me tell you a little bit about Jeremy before we begin this episode. Jeremy is a Physical Therapist and serves as the Director of Community Integration for a company called Veterans Recovery Resources. This is a non-profit mental health organization, which is located in Mobile, Alabama. He is a former Professor of Physical Therapy. He's also presented at state, national, and international conferences on the topic of chronic pain, health behavior trauma, as well as community health. He's

The month of September is Pain Awareness Month. In years past, I've done lots of different things for Pain Awareness Month. I've held online summits, which hosted 30 plus experts. I've done courses for professionals and people with pain. In 2021, I was trying to figure out, "What are we not talking about in the chronic pain space that we need to bring more awareness around? What should we be talking about? What can we bring some more disruption around to disrupt our pain care world out there that isn't always as effective for people with chronic pain?" As I started to reflect on my practice and the patients I've seen over many years I've been treating patients looking at research, I said, "We need to talk more about the link between trauma and chronic pain." This September, I've done a couple of different things to raise awareness around the trauma-pain connection. The first is I've done lots of different posts on my Instagram handle. If you can head on over to Instagram and find me, my handle is easy. It's @