The Pain Podcast

Episode 34 - Ass. Prof. Alessandro Chiarotto - Prognosis and treatment of chronic low back pain

Pain researcher and pain specialist Dr. Alessandro Chiarotto discusses the mechanisms behind chronic low back pain and designing effective interventions.
Welcome back, listeners, to another intriguing episode of Le Pub Scientifique! Today, we have a special guest with us, Dr. Alessandro Chiarotto, an Assistant Professor at Erasmus University Hospital in Rotterdam (NL) and a renowned expert in the field of pain research.
#treatment #lowbackpain #Placebo #Regressiontothemean #BIAS #Realtreatmenteffects
 
Dr. Alessandro Chiarotto is an esteemed Assistant Professor in the field of pain research. With a strong background in physiotherapy and evidence-based practice, Dr. Chiarotto has dedicated his career to understanding and treating chronic pain.
Dr. Chiarotto's recent work has focused on investigating the mechanisms behind chronic pain and developing effective interventions. He has conducted extensive research to identify factors that contribute to the persistence of pain beyond the expected healing time, such as psychosocial factors, central sensitization, and maladaptive pain processing.
In his studies, Dr. Chiarotto has explored the effectiveness of various treatments, including physical therapy, cognitive-behavioral therapy, and interdisciplinary pain management approaches. His research aims to provide clinicians with evidence-based guidance on the most appropriate interventions for different types of chronic pain.
Dr. Chiarotto's work has been published in renowned scientific journals, and he is actively involved in collaborative research projects with multidisciplinary teams. He is passionate about translating research findings into clinical practice and improving the lives of individuals living with chronic pain.
 

Episode 33 - James Close - Pain and psychedelics

James Close discusses the potential role that psychedelics may play in the future for people suffering with persistent pain. He gives a brief history of the development of psychedelics and how they have been used to help heal. He talks about the  mechanisms of action, up regulation of genes associated with plasticity and behavioural influences, that give hope to a pharmacologically-assisted therapeutic approach for people with chronic pain. 
James recommended two books as further reading:
- How to change your mind, Michael Pollan
- Psychedelics, Prof. David Nutt
James Close is a pain specialist physiotherapist and PhD student at Imperial College London where he is exploring the potential for psychedelic-assisted therapy for people in pain.

Episode 32 - Bart van Buchem - Pain eduction and learning to learn

We explore what pain clinician and educator (and host of this podcast!) Bart thinks about his ongoing educational journey in pain. Including, the deliberate techniques that he employs to facilitate this learning journey
Bart van Buchem has been an integral part of Noigroup since 2012, initially leading the translation and teaching of Explain Pain in the Dutch language – Begrijp de Pijn. Ten years on, Bart is now Director of Noigroup European Operations, and is driving for broader access to courses and publications on the European continent.
A physiotherapist by background, Bart specialises in chronic pain-related conditions through his clinic in The Netherlands Praktijk Noorder Spaarne. This continued clinical contact allows Bart to educate in Explain Pain with a genuine knowledge of applying the principles to practice.
Bart is an integral part of the Le Pub Scientifique team, initially taking live events to the Netherlands and more recently developing this Pain Podcast.
 

Episode 31 - Prof. Lorimer Moseley - The challenge and complexity of chronic pain

Lorimer's excitement in both work and life stems from a profound interest in the challenge of chronic pain. The more he learns about the workings of pain, including the biological processes involved and the experiences people go through, the more he is captivated by the complexity of this issue. The complexity of pain is awe-inspiring, highlighting the incredible nature of human beings. Recent advancements in pain research have revealed that the degree of complexity is far greater than what was previously believed a decade ago.
Professor Lorimer Moseley is a highly respected and renowned figure in the field of pain science and neuroscience. He has made significant contributions to our understanding of chronic pain and has played a crucial role in challenging traditional beliefs and perceptions surrounding this complex phenomenon.
Lorimer obtained his academic qualifications at the University of South Australia, where he completed his Bachelor's degree in Physiotherapy. He then went on to earn his Ph.D. in the field of neuroscience from the University of Sydney. Throughout his academic journey, Lorimer developed a deep fascination with pain and its intricate mechanisms.
As a leading expert in the field, Lorimer has held prominent positions at various prestigious institutions. He has served as a Professor of Clinical Neurosciences and the Inaugural Chair in Physiotherapy at the University of South Australia. Additionally, he has been involved with the Body in Mind research group, which focuses on advancing our understanding of pain and rehabilitation.
Lorimer's groundbreaking research and innovative approach to pain science have garnered widespread recognition. He has published numerous influential papers in scientific journals and has authored and co-authored several books that have become authoritative resources in the field. Through his work, Lorimer challenges conventional theories and encourages a more comprehensive understanding of pain as a complex biopsychosocial phenomenon.
Beyond his academic achievements, Lorimer is known for his engaging and passionate teaching style. He frequently presents at international conferences, delivers captivating TED talks, and provides educational workshops to healthcare professionals. His ability to translate complex scientific concepts into accessible language has made him a sought-after speaker and educator.
#chronicpain #lorimermoseley #complexity

Episode 30 - Dr Adam Weir - Groin pain

Specialist sports physician and researcher Dr Adam Weir's shares his expert knowledge on diagnosing and treating groin and related pain in adults and adolescents. While current guidelines do not distinguish between children and adolescents in the diagnosis and treatment of such pain, Adam believes that a unique approach is necessary for managing this common pathology. For instance, just like Osgood Schlatter, the os pubis is only fully developed in late adolescence, emphasizing the need for a distinct approach. Adam discusses the importance of adopting a more diverse and innovative approach to this issue. Pain science, in particular, has been shown to be a paradigm shift for physicians.
Dr Adam Weir is a Sports Physician working as a lecturer and researcher at Erasmus MC Rotterdam. His focus has been on groin and hip-related injuries and pain.
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Episode 29 - Roland Reezigt - What should clinicians learn about pain?

Roland Reezigt discusses the existing discrepancy between what is taught to physiotherapy students at university and the actual skills and knowledge needed in the field. To address this issue, Roland and Anneke Beetsma launched a Delphi study with the aim of identifying, through consensus, the essential pain-related topics that should be included in the undergraduate physical therapy curriculum. This groundbreaking study has united all universities in an effort to shape the curriculum and equip future physiotherapists with the appropriate skill set and knowledge. As a result, a new project has emerged, marking an exciting step towards improving the quality of physiotherapy education.
Roland Reezigt is a PhD Candidate, Faculty of Behavioural and Movement Sciences, Neuromechanics at Vrije Universiteit Amsterdam, a Physiotherapist and Manual therapist and a Lecturer at Hanze Hogeschool University of Applied Sciences.
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Episode 28 - Bernhard Taxer - Advances in migraine research and treatment

Bernhard Taxer discusses all things relating to migraine, including how we screen and assess people with migraine and the best treatment options available. Specifically, Bernhard introduces the notion of migraine as a neuroscience-limbic disease, the different emotional and psychosocial aspects affecting migraine, where lifestyle fits into the development and treatment of migraine. He also talks about bodily disruption and applying somatosensory and left/right judgement testing to understand this disruption.
Bernhard is a Physiotherapist, with a background in manual therapy. He has a special interest CP, headache and neuropathic pain. Currently is a Lecturer at FH JOANNEUM Graz University of Applied Sciences.  He also works in the clinic as a physiotherapist.
#migraine #Somatosensorytesting #bodily disruption #laterality  #QST
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Episode 27 - Dr. Ebonie Rio - Contemporary approaches to tendon pain

Dr. Ebonie Rio, a renowned tendon pain specialist, shares her insights on integrating her extensive knowledge of tendon pain and her cutting-edge research into her clinical work. With refreshing honesty, she encourages listeners to think outside the box and embrace the best of science to provide contemporary solutions for people suffering from tendon pain. You will gain valuable insights into the latest advances in tendon pain treatment and learn how to apply this knowledge to your clinical practice.
 
Dr. Ebonie Rio
Ebonie is a post doc researcher at La Trobe University and has completed her PhD in tendon pain, Masters Sports Phys, B. Phys (Hons) and B. App Sci. Her clinical career has included Australian Institute of Sport, Australian Ballet Company, Australian Ballet School, Melbourne Heart Football Club, Alphington Sports Medicine Centre, Victorian Institute of Sport, 2006 Commonwealth Games, 2010 Vancouver Winter Olympics, 2010 Singapore Youth Olympics, 2012 London Paralympics.
 
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Episode 26 - Dr. Lauren Heathcote - Applying the BPS model to cancer pain

Experimental psychologist Dr Lauren Heathcote shares her expert knowledge about applying a BPS model to cancer pain and other chronic diseases. She talks about what this means for clinical practice, the new treatment opportunities, psychologically wise interventions and how to embed these strategies into existing medical models.  
Dr. Lauren Heathcote is an Associate Professor of Health Psychology at King’s College London. Her research focuses on understanding psychosocial influences on the experience of pain in young people, particularly youth with chronic illnesses such as cancer and chronic pain.
 
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Episode 25 - A/Prof Nathan Hutting - Occupational health, pain and person centred care

A/Prof Nathan Hutting discusses his research and asks pertinent questions around the right skillset for clinicians working in occupational health and with work-related (pain) problems. Also, should the responsibility for these complaints be taken by the employee, the employers or a mixture of the two?
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Episode 24 - Tim Beames - Graded Motor Imagery for pain

Tim Beames is the co-founder of Le Pub Scientifique and also co-author of the Graded Motor Imagery (GMI) Handbook alongside Lorimer Moseley and David Butler. Tim talks about what GMI is, how this has changed over the years, what attributes a clinician needs to use GMI with a patient and where research is taking us in the evolution of GMI.
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Episode 23 - Leanne Rath - Elite sport and philosophy of pain

Specialist Sports Physiotherapist, Leanne Rath discusses how she uses philosophy, phenomenology and anthropology to inform her clinical practice.  Her work in elite sport and with high-performance athletes drove her to explore newer models of thinking, as there was often so much more to pain than just injury. In other words, viewing injury through a broader lens. 
 
Leanne discusses complexity and systems theories and how she incorporates them into her thinking about the injured athlete and how to implement them into rehabilitation strategies.
 
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Episode 22 - Professor Jo Nijs - Epigenetics and pain

Professor Jo Nijs discusses how lifestyle factors can influence a persons epigenetic and what this means to pain and the expression of pain for someone. Also, how each individual is affected differently by these lifestyle factors, including those predisposed to develop persistent pain problems. 
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Episode 21 - Professor Jon Stone - Functional Neurological Disorder and Pain

Professor Jon Stone discusses the features of Functional Neurological Disorder that help with a current understanding of the mechanisms associated with Complex Regional Pain Syndrome. Including, the onset of the conditions, how they can best be diagnosed and most appropriate treatment approaches
If you'd like to see the video version of this and many more 11 minute-sessions with world-leading pain experts on a huge range of pain-related topics then please go to www.lepubscientifique.com and sign up for free membership.
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Episode 20 - Dr. Albere Koke - Improving access to pain management programmes

Dr. Albere Koke shares his expert knowledge of multidisciplinary pain management programmes and their settings and how a biopsychosocial approach to understanding pain can be incorporated into them. Also, how access should be improved and speeded up for many individuals. 
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Episode 19 - Lissanthea Taylor - Narrative medicine and pain

Lissanthea Taylor discusses the role of narrative medicine in pain. She tells us what narrative medicine is and how we should welcome more involvement of the humanities into our understand of a personalised experience of pain
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Episode 18 - Tim Beames & Bart Van Buchem - Pain lessons from Le Pub Scientifique

In this special edition, we discuss some of the past speakers and how what we've heard has resonated with us, influenced our practices as clinicians and excited us about the future of pain care and treatment.
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Episode 17 - Dr Matt Bagg - the RESOLVE trial and chronic low back pain

Dr. Matt Bagg discusses an important research trial, the RESOLVE trial for chronic low back pain, the first large trial of its kind targeting the brain and nervous system utilising pain science, best practice and shared-decision making with the patients. What are the main rationales for the development of the trial and what were some of the practical difficulties experienced through the trial?
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Episode 16 - A/Prof Melanie Noel - Intergenerational influences on pain

A/Professor Melanie Noel discusses how pain and trauma in a parent can infer either risk or resilience in their children through epigenetics and behaviour. She particularly discusses the antidotes to the risks of generating pain in childhood
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Episode 15 - Laura Rathbone - Pain and ethics

Laura Rathbone talks about the types of difficulties that clinicians encounter day-to-day and constraints of the systems that we work in. Also, how we can support ourselves (as clinicians) to be able to best connect and support our patients
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Episode 14 - Dr. Dan Harvie - Pain and perception

Dr Dan Harvie talks about how the #painrevolution and the brain bus opened the door to a new way of thinking about pain for people suffering pain. In particular how perceptual illusions can be used to open discussion about pain experiences.
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Episode 13 - Professor Steve Kamper - Evidence in practice and pain

Professor Steve Kamper discusses how to make evidence more accessible for clinicians. What makes a paper useful? What should you look out for if you're reading a research paper?
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Episode 12 - Dr. Saurab Sharma - Culture and Pain

Dr. Saurab Sharma discusses the influence of culture on pain. He talks about the pain experience, the way people report pain and when and what would lead people from Eastern cultural backgrounds (Indian, Chinese, African) to seek help. Also, are treatments that are shown to be effective in people from Western cultural backgrounds likely to be effective in people from non-Western cultural backgrounds?  
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Episode 11 - Dr. Jane Chalmers - Pelvic Pain

Dr. Jane Chalmers talks about what excites her in pelvic pain research, including the concepts of safety and danger and how we begin a discussion around pelvic pain in the clinic
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Episode 10 - A/Prof Tasha Stanton - Perception and pain

A/Prof Tasha Stanton discusses her work on perceptual illusions and how this can help in the clinical context. She also introduces where predictive processing can help explain perceptual experiences
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