Pain Science and Sensibility Sandy Hilton & Cory Blickenstaff

Sandy and Cory discuss a recent paper that did not find an effect of providing education with therapeutic alliance in a chronic low back pain population. Does that settle the question of whether establishing a therapeutic alliance is worthwhile, or is there more to it? Of course there's more to it. Listen in on the conversation and see if you agree with our take.

Education With Therapeutic Alliance Did Not Improve Symptoms in Patients With Chronic Low Back Pain and Low Risk of Poor Prognosis Compared to Education Without Therapeutic Alliance: A Randomized Controlled Trial.
Miyamoto GC, Fagundes FRC, de Melo do Espírito Santo C, et al.
JOSPT. 2021 Aug;51(8):392-400. doi: 10.2519/jospt.2021.9636. Epub 2021 May 7.

Music by Kevin MacLeod – incompetech.com:
Intro – Brandenburg No4 and Meatball Parade
Close – Meatball Parade

In this episode, Sandy and Cory take a look at this popular publication from 2019 proposing an "Enactive Approach" to pain. There's a lot to cover in this paper as it takes us through a history of pain science up to the Biopsychosocial model at which point it proceeds to point out some flaws in the model. GASP! Take a listen as the discussion unfolds.
An enactive approach to pain: beyond the biopsychosocial model.
Peter Stilwell & Katherine Harman.
Phenomenology and the Cognitive Sciences. 18, pages637–665(2019). doi: 10.1007/s11097-019-09624-7.
Music by Kevin MacLeod - incompetech.com:
Intro - Brandenburg No4 and Meatball Parade
Close - Meatball Parade

The gang is all here (except Greg) for another festive dump of holiday cheer! Happy Holidays everyone!!!

Pain flare-ups are one of the most frustrating things for patients and clinicians alike. Are they normal? Who gets them? Why is it important to know their prevalence? What are Sandy and Cory's thoughts on dealing with them?  All this and more in episode 50!
Prevalence, Severity, and Correlates of Pain Flares in Response to a Repeated Sit-to-Stand Activity: A Cross-sectional Study of 14 902 Patients With Knee and Hip Osteoarthritis in Primary Care.
Søren T Skou, Dorte T Grønne, Ewa M Roos.
J Orthop Sports Phys Ther. 2020 Jun;50(6):309-318. doi: 10.2519/jospt.2019.9125. Epub 2019 Sep 6.
Music by Kevin MacLeod - incompetech.com:
Intro - Brandenburg No4 and Meatball Parade
Close - Meatball Parade

We are joined in this episode by Professor Lorimer Moseley AO for a casual chat about pain. Lorimer gave us his thoughts on recent and future clinical research and the translation of the evidence into the clinic.  Is there an expiration date for recovery from persistent pain? How can we enhance learning the things that matter? Was it a mistake to think that we could/should explain pain? Does Sandy work pelvic health examples into this conversation?
Music by Kevin MacLeod - incompetech.com:
Intro - Brandenburg No4 and Meatball Parade
Close - Meatball Parade

Do you use SI joint tests? What type of information do the tests give you? Should you be using them? These are just a few of the questions that arise in the discussion of this recent perspective paper. Join us for episode 48!

Changing the Narrative in Diagnosis and Management of Pain in the Sacroiliac Joint Area.
Palsson TS, Gibson W, Darlow B, et al.
Phys Ther. 2019;99(11):1511-1519. doi:10.1093/ptj/pzz108

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music by Kevin MacLeod - incompetech.com:
Intro - Brandenburg No4 and Meatball Parade
Close - Meatball Parade