Paincast

Canadian Physiotherapy Association Pain Science Division
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Paincast is an effort of the Pain Science Division at the Canadian Physiotherapy Association. Paincast brings together researchers, clinicians, and students to facilitate knowledge translation, discussion, and critical thinking on topics related to pain and physiotherapy. The views expressed in each episode are of individual guests, do not constitute medical advice, and do not represent the views of the Pain Science Division or the Canadian Physiotherapy Association. Follow us on Instagram @paincast.psd. While there is an effort to incorporate research evidence in the episodes, and the topic is researched by the host, 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 feedback through this form: https://forms.gle/BQ4KymfsCuTSFGaX7. You may contact Tiffany Tiu at paincast.psd@gmail.com if you have any other inquiries.

  1. AUG 30

    Ep42: Pain is More Than What the Knee Looks Like: Osteoarthritis Pain Mechanisms and Phenotypes with Dr. Lisa Carlesso

    In this episode, we talked about The relationship between knee osteoarthritis (OA) pain and the stages of knee OA The different experiences of knee OA pain Pain phenotyping using Quantitative Sensory Testing and self-reported measures   Dr. Lisa Carlesso is a an associate professor in the School of Rehabilitation Science at McMaster University in Canada with training as a clinical epidemiologist and a physical therapist.  Her research program is broadly focussed on understanding the mechanisms and consequences of musculoskeletal pain with a particular focus on OA joint pain. Her research strives to optimize outcomes for people with chronic musculoskeletal disorders by 1. Understanding the complex mechanisms of acute and persistent pain through pain phenotyping to improve prognosis and treatment, 2. Using the understanding of endogenous modulation of pain to enhance conservative treatment options and 3. Improving the clinical measurement of pain.   Resources Aoyagi, K., et al. (2022). Does weight-bearing versus non-weight-bearing pain reflect different pain mechanisms in knee osteoarthritis?: the Multicenter Osteoarthritis Study (MOST). Osteoarthritis and cartilage, 30(4), 545-550. Rankin, J., et al. (2022). Quantitative sensory testing protocols to evaluate central and peripheral sensitization in knee OA: a scoping review. Pain Medicine, 23(3), 526-557. Carlesso, L. C., et al. (2022). Association of pain sensitization and conditioned pain modulation to pain patterns in knee osteoarthritis. Arthritis care & research, 74(1), 107-112. Carlesso, L. C. (2023). The impact of altered neural processing of nociceptive signals on physical function in people with knee OA—we know little and have much to learn. Osteoarthritis and Cartilage, 31(7), 844-846. Neelapala, Y. R., et al. (2024). Exploring different models of pain phenotypes and their association with pain worsening in people with early knee osteoarthritis: the MOST cohort study. Osteoarthritis and cartilage, 32(2), 210-219. Neelapala, Y. R., et al. (2025). Latent transition analysis of pain phenotypes in people at risk of knee osteoarthritis: The MOST cohort study. Osteoarthritis and cartilage. Carlesso, L. C., et al. (2022). Use of IMMPACT recommendations to explore pain phenotypes in people with knee osteoarthritis. Pain Medicine, 23(10), 1708-1716. Carlesso, L. C., et al. (2021). Association of intermittent and constant knee pain patterns with knee pain severity and with radiographic knee osteoarthritis duration and severity. Arthritis care & research, 73(6), 788-793. Social media:  Bluesky profile @lisacarlesso.bsky.social Dr. Carlesso's lab's website: https://painmovementresearch.healthsci.mcmaster.ca/ 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 episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, 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 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/

    1h 1m

  2. JUL 28

    Ep41: Assessing and Treating Neuropathic Pain (Part 2): Important Theoretical and Practical Considerations with Dr. Tara Packham

    In this episode, we talked about: Do we really understand what desensitization is? Clarifying concepts, including desensitization, hypersensitivity, sensory re-education, graded exposure, and counterstimulation Important practical considerations for using “desensitization” with patients Incorporating contextual effects of treatment and orienting patients to positive recovery expectations  Dr. Tara Packham is an occupational therapist with over 25 years of clinical experience in hand and upper limb rehabilitation, and an assistant professor in the School of Rehabilitation Sciences (SRS) at McMaster University.  Tara’s program of research focuses on assessing and addressing persistent pain, and continuing to advance the field of hand rehabilitation.  Tara has published and presented extensively for both hand rehabilitation and pain management audiences on persistent pain conditions impacting the upper extremity.  Her research spans development and evaluation of outcome measures, refining and testing interventions, and exploring the experiences of persons with health challenges accessing rehabilitation.  She is the Editor in Chief at Hand Therapy  and currently serves on the editorial boards of the Journal of Hand Therapy and Pain Medicine, and on the executive of the Complex Regional Pain Syndrome Special Interest Group at the International Association for the Study of Pain. Social Media X: @TaraLPackham LinkedIn: https://www.linkedin.com/in/tara-packham-21918924/  IMPRinT lab: https://painmovementresearch.healthsci.mcmaster.ca/  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 episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, 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 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/

    33 min

  3. JUL 1

    Ep40: World Physiotherapy Congress Special: Asking Physios Around the World about Pain

    This episode is produced during the 2025 World Physiotherapy Congress in Tokyo, Japan. I interviewed physiotherapists around the world about pain.  Content: (00:01:59) Nicola - United Kingdom (00:11:54) Helen - Switzerland (00:18:52) Mio - Japan (00:20:23) Edgar - Columbia (00:30:28) Marcia - Canada (00:43:31) Rosi & Leila - Indonesia (00:45:07) Nirit - Israel (00:52:56) Mike Landry - World Physiotherapy President  Episodes 8 and Episode 25 are also interviews with clinicians about pain. They are recorded during the Canadian Physiotherapy Association Congresses in 2023 and 2024. Mike Landry also spoke about World Physiotherapy in Episode 28.   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 episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, 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 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/

    57 min

  4. MAY 27

    Ep39: Assessing and Treating Neuropathic Pain (Part 1): Current and Emerging Approaches with Dr. Tara Packham

    In this episode, we talked about: Non-pharmacological management options for neuropathic pain All about the Somatosensory Pain Rehab method The current research on Somatosensory Pain Rehab Dr. Tara Packham is an occupational therapist with over 25 years of clinical experience in hand and upper limb rehabilitation, and an assistant professor in the School of Rehabilitation Sciences (SRS) at McMaster University.  Tara’s program of research focuses on assessing and addressing persistent pain, and continuing to advance the field of hand rehabilitation.  Tara has published and presented extensively for both hand rehabilitation and pain management audiences on persistent pain conditions impacting the upper extremity.  Her research spans development and evaluation of outcome measures, refining and testing interventions, and exploring the experiences of persons with health challenges accessing rehabilitation.  She is the Editor in Chief at Hand Therapy  and currently serves on the editorial boards of the Journal of Hand Therapy and Pain Medicine, and on the executive of the Complex Regional Pain Syndrome Special Interest Group at the International Association for the Study of Pain. Resources Patient support groups for CRPS: Canada - PARC: Promoting Awareness of RSD and CRPS in Canada  https://www.rsdcanada.org/parc/english/index.html / USA - RSDSA https://rsds.org/  Packham, T. L., Spicher, C. J., MacDermid, J. C., Michlovitz, S., & Buckley, D. N. (2018). Somatosensory rehabilitation for allodynia in complex regional pain syndrome of the upper limb: A retrospective cohort study. Journal of Hand Therapy, 31(1), 10-19. Somatosensory Pain Rehabilitation Network: https://www.neuropain.ch/en/home Hebert, A., MacDermid, J., Harris, J., & Packham, T. (2024). How should we treat painful sensitivity in the hand? An international e-Delphi study. Journal of Hand Therapy, 37(1), 12-21. Shafiee, E., MacDermid, J., Packham, T., Grewal, R., Farzad, M., Bobos, P., & Walton, D. (2023). Rehabilitation interventions for complex regional pain syndrome: an overview of systematic reviews. The Clinical Journal of Pain, 39(9), 473-483. Social Media X: @TaraLPackham LinkedIn: https://www.linkedin.com/in/tara-packham-21918924/  IMPRinT lab: https://painmovementresearch.healthsci.mcmaster.ca/  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 episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, 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 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/

    51 min

  5. MAY 11

    Ep38: Musings from over 40 years of practice: Bas Asselbergs Chats with an Early-career Physiotherapist (Part 2)

    In this episode, we talked about: A shift in how we think about the role of our hands as our understanding of pain science and patient science evolve Discussing and addressing patient expectations for physiotherapy Advice for physiotherapists, new and experienced   Graduated in 1983, Bas has extensive post-graduate experience in manual, exercise and movement focused therapies, sports physiotherapy and pain related education. He was a Mentor for post-graduate physiotherapists for the Pain Sciences Division of the Canadian Physiotherapy Association, and has been Team Therapist for the Junior National Figure Skating Team and the National Cross-Country Ski Team, and attended many National, World and Olympic competitions of a wide variety of sports. He has taught workshops in North America to Osteopaths, Medical Doctors and Physiotherapists since 1992. Sebastian will never stop learning. He enjoys his attempts at golf, loves travelling and being with friends and family.   Exploring Pain: Research and Meaning Facebook Group: https://www.facebook.com/groups/ExplainingPainScience   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 episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, 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

    47 min

  6. APR 30

    Ep37: What Does It Take to Provide Excellent Chronic Pain Care? An Interdisciplinary Pain Clinic Model with Dr. Angela Mailis

    In this episode, we talked about  The systemic challenges in Ontario’s healthcare system and pain management The importance of a quality interdisciplinary team for the benefit of the patient  What it takes to create a successful high-quality patient-centred interdisciplinary team Dr. Angela Mailis obtained her medical degree from the Medical School of Kapodistriakon University of Athens Greece Summa Cum Laude; became a Fellow of the Royal College of Physicians of Canada with specialization in Physical Medicine (1982); and holds a Master’s degree from the Institute of Medical Science, University of Toronto (1988). She rose to the rank of Full Professor at the Faculty of Medicine, University of Toronto (2005) and has practiced exclusively in the area of Chronic Pain for the past 43 years. She founded and directed the Comprehensive Pain Program of the Toronto Western Hospital/University Health Network for 33 years (1982-2015). Subsequently she became the founder and director of the Pain and Wellness Centre in Vaughan, Ontario (2014-present), the only academic community-based pain clinic, funded by the Ontario Ministry of Health. Resources The Pain & Wellness Centre website: https://thepwc.ca/ Dr. Angela Mailis’s website: https://drangelamailis.com/ Pain & Wellness YouTube Channel: https://www.youtube.com/@PainAndWellnessCentre  Power Over Pain: https://poweroverpain.ca/  Mailis, A., & Lakha, S. F. (2019). From (Ontario Ministry of Health and Long-Term Care) policy to implementation: a retrospective look at a community-based patient-centered model of care for chronic pain. Canadian Journal of Pain, 3(1), 114-125. Mailis, A., Deshpande, A., & Lakha, S. F. (2022). Long term outcomes of chronic pain patients attending a publicly funded community-based interdisciplinary pain program in the Greater Toronto area: results of a practice-based audit. Journal of Patient-Reported Outcomes, 6(1), 44. Lakha, S. F., Hapidou, E. G., Robinson, J., & Mailis, A. (2022). Comparison of motor vehicle accident (MVA) survivors and non-MVA pain patients attending an interdisciplinary pain management program. Psychological Injury and Law, 15(4), 385-394. Social media Facebook: https://www.facebook.com/painandwellnesscentre/ Instagram: https://www.instagram.com/painandwellnesscentre/ LinkedIn: https://www.linkedin.com/company/thepwc/?viewAsMember=true  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 episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, 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 Follow us on Instagram: https://www.instagram.com/paincast.psd/

    1h 7m

  7. MAR 21

    Ep36: Musings from over 40 years of practice: Bas Asselbergs Chats with an Early-career Physiotherapist (Part 1)

    In this episode, we talked about: How we can reinforce our own confirmation bias and how to break the cycle What matters the most as physiotherapists How your experiences as a physiotherapist drastically change as you shift your paradigm from a fixer mindset to a guide mindset How Bas refined the art of connecting with patients over the years and help them understand pain science Why is it of paramount importance that we help patient understand their pain   Graduated in 1983, Bas has extensive post-graduate experience in manual, exercise and movement focused therapies, sports physiotherapy and pain related education. He was a Mentor for post-graduate physiotherapists for the Pain Sciences Division of the Canadian Physiotherapy Association, and has been Team Therapist for the Junior National Figure Skating Team and the National Cross-Country Ski Team, and attended many National, World and Olympic competitions of a wide variety of sports. He has taught workshops in North America to Osteopaths, Medical Doctors and Physiotherapists since 1992. Sebastian will never stop learning. He enjoys his attempts at golf, loves travelling and being with friends and family.   Exploring Pain: Research and Meaning Facebook Group: https://www.facebook.com/groups/ExplainingPainScience   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 episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, 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

    59 min

  8. JAN 20

    Ep35: Holistic Approach to Cancer-Related Pain with Dr. Jenna Smith-Turchyn and Holly Edward

    In this episode, we talked about: Experiences of having cancer and cancer-related pain The significance of physiotherapy in cancer rehab and managing cancer-related pain Common misconceptions about physiotherapy for people living with or beyond cancer How physiotherapists can consider the evidence of cancer rehab and the unique biopsychosocial realities of individuals when providing care    Jenna Smith-Turchyn, PT, PhD, is a physiotherapist and Assistant Professor in the School of Rehabilitation Science at McMaster University. She is also co-chair of the Canadian Physiotherapy Association’s Oncology Division. Jenna has an active research program at various cancer centres across Ontario. Her research focuses on cancer rehabilitation for individuals living with or beyond a cancer diagnosis, with the goal of maximizing participation and physical functioning.   Holly Edward is a physiotherapist and PhD Candidate working under the supervision of Dr. Jenna Smith-Turchyn at McMaster University. Holly's thesis project explores and evaluates the use of a physiotherapist-navigator role for individuals newly diagnosed with cancer. Holly's research promotes symptom assessment and management to be included in standard and routine cancer care in Canada to promote optimal physical function and improve the quality of life in individuals living with and beyond cancer. Holly is also a member of the executive of the Canadian Physiotherapy Association’s Oncology Division.   Resources Canadian Physiotherapy Association Oncology Division website: https://www.oncologycpa.ca Exercise Guidelines for Cancer Survivors (Campbell et al., 2019): https://pmc.ncbi.nlm.nih.gov/articles/PMC8576825/ Cancer Care Ontario Exercise Recommendations: https://www.cancercareontario.ca/sites/ccocancercare/files/ExerciseGuide.pdf Prospective Surveillance Model (Stout et al., 2012): https://pubmed.ncbi.nlm.nih.gov/22488693/ Cancer Care Ontario Symptom Management Guide- Pain:  https://www.cancercareontario.ca/en/system/files_force/symptoms/CCOPainFull.pdf?download=1 Website containing free resources to learn about oncology: https://www.learnoncology.ca/modules   Social Media handles X and LinkedIn @SmithTurchyn Instagram and LinkedIn @oncologyphysiotherapy @holly_edward   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 episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, 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

    54 min
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About

Paincast is an effort of the Pain Science Division at the Canadian Physiotherapy Association. Paincast brings together researchers, clinicians, and students to facilitate knowledge translation, discussion, and critical thinking on topics related to pain and physiotherapy. The views expressed in each episode are of individual guests, do not constitute medical advice, and do not represent the views of the Pain Science Division or the Canadian Physiotherapy Association. Follow us on Instagram @paincast.psd. While there is an effort to incorporate research evidence in the episodes, and the topic is researched by the host, 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 feedback through this form: https://forms.gle/BQ4KymfsCuTSFGaX7. You may contact Tiffany Tiu at paincast.psd@gmail.com if you have any other inquiries.

Information

  • Creator
    Canadian Physiotherapy Association Pain Science Division
  • Years Active
    2023 - 2025
  • Episodes
    42
  • Rating
    Clean
  • Copyright
    © Copyright 2023 All rights reserved.
  • Show Website
    Paincast