48 episodes

Join co-hosts Sandy Hilton and Cory Blickenstaff, physical therapists who are "in the trenches" practicing in unique settings on opposite sides of United States, as they discuss current research and topics of pain science. Listen in on occasional interviews of the prominent figures of pain science. Focus will be on making the information meaningful to practice in the clinic.

Pain Science and Sensibility Sandy Hilton & Cory Blickenstaff

    • Medicine
    • 4.7, 25 Ratings

Join co-hosts Sandy Hilton and Cory Blickenstaff, physical therapists who are "in the trenches" practicing in unique settings on opposite sides of United States, as they discuss current research and topics of pain science. Listen in on occasional interviews of the prominent figures of pain science. Focus will be on making the information meaningful to practice in the clinic.

    047 Is It Safe For Women To Lift Heavy Things?

    047 Is It Safe For Women To Lift Heavy Things?

    Is it safe to exercise and lift heavy things for people with pelvic organ prolapse symptoms? Or put more bluntly, will lifting heavy weights make your lady bits fall out? Is lifting weight asking for trouble? That is the question that our guest this month is seeking to answer and Sandy and Cory sit down to ask some questions about her recently published cross sectional study that is a start to this research. There are some important implications of this and potentially some misconceptions that are driving current approaches. Please listen as we are joined by physiotherapist and PhD candidate, Lori Forner for this episode of Pain Science and Sensibility.

    Symptoms of pelvic organ prolapse in women who lift heavy weights for exercise: a cross-sectional survey.
    Forner LB, Beckman EM, Smith MD.
    Int Urogynecol J. 2019 Dec 7. doi: 10.1007/s00192-019-04163-w. [Epub ahead of print]

    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

    • 50 min
    046 Is There an Advantage to Pain Free Rehab?

    046 Is There an Advantage to Pain Free Rehab?

    These questions arise very frequently in rehabilitation. Should it hurt? Is it OK if it hurts? Will I set myself back if it hurts? Will I get better if it doesn't hurt? In this episode we examine a pair of articles that examine these questions. One article is an RCT that covers pain free vs. painful exercise in an acutely injured population, while the other is a systematic review and meta analysis of the approach in chronic pain populations.

    Pain-Free Versus Pain-Threshold Rehabilitation Following Acute Hamstring Strain Injury: A Randomized Controlled Trial.
    Hickey JT, Timmins RG, Maniar N, Rio E, Hickey PF, Pitcher CA, Williams MD, Opar DA.
    J Orthop Sports Phys Ther. 2020 Feb;50(2):91-103. doi: 10.2519/jospt.2020.8895.

    Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis.
    Smith BE, Hendrick P, Smith TO, Bateman M, Moffatt F, Rathleff MS, Selfe J, Logan P.
    Br J Sports Med. 2017 Dec;51(23):1679-1687. doi: 10.1136/bjsports-2016-097383. Epub 2017 Jun 8.

    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

    • 43 min
    045 A Review of Surgery for Rotator Cuff Tears

    045 A Review of Surgery for Rotator Cuff Tears

    A recent Cochrane review looked at studies of people with rotator cuff tears comparing those who had surgery with those who did not. What do you think they found? Did surgery provide benefit? Is it OK to go without surgery in these cases? Sandy and Cory discuss these findings and provide their clinical commentary in this episode of Pain Science and Sensibility.

    Surgery for rotator cuff tears.
    Karjalainen TV, Jain NB, Heikkinen J, Johnston RV, Page CM, Buchbinder R.
    Cochrane Database Syst Rev. 2019 Dec 9;12:CD013502. doi: 10.1002/14651858.CD013502.

    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

    • 39 min
    044 Cognitive Functional Therapy Vs. Group Therapy Plus Education

    044 Cognitive Functional Therapy Vs. Group Therapy Plus Education

    This episode covers a recent paper that compares a popular and trending approach, Cognitive Functional Therapy, against a group treatment and exercise intervention. The primary outcomes were pain and disability. The results may surprise you. Join Sandy and Cory as they discuss the findings, what to make of them, and the clinical impact.
    Cognitive functional therapy compared with a group-based exercise and education intervention for chronic low back pain: a multicentre randomised controlled trial (RCT).
    O'Keeffe M, O'Sullivan P, Purtill H, Bargary N, O'Sullivan K.
    Br J Sports Med. 2019 Oct 19. pii: bjsports-2019-100780. doi: 10.1136/bjsports-2019-100780. [Epub ahead of print]
    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

    • 52 min
    043 An Interview with Dr Henrik Vaegter

    043 An Interview with Dr Henrik Vaegter

    In the last episode (42) a systematic review was discussed regarding the value of pre-operative measures in predicting pain post-operatively. In this episode, Dr. Henrik Vaegter, an author of that review joins us to discuss that research as well as several other fascinating topics regarding exercise and pain. In this interview we discuss topics of Exercise Induced Hypoalgesia, Conditioned Pain Modulation, and Temporal Summation of Pain, all of which are among the focus of Dr. Vaegter's research. What do the findings in these phenomenon tell us about how we should or should not address exercise in our patients with pain? Tune it to episode 43 for a very informative discussion!

    Are preoperative experimental pain assessments correlated with clinical pain outcomes after surgery? A systematic review.
    Sangesland A, Støren C, Vaegter HB.
    Scand J Pain. 2017 Apr;15:44-52. doi: 10.1016/j.sjpain.2016.12.002. Epub 2016 Dec 19.

    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

    • 48 min
    042 Does Preop Pain Predict Postop Pain?

    042 Does Preop Pain Predict Postop Pain?

    In this episode Sandy and Cory discuss a systematic review which investigated what pre operative pain tells us about a person’s propensity for post operative pain. Is it predictive? If so, would changing it matter? The discussion gets into these topics and more.

    Are preoperative experimental pain assessments correlated with clinical pain outcomes after surgery? A systematic review.
    Sangesland A, Støren C, Vaegter HB.
    Scand J Pain. 2017 Apr;15:44-52. doi: 10.1016/j.sjpain.2016.12.002. Epub 2016 Dec 19.

    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

    • 44 min

Customer Reviews

4.7 out of 5
25 Ratings

25 Ratings

Crlax44 ,

Great just wish they listed pubmed siting

Understand they can't list article as free, but can we get pubmed listing in title of each session?

Amy/RestoringVenus ,

Fun exploration of research!

I love Sandy and Cory’s approach to diving in deep on these research papers. I have learned so much from listening to this podcast. Not only have I learned about topics, but I have also gained confidence and insight into reading the research on my own. Thanks for a great show and a great service! - Amy from RestoringVenus.com

HarPo@N ,

Love the focus on research

Sandy and Cory do an amazing job discussing relevant research articles that is very beneficial for clinicians to hear. Highly recommend! -Brandon of HET

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