Physio Edge podcast with David Pope14 Des 2018

086. "Sore but not stuffed" - understanding and explaining your patients pain with Dr Tim Mitchell and Dr Darren Beales

How do you answer your patient when they ask why they still have back or neck pain more than 12 months after an injury? Shouldn't their body have healed by now? Why does their knee pain get worse every time they do their exercises, put tape on it, go for a walk or just climb the stairs?

What is going on? Why do they still have pain? How are you going to explain it, and how can you help them?

In this podcast with Dr Tim Mitchell and Dr Darren Beales, you'll discover:

4 types of pain, and how they change your assessment and treatment
Why some patients become sensitised following an injury
Questions you need to ask in your subjective
How to identify red flags
Is night pain and disturbed sleep a red flag?
When your patient is sensitised to pain, can you differentiate between central and peripheral sensitisation?
Important aspects to include in your objective assessment
Assessing movement and function
How hyperalgesia and allodynia affect your treatment
Why it can backfire if you tell your patient they have central sensitisation and pain is in their brain
How to challenge a patient's beliefs about their pain, like they "just need a massage" or their "pelvis is out" so that it won't backfire and make their faulty belief even stronger
When should your patients return to work or have adjusted duties?
How to use the Musculoskeletal clinical translation framework and apply it in your clinical practice

Links associated with this episode:

Resources associated with this episode:

BJSM Podcast - Lorimer Moseley

Pain Options - Pain Resources

Pain Health - Pain Self-checks

Örebro Musculoskeletal Pain Questionnaire

Örebro Musculoskeletal Pain Questionnaire Short Form

Agency for Clinical Innovation - Best practice care for people with acute low back pain

Pain-Ed

Other Episodes of Interest:

PE 035 - Know pain with Mike Stewart Part 1

PE 036 - Know pain with Mike Stewart Part 2

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