Psychological treatment therefore is essential. While pain education is useful, historical traumas and current fear relating thoughts/emotions are usually not helped by pain education/physiotherapy.
Hi Laura. My experience has been that a combination of trauma therapy with pain education works well with most patients. Often patients benefit from learning about the link between underlying trauma and biology. The pain education piece is often combined with addressing fear with movement as well as graded exposure to activities and if needed, the more traditional PT modalities of exercise and manual therapy. This is certainly not the case for all patients but most appreciate this combined approach.
@@lauracahill6278 You are absolutely correct. To clarify my comments above-- the combination of trauma therapy and pain education are not being given by myself or my team of physical therapists-we simply address the pain education component. If a patient has trauma in their background then we will often make the recommendation that they work with a mental health therapist who specializes in this, if they are not already working with someone. Even if they are working with a therapist regularly, if that person is not skilled in trauma work then we will recommend the patient consider making a change to address the trauma component. That is absolutely outside of our scope of practice and we do not claim to address this.
@@PainSciencePhysicalTherapy Your "experience" as a PT is unfortunately not one of expertise, only anecdote. PT completely lacks education, knowledge, competency in psychosocial hlth. It's paradigm remains imprisoned within biomeds without a shred of critical thinking. Over-credentialed and under-skilled grads pumped out, poorly prepared to deal with real ppl in real pain, and then has the audacity to try to convince the public that it is credible. Antiquated, ineffective, unaffordable, irrelevant. Read some Nicholls or watch a vid on YT.
Do they teach this at most schools? Im currently on the waitlist for the PTA program at my community college. However i started to heal my pain using a neuroplastic pain approach. Its definitely working. I no longer believe there is something structurally wrong with me (as well as most chonic pain sufferers). Im scared PTA school will teach me the opposite. I dont want to undo my progress with the mind body approach. I also dont want to give up all the progress i put in at school. Does anyone have any advice for me?? Its causing me a lot of inner conflict
Hi Tyler. All PT (and I believe PTA) programs are supposed to be implementing some pain education into their curriculum. Some programs have done a better job of this than others. THat being said-- PTA school will educate you primarily on the nociception causes of pain (tissue) and how to treat those. And ALL patients who have pain (even when the pain is being caused by central nervous system dysfunction) have some sort of movement dysfunction as well. So I would look as PTA school giving you a TON of tools for your toolbox to treat your patients. When it comes to the treatment of persistent pain, if you specialize in this population, then you will have a head start on your colleagues because you already know to incorporate the central nervous system. You are going to be amazing and I am excited for you to join us in practice!
Please help me I can't live this way anymore in 24/7 pain. It started August 2020 while I had a spinal cord compression on my neck. I was waiting for my laminectomy. After the laminectomy I still have 24/7 debilitating pain in my spine. 😢
@katygirl9221 I am so sorry to hear about this. I am also sorry that I missed this and haven't replied. If the laminectomy was successful in taking off the compression then that is great news. The reason you continue to have pain may be due to severe nerve sensitivity. I would strongly recommend that you seek out a PT who specializes in treating pain with a neuro science approach.
44 yes of chronic pain, telling drs for years. A lot of physical problems not followed through with. So heals incorrectly pain continues. Until another physical problem trauma then that is fixed but new parts of that trauma not treated pain continues rinse and repeat. But I'm told I'm healed so all pain in my head. Not the case but drs won't listen. Drugs don't work even if I could get prescription. I have known and understood the nuero science of it 30 yes ago! This is not new! It is just reaction of health care to opioid epidemic and an excuse not to treat!
I am sorry to hear about your being in persistent pain. The purpose of this video was to educate on our process at my clinic. I would strongly recommend you seek out a provider who is educated on treating persistent pain (preferably a physical therapist who take a neuroscience approach). They can then create a custom program to address your specific pain.
This training has helped me with neck pain, and is a very different way of looking at other pains I now get.
So happy this helped you.
I have numbness / burning sensation in Toe(distal phalanx of right foot) of a foot
You might want to check out my videos on nerve glides for sciatic symptoms. Let me know how it goes.
Psychological treatment therefore is essential. While pain education is useful, historical traumas and current fear relating thoughts/emotions are usually not helped by pain education/physiotherapy.
Hi Laura. My experience has been that a combination of trauma therapy with pain education works well with most patients. Often patients benefit from learning about the link between underlying trauma and biology. The pain education piece is often combined with addressing fear with movement as well as graded exposure to activities and if needed, the more traditional PT modalities of exercise and manual therapy. This is certainly not the case for all patients but most appreciate this combined approach.
@@lauracahill6278 You are absolutely correct. To clarify my comments above-- the combination of trauma therapy and pain education are not being given by myself or my team of physical therapists-we simply address the pain education component. If a patient has trauma in their background then we will often make the recommendation that they work with a mental health therapist who specializes in this, if they are not already working with someone. Even if they are working with a therapist regularly, if that person is not skilled in trauma work then we will recommend the patient consider making a change to address the trauma component. That is absolutely outside of our scope of practice and we do not claim to address this.
@@PainSciencePhysicalTherapy Your "experience" as a PT is unfortunately not one of expertise, only anecdote. PT completely lacks education, knowledge, competency in psychosocial hlth. It's paradigm remains imprisoned within biomeds without a shred of critical thinking. Over-credentialed and under-skilled grads pumped out, poorly prepared to deal with real ppl in real pain, and then has the audacity to try to convince the public that it is credible. Antiquated, ineffective, unaffordable, irrelevant. Read some Nicholls or watch a vid on YT.
Great video! As always very informative.
Thanks Sandy! Hope you are doing well and staying safe!
Do they teach this at most schools? Im currently on the waitlist for the PTA program at my community college. However i started to heal my pain using a neuroplastic pain approach. Its definitely working. I no longer believe there is something structurally wrong with me (as well as most chonic pain sufferers). Im scared PTA school will teach me the opposite. I dont want to undo my progress with the mind body approach. I also dont want to give up all the progress i put in at school. Does anyone have any advice for me?? Its causing me a lot of inner conflict
Hi Tyler. All PT (and I believe PTA) programs are supposed to be implementing some pain education into their curriculum. Some programs have done a better job of this than others. THat being said-- PTA school will educate you primarily on the nociception causes of pain (tissue) and how to treat those. And ALL patients who have pain (even when the pain is being caused by central nervous system dysfunction) have some sort of movement dysfunction as well. So I would look as PTA school giving you a TON of tools for your toolbox to treat your patients. When it comes to the treatment of persistent pain, if you specialize in this population, then you will have a head start on your colleagues because you already know to incorporate the central nervous system. You are going to be amazing and I am excited for you to join us in practice!
@@PainSciencePhysicalTherapy Wow, what an amazing response. Thank you so much. This helped lower my anxiety over the whole thing. You’re the best.
Please help me I can't live this way anymore in 24/7 pain. It started August 2020 while I had a spinal cord compression on my neck. I was waiting for my laminectomy. After the laminectomy I still have 24/7 debilitating pain in my spine. 😢
@katygirl9221 I am so sorry to hear about this. I am also sorry that I missed this and haven't replied. If the laminectomy was successful in taking off the compression then that is great news. The reason you continue to have pain may be due to severe nerve sensitivity. I would strongly recommend that you seek out a PT who specializes in treating pain with a neuro science approach.
44 yes of chronic pain, telling drs for years. A lot of physical problems not followed through with. So heals incorrectly pain continues. Until another physical problem trauma then that is fixed but new parts of that trauma not treated pain continues rinse and repeat. But I'm told I'm healed so all pain in my head. Not the case but drs won't listen. Drugs don't work even if I could get prescription. I have known and understood the nuero science of it 30 yes ago! This is not new! It is just reaction of health care to opioid epidemic and an excuse not to treat!
You talk a lot but no answers in helping us with the Chronic Pain!???
I am sorry to hear about your being in persistent pain. The purpose of this video was to educate on our process at my clinic. I would strongly recommend you seek out a provider who is educated on treating persistent pain (preferably a physical therapist who take a neuroscience approach). They can then create a custom program to address your specific pain.