Episode 67: Navigating Difficult Conversations: When Patients Want Quick Fixes

In this Christmas special, Tim Beames and Bart van Buchem look back at 2025 with Le Pub Scientifique and The Pain Podcast. This episode is part gratitude, part reflection, and part behind-the-scenes tour of what’s been happening in the Le Pub universe – and how it all connects to real clinical work. They talk about: Meeting listeners and members at EPIC in Lyon and in Melbourne, and the sense that there is now a recognisable, values-driven global pain rehab community. The growth of Le Pub Free Membership (around 350 members) and how it offers access to current assets: podcasts, clinical takeaways, and practical tools. Highlights from Science Sessions, including: Predictive models and mechanisms of pain Nociplastic pain Immunology, lifestyle and their role in rehab The ongoing work of the Pain in Motion group A big year for the Clinical Coaching / Confidence Series: Irene Wicki on radiculopathy and nerve-related pain Bernhard Taxer on headaches, migraine and craniofacial pain A roundtable with Bernhard & Laura Rathbone on overlapping symptom profiles Sessions with Alison Sim and Ben Boyd on persistent conditions and therapeutic process Short-form resources: Pain Hacks – Bart’s 90-second practical pieces. Tim Translates – short paper reviews with explicit “how I use this in clinic” reflections. The FND Motor Masterclass – why functional neurological disorder is becoming more visible in neurology and rehab, and how the masterclass blends psychiatry, neurology and physiotherapy to give clinicians a grounded starting point. How recording the podcast itself has become a reflective practice tool for both Tim and Bart, feeding directly into their day-to-day clinical work. They finish by looking ahead to 2026: A better-organised platform to make Le Pub’s resources easier to access. Upcoming Science Sessions on conditions like osteoarthritis. A continued focus on confidence and competence for clinicians working with people in pain. If this episode helped you… Share it with colleagues who care about pain, but might not yet know Le Pub exists. Consider joining the free membership to access practical takeaways and upcoming sessions. Let Tim and Bart know what you’d like to see more of in 2026. 🔗 Explore Le Pub Scientifique & join the community: In this Christmas special, Tim Beames and Bart van Buchem look back at 2025 with Le Pub Scientifique and The Pain Podcast. This episode is part gratitude, part reflection, and part behind-the-scenes tour of what’s been happening in the Le Pub universe – and how it all connects to real clinical work. They talk about: Meeting listeners and members at EPIC in Lyon and in Melbourne, and the sense that there is now a recognisable, values-driven global pain rehab community. The growth of Le Pub Free Membership (around 350 members) and how it offers access to current assets: podcasts, clinical takeaways, and practical tools. Highlights from Science Sessions, including: Predictive models and mechanisms of pain Nociplastic pain Immunology, lifestyle and their role in rehab The ongoing work of the Pain in Motion group A big year for the Clinical Coaching / Confidence Series: Irene Wicki on radiculopathy and nerve-related pain Bernhard Taxer on headaches, migraine and craniofacial pain A roundtable with Bernhard & Laura Rathbone on overlapping symptom profiles Sessions with Alison Sim and Ben Boyd on persistent conditions and therapeutic process Short-form resources: Pain Hacks – Bart’s 90-second practical pieces. Tim Translates – short paper reviews with explicit “how I use this in clinic” reflections. The FND Motor Masterclass – why functional neurological disorder is becoming more visible in neurology and rehab, and how the masterclass blends psychiatry, neurology and physiotherapy to give clinicians a grounded starting point. How recording the podcast itself has become a reflective practice tool for both Tim and Bart, feeding directly into their day-to-day clinical work. They finish by looking ahead to 2026: A better-organised platform to make Le Pub’s resources easier to access. Upcoming Science Sessions on conditions like osteoarthritis. A continued focus on confidence and competence for clinicians working with people in pain. If this episode helped you… Share it with colleagues who care about pain, but might not yet know Le Pub exists. Consider joining the free membership to access practical takeaways and upcoming sessions. Let Tim and Bart know what you’d like to see more of in 2026. 🔗 Explore Le Pub Scientifique & join the community: https://www.lepubscientifique.com/ ✉️ Get in touch about courses, teaching or collaboration: [email protected]

Pain can steal roles, confidence, and connection. Tim and Bart explore how to spot identity loss and how to guide patients toward a values-led, reconstructed sense of self using language, movement, small wins, and co-created experiments. Why identity matters: chronic pain often causes biographical disruption—a break in the story of “who I am.” Neuro/psycho frame: predictive processing and the “model of me”—how ongoing threat can dominate self-inference. Clinician toolkit: Narrative reframing (precision over catastrophising). Values clarification (ACT-informed prompts that patients can actually answer). Small wins & the Three Gifts practice to re-evidence competence and joy. Co-creation & teams to expand the landscape of affordances. Vignettes: CRPS-style limb disownership language; makeup/hair example as “new me” exploration. Micro-experiments: safe, graded role re-entries across movement, connection, work, and creativity. Resources Mentioned: Le Pub Scientifique Free Membership (includes Sleep Clinical Action Plan). Prior conversations with Lance McCracken, Laura Rathbone, Bronnie Lennox Thompson (in the Le Pub library). Connect & Subscribe: Le Pub Scientifique—free membership for clinicians & people living with pain. Share the episode if it helped you or your patients.   #chronicpain #identity #ACT #physiotherapy #values #predictiveprocessing #CPPS #CRPS #narrativereframing #rehab

Up to three-quarters of people with persistent pain report sleep problems. Tim and Bart dig into why sleep disruption boosts sensitivity (inflammation, circadian shifts, cortical filtering) and how targeted, realistic strategies can help—far beyond “no screens after 9.” Hear how to triage insomnia type, coach stimulus control and sleep-window tweaks, handle neuropathic night pain (yes, sometimes get up and move), and track progress weekly. 

In this episode, Bart and Tim explore one of the most misunderstood terms in pain care: catastrophising. More than just negative thinking, this cognitive-emotional process is deeply rooted in attentional networks, threat prediction, and prior experiences. We cover: The neuroscience of why catastrophic thinking increases pain The trap of premature reassurance or cognitive correction How to work with rumination, not against it Clinical tools that validate, reframe, and gently open space for possibility With references to predictive processing, the Fear-Avoidance Model, and years of lived experience, this is a compassionate, grounded take for clinicians wanting to do better by their patients. 🎧 Bonus: Tim shares a personal story of following Michael Sullivan on stage—and what that taught him about catastrophising on both sides of the clinic! 👉 Listen now and reflect on: What’s one change you could make to your language this week?

In this episode of the Pain Podcast, Tim Beames and Bart Van Buchem tackle one of the most pressing challenges in pain care: how do we define success when pain doesn't go away? They explore why the traditional pain scale often fails people with chronic conditions, and how clinicians can shift the narrative toward life expansion, not just pain elimination. From functional goals to emotional resilience, discover what meaningful progress really looks like — and why celebrating small wins can be transformative for both patients and therapists. 🎧 Topics include: – Why pain scales aren’t the full story – Alternative outcome measures that reflect real-life improvement – Reframing success: from reducing pain to living well with it – Building trust, confidence, and connection in long-term pain care Perfect for clinicians, coaches, and anyone supporting people with persistent pain.

How do we respond when patients want immediate solutions to complex pain problems? In this reflective episode, Tim Beames and Bart Van Buchem explore one of the most common—and most challenging—clinical scenarios: the search for a quick fix. Expect insights into: The psychology of urgency and fear in persistent pain Strategies for building rapport and redirecting unrealistic expectations Tools and metaphors (like “green vs red glasses”) to reframe pain experiences Real-life clinical stories that show how to meet patients where they are—without abandoning your professional values Whether you’re a physio, doctor, or coach, this is essential listening for anyone working in complex care. 🎧 Follow and share if this episode resonates with your practice.

What happens when prescribed exercises don’t land—or even backfire? In this conversation, Bart Van Buchem and Tim Beames explore how rigid prescriptions can often disconnect people from their recovery and how a more collaborative, curious approach can unlock movement confidence. They discuss: Why traditional exercise programs often fall short The role of exploration, variability, and context in pain care How to co-create meaningful movement that adapts to real life Expect practical tips, clinical insights, and plenty of humour as Tim and Bart help you reimagine what movement in pain care can really look like.

In this episode of Le Pub Scientifique: The Pain Podcast, Tim Beames and Bart van Buchem unpack one of the most common—and misunderstood—parts of recovery: the pain setback. Together, they explore why flare-ups feel so derailing, how language shapes recovery narratives, and how to support patients when things go off track. You’ll learn: Why the word "setback" may be doing more harm than good How to prepare patients for flare-ups using a proactive “toolbox” approach How to reframe pain as a protective—not purely negative—experience Practical ways to build safety, validate struggle, and avoid reinforcing fear or avoidance This conversation blends science, clinical wisdom, and compassion—ideal for clinicians helping people with persistent pain, flare-ups, or cycles of progress and pause. 🎙️ Subscribe and share to help more clinicians and patients rethink recovery.

What does it really mean to “accept” chronic pain? Is it passive? Defeatist? Or could it be one of the most powerful tools in the pain recovery process? In this thought-provoking episode of the Le Pub Scientifique Pain Podcast, Tim Beames joins host Bart van Buchem to explore how acceptance—far from meaning surrender—can provide a path toward self-understanding, reduced suffering, and renewed agency. Drawing on clinical experience, Acceptance and Commitment Therapy (ACT), and lived narratives, Tim and Bart explore: How acceptance differs from resignation Why so many people resist the concept Language and metaphors that resonate in clinical practice How to support patients in moving from resistance to presence The coexistence of pain relief strategies and acceptance Real clinical examples and communication tips Whether you’re a clinician, researcher, or someone living with persistent pain, this episode offers compassionate insights and practical strategies for reframing pain as something to relate to, not battle. Referenced resources include: Lance McCracken’s ACT research Bronnie Thompson’s work on “Living well with pain” Le Pub’s Clinical Confidence Series with Laura Rathbone 🎧 Subscribe and follow for more episodes diving deep into pain science, human connection, and evidence-informed care.

🎙️ Hosts: Tim Beames & Bart Van Buchem What if pain isn’t just about injury—but about how we predict movement? In this episode, Tim Beames and Bart Van Buchem unravel the deep connections between Complex Regional Pain Syndrome (CRPS) and Functional Neurological Disorders (FND), exploring how pain and movement disorders often overlap and what that means for recovery. 🔍 What you'll learn: ✅ Why pain and movement disorders frequently co-exist ✅ The predictive nature of movement—how our brain shapes our motor responses ✅ The debate: Should rehab focus on pushing through pain or finding comfort in movement? ✅ The role of awareness, agency, and flexible treatment strategies in recovery ✅ How insights from FND treatment can improve approaches to CRPS 💡 Bonus Resource: Interested in the research behind this discussion? Check out the 2018 paper by Stoyan Popkirov et al. on the CRPS & FND debate in Neurology. https://doi.org/10.1136/jnnp-2018-318298 🎧 Listen now and explore more pain science discussions at Le Pub Scientifique! #PainScience #CRPS #FND #ChronicPain #MovementDisorders #PainRecovery