Pain Science Fails - Part Two

(00:00:00) Intro (00:00:49) Contextual Factors Game (00:09:52) Contextual Factors Game Answers (00:11:23) What To Take From Those Results (00:19:55) Beliefs Impacting Results (00:25:21) Aligning Beliefs (00:41:07) Recep Welcome back to part two of our conversation about contextual factors and how they impact the care we provide. We begin by playing a little game around different treatment options and how much of each is impacted by contextual factors. After a LONG conversation, we get to the point and let you in on the answers. We also discuss how patient and provider beliefs impact results in our care, and how to align beliefs between patient and provider. This episode was a fun way to close out Season One. Thanks for making it all the way to the end with us!

So how can contextual factors impact the care you provide? Probably mroe than you think! In the first part of this two-part discussion, we talk about contextual factors, how to use them to manage patient beliefs, as well as how to ethically utilize contextual factors to maximize the benefits of the care you provide. Thanks for coming back to us! We're so glad you're here.

(00:00:00) Intro (00:00:47) Do patients ever get MORE interested? (00:09:16) Do patients ever get LESS interested? (00:21:20) Strategies to get your patients to help you (00:25:07) Closing Welcome back to part two of our discussion about pain science fails! How do you handle it when patients become more interested in pain science? Or worse yet, LESS interested? And what strategies can you use to get your patients to help you help themselves? We talk about all this and more. Thanks for showing up!

(00:00:00) Intro (00:01:04) When Pain Science Goes Wrong (00:06:18) What Would You Do Differently? (00:12:24) A Moment of Validation with Jay (00:13:20) Variable Response to the Same Approach (00:15:49) What Signs Did You Miss? (00:23:35) What Do You Do with People Who Aren't Ready? (00:24:52) Do You Feel Limited by Not Being Able to Challenge a Patient's Beliefs? (00:30:23) Wrap Up Does pain neuroscience education ever go wrong? Of course! In this episode (part one of TWO on this topic), we discuss times when we failed to get it right with our patients. What went wrong? What signals did you miss? What would you do differently? All of this and more in this episode. Thanks for coming back! We hope you enjoy it.

(00:00:00) Intro (00:01:32) Signs You Can Open the Paradigm (00:12:21) How Often Are You Implicit vs Explicit? (00:23:24) What Can People Learn From This Conversation? (00:28:36) Closing Continuing our conversation from our last episode, we delve a little deeper into the implicit vs explicit approach to pain science. From looking for signs that you can be a little more explicit, to how often our providers are explicit vs implicit, we cover more of how we decide on an approach and hopefully provide you with some context around those decisions. Thanks for coming back! We're always glad to have you join us.

(00:00:00) Intro (00:01:10) Open (Explicit) vs Closed (Implicit) Paradigm (00:05:23) How do you decide which approach to use? (00:10:04) Why would you pivot from explicit to implicit? (00:18:04) Which approach is easier? (00:23:57) What does an implicit (closed) approach look like? (00:30:04) Recap How do you decide whether to talk about pain neuroscience? Or do you just keep it in the background and do it without explaining it to the patient? In this episde, we discuss an open paradigm (explicit) vs a closed (paradigm). How do you decide which to use? How would you pivot if you make the wrong choice? Which approach is easier? In part one of this two-part topic, we cover these topics and more. Thanks for finding your way back to us!

(00:00:00) Intro (00:00:31) Strategies to Manage Negative Thoughts (00:15:46) Most Challenging Negative Thoughts to Manage (00:23:37) What if Negative Thoughts Don't Belong to the Patient? (00:32:57) Managing Your Own Negative Thoughts (00:39:05) Recap Welcome back! In this episode of Rewiring Resilience, we discuss manaing negative thoughts. Perhaps your patient doesn't believe physical therapy can help them. Maybe they have a family member feeding them negative perceptions of their chances of recovery. Or maybe you as the provider are struggling with your own negative thoughts around the care you are providing. We discuss it all today. If you've ever had a patient with negative thoughts or expectations, this episode is for you! 

(00:00:00) Intro (00:00:36) What is Motivational Interviewing? (00:10:08) How Do You Motivate Patients? (00:19:02) A Moment of Validation with Jay (00:20:19) "How Can You Treat Me Without an MRI?" (00:27:10) How Do You Maintain Motivation? (00:36:03) Recap Welcome back! In today's episode, we discuss Motivational Interviewing, a strategy of interviewing our patients that is meant to get to the heart of why our patients are here to see us and how we can motivate them further to participate most effectively in their care. In this episode, we discuss the basics of motivational interviewing, as well as how we motivate our patients, how to maintain motivation throughout their care, and how to answer one of our most challenging questions: "How can you treat me without the results of an MRI?". Thanks for joining us again. Let's get into it!

(00:00:00) Intro (00:00:34) Managing Patient Reservations Around Biopsychosocial PT (00:11:12) Functional Outcome Measures (00:16:42) A Moment of Validation with Jay (00:17:23) Goal Writing (00:25:46) What is Interoception? (00:27:43) Why does the first visit matter so much? (00:33:37) Recap In the continuation of our last episode, we address more ideas around how to "nail" the first visit.  The discussion includes suggestions on managing patients with reservations about a biopsychosocial approach, as well as conversations about functional outcome measures, goal-writing, and why the first visit matters so much in the first place.  Thanks so much for coming back!  

(00:00:00) Intro (00:00:35) How to Make Patients Feel Safe (00:09:52) A successful subjective interview (00:21:49) A successful objective exam (00:30:01) Education vs Home Program (00:36:44) Recap Thanks for checking us out! In this episode we begin a discussion about how to evaluate patients suffering from chronic pain in a way to build positive relationships and find the best strategies to best help our patients meet their goals. Part 1 includes conversations about preparing and working to make the patient feel safe, as well as best practices for subjective evaluation and objective examination. We finish with a discussion about how to determine whether to provide education or a home program for patients.