Paincast

In this episode, we talked about The differences between acute and chronic pain at the physical, neurological and psychosocial level A paradigm shift in thinking about and treating chronic pain patients Acceptance and Commitment Therapy: What it is, how it works and why it can be particularly beneficial for individuals in managing chronic pain Setting realistic expectations with patients while avoiding any sense of invalidation or skepticism This is a student-led episode under the mentorship of Tiffany Tiu. Jules and Brooklyn are Master of Physiotherapy students from the University of Alberta and McMaster University respectively. Dr. Bronwyn Lennox Thompson leads the Postgraduate Programmes in Pain and Pain Management at the University of Otago, based in Christchurch, New Zealand. Dr. Lennox Thompson’s clinical background is occupational therapy and psychology, and her clinical and research focus is on supported pain self-management in daily life. Her research interests include lived experiences of chronic pain, consumer/lived experience involvement in research, policy and service development, and supported self-management in painful medical procedures. Her primary academic work is teaching an interprofessional approach to pain and pain management to clinicians from a diverse range of clinical backgrounds. She was awarded the University of Otago Teaching Excellence Award in 2022, and the University of Otago Gold Medal for teaching excellence in 2025. Resources Acceptance and Commitment Therapy resources by Russ Harris: https://www.actmindfully.com.au/ ACT Made Simple: An Easy-To-Read Primer on Acceptance and Commitment Therapy by Russ Harris [book] Belton, J., & Darlow, B. (2026). Do We Trust Patients in Pain? What Would Happen If We Did?. JOSPT, 56(1), 1-3. Radical Relief: A Guide to Overcome Chronic Pain by Joe Tatta [book] Connect with Dr. Bronnie Thompson Blog: https://healthskills.wordpress.com Instagram and Facebook: https://www.facebook.com/healthskillsNZ LinkedIn: https://www.linkedin.com/in/bronniet/ Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/

In this episode, we discussed: The principal use of diagnostic imaging and laboratory testing: When it should be used and when it shouldn't be used The limitations of diagnostics and ramifications of overuse on psychological, behavioural, and systemic levels Improving providers' literacy and patient education around diagnostics The impact of physiotherapists having the scope expansion and the current state of advocacy on this topic Resources The Canadian C-spine Rule The Ottawa Ankle Rule The Ottawa Knee Rule Canadian Association of Radiologists Utilization Guideline American College of Radiologist Appropriateness Criteria Brinjikji, W., et al. (2015). MRI findings of disc degeneration are more prevalent in adults with low back pain than in asymptomatic controls: a systematic review and meta-analysis. American Journal of Neuroradiology, 36(12), 2394-2399. Flynn, T. W., et al. (2011). Appropriate use of diagnostic imaging in low back pain: a reminder that unnecessary imaging may do as much harm as good. journal of orthopaedic & sports physical therapy, 41(11), 838-846. Sajid, I. M., Parkunan, A., & Frost, K. (2021). Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. BMJ open quality, 10(3). Scott, I. A., Slavotinek, J., & Glasziou, P. P. (2024). First do no harm in responding to incidental imaging findings. Medical Journal of Australia, 220(1), 7-9. Sharma, S., et al. (2021). “I would not go to him”: Focus groups exploring community responses to a public health campaign aimed at reducing unnecessary diagnostic imaging of low back pain. Health Expectations, 24(2), 648-658. VOMIT (Victim Of Medical Imaging Technology) Poster: https://www.aptei.ca/product/vomit-radiology-facts-wall-poster/ Rob Werstine BA, BSc, MSc, DPT, FCAMPT, Dip Sport, MBA Rob Werstine is a Physiotherapist who holds an Advanced Practice Provider position in the Rapid Access Clinic for Low Back Pain at LHSC in London and holds an adjunct teaching appointment in the School of Graduate Studies at Western University. Rob has spent his career opening access to health care for Canadians through the development of non-physician specialists. He helped create the first and only degree granting Clinical Master’s program for Physiotherapists in Orthopaedics at Western University in 2007 and helped create a National Clinical Specialists Program in 2012. He chaired the IFOMPT Conference in 2012 and has been an expert consultant for health care associations and regulatory bodies across North America. Rob has continued to help improve the ability of hundreds of non-physician health care professionals to take on Advanced Practice roles through the creation of Key Clinical Skills Inc., a continuing education provider for health care professionals across Canada and around the world, which has been providing education opportunities since 2016. Dr. Jack Miller BSc(PT), Dip MT(NZ), MClSc, DPT, FCAMP Dr. Miller completed his BSc in Physical Therapy at the University of Toronto in 1980. He then spent six years in New Zealand where he completed the New Zealand Manipulative Therapy Association’s Graduate Diploma of Manipulative Therapy in 1984. During this program he had the opportunity to be directly mentored by both Robin McKenzie and Brian Mulligan. On returning to Canada, he went on to complete a Masters of Clinical Science at Western University in London and a Post-Professional Doctor of Physical Therapy Degree from the University of St. Augustine in the USA. Jack has been the senior editor of the Canadian Physiotherapy Association’s Orthopaedic Journal, an executive member of the Orthopaedic Division of CPA, the President of the Canadian Academy of Manipulative Physical Therapy, a member of the CPA Specialization accreditation committee, the conference chair for IFOMPT 2012, and was a founding member of the Mulligan Concept Teacher’s Association. He has presented at conferences internationally, published research articles in peer-reviewed journals, multiple textbook chapters and taught high level, evidence-based manual therapy courses internationally since 1990. He works clinically as an advanced practice consultant triaging patients for imaging, laboratory investigations, medical interventions and surgery www.mulligancanada.com | www.keyclinskills.ca Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you infor

In this episode, we talked about: Tess and Jane's experiences of developing pelvic pain, the progression of pain during their youth and early adulthood, and their healthcare journey How healthcare encounters can be helpful or harmful to one's pain experience The intricate interactions between biomechanical and psychological factors in chronic pain The unique aspects of pelvic pain contrasted with typical musculoskeletal pain, especially in young women A huge thank you to Tess and Jane for their generous sharing of their pain story. Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/

In this episode, you'll hear about Two fascinating lived experiences of pain and chronic pain management principles unpacked by a physiotherapist and 2 physiotherapy students, Jules and Georgia How pain affected these young ladies physically, psychologically, socially, and how that impact evolved as they progressed in their journey When "pain education" helped and when it hurt, and how they reconciled it The journey from being controlled by pain to taking control over pain Jules and Georgia are physiotherapy students at the University of Alberta. They are also members of this year's Canadian Physiotherapy Association Pain Science Division Student Committee. A huge thank you to their generous sharing of their pain stories. Special acknowledgement to Jeff Vela, PT who kindly spoke and shared his insights in the episode. Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/

In this episode, we talked about Current healthcare gaps in managing pain in Indigenous populations + underlying causes of disparity in pain experience Clinical pearls for treating chronic pain in Indigenous communities Dr. Jaris Swidrovich, BSP, PharmD, PhD, AAHIVP, RPh (he/they) is an Assistant Professor, Tenure Stream, and Indigenous Engagement Lead in the Leslie Dan Faculty of Pharmacy at the University of Toronto. He is a queer, Two Spirit, Saulteaux and Ukrainian pharmacist from Yellow Quill First Nation (Treaty 4 territory, Saskatchewan). His mother was a 60s Scoop survivor and his grandmother and great-grandmother both survived Indian Residential Schools. He received a Bachelor of Science in Pharmacy from the University of Saskatchewan (2010), a post-baccalaureate Doctor of Pharmacy from the University of Toronto (2013), and a PhD in education from the University of Saskatchewan (2024), which earned him the Governor General’s Gold Medal. His primary areas of research and practice include Indigenous health, pain, HIV/AIDS, substance use disorders, and 2SLGBTQ+ health. As a Two Spirit, First Nations, and disabled person himself, Dr. Swidrovich brings a strong lens of equity, diversity, inclusion, intersectionality, and social justice to his research program. Dr. Swidrovich is the Co-Scientific Director of the CIHR-funded Saskatchewan Network Environment for Indigenous Health Research (SK-NEIHR) called nātawihowin (“art of self-healing” in Cree), which is a First Nations Research Network that supports researchers, students, and First Nations health leaders and communities in Saskatchewan and beyond. Dr. Swidrovich is the founder and chair of the Indigenous Pharmacy Professionals of Canada, and also sits on several other local, provincial, and national boards, including The 519, Pain Ontario, Pain Canada, the National Collaborating Centre for Indigenous Health, and the Institute Advisory Board for the Canadian Institutes of Health Research (CIHR) Institute of Indigenous Peoples’ Health. Dr. Swidrovich is an active and engaged citizen of the several communities he belongs to and has been recognized with several awards and honours, including the Queen Elizabeth II Platinum Jubilee Medal for service to the community and the National Patient Care Achievement Award from the Canadian Pharmacists Association. Resources: https://linktr.ee/jaris.s Social media Instagram: @jarisoftheprairies and @prisscryption X: @jarisswidrovich Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/

In this episode, we talked about The relationship between knee osteoarthritis (OA) pain and the stages of knee OA The different experiences of knee OA pain Pain phenotyping using Quantitative Sensory Testing and self-reported measures Dr. Lisa Carlesso is a an associate professor in the School of Rehabilitation Science at McMaster University in Canada with training as a clinical epidemiologist and a physical therapist. Her research program is broadly focussed on understanding the mechanisms and consequences of musculoskeletal pain with a particular focus on OA joint pain. Her research strives to optimize outcomes for people with chronic musculoskeletal disorders by 1. Understanding the complex mechanisms of acute and persistent pain through pain phenotyping to improve prognosis and treatment, 2. Using the understanding of endogenous modulation of pain to enhance conservative treatment options and 3. Improving the clinical measurement of pain. Resources Aoyagi, K., et al. (2022). Does weight-bearing versus non-weight-bearing pain reflect different pain mechanisms in knee osteoarthritis?: the Multicenter Osteoarthritis Study (MOST). Osteoarthritis and cartilage, 30(4), 545-550. Rankin, J., et al. (2022). Quantitative sensory testing protocols to evaluate central and peripheral sensitization in knee OA: a scoping review. Pain Medicine, 23(3), 526-557. Carlesso, L. C., et al. (2022). Association of pain sensitization and conditioned pain modulation to pain patterns in knee osteoarthritis. Arthritis care & research, 74(1), 107-112. Carlesso, L. C. (2023). The impact of altered neural processing of nociceptive signals on physical function in people with knee OA—we know little and have much to learn. Osteoarthritis and Cartilage, 31(7), 844-846. Neelapala, Y. R., et al. (2024). Exploring different models of pain phenotypes and their association with pain worsening in people with early knee osteoarthritis: the MOST cohort study. Osteoarthritis and cartilage, 32(2), 210-219. Neelapala, Y. R., et al. (2025). Latent transition analysis of pain phenotypes in people at risk of knee osteoarthritis: The MOST cohort study. Osteoarthritis and cartilage. Carlesso, L. C., et al. (2022). Use of IMMPACT recommendations to explore pain phenotypes in people with knee osteoarthritis. Pain Medicine, 23(10), 1708-1716. Carlesso, L. C., et al. (2021). Association of intermittent and constant knee pain patterns with knee pain severity and with radiographic knee osteoarthritis duration and severity. Arthritis care & research, 73(6), 788-793. Social media: Bluesky profile @lisacarlesso.bsky.social Dr. Carlesso's lab's website: https://painmovementresearch.healthsci.mcmaster.ca/ Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/

In this episode, we talked about: Do we really understand what desensitization is? Clarifying concepts, including desensitization, hypersensitivity, sensory re-education, graded exposure, and counterstimulation Important practical considerations for using “desensitization” with patients Incorporating contextual effects of treatment and orienting patients to positive recovery expectations Dr. Tara Packham is an occupational therapist with over 25 years of clinical experience in hand and upper limb rehabilitation, and an assistant professor in the School of Rehabilitation Sciences (SRS) at McMaster University. Tara’s program of research focuses on assessing and addressing persistent pain, and continuing to advance the field of hand rehabilitation. Tara has published and presented extensively for both hand rehabilitation and pain management audiences on persistent pain conditions impacting the upper extremity. Her research spans development and evaluation of outcome measures, refining and testing interventions, and exploring the experiences of persons with health challenges accessing rehabilitation. She is the Editor in Chief at Hand Therapy and currently serves on the editorial boards of the Journal of Hand Therapy and Pain Medicine, and on the executive of the Complex Regional Pain Syndrome Special Interest Group at the International Association for the Study of Pain. Social Media X: @TaraLPackham LinkedIn: https://www.linkedin.com/in/tara-packham-21918924/ IMPRinT lab: https://painmovementresearch.healthsci.mcmaster.ca/ Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/

This episode is produced during the 2025 World Physiotherapy Congress in Tokyo, Japan. I interviewed physiotherapists around the world about pain. Content: (00:01:59) Nicola - United Kingdom (00:11:54) Helen - Switzerland (00:18:52) Mio - Japan (00:20:23) Edgar - Columbia (00:30:28) Marcia - Canada (00:43:31) Rosi & Leila - Indonesia (00:45:07) Nirit - Israel (00:52:56) Mike Landry - World Physiotherapy President Episodes 8 and Episode 25 are also interviews with clinicians about pain. They are recorded during the Canadian Physiotherapy Association Congresses in 2023 and 2024. Mike Landry also spoke about World Physiotherapy in Episode 28. Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/

In this episode, we talked about: Non-pharmacological management options for neuropathic pain All about the Somatosensory Pain Rehab method The current research on Somatosensory Pain Rehab Dr. Tara Packham is an occupational therapist with over 25 years of clinical experience in hand and upper limb rehabilitation, and an assistant professor in the School of Rehabilitation Sciences (SRS) at McMaster University. Tara’s program of research focuses on assessing and addressing persistent pain, and continuing to advance the field of hand rehabilitation. Tara has published and presented extensively for both hand rehabilitation and pain management audiences on persistent pain conditions impacting the upper extremity. Her research spans development and evaluation of outcome measures, refining and testing interventions, and exploring the experiences of persons with health challenges accessing rehabilitation. She is the Editor in Chief at Hand Therapy and currently serves on the editorial boards of the Journal of Hand Therapy and Pain Medicine, and on the executive of the Complex Regional Pain Syndrome Special Interest Group at the International Association for the Study of Pain. Resources Patient support groups for CRPS: Canada - PARC: Promoting Awareness of RSD and CRPS in Canada https://www.rsdcanada.org/parc/english/index.html / USA - RSDSA https://rsds.org/ Packham, T. L., Spicher, C. J., MacDermid, J. C., Michlovitz, S., & Buckley, D. N. (2018). Somatosensory rehabilitation for allodynia in complex regional pain syndrome of the upper limb: A retrospective cohort study. Journal of Hand Therapy, 31(1), 10-19. Somatosensory Pain Rehabilitation Network: https://www.neuropain.ch/en/home Hebert, A., MacDermid, J., Harris, J., & Packham, T. (2024). How should we treat painful sensitivity in the hand? An international e-Delphi study. Journal of Hand Therapy, 37(1), 12-21. Shafiee, E., MacDermid, J., Packham, T., Grewal, R., Farzad, M., Bobos, P., & Walton, D. (2023). Rehabilitation interventions for complex regional pain syndrome: an overview of systematic reviews. The Clinical Journal of Pain, 39(9), 473-483. Social Media X: @TaraLPackham LinkedIn: https://www.linkedin.com/in/tara-packham-21918924/ IMPRinT lab: https://painmovementresearch.healthsci.mcmaster.ca/ Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 Follow Paincast on Instagram: https://www.instagram.com/paincast.psd/

In this episode, we talked about: A shift in how we think about the role of our hands as our understanding of pain science and patient science evolve Discussing and addressing patient expectations for physiotherapy Advice for physiotherapists, new and experienced Graduated in 1983, Bas has extensive post-graduate experience in manual, exercise and movement focused therapies, sports physiotherapy and pain related education. He was a Mentor for post-graduate physiotherapists for the Pain Sciences Division of the Canadian Physiotherapy Association, and has been Team Therapist for the Junior National Figure Skating Team and the National Cross-Country Ski Team, and attended many National, World and Olympic competitions of a wide variety of sports. He has taught workshops in North America to Osteopaths, Medical Doctors and Physiotherapists since 1992. Sebastian will never stop learning. He enjoys his attempts at golf, loves travelling and being with friends and family. Exploring Pain: Research and Meaning Facebook Group: https://www.facebook.com/groups/ExplainingPainScience Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

In this episode, we talked about The systemic challenges in Ontario’s healthcare system and pain management The importance of a quality interdisciplinary team for the benefit of the patient What it takes to create a successful high-quality patient-centred interdisciplinary team Dr. Angela Mailis obtained her medical degree from the Medical School of Kapodistriakon University of Athens Greece Summa Cum Laude; became a Fellow of the Royal College of Physicians of Canada with specialization in Physical Medicine (1982); and holds a Master’s degree from the Institute of Medical Science, University of Toronto (1988). She rose to the rank of Full Professor at the Faculty of Medicine, University of Toronto (2005) and has practiced exclusively in the area of Chronic Pain for the past 43 years. She founded and directed the Comprehensive Pain Program of the Toronto Western Hospital/University Health Network for 33 years (1982-2015). Subsequently she became the founder and director of the Pain and Wellness Centre in Vaughan, Ontario (2014-present), the only academic community-based pain clinic, funded by the Ontario Ministry of Health. Resources The Pain & Wellness Centre website: https://thepwc.ca/ Dr. Angela Mailis’s website: https://drangelamailis.com/ Pain & Wellness YouTube Channel: https://www.youtube.com/@PainAndWellnessCentre Power Over Pain: https://poweroverpain.ca/ Mailis, A., & Lakha, S. F. (2019). From (Ontario Ministry of Health and Long-Term Care) policy to implementation: a retrospective look at a community-based patient-centered model of care for chronic pain. Canadian Journal of Pain, 3(1), 114-125. Mailis, A., Deshpande, A., & Lakha, S. F. (2022). Long term outcomes of chronic pain patients attending a publicly funded community-based interdisciplinary pain program in the Greater Toronto area: results of a practice-based audit. Journal of Patient-Reported Outcomes, 6(1), 44. Lakha, S. F., Hapidou, E. G., Robinson, J., & Mailis, A. (2022). Comparison of motor vehicle accident (MVA) survivors and non-MVA pain patients attending an interdisciplinary pain management program. Psychological Injury and Law, 15(4), 385-394. Social media Facebook: https://www.facebook.com/painandwellnesscentre/ Instagram: https://www.instagram.com/painandwellnesscentre/ LinkedIn: https://www.linkedin.com/company/thepwc/?viewAsMember=true Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 Follow us on Instagram: https://www.instagram.com/paincast.psd/

In this episode, we talked about: How we can reinforce our own confirmation bias and how to break the cycle What matters the most as physiotherapists How your experiences as a physiotherapist drastically change as you shift your paradigm from a fixer mindset to a guide mindset How Bas refined the art of connecting with patients over the years and help them understand pain science Why is it of paramount importance that we help patient understand their pain Graduated in 1983, Bas has extensive post-graduate experience in manual, exercise and movement focused therapies, sports physiotherapy and pain related education. He was a Mentor for post-graduate physiotherapists for the Pain Sciences Division of the Canadian Physiotherapy Association, and has been Team Therapist for the Junior National Figure Skating Team and the National Cross-Country Ski Team, and attended many National, World and Olympic competitions of a wide variety of sports. He has taught workshops in North America to Osteopaths, Medical Doctors and Physiotherapists since 1992. Sebastian will never stop learning. He enjoys his attempts at golf, loves travelling and being with friends and family. Exploring Pain: Research and Meaning Facebook Group: https://www.facebook.com/groups/ExplainingPainScience Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

In this episode, we talked about: Experiences of having cancer and cancer-related pain The significance of physiotherapy in cancer rehab and managing cancer-related pain Common misconceptions about physiotherapy for people living with or beyond cancer How physiotherapists can consider the evidence of cancer rehab and the unique biopsychosocial realities of individuals when providing care Jenna Smith-Turchyn, PT, PhD, is a physiotherapist and Assistant Professor in the School of Rehabilitation Science at McMaster University. She is also co-chair of the Canadian Physiotherapy Association’s Oncology Division. Jenna has an active research program at various cancer centres across Ontario. Her research focuses on cancer rehabilitation for individuals living with or beyond a cancer diagnosis, with the goal of maximizing participation and physical functioning. Holly Edward is a physiotherapist and PhD Candidate working under the supervision of Dr. Jenna Smith-Turchyn at McMaster University. Holly's thesis project explores and evaluates the use of a physiotherapist-navigator role for individuals newly diagnosed with cancer. Holly's research promotes symptom assessment and management to be included in standard and routine cancer care in Canada to promote optimal physical function and improve the quality of life in individuals living with and beyond cancer. Holly is also a member of the executive of the Canadian Physiotherapy Association’s Oncology Division. Resources Canadian Physiotherapy Association Oncology Division website: https://www.oncologycpa.ca Exercise Guidelines for Cancer Survivors (Campbell et al., 2019): https://pmc.ncbi.nlm.nih.gov/articles/PMC8576825/ Cancer Care Ontario Exercise Recommendations: https://www.cancercareontario.ca/sites/ccocancercare/files/ExerciseGuide.pdf Prospective Surveillance Model (Stout et al., 2012): https://pubmed.ncbi.nlm.nih.gov/22488693/ Cancer Care Ontario Symptom Management Guide- Pain: https://www.cancercareontario.ca/en/system/files_force/symptoms/CCOPainFull.pdf?download=1 Website containing free resources to learn about oncology: https://www.learnoncology.ca/modules Social Media handles X and LinkedIn @SmithTurchyn Instagram and LinkedIn @oncologyphysiotherapy @holly_edward Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

In this episode, we talked about The past, present, and future of pain advocacy in Canada The role of the professional association in supporting advocacy initiatives The reception of physiotherapists' advocacy The ripple effects of our pain advocacy efforts Krissy Bell, CEO, Canadian Physiotherapy Association Krissy Bell was appointed Chief Executive Officer of the Canadian Physiotherapy Association in March 2023. Since joining the association in 2019, she has been an essential member of the executive team, driving organizational growth over the past five years through various leadership roles. Krissy's career prior to her role at the association includes consulting for some of Canada's largest non-profits and charities, where she specialized in organizational problem-solving with a focus on business development and strategic planning. Before her consulting career, Krissy served for seven years as an Artillery Officer in the Canadian Forces, followed by diverse roles in business development, marketing, and event management within the sports sector. In addition to her professional experience, Krissy is actively involved in volunteer work, particularly in governance roles within the sports sector. She has served as a Board member for not-for-profit organizations for nearly twenty years, and is currently in her final term as Vice-Chair of Canada Snowboard, the national governing body for snowboarding in Canada. As a mother of two herself, Krissy is a passionate advocate for working mothers who champions women through the intentional development of working environments that support those who want to balance family life while advancing their careers. Arthur Woznowski-Vu, PT, PhD Arthur Woznowski-Vu has been a practicing physiotherapist since 2013. He has been teaching the Pain Management Strategies course at Concordia University since 2023, and has previous teaching experience at Université de Montréal and McGill University. Early in his career, Arthur focused on developing his physiotherapy expertise in chronic pain. He pursued several continuing education courses and then went on to complete a PhD in Rehab Science (focusing on chronic pain) at McGill University in 2023, receiving several prestigious scholarships (e.g., CIHR). As Chair of the Pain Science Division at the Canadian Physiotherapy Association (2021-2023), Arthur led several initiatives including a national physiotherapy advocacy in response to the Canadian Pain Task Force's Action Plan for Pain in Canada: https://physiotherapy.ca/advocacy-updates/national-physiotherapy-month-2023-4/. In 2023, Arthur opened The Chronic Pain Rehab Clinic as his solo physiotherapy private practice in Montreal: www.chronicpainrehab.ca. Nathan Augeard, PT, MSc Nathan Augeard has been a practicing physiotherapist since 2018, with a strong focus on chronic pain management. He is currently completing his PhD in Rehabilitation Science at McGill University, where his research focuses on improving pain management education in entry-level physiotherapy programs across Canada. Nathan has received several awards for his work, including the Ronald Melzack–Canadian Journal of Pain Paper of the Year Award. He has been actively involved in pain advocacy, serving as an executive member of the Pain Science Division of the Canadian Physiotherapy Association (2021-2023) and the current Director of the Working Group on Pain Advocacy. As the founder of Physio Connection (www.physioconnection.ca), a virtual physiotherapy service, Nathan is committed to enhancing access to evidence-based care for individuals living with chronic pain, especially in remote regions. Resources CPA Position Paper and other pain advocacy resources for physiotherapy professionals, bilingual: https://physiotherapy.ca/advocacy-updates/national-physiotherapy-month-2023-4/ 3 reports from the Canadian Pain Task Force: https://www.canada.ca/en/health-canada/corporate/about-health-canada/public-engagement/external-advisory-bodies/canadian-pain-task-force.html National action network that coordinates all pain-related organizations in Canada towards implementation of the Canadian Pain Task Force's Action Plan for Pain in Canada; and provides resources for public and professionals: https://www.paincanada.ca/ Summary on the illegal opioids crisis: https://www.canada.ca/en/health-canada/services/opioids/overdose-crisis-toxic-illegal-drug-supply.html Campbell, F., et al (2024). Advancing Chronic Pain Care in Canada: History and Impact of the Canadian Pain Task Force. Canadian Journal of Pain, 2358332. Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and th

In this episode, we talked about Using the Assess, Predict, Treat framework to direct our patient care The radar plot, triangulation, arms-length approach, and phenotyping Correlation and causation; confounders, moderators, and mediators The significance and practical tips of practicing trauma-assumed care Professor Walton is a clinical researcher who focuses on the intersection between trauma, pain, physical and mental health. He uses both quantitative and qualitative approaches to explore these phenomena, and engage in critical theory around measurement of pain, wellness, and other clinical outcomes to enrich the rehabilitation and life experiences of people living with pain. He was one of the pioneers in Canada in the area of Pain Science in Physiotherapy, and was one of the co-founding members of the Pain Science Division of the Canadian Physiotherapy Association. He co-authored Musculoskeletal Pain---Assessment, Prediction, and Treatment, A Pragmatic Approach with Dr. James Elliott, which is the textbook we will be discussing in the episode. Resources Walton, D., & Elliott, J. (2020). Musculoskeletal Pain-Assessment, Prediction and Treatment. Jessica Kingsley Publishers. Lee, J. Y., et al. (2020). Defining pain and interference recovery trajectories after acute non-catastrophic musculoskeletal trauma through growth mixture modeling. BMC Musculoskeletal Disorders, 21, 1-11. Walton, D. M., Tremblay, P., Seo, W., Elliott, J. M., Ghodrati, M., May, C., & MacDermid, J. C. (2021). Effects of childhood trauma on pain‐related distress in adults. European Journal of Pain, 25(10), 2166-2176. Elliott, J. M. et al. (2023). Biopsychosocial sequelae and recovery trajectories from whiplash injury following a motor vehicle collision. The Spine Journal, 23(7), 1028-1036 Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

In this episode, we talked about What is good ACL rehab? What are the psychological, social, and contextual factors influencing ACL rehab outcomes, and what can we do about them? What about ACL healing and Cross Bracing Protocol? Clinician-Scientist | Physical Therapist | Post-doctoral Fellow Expertise and research focus: Qualitative research Mixed methods research Musculoskeletal (MSK) and sports rehabilitation Digital health implementation Models of care in rehabilitation Current Focus: Postdoctoral research on innovative care models and the integration of digital health solutions for MSK pain management. My work bridges the gap between clinical practice and digital health technology, aiming to improve patient outcomes through evidence-informed strategies. My clinical expertise lies in management and treatment of traumatic knee injuries (e.g., ACL injuries). I currently work part time at a local physiotherapy clinic and teach within the Master of Physical Therapy program at the University of British Columbia in Vancouver Canada. Resources Kotsifaki, R., Korakakis, V., King, E., Barbosa, O., Maree, D., Pantouveris, M., ... & Whiteley, R. (2023). Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction. British journal of sports medicine, 57(9), 500-514. Whittaker, J. L., Culvenor, A. G., Juhl, C. B., Berg, B., Bricca, A., Filbay, S. R., ... & Crossley, K. M. (2022). OPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis. British journal of sports medicine, 56(24), 1393-1405. Article on non-surgical ACL rehab: https://www.physio-network.com/blog/growing-evidence-non-surgical-acl/ Podcast on group rehab ACL https://podcasts.apple.com/dk/podcast/ep-41-life-in-the-fast-lane-with-linda-truong-christina-le/id1522929437?i=1000526250993 Podcast on social and contextual factors https://bjsmbmj.podbean.com/e/taking-the-social-and-contextual-seriously-in-sports-medicine-with-linda-truong-ep-469/ ACL rehab criteria: https://www.melbourneaclguide.com/docs/ACL_Guide.pdf Social media connection X @LKTphysio Instagram @lint.fit IG Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

In this episode, we talked about Different options after an ACL tear What the current body of evidence say about the outcomes of different options Clarifying research terminologies: statistical vs clinical significance, levels of certainty, what constitute good research Clinician-Scientist | Physical Therapist | Post-doctoral Fellow Expertise and research focus: Qualitative research Mixed methods research Musculoskeletal (MSK) and sports rehabilitation Digital health implementation Models of care in rehabilitation Current Focus: Postdoctoral research on innovative care models and the integration of digital health solutions for MSK pain management. My work bridges the gap between clinical practice and digital health technology, aiming to improve patient outcomes through evidence-informed strategies. My clinical expertise lies in management and treatment of traumatic knee injuries (e.g., ACL injuries). I currently work part time at a local physiotherapy clinic and teach within the Master of Physical Therapy program at the University of British Columbia in Vancouver Canada. Resources Owen, P., et al. (2023). Infographic. Primary surgery versus primary rehabilitation for treating anterior cruciate ligament injuries. British Journal of Sports Medicine, 57(13), 882-883. Saueressig, T., et al. (2022). Primary surgery versus primary rehabilitation for treating anterior cruciate ligament injuries: a living systematic review and meta-analysis. British journal of sports medicine, 56(21), 1241-1251. Beard, D. J., et al. & ACL SNNAP Study Group. (2024). Comparison of surgical or non-surgical management for non-acute anterior cruciate ligament injury: the ACL SNNAP RCT. Health technology assessment (Winchester, England), 28(27), 1. Culvenor, A. G.,et al. (2022). Rehabilitation after anterior cruciate ligament and meniscal injuries: a best-evidence synthesis of systematic reviews for the OPTIKNEE consensus. British journal of sports medicine, 56(24), 1445-1453. Beard, D. J., et al. (2022). Rehabilitation versus surgical reconstruction for non-acute anterior cruciate ligament injury (ACL SNNAP): a pragmatic randomised controlled trial. The Lancet, 400(10352), 605-615. Frobell, R. B., et al. (2010). A randomized trial of treatment for acute anterior cruciate ligament tears. New England Journal of Medicine, 363(4), 331-342. Reijman, M., et al. (2021). Early surgical reconstruction versus rehabilitation with elective delayed reconstruction for patients with anterior cruciate ligament rupture: COMPARE randomised controlled trial. Bmj, 372. Whittaker, J. L., et al. (2022). OPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis. British journal of sports medicine, 56(24), 1393-1405. Kamper, S. J. (2019). Interpreting outcomes 2—statistical significance and clinical meaningfulness: linking evidence to practice. journal of orthopaedic & sports physical therapy, 49(7), 559-560. Kamper, S. J. (2019). Interpreting outcomes 3—clinical meaningfulness: linking evidence to practice. journal of orthopaedic & sports physical therapy, 49(9), 677-678. Social media connection X @LKTphysio Instagram @lint.fit Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

In this episode, we talked about What Music Therapy is and how it can immensely benefit patients The affect of music on the biological, psychological, and social aspects to improve pain and overall health and wellness? Recent research evidence for Music Therapy in dementia and palliative care populations Important future developments of Music Therapy Dr. Amy Clements-Cortés PhD, RP, MTA, MT-BC Dr. Amy Clements-Cortés is an Associate Professor, Faculty of Music, University of Toronto; Credentialed Music Therapist, Registered Psychotherapist and a Fellow in the Bonny Method of Guided Imagery and Music, and Neurologic Music Therapy. Amy has extensive clinical experience working with clients across the life span, with a specialty in mental health, dementia and palliative care. Her research contributions have had a significant impact in the understanding of understudied phenomenon, resulting in excelled treatments provided by professionals in music and medicine. She has authored 70+ peer reviewed journal articles, multiple book chapters, co-edited 2 books, and provided 300 conference and/or invited academic presentations. Her work has been cited by over 1300 scholars. In 2020, she received the World Federation of Music Therapy Clinical Impact Award honoring a music therapist who has had a long-term impact on advancing the knowledge and practice of music therapy within a specific clinical area or population through the publication or presentation of his or her work. Resources: Xiao, X., Chen, W., & Zhang, X. (2023). The effect and mechanisms of music therapy on the autonomic nervous system and brain networks of patients of minimal conscious states: a randomized controlled trial. Frontiers in Neuroscience, 17, 1182181. Loewy, J. (2022). Underlying music mechanisms influencing the neurology of pain: an integrative model. Brain Sciences, 12(10), 1317. Lee, J. H. (2016). The effects of music on pain: a meta-analysis. The Journal of Music Therapy, 53(4), 430-477. Kulinski, J., Ofori, E. K., Visotcky, A., Smith, A., Sparapani, R., & Fleg, J. L. (2022). Effects of music on the cardiovascular system. Trends in cardiovascular medicine, 32(6), 390-398. https://www.notesbyamy.com/ Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

In this episode, we talked about The consequences of poorly managed paediatric pain Evidence-based practical suggestions for managing acute, transitional, and chronic pain How we can advocate for better paediatric pain management in our healthcare encounters and in hospitals Dr. Christine Chambers, PhD RPsych FRSC FCAHS is an international leader in children’s pain research and a national voice for children’s health. Named one of Canada’s Top 100 Most Powerful Women, she creates connections and partners with patients to advance research, mobilize knowledge and improve the lives of children, youth and families. She is a Professor and Tier 1 Canada Research Chair in Children’s Pain at Dalhousie University, a faculty member of the Centre for Pediatric Pain Research at IWK Health Centre, Director of The Chambers Lab, and Scientific Director of Solutions for Kids in Pain and the CIHR Institute of Human Development, Child and Youth Health. Resources: 1. Solution for Kids Pain: https://kidsinpain.ca/ A national knowledge mobilization network whose mission is to improve children’s pain management by mobilizing evidence-based solutions through coordination and collaboration. 2. It Doesn't Have to Hurt: https://itdoesnthavetohurt.ca A patient-oriented research program in children’s pain management. 3. Paediatric Pain Management Health Standard Download from: https://store.healthstandards.org/products/pediatric-pain-management-can-hso-13200-2023-e Executive summary at: https://kidsinpain.ca/wp-content/uploads/2023/04/Exec-Summary_Pediatric-Pain-Management-standard.pdf 4. Follow Dr. Chambers on social media @DrCChambers 5. Follow SKIP @kidsinpain Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8