The Rewiring Resilience Podcast

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!

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! 

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! 

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!  

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.

Part 2 is here and so are you! We spend more time talking about PNE through stories and metaphors. We discuss educating patients on graded exposure, using visual aids for PNE, and the challenges we face when teaching patients about pain. 

Welcome back! In episode one of this two-part discussion, we talk about why to teach patients about pain neuroscience, as well as what we as providers should understand as well as how we should teach our patients.  And Danny tells a great story about using creativity and technology to meet your patients where they are to help them understand what's happening in their body.

Thanks so much for showing up again! In this episode, we focus on managing the challenges that come with treating patients in chronic pain. What if they don't want to take this approach? What if they have a strong sense of injustice? Should you avoid stress? Is that even possible? Sometimes patients don't want to take this approach. Sometimes a strong sense of injustice is interfering with their recovery. In other cases, patients are experiencing high levels of stress. Our discussion focuses on strategies to help manage these issues. We also cover changing the plan when a patient shows up in a different state than normal, and touch base on specific personality characteristics that might create a challenge for a patient trying to recover, and what we might do to help move them towards recovery. Thanks again for being here!

We're so glad you came back! In this episode, we discuss therapeutic alliance.  What does it mean? How do you develop it? Why is it important? And what happens when you don't have it? Or more often, if someone else has taught your patient that it isn't important or doesn't exist? Our discussion focuses on positive strategies to use with your patients to develop and maintain a good therapeutic alliance, as well as how to recover from poor therapeutic alliance, whether it was due to your own errors or the mistakes of others. We want to keep in mind that we are all working towards the same goal, and while it is important to us, it is the patient who lives with their symptoms everyday. Thanks for being here!

Welcome to Rewiring Resilience! In our first episode, you get to meet the team and hear about how we got here. Then we take a broad approach to a number of topics:

• What makes a good pain science PT?
• Can you teach someone to be a pain science PT?
• How can you identify good patients for this approach?
• What is nociplastic pain?
• Where does traditional PT fit in?
• What are some strategies to help patients calm their nervous system?