(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.

(00:00:00) Intro
(00:00:41) PNE Through Stories and Metaphors (continued)
(00:10:19) Educating Patients on Graded Exposure
(00:13:54) Visual Aids in PNE
(00:22:35) Challenges in Teaching Patients about Pain
(00:33:18) Recap

Thanks for making it past our first cliffhanger! In part two of our discussion on educating our patients about pain, we spent some time sharing stories and metaphors we use to educate our patients about their pain experiences.  We talk a bit about how to educate patients about graded exposure, as well as visual aids we use during education.  We wrap up this episode with a conversation on the challenges you may encouter while teaching patients about pain, as well as some strategies on how to work through those challenges. We hope you find it helpful!

(00:00:00) Intro
(00:00:40) Why teach patients pain neuroscience?
(00:02:23) Teaching pain neuroscience to providers
(00:12:30) Teaching pain neuroscience to patients
(00:18:45) PNE through stories and metaphors

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.

(00:00:00) Intro
(00:00:42) Managing patients not interested in pain science
(00:07:49) Managing patients with feelings of injustice
(00:16:25) Is avoiding stress the answer?
(00:19:13) A moment of validation with Jay
(00:20:15) Changing the plan
(00:23:48) Patient personality types
(00:29:57) Recap

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!

(00:00:00) Intro
(00:00:32) What is Therapeutic Alliance?
(00:05:33) When does Therapeutic Alliance matter most?
(00:12:49) Strategies for building Therapeutic Alliance
(00:18:28) A moment of validation with Jay
(00:19:00) How do you recover from poor Therapeutic Alliance?
(00:30:12) Recap

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!

(00:00:00) Intro
(00:00:32) Meet the Team
(00:13:39) What makes a good pain science PT?
(00:16:40) Can you teach someone to be a pain science PT?
(00:19:24) Identifying good patients for pain science PT
(00:23:01) What is nociplastic pain?
(00:32:02) A moment of validation with Jay
(00:33:06) Where does traditional PT fit in?
(00:39:49) No, really, where does traditional PT fit in?
(00:44:52) Strategies to calm the nervous system
(00:49:51) Recap

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?

For more information, including references from today's episode, please visit our website at rewiringresilience.com.