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  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-advis

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 StandardDownload 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

In this episode, we talked about: What World Physiotherapy does What physiotherapy looks like around the world How the profession can help each other globally   Michel D. Landry is a Professor in the Departments of Physiotherapy and Global Health at the Western Norway University of Applied Sciences (Bergen, Norway).  He was the Chair of the Department of Physical Therapy and Associate Dean for Global Health in the College of Health Professions at Virginia Commonwealth University (VCU) in Richmond, Virginia, from 2021-23, and was a Professor and Division Chief of Duke University’s Doctor of Physical Therapy Division in Durham, North Carolina from 2011-2021.  At Duke, he successfully led an essential rebuild of the program that is now one of the top physical therapy programs in the United States.  Before arriving at Duke University, he was a tenure-track Assistant Professor at the University of Toronto (2007-2011), where he was also a Career Scientist at the Ontario Ministry of Health and Long-Term Care.  He has held senior clinical management positions within the private rehabilitation sector in Ontario (Canada) and leadership positions within international humanitarian aid and development agencies in conflict, emergency, and disaster settings.  Dr. Landry is a past president of the Canadian Physiotherapy Association and the current President of World Physiotherapy, the global body that represents 700,000 physiotherapists around the world.  He delivered the 2020 Enid Graham Memorial Lecture, and in 2023, he received the Dean’s Award of Excellence from the University of Ottawa’s Alumni of the Faculty of Health Sciences for his commitment to global health and physiotherapy.    Connect with Dr. Mike Landry X: @drmikelandry                                                                  www.drmikelandry.ca insta: mikelandryphysio   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 value of hard work for physiotherapists The necessity of innovating the future of physiotherapy Important mindset changes for physiotherapists   Michel D. Landry is a Professor in the Departments of Physiotherapy and Global Health at the Western Norway University of Applied Sciences (Bergen, Norway).  He was the Chair of the Department of Physical Therapy and Associate Dean for Global Health in the College of Health Professions at Virginia Commonwealth University (VCU) in Richmond, Virginia, from 2021-23, and was a Professor and Division Chief of Duke University’s Doctor of Physical Therapy Division in Durham, North Carolina from 2011-2021.  At Duke, he successfully led an essential rebuild of the program that is now one of the top physical therapy programs in the United States.  Before arriving at Duke University, he was a tenure-track Assistant Professor at the University of Toronto (2007-2011), where he was also a Career Scientist at the Ontario Ministry of Health and Long-Term Care.  He has held senior clinical management positions within the private rehabilitation sector in Ontario (Canada) and leadership positions within international humanitarian aid and development agencies in conflict, emergency, and disaster settings.  Dr. Landry is a past president of the Canadian Physiotherapy Association and the current President of World Physiotherapy, the global body that represents 700,000 physiotherapists around the world.  He delivered the 2020 Enid Graham Memorial Lecture, and in 2023, he received the Dean’s Award of Excellence from the University of Ottawa’s Alumni of the Faculty of Health Sciences for his commitment to global health and physiotherapy.    Connect with Dr. Mike Landry X: @drmikelandry                                                                  www.drmikelandry.ca insta: mikelandryphysio   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:1. What preventing post-traumatic knee osteoarthritis (PTOA) means;2. Risk factors for developing PTOA and how to mitigate/manage;3. Practical tips in clinical care around preventing PTOA. Dr. Whittaker is an Associate Professor in the Faculty of Medicine at the University of British Columbia (UBC), Senior Research Scientist at Arthritis Research Canada, and recognized as a Clinical Specialist in Musculoskeletal Physiotherapy by the Canadian Physiotherapy Association. Dr. Whittaker’s research focuses on long-term athlete welfare with a specific focus on musculoskeletal health after sport-related injuries. This includes research to improve injury care pathways, understand the consequences of injuries, and develop approaches to optimize function and healthy behaviours after injury. Two themes that cross cut Jackie’s research are exposing and overcoming gendered environments that disadvantage female athletes, and partnering with people on the front lines including athletes, family members, coaches, trainers, and health care providers to ensure her research produces solutions that are acceptable, relevant, and empowering. Resources: OPTIKNEE: https://msklab.med.ubc.ca/optiknee/SOAR clinical trial information: https://www.arthritisresearch.ca/research/soar-clinicial-trial/Dashboard for ACL Reconstruction Testing (DART): https://acldashboard.com/Anyone interested in doing a PhD with Jackie: https://bit.ly/3rtmGQbTwitter handles: @jwhittak_physio and @OPTIKNEE 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 

I had the pleasure and privilege of attending the annual Canadian Physiotherapy Association Congress in Beautiful Vancouver in April. This episode compiles 8 interviews I conducted during the congress with clinicians. I think this is one of the best ways to involve more clinicians in the discussion of pain and physiotherapy. Last year, I asked about their views on and approaches to pain. This year, I asked them about their feelings about treating pain, what they wish to learn more about, and a memorable experience as a clinician. I also have a student interview at the end. Timestamp(00:01:31) Lawrence - MSK PT (00:09:20) Emilee - MSK PT, clinic owner @emiwhitt(00:18:35) Cheng, MSK PT, clinic owner @OTPerformanceRehab(00:27:14) Onkar, MSK PT, clinic owner @pfp_physio(00:34:03) Florence, MSK PT, clinic owner @northburnabyphysio(00:45:05) Patrick, MSK PT, clinic owner @thrivenowphysio(00:52:20) Amy, Ontario Physiotherapy Association staff, former primary care chronic pain group provider @chroniclesofhondronicols(01:03:28) Iris, first year PT student @irisw_pt   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 

This episode showcases how Virtual Reality, VR in short, can be used to facilitate, advance, and even transform pain education, management, and research. You'll hear about a few different applications of VR in physiotherapy, including using VR as a tool for pain neuroscience education, VR for phantom limb pain, and VR for research. We also highlight the current literature related to these applications. Note that this episode is a limited demonstration of how VR can be used in different aspects of pain care and there are a lot more out there. Interested listeners can refer to the review papers I have cited in the episode description. Timestamps:(00:01:14) Reality Health: VR as a tool for Pain Neuroscience Education (00:27:48) VR as a tool to prevent or manage Phantom Limb Pain (00:43:52) SilicoLabs: VR as a versatile research and clinical tool  Relevant resources: VR for pain overview: Ahmadpour, N., et al. (2019). Virtual Reality interventions for acute and chronic pain management. The international journal of biochemistry & cell biology, 114, 105568. Trost, Z., et al. (2021). Virtual reality approaches to pain: toward a state of the science. Pain, 162(2), 325-331. VR for phantom limb pain: Limakatso, K., et al. (2020). The effectiveness of graded motor imagery for reducing phantom limb pain in amputees: a randomised controlled trial. Physiotherapy, 109, 65-74. Purushothaman, S., et al. (2023). Assessment of efficiency of mirror therapy in preventing phantom limb pain in patients undergoing below-knee amputation surgery—a randomized clinical trial. Journal of Anesthesia, 1-7. Cheung, J. C. W., et al. (2023). X-reality for phantom limb management for amputees: a systematic review and meta-analysis. Engineered Regeneration, 4(2), 134-151. SilicoLabs: www.silicolabs.ca Reality Health: https://reality.health/home/ Skidmore, N., et al. (2024). Acceptability and Feasibility of Virtual Reality to Promote Health Literacy in Primary Care from the Health Professional’s view: A Qualitative Study. Patient Education and Counseling, 108179. Making pain education better: historical underpinnings & recent innovations – a discussion paper: https://www.petalcollaboration.org/uploads/1/4/4/1/144169171/moseley__ryan_petal_discussion_paper_making_pain_education_better_120923.pdf Video introduction to the platform:  https://vimeo.com/915832727/e6572e2a5c?share=copy 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