Reframing Chronic Pain | Physiotherapy Podcast

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Content

00:00:00 Introduction

00:01:28 How has your understanding of chronic pain changed over time?

00:04:14 When does pain stop being mainly tissue-driven?

00:06:27 If tissues have healed, why can pain still persist?

00:08:43 What do patients with persistent pain get told that makes things worse?

00:11:36 Sponsored segment: Physiotutors courses

00:13:20 How do you explain persistent pain in a way that helps patients move forward?

00:16:32 What is primary pain versus secondary pain?

00:22:43 What are you trying to figure out in a first consultation?

00:25:17 How do you handle resistance when patients are skeptical?

00:27:09 Sponsored segment: Physiotutors membership

00:29:05 Where do clinicians go wrong with persistent low back pain?

00:39:04 How do you approach patients who have tried everything?

00:41:49 How do you explain MRI findings that do not match symptoms?

00:45:44 What makes TMJ disorders tricky and what do clinicians miss?

00:49:29 Sponsored segment: WriteUpp

00:51:04 What exercise approach do you use for persistent low back pain?

00:57:08 How do you balance manual therapy, exercise, and education?

00:58:41 How important are lifestyle factors in persistent pain?

01:01:42 What is your one piece of advice for clinicians treating persistent pain?

01:06:18 Is there anything else you want to add?

01:08:08 Outro

Guest

Bahram Jam

Bahram Jam earned his BSc in Physical Therapy from the University of Toronto (1992), a Clinical Master’s in Manipulative Physiotherapy from the University of Queensland (1999), and a Doctorate in Physical Therapy from Andrews University (2009). He holds the Canadian Diploma of Advanced Manual and Manipulative Physiotherapy and McKenzie Institute credentials.

He is the founder and director of the Advanced Physical Therapy Education Institute (APTEI) and has taught over a thousand postgraduate orthopedic courses in Canada and abroad. Alongside teaching, he continues to practice and provide direct patient care.

Bahram has authored several books on pain and wellness, including The Pain Truth, When a Back Goes Out, Where Does It Really Go?, and Health Tips to Learn from Children, Chimps, and Your Physical Therapist. He is also developing PAIN: The Musical, a stage production designed to help people with chronic pain improve their relationship with pain and themselves.

Description

In this episode, physiotherapist Bahram Jam shares his 34 years of experience in understanding and treating chronic pain, emphasizing the importance of shifting from structural fixes to a focus on primary pain and the psychological aspects of pain management. Discover insights on how to better approach persistent pain, debunk common misconceptions, and explore innovative concepts like pain as a musical.