Session 4 – Know Pain: Metaphoric Expression with Mike Stewart – Part 1

Mar 21, 2014
CH Admin

The Physio Matters Podcast

Putting big mouths and big ideas behind microphones.
The Physio Matters Podcast is a feature of Chews Health’s third core value ‘We Educate’. Episodes will feature expert, honest advice, delivered directly to listeners at no cost.

The Physio Matters Podcast content hopes to be clinical gold delivered direct.
Musculoskeletal and Sports Medicine information for those working in physiotherapy, sports therapy, sports rehabilitation, medicine and all divisions of the healthcare industry.

Session 4 – Know Pain: Metaphoric Expression with Mike Stewart – Part 1

Session 4 features part one of an interview with Mike Stewart, a clinical specialist working in persistant pain, discussing the use of metaphoric expression within a framework of biopsychosocial clinical reasoning.

Podcast timeline 

  • 0:00-1:30

◦                     Podcast intro.

  • 1:20 – 5:35

◦                     Mike Stewart intro and story so far.

  • 5:35 – 9:10

◦                     Pros and cons of the biomedical and biopsychosocial models.

  • 9:10 – 11:45

◦                     The journey towards biopsychosocialism.

  • 11:45 – 16:10

◦                     Categorical thinking. Innate but often unhelpful?

◦                     Training perspective.

  • 16:10 – 18:45

◦                     Catastrophising and evolution.

◦                     Adaptation or maladaptation.

  • 18:45 – 21:00

◦                     The reframing of pain as a condition in its own right.

◦                     Teaching pain management like other long term conditions.

  • 21:00 – 24:05

◦                     How is biomedicalism failing society?

◦                     The use of MRI reporting and explanation.

  • 24:05 – 29:05

◦                     How do with simplify pain as an entity for patients?

◦                     Patient education and the sensitivity model.

  • 29:05 – 31:10

◦                     Using physical metaphor and illusion in patient education.

◦                     How the nervous system can be deceptive.

  • 31:10 – 33:50

◦                     Pain as an output.

◦                     The learning and unlearning process of neurological outputs.

  • 33:50 – 40:35

◦                     Thoughts and emotion as impulses too.

◦                     Cognitive, emotional and contextual triggers.

◦                     Context is unique. How does it influence pain?

  • 40:35 – 45:30

◦                     Pain as a threat.

◦                     History of pain science and its growing evidence.

◦                     The use of multiple ingredients in rehab.

  • 45:30 – 52:40

◦                     Metaphoric expression. The good, bad and ugly.

◦                     From the battle to the journey.

◦                     Helping patient’s to reframe progress.

  • 52:40 – 56:15

◦                     Goal setting.

◦                     Functional rehabilitation goals within patient context.

◦                     Timeframes.

  • 56:15 – 56:40

◦                     The complexities of the nervous system.

◦                     Does this mean complex analogies and explanations?

  • 56:40 – 58:15

◦                     Outro.

◦                     Podcast shownotes newsletter.

Twitter: @TPMPodcast @chews_health @knowpainmike