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 5 – Know Pain: Metaphoric Expression with Mike Stewart – Part 2

Session 5 features part two 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:

00:00 – 01:27 – Intro and dedication to Louis Gifford

01:27 – 03:37 – Understanding and explaining complex neurobiology

  • Amygdala v cortex – an unfair waterfight
  • Anticipation, apprehension and fear avoidance

03:37 – 16:40 – Shifting focus from pain to function

  • Exploring maladaptive patient cognitions
  •  ‘Tricking’ the nervous system

16:40 – 24:27 – Graded exposure and adaptation

  • Giving the patient the reigns
  • Seeing is believing – pictures pain at thousand words

24:27 – 33:52 – Readiness for change – picking the right patients

  • Selling a new model to patients
  • Acknowledging and addressing psychological barriers – education and empowering patients

33:52 – 43:03 – Pain management strategies

  • A contextual role for passive modalities
  • Deciding when to call time

43:03 – 52:45 – Adopting a neurobiological education approach in everyday practice

  • Embracing a complex challenge
  • A role in sport and private practice

52:45 – 57:09 – Signposting to learning resources

57:09 – 59:23 – Acknowledgements, upcoming Know Pain courses, Outro

Twitter: @TPMPodcast @Chews_Health @knowpainmike

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