A conversation about pain with Lee Schneider
Lee Schneider is a PhD candidate studying pain and predictive processing at the University of Notre Dame in Perth, Australia. This conversation was inspired by my earlier chat with Asaf Weisman, in one of the previous podcasts or available to view here https://youtu.be/j_0di-4Vaw4. In this discussion, we talk about Lee's agreements and disagreements with Asaf's perspective, the debate about whether pain is a sensation or a perception, the predictive processing model, and many other topics. The conversation was a lot of fun and we rambled all over the place, so there are some jarring cuts/edits in some places. Many thanks Lee. For notes and timestamps see the video at https://physiosonline.co.uk/2022/04/a-conversation-about-pain/ You can follow Lee at https://twitter.com/LSchneiderPT
April 12, 2022
"Pain is not a thing" with Asaf Weisman
Evie from PhysiosOnline speaks with Asaf Weisman, pain researcher at Tel-Aviv University. We discuss some of Asaf's reflections around the subject of pain and pain science, including: Pain is not a thing Pain is a sensation, not a perception The brain as an "overstressed blue-collar worker" Is pain neuroscience education (PNE) based on a fairytale His study finding that a majority of people do not like being told "Explain Pain" material PNE is metaphysical conjectures, not truth The concept of "Coming Back To The Answer". In Judaism, people who are secular and want to go back to religion; they call this process "Coming Back To The Answer" because if you believe in God, you always have an answer for everything. The importance of neuroinflammation on human disease and health Reductionism Asaf's "Doomsday Prophecy" - "Within 5 decades, physiotherapists are not going to treat persistent pain states any more. We've got nothing to offer for these patients."Why am I in pain?" I cannot answer this question, and no-one will ever be able to answer this question. - Asaf Weisman View the video at Youtube and follow us at: https://youtu.be/j_0di-4Vaw4 Follow Asaf at: https://twitter.com/AsafKlaf Visit his website at: https://painlosophy.wordpress.com
March 31, 2022
Politics and Healthcare (with Dr. Rosi Sexton)
Evie from PhysiosOnline talks with Dr. Rosemary Sexton. Rosi is an osteopath and Green Party councillor. She has been a professional MMA fighter, and was the first woman in the UK to fight in the UFC. She is also mathematician having studied maths at Cambridge and received her PhD from Manchester University. Rosi and Evie connected on twitter over a thread discussing how politics might influence healthcare professionals' decision-making and treatment approaches. In this interview, we discuss Why, as an osteopath, Rosi became interested in politics and became a local councillor Why she chose the Green Party specifically Problem-solving as the underlying challenge in both her clinical practice and political work Rosi encourages other healthcare professionals to engage in politics, particularly at a local level. Read the full blogpost at https://physiosonline.co.uk/2021/09/politics-and-healthcare/. You can also view the talk on our YouTube channel at https://youtu.be/RA6pTTZxqWk To find out more about Dr. Rosi Sexton: Senior Osteopath at Olton Osteopathy Twitter: @RosiSexton Political account on twitter: Cllr. Rosemary Sexton @DrSextonGreen
September 24, 2021
Physiotherapy in India - Brain Drain and other Challenges
Ashish Dev Gera is a physiotherapist in the Doon Valley in India. In this discussion, he shares his perspective on the challenges facing his profession in India. We talk about - The problem of "Brain Drain" as Ashish sees it, where Indian physiotherapists are choosing to go abroad for better professional opportunities - The hierarchical system encountered by physiotherapists in India - Underrepresentation of Indian physiotherapists at international conferences, and the possible reasons for this - Self-perception of physiotherapists in India and lack of confidence in their own skills and abilities - The importance of hearing and promoting voices from diverse backgrounds and places - Ashish's ambition to help raise standards in his profession at home Off-camera, following the interview Ashish told me "I just want to leave the profession better than I found it". I think this sums up his mission and hopes perfectly. Follow Ashish on twitter @gera_dev30 Instagram @ashishdevphysiotherapy Blogpost at: https://physiosonline.co.uk/2021/07/physiotherapy-in-india-brain-drain-and-other-challenges/ Video at: https://youtu.be/PkZohSUVQHo
July 29, 2021
Evie talks with Donna Sanderson-Hull - Senior Consultant Sports Medicine Physiotherapist at Blue Sky A concussion is a form of brain injury causing a temporary disturbance of brain function. Concussions can occur not only with bumps, hits or blows to the head, but elsewhere on the body, which causes the brain to move back and forth in the skull. There are 22 different signs of concussion and it is an old misconception is that someone generally has to be knocked out to be diagnosed with a concussion. Thankfully, there is a lot more education now in sport on how to recognised a concussion and campaigns to remove people from the field of play should a concussion be suspected. The “if in doubt, sit them out” campaign by Peter Robinson, who’s son Ben died on a rugby pitch after a concussive episode has done much to highlight the need for better recognition of suspected concussion. Read the full blogpost: https://physiosonline.co.uk/2021/06/concussion/ Book an appointment with Donna: https://physiosonline.co.uk/physiotherapist/donna-sanderson-hull/
June 15, 2021
Sexual dysfunction following cancer - the role of physiotherapists
Pelvic health specialist physiotherapist Debbie Dillon talks about her work with patients who are experiencing sexual dysfunction following treatment of gynaecological and prostate cancer. Many survivors of gynaecological cancers experience long-term effects on their pelvic health including effects on continence and sexual function, due to treatments such as surgery and radiotherapy. Understandably, while undergoing cancer treatment, patients and clinicians are very much focused on the curing the disease itself. In Debbie's experience, following successful treatment, many people are then reluctant to seek treatment for sexual and pelvic health issues if they find themselves affected. Video at https://physiosonline.co.uk/2021/06/sexual-dysfunction-following-cancer-the-role-of-physiotherapists/
June 08, 2021
Making Online Content - Is it worth the effort? With Jack March.
Evie talks to Jack March from rheumatology.physio and the PhysioMatters Podcast about producing online learning materials, and how this type of content can be funded. Jack talks about his work producing learning materials on his own site rheumatology.physio, where he has tried various payment models. He talks about the challenges of earning an income for his work, while at the same time not wanting to limit access to learning materials to those who may not be able to afford it. 05.00: The different types of people making content. There are obvious differences between for example a person who is making educational material as part of their employment role, compared with those who rely on selling material to generate income. 11.00: Different models for CPD and content sharing – subscription models versus one-off expenses for standalone products 18.00: The “name your price” model 27.00: “It isn’t fair because you should be able to stand on your quality, but you can’t.” 29.00: Talking about the decision at TPMP to decline sponsorship from drug companies. “You can try to stick to your ideals as much as you can”.
June 03, 2021
Bone Stress Injuries
Dr James Noake is a consultant in sport, exercise and musculoskeletal medicine. In this conversation he talks about the diagnosis and management of bone stress injuries. We discuss: What a bone stress response is, and how it differs from an acute fracture The risk factors for developing bone stress injuries How we as clinicians can identify possible bone stress injuries by carefully listening to the patient's history Returning to sport safely after injury You can book an online appointment with Dr. Noake at https://getbetteronline.co.uk/experts/dr-james-noake/, or contact him at https://puresportsmed.com Follow him on twitter at @DrJN_SportsMed
May 19, 2021
What's going on with Long Covid?
A conversation with physiotherapist David Poulter and Pain Consultant Dr. Deepak Ravindran, consultant in Pain Medicine and lead for the Berkshire LongCovid Integrated Service (BLIS) in Reading, UK. We discuss: -The kinds of symptoms and problems people are experiencing when they present to the Long Covid clinic -The finding that the vast majority - about 90% - of people with Long Covid are those who have had so-called "mild" disease, where they were not hospitalised. -Theories of the mechanisms underlying development and persistence of LC -Variability in how people respond to the virus -The controversy around use of the term "biopsychosocial" as some patients feel that this term has been mis-used -ME/CFS and other post-viral fatigue syndromes share many similarities with LC -The hope that the recent public interest in LC may positively effect research and future outcomes for people with with ME -In the year 2021, will anyone be diagnosed with ME/CFS, or will everyone presenting with these symptoms be diagnosed with Long Covid? -It's important to validate people's lived experience of Long Covid. At the same time, is there a possibility that exposure to a lot of content about Long Covid may create a "nocebo effect" for those who catch the virus? -Activism and its impact on funding -Pacing; what is it? This term means wildly different things to different people. -Physical and cognitive rest and "flight mode" Blogpost and video available at: getbetteronline.co.uk/whats-going-on-with-long-covid/
April 27, 2021
Understanding and treating pelvic pain in men
Blogpost and video: physiosonline.co.uk/2021/04/understanding-and-treating-pelvic-pain-in-men/ Karl Monahan is a clinician with a special interest in treating male pelvic pain. After experiencing chronic debilitating pelvic pain and managing to successfully treat it himself, he set out to help other men to overcome their pelvic pain. In addition to running a specialised male pelvic pain clinic in London, Karl also hosts a series of webinars featuring various experts and people with lived experience of pelvic pain, with the aim of helping patients and clinicians to better understand this condition. More resources available at: physiosonline.co.uk/project/womens-mens-health-pelvic/
April 23, 2021
Recognising abuse and protecting children in gymnastics and the performing arts
In recent years high-profile scandals have revealed that children in gymnastics and ther performing arts are particularly vulnerable to abuse by coaches and others. In this discussion, physiotherapists Emma Stevenson and Bill Taylor talk about how they think we as physiotherapists can advocate for and protect children and contribute to a safe environment for them. Bill Taylor is a specialist musculoskeletal physiotherapist and consultant physiotherapist to the Scottish Ballet. He has extensive experience working with performers of all ages including children. Emma Stevenson is a former college-level competitive gymnast who knows some of the people involved in the recent scandals in US Gymnastics. After completing her DPT (Doctor of Physical Therapy) qualification in the UK, she now works as a physiotherapist in London, and has a particular interest in supporting young athletes.
April 23, 2021
Pelvic Pain in Men
In this podcast episode, pelvic health specialist Bill Taylor and Evie from PhysiosOnline talks about pelvic pain in men and how it can be helped. Pelvic pain in men is referred to by many different names. Most often men will have received a diagnosis of “prostatis”, but may also heard a variety of other terms including prostadynia, coccydynia, pudendal neuralgia, levator ani syndome and proctalgia fugax. Blogpost: https://physiosonline.co.uk/2021/04/pelvic-pain-in-men/ Bill Taylor: https://physiosonline.co.uk/physiotherapist/bill-taylor/
April 18, 2021
Physio for Dancers - Bill Taylor and Liz Bayley
PhysiosOnline members Bill Taylor and Liz Bayley discuss their experiences related to physiotherapy in the world of dance and performance. Bill Taylor is Consultant Physiotherapist for the Scottish Ballet. Liz Bayley is a former professional dancer who later trained as a physiotherapist.
April 14, 2021