Tag: neurobiology

Practical Pain Education

I gave a talk on how I approach pain education in the land of China, and yes I finally got around to re-recording it. Here were some of the topics I discussed in this talk: The history of pain education The difference between the three pain mechanisms What the current research suggests regarding pain and threat The 14 most common maladaptive pain beliefs, and how to squash those thoughts via education If you want immediate access to the remainder of the 1 hour and 49 minute talk, and a FREE 21 page PDF file of my talk notes, fill out the form below. [yikes-mailchimp form=”1″ submit=”Yes, a free 90+ minute talk and notes sounds like a sweet deal”] Without further adieu, here is the first 20+ minutes of the talk.

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Treatment of Shredded Cheese of the Hip: A Case Report and Rant

A Long Day I officially eclipsed my longest work day ever. Started seeing patients at 7:30 am and finished training my last client at 10 pm. So exhausting, but the bright side is my new schedule prevents me from waking up that early ever again! Hooray for sleeping in…sort of. I figured while I had some time in the airport before my next course, I would write a little something about a patient I evaluated right before my lunch break on this long day. Needless to say, I didn’t get much of a break. Her Story This lovely lady is a nurse with a history of chronic left hip pain. She has predominately been treated surgically via labral repairs and muscle reattachment. Her most recent symptom exacerbation involved putting on her socks about a month prior. She heard a pop as she bent over and could not walk. She initially saw two ortho docs. One specializes in total hips, the other in scopes.  Since she was not appropriate for a total hip, this doc referred this lady to his associate. After some imaging was done, she found out that she could not have surgery because she had several muscle tears. Or in the language that the doctor used: “I have nothing to work with. Your hip is shredded up like cheese.” This lady knew no other treatment but surgery, and hearing this news was devastating for her. Thoughts of a brutish life and an end to her fulfilling job flooded

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