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Empowered Beyond Pain
Making sense of pain science and bringing evidence to your eardrums to close the research to real-world gap
Category: Medicine
Location: Perth, Western Australia
Followers (19)
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October 23, 2020 12:00 PM PDT

Learn the truth about posture and low back pain. Sleeping posture, sitting posture, lifting posture, it's all covered in this episode with patient voice Joe, researcher and physiotherapist Nic Saraceni, and co-hosts Professor Peter O'Sullivan and Kevin Wernli.

Show notes available at https://www.bodylogic.physio/podcast Twitter handles @EBPPodcast @PeteOSullivanPT @JPCaneiro @KWernliPhysio *Peter O’Sullivan and JP Caneiro were awarded specialisation by the Australian College of Physiotherapists in 2005 and 2013 respectively. Theme music by Fervun and Cash. For educational purposes only. Produced by Kevin Wernli

October 09, 2020 12:00 PM PDT

What's the best posture? Are posture correctors good/bad/safe? There are many outdated beliefs still commonplace among society, so what does the evidence say? In today's episode, we talk to Diane Slater and Dr Kieran O'Sullivan all about posture, and how reading and conducting research into posture made us all move on from those old beliefs.

Show notes available at https://www.bodylogic.physio/podcast
Twitter handles @EBPPodcast @PeteOSullivanPT @JPCaneiro @KWernliPhysio *Peter O’Sullivan and JP Caneiro were awarded specialisation by the Australian College of Physiotherapists in 2005 and 2013 respectively. Theme music by Fervun and Cash. For educational purposes only. Produced by Kevin Wernli

September 25, 2020 12:00 PM PDT

What does pain with movement mean? Many think it's a warning that harm is being done and a signal to stop. This week, clinician-researchers Professor Peter O’Sullivan and Kevin Wernli are joined by Megan who has a lived experience with chronic low back pain that resulted in 3 spinal surgeries.

Take homes:
- Megan's reframing of pain as danger meaning stop, to pain as being okay to move was important.
- Learning modern pain science (especially that the brain produces pain) helped her move forward.
- Having a trusted coach to hold her hand was imperative.
- Ergonomic advice such as 'keep your back straight', 'brace your core' and 'sit up straight' wasn't helpful nor is it evidence-based.

Show-notes available at https://www.bodylogic.physio/

Twitter handles @EBPPodcast @PeteOSullivanPT @JPCaneiro @KWernliPhysio *Peter O’Sullivan and JP Caneiro were awarded specialisation by the Australian College of Physiotherapists in 2005 and 2013 respectively. Theme music by Fervun and Cash. Produced by Kevin Wernli

September 11, 2020 12:00 PM PDT

How relevant are scans (MRI, CT, X-RAY etc) for low back pain? Imaging is commonplace these days, but is it actually doing more harm than good?

This week, patient voice Joe joins clinician-researchers Professor Peter O’Sullivan and Kevin Wernli as they discuss the evidence around imaging for low back pain. As well as the negative emotional and physical impact Joe's scan had on him - a common story among many with low back pain. The show-notes (www.bodylogic.physio/podcast) for this page share 3 imaging infographics, as well as links to all the references discussed in this episode.

Take homes were:
- Imaging is important, but only for ~5-10% with back pain
- Imaging findings are common in people without pain, and don’t predict future pain or function
- MRI reports don’t appear to be that consistent between MRI centres
- Routine imaging is not associated with better outcomes, and is in fact often harmful, not to mention costly.
Twitter handles @EBPPodcast @PeteOSullivanPT @JPCaneiro @KWernliPhysio

*Peter O’Sullivan and JP Caneiro were awarded specialisation by the Australian College of Physiotherapists in 2005 and 2013 respectively. Theme music by Fervun and Cash. Produced by Kevin Wernli

August 28, 2020 12:00 PM PDT

Professor Rachelle Buchbinder is a world-leading back pain clinician and researcher, today she discusses the current understanding and management of low back pain. Rachelle, who is a rheumatologist, clinical epidemiologist, and NHMRC Senior Principal Research Fellow at Monash University in Melbourne was kind enough to have a conversation with Professor Peter O’Sullivan and Kevin Wernli. Rachelle led the distinguished low back pain series of research papers in the prestigious medical journal ‘The Lancet’ (https://www.thelancet.com/series/low-back-pain), a series that was highly publicised and highly regarded in the low back pain field. Rachelle has been at the forefront of promoting better, and eliminating wasteful, musculoskeletal pain management and has been tenacious in this endeavour.

Key take-homes were: Social sharing and mass media campaigns can be pivotal at moving the needle in a positive direction Vested and conflicts of interest are rife in the low back pain industry, presenting a big barrier for high-value care Back pain due to serious tissue damage is incredibly rare (less than 1% in primary care), but this doesn’t mean people can’t have serious pain. For the overwhelming majority, you don’t need imaging, it is safe to stay at work, and safe to keep moving, even if you have serious pain (which can be influenced by lots of different physical, emotional and lifestyle factors).

You can find the show notes at: www.bodylogic.physio/podcast which features over 20 references to the studies discussed in this episode!

Twitter handles: https://twitter.com/EBPPodcast https://twitter.com/RachelleBuchbin https://twitter.com/PeteOSullivanPT https://twitter.com/JPCaneiro https://twitter.com/KWernliPhysio *Peter O’Sullivan and JP Caneiro were awarded specialisation by the Australian College of Physiotherapists in 2005 and 2013 respectively. Theme music by Fervun and Cash. Produced by Kevin Wernli

August 21, 2020 12:00 PM PDT

We've made the tough decision to move to fortnightly releases. This is to give us a bit more breathing room between episodes so we can ensure we keep bringing you high-quality content. Let us know what you think via @EBPpodcast on social media. It'll also give you time to revisit some older episodes, or browse the show notes which are always packed full of resources, videos or infographics. www.bodylogic.physio/podcast It'll also give you more time to ask... is there more to pain than damage. Produced by Kevin Wernli

August 14, 2020 12:00 PM PDT

Low back pain is the worlds most disabling health condition and costs more than cancer and diabetes combined. A scientific journal article covering 10 facts about low back pain was recently published in the British Journal of Sports Medicine (http://dx.doi.org/10.1136/bjsports-2019-101611). The origins and motivations for that paper, as well as patient stories were covered in episode 4 and 5 of the podcast. This episode covers in detail low back pain fact number 2: 'Getting older is not a cause of back pain' with some of the authors: Professor Peter O’Sullivan and Kevin Wernli. Show notes: www.bodylogic.physio/podcast Our twitter: https://twitter.com/EBPPodcast https://twitter.com/PeteOSullivanPT https://twitter.com/JPCaneiro https://twitter.com/KWernliPhysio Please note: the topic of suicide does come up in this conversation. If you are having suicidal thoughts, please remember you are not alone and help is available. Please tell someone you trust - in Australia, Lifeline are ready to help 24/7 on 13 11 14 *Peter O’Sullivan and JP Caneiro were awarded specialisation by the Australian College of Physiotherapists in 2005 and 2013 respectively. Theme music by Fervun and Cash. Produced by Kevin Wernli

August 07, 2020 12:00 PM PDT

Low back pain is the world's most disabling health condition and costs more than cancer and diabetes combined. A scientific journal article covering 10 facts about low back pain was recently published in the British Journal of Sports Medicine (http://dx.doi.org/10.1136/bjsports-2019-101611). The origins and motivations for that paper, as well as patient stories, were covered in episodes 4 and 5 of the podcast. This episode covers in detail low back pain fact number 1: Persistent back pain can be scary, but it’s rarely dangerous with some of the authors: Professor Peter O’Sullivan and Kevin Wernli. Show notes: www.bodylogic.physio/podcast Our twitter: https://twitter.com/EBPPodcast https://twitter.com/PeteOSullivanPT https://twitter.com/JPCaneiro https://twitter.com/KWernliPhysio *Peter O’Sullivan and JP Caneiro were awarded specialisation by the Australian College of Physiotherapists in 2005 and 2013 respectively. Theme music by Fervun and Cash. Produced by Kevin Wernli

July 31, 2020 12:00 PM PDT

Beliefs can play a HUGE role in peoples pain journey. This week we welcome Dr Sam Bunzli who is a post doctoral researcher at the University of Melbourne leading qualitative research within the NHMRC Centre of Research Excellence in Total Joint Replacement. She has methodological expertise in qualitative research and content expertise in health beliefs, behaviour and clinical communication. Together with Professor Peter O'Sullivan, Dr JP Caneiro and Kevin Wernli, the four discuss what beliefs are, how they're formed, the influence they have on pain, and what to do about them. Based on the article authored by JP, Sam and Pete in the Brazilian Physical Therapy Journal: https://doi.org/10.1016/j.bjpt.2020.06.003 Show notes: www.bodylogic.physio/podcast Our twitter: https://twitter.com/EBPPodcast https://twitter.com/PeteOSullivanPT https://twitter.com/JPCaneiro https://twitter.com/KWernliPhysio *Peter O’Sullivan and JP Caneiro were awarded specialisation by the Australian College of Physiotherapists in 2005 and 2013 respectively. Theme music by Fervun and Cash. Produced by Kevin Wernli

July 24, 2020 12:00 PM PDT

Part 3 of our Osteoarthritis mini-series. In this episode guest host Jennifer Persaud from Arthritis and Osteoporosis WA talks to Dr JP Caneiro about:
- When a consultation with a surgeon is appropriate
- Can care for osteoarthritis be done via online video consultations?
- Tips and advice as well as where to find more good quality resources.

Show notes: www.bodylogic.physio/podcast
Our twitter: https://twitter.com/EBPPodcast https://twitter.com/PeteOSullivanPT
https://twitter.com/JPCaneiro
https://twitter.com/KWernliPhysio

*Peter O’Sullivan and JP Caneiro were awarded specialisation by the Australian College of Physiotherapists in 2005 and 2013 respectively. Theme music by Fervun and Cash. Produced by Kevin Wernli

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