Physio Edge podcast with David Pope

035. Know Pain with Mike Stewart

17 snips
Mar 26, 2015
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ADVICE

Use The Boss Metaphor To Reframe Pain

  • Explain pain as a brain-led threat response using a simple metaphor to reduce threat (the boss metaphor).
  • Ask 'what would you need to show your boss to make him go back to the golf course?' to guide graded activity.
INSIGHT

Seesaw Model Links Sensitivity And Tissue Capacity

  • Conceptualize pain sensitivity as a seesaw between nervous system vigilance and tissue capacity.
  • Pain education aims to 'turn the boss down' while graded loading improves tissue function to rebalance the seesaw.
ADVICE

Use Lived Experiences To Teach Pain Science

  • Use experiential examples (blinking, hypnic jerk) to show patients that real experiences can be brain-generated and still valid.
  • Let patients question their own experiences rather than only giving abstract info.
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