LOVE this Podcast! Thanks Jim Stark and Mark Kargela!

Holy shit, great host! And great guest! Very thoughtful, constructive talk, this will help all our fields!

It’s been an absolute pleasure to listen this episode! I’ve got a lot from this both as a physical therapist and as a young teacher. Thanks!

Such a fascinating episode, and absolutely aligns with my experience firstly as a persistent pain client myself only 5 months ago, and now as a pain coach working with others in persistent pain. Thank you so much! ❤

Great video

😊 thank you for this interview but I do not like tracking my sleep it causes more anxiety. I like qigong or EFT tapping to wind me down before bed

Great, and very insightful perspective! My thoughts: It would be great if every patient were open-minded and willing to engage in a (longer) dialogue. However, I feel that many patients - consciously or unconsciously - still think that the therapist's role is to 'fix' what is broken or dysfunctional. In my opinion, this is one of the biggest barriers to a transformative shift towards a more effective profession.

Hi Dr Schubiner I have trigeminal neuralgia & I’m in severe constant pain both day & night. Im naturally stressful person & have a a tendency to be negative. Things play on my mind & I can’t stop thinking. I have Asperger’s & wonder if this is the course of my negative outlook on life. My husband on the other hand is always positive & his glass is always half full. He says I shouldn’t take life so seriously but I can’t help it. I’m sure all this negativity isn’t helping my pain. Any advice would be appreciated.

Thank you this is amazing is there any way I can get in touch with Dr Schubner?

If you got super tight muscles, the mind can't undo that. You have to do it, when the mind senses less tension it will start to do that.

Good.

Bummer that most trainers aren’t great at regressing and progressing well, like truly regressing and progressing.

Yeah. I’m a trainer who specialises in pain and because I am a trainer and I work exclusively online, there is no 1 week wait between the client trying the dose and my finding out how it went. I find out on what’s app in my 24 hour checking and redose or recommend rest via text in real time. I think the immediacy of using technology is very helpful. This format educates people as they are doing and experiencing and long term they take the training wheels off sooner.

It’s a big yes from me. I’m a BPS trainer with a very clear scope of practice. But I’m less bound by my scope than a physio or other MS clinician because my tool and expertise is movement and the stone walls in my field as a pain support person are easier to climb over. Also I’m cheaper than a clinician so I can face to face more times in a week so conversation time is a higher volume percentage of my time with people in pain. I refer out naturally but conversation and movement in regular affordable bites out me in a position to be able to offer the soft social skills of pain care that clinicians can’t offer - meaning clients are less barriers to my service and I’m not expected to be a fixer which ironically tends to happen over time anyways.

Incredible

I have just gone through a tennis elbow case for 8 months, doing everything I could from a physical angle. I then discovered PRP and the minute I realized and believed (150%) that there could not be anything wrong with my elbow, the pain was gone in literally 2 days. I don't usually post anything on KZbin but I feel that if my post can help others with chronic pain, then great. As magical as it sounds this works. The root of my issue was stress related and going back in the past I also identified other pain episodes that had the same emotional root. This is a life changing discovery for me. Now, I wonder if all those clinics who very happily took my money and treated the issue as 100% physical don't know about this. On one occasion I told my chiropractor that instead of focusing of pain-avoiding therapy, I should instead start facing the breaking the pain-fear cycle. He told me he wanted to continue focusing on pain free activities. I find it hard to believe that a clinic that deals with pain 365 days a year are unaware of the most common cause of chronic pain. I think they use fear for business.

Thank you for a great talk, Mark. Everyone watching: Give Modern Pain Care Podcast a like, subcribe and review - and share it. I love this podcast, It has inspirede me many times and the work Mark do is amazing. Thank you. // Mathilde

All we "need" is the GDMFPOS DEA to stop playing doctor! WE FUCKING *NEED* REAL PAIN MEDS, YOU FUCKING GHOULS!!!

Did anyone get the name of the app dr. shubiner metioned?

The background “music” is super distracting.

Any study on sitting slouch fr long hours and spine damage. Because i see everyone slouching everywhere but my physio says its bad..which doesn't make any sense to me at all Because wheelchair users literally sit all day

Thank you I went through a hard year I went to get an MRI because of lower back pain it showed two disc herniations and two bulging discs nothing out of the ordinary but my physical therapist tell me not to bend or twusr just to keep a neutral spine to engage the core at all times. I did this for months my back got worse with severe tightness and I used to be so flexible doing yoga and everything I finally was told by another physician to start bending my spine and doing yoga slowly I went through a lot of emotional distress it's been a year now and I am more flexible but I still feel my back is tight and it can go into a small spasms I have to relax the back more I believe it's the brain now that's sending me signals TMS and proceed danger pain

I took Emily’s class and I so enjoyed and appreciated her expertise. I have long COVID orthostatic intolerance and Me/CFS. Just being heard is actually a life savor. I’m very very grateful for Geneva and Emily. Thank you.

Is hEDS a “new” disorder? I’ve been told I may have it and I’m in my 60s! Just flexible and have back pain from hypermobile pelvis and food allergies. 🤷🏻‍♀️ This is NOT a disease I want to have. I’ve heard it’s genetic, but no genes, so who knows?

Jackson Shirley Thompson Maria Martinez Karen

My question is: What is the difference between anxiety and chronic pain?

This is such an excellent interview, thank you so much! I'm someone who has a lived experience of pain and I absolutely resonate with Trevor's journey from all-consuming pain, to living a meaningful, purposeful and joyful life.

If I have a broken vertraba tv12 can I still be able to help myself

Hello everyone I think I have nearly convinced myself my pain is neuroplastic. I have been to two doctors. They have found absolutely nothing wrong with me. It would be so helpful to me if I knew certain symptoms other people cured them with these techniques. I hear a bunch of stories on the podcast specifically about pain. But I have a lot of i guess Flu like or covid like symptoms. Again doctors found nothing wrong) The * ones I need most convincing about. I just want to know if other people have seen these symptoms reduce in themselves. Pins Needles * Headaches Swelled glands in my groin.* Feeling hot/ fake fevers. I have took my temperature it's normal. Feeling wiped out * anxiety brain fog * stabbing pains in chest and arms aches in legs coughing, snotty nose * bubbly digestive system * unusual bowl movements and stomach pain *

Do you think reprocessing therapy can lower the pain for people with structural pain?

I have RSD, reflex sympathetic dystrophy which is a chronic pain syndrome. I know exactly how you feel, I've had it since 1982, in the first few years of getting diagnosed, you'd be surprised at some of the crazy stuff doctors and their staff have said to me. After having a bone scan, and finding out that I had a third of my forearm gone, my doctor's assistant apologized to me because she thought I'd been faking it all along. I guess bone scans don't lie. To this day it still hurtful because up until the point she said that I had no idea that she thought I was just there for pain meds or for attention. And then she says to me well that must have really hurt having your muscles contract to the Bone!

Hey man!!! I love the intro’s you are creating.

Yes i totally agree that you can learn so much from patient experience. I’ve been vlogging just daily things and talking about my long covid experience to show my cognitive dysfunction for others tp see.

Thanks so much for this episode. You laid the path out so clearly for what we are doing as therapists, to help ppl with persistent pain re-engage with their life!

Schubiner does great work and it aligns with OldPain2Go concepts.

Hi are you looking for participates for the PRT study this summer ?

We definitely have had similar paths as I've mentioned before. It reminds me of blind men and elephant. The whole is greater than the sum of the parts and pain is super complex and always individual.

excellent discussion thank you. Keen to know if you have done any podcasts on gender based pain research?

Thank you for sharing this and caring about people 🙏

I can resonate with the doctor that committed suicide. I have felt that way but I do believe in the mind body approach and have experienced relief from back pain for a good period of time but it is back now with a vengeance and I am really suffering. There are no practitioners where I live. I need help. Where can I get it?

How do you find a clinician? I’m interested in finding one in Cleveland, but don’t know where to look.

Well thank GOD someone with a brain. I am a scoliosis patient, 18-level spinal fusion all bolted into the back of my pelvis, the result of 2 surgeries 30 years apart, and I was dumped off my 14-year pain medication regimen in 2022 and labeled "at-risk for opioid use disorder" after moving states in 2022, with zero evidence and zero reason to change my treatment plan. The only problem is the government interference with the practice of medicine.

this is great but some of these assaults on our emotions happen EVERYDAY also imaginary practice of saying what you'd really like to say and get really angry with the people that deserve it we dont get that actual opportunity so that imaginary thing isn't very satisfying anonymous letter writing can be good or when you dont have anything to lose write a scathing letter to that awful person. as for pain perpetrated on others people who were victims it can be very upsetting to live with that the injustices. and finally most people do not want to be sat down face to face eye to eye and tell others how they have been unfair or rude or mean or cruel. Few people would go along with that. All this said it was a wonderful discussion thank you!

Great work Ian Harris. Not easy or comfortable sticking your head above the parapet!

Would you recommend using wearables for our clients , if so which one ?

Fantastic episode, thanks!

Ice and swimming and walking and certain exercises are key to helping with severe sciatic nerve and back pain. It helps a huge amount. Better than morphine.

I meant my spine was fused. Forgot to type that in there.

Surgery hurts. Especially having your lumbar L4 to L5 to S1. Horrible pain. But it was all toast from wear and tear construction work my whole life. It's been about 2 years since the surgery. I'm getting better but it's at a glacier pace. Ice is my friend on the bad days. I stare at the ceiling on my back. I'm pretty positive I might get better. Had surgery in June of 2022. Lots of friends praying for me. 25 hospital visits in past 4 years.

It is the letting go of the anger after imagining f-ing someone up that isn't so easy. The mindbody doesn't believe me when I say I have let it go, the anger is still there.