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Summary
In this episode, physiotherapist Bahram Jam shares his 34 years of experience in understanding and treating chronic pain, emphasizing the importance of shifting from structural fixes to a focus on primary pain and the psychological aspects of pain management. Discover insights on how to better approach persistent pain, debunk common misconceptions, and explore innovative concepts like pain as a musical.
00:00:00 Introduction
00:01:28 How has your understanding of chronic pain changed over time?
00:04:14 When does pain stop being mainly tissue-driven?
00:06:27 If tissues have healed, why can pain still persist?
00:08:43 What do patients with persistent pain get told that makes things worse?
00:11:36 Sponsored segment: Physiotutors courses
00:13:20 How do you explain persistent pain in a way that helps patients move forward?
00:16:32 What is primary pain versus secondary pain?
00:22:43 What are you trying to figure out in a first consultation?
00:25:17 How do you handle resistance when patients are skeptical?
00:27:09 Sponsored segment: Physiotutors membership
00:29:05 Where do clinicians go wrong with persistent low back pain?
00:39:04 How do you approach patients who have tried everything?
00:41:49 How do you explain MRI findings that do not match symptoms?
00:45:44 What makes TMJ disorders tricky and what do clinicians miss?
00:49:29 Sponsored segment: WriteUpp
00:51:04 What exercise approach do you use for persistent low back pain?
00:57:08 How do you balance manual therapy, exercise, and education?
00:58:41 How important are lifestyle factors in persistent pain?
01:01:42 What is your one piece of advice for clinicians treating persistent pain?
01:06:18 Is there anything else you want to add?
01:08:08 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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