The Modern Pain Podcast

A Look Back and Ahead. An Interview with Adriaan Louw

22 May 2023

Contributed by Lukas

This week we have the honor of speaking with a leader in the world of physical therapy and pain care across the world.Adriaan Louw has had a massive i...

See the Whole Person

08 May 2023

Contributed by Lukas

You have heard us talk about person-centered care quite a bit on the podcast.We think it is that important!This week we talk with Carla Rauseo, a phys...

Put Down The Sword

01 May 2023

Contributed by Lukas

This week we speak with someone who has walked in the patient's shoes.Tom Bowen is a patient advocate who shares great experience and perspective...

Occupational Therapy in Pain Care

24 Apr 2023

Contributed by Lukas

How well do you recognize what our Occupational Thearpy colleagues bring to the table?They are much more than simply ADLs and play huge roles in the s...

Thinking Like an Expert

17 Apr 2023

Contributed by Lukas

In this conversation, Mark and Matt Low discussed the limitations of our knowledge from university and the pursuit of expertise in practice.  What ar...

Interview with Jack March

10 Apr 2023

Contributed by Lukas

How well do you manage rheumatism in your practice?Listen and learn from Jack March as he shares his expertise on best practices in terms of rheumatol...

Interview with Mark Shepherd

03 Apr 2023

Contributed by Lukas

This week we interview Mark Shepherd. Mark is a friend and colleague who is doing big things in the profession.We discuss :Where manual therapy fits ...

The Number One Thing Holding Back Your Growth

27 Mar 2023

Contributed by Lukas

I look back on my career and see clearly where my priorities on becoming a great clinician were misplaced.Techniques are great, but research time and ...

Interview with David Poulter

20 Mar 2023

Contributed by Lukas

This week we interview David Poulter, a world-traveled physical therapist with great wisdom to share from his journey.Why do people get so polarized o...

Interview with Jimmy McKay

13 Mar 2023

Contributed by Lukas

*********************************************************************📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/🐦 - F...

The Best Exercises For Chronic Low Back Pain

10 Oct 2022

Contributed by Lukas

A recent meta-analysis in JOSPT looked at what the best exercises for low back pain were.What were the best exercises for chronic low back pain?Do the...

Can You Be Injury Prone?

03 Oct 2022

Contributed by Lukas

Our friend Aaron Kubal put out a TikTok discussing our ability to predict injury.Link - https://www.tiktok.com/@aaron_kubaldc/video/712257811900064081...

What Is Person Centered Care

05 Sep 2022

Contributed by Lukas

Person-Centered has been a more common term being thrown around on social media.Often it is proposed as an ideal mode of clinical practice?What is per...

Does Spinal Hygiene Exist?

29 Aug 2022

Contributed by Lukas

In a recent discussion in DPT school the topic of spinal hygiene came up?What does it even mean to have good spinal hygiene?Is this even a real thing?...

Cervical Manipulation: Is It Worth It?

22 Aug 2022

Contributed by Lukas

Recently there was a tragic story of a college age woman who suffered partial paralysis after cervical manipulationThis has always been a controversia...

MDT: Why All The Love and Hate

12 Aug 2022

Contributed by Lukas

We are fascinated how discussions around MDT can create this angry mob of love and hate around the intervention.Why the dichotomy?Is there a patient-c...

Pain Science Gone Wrong

05 Aug 2022

Contributed by Lukas

Don't get us wrong, our improved understanding of pain has done more good than bad.How many of us have pain-splained someone?Have you ever tried ...

Jarod Was Wrong

29 Jul 2022

Contributed by Lukas

We all deal with challenges in our DPT student or early career stages of our journey. Imposter syndrome is real!We can't look weak or wrong in f...

Words Matter With Low Back Pain

15 Jul 2022

Contributed by Lukas

Jarod recently did an article review for our friends at the Physio Network.We thought it was worth a discussion on the podcast.The title of the articl...

Shaming of Passive Care?

08 Jul 2022

Contributed by Lukas

David Nichols, our friend from Auckland University in New Zealand, recently published a viewpoint on the current environment and views on passive care...

Our First Hand Experience With Burnout

01 Jul 2022

Contributed by Lukas

You may have noticed we took a break from the podcast as of late. Listen as both Mark and Jarod share their recent experiences with burnoutDoes this ...

MPP 91 - Bob And Brad Talk Discs

24 Jun 2022

Contributed by Lukas

Recently Bob and Brad released a post on Twitter discussing the need to be careful with vigorous activity first thing in the AM due to your discs bein...

Interview With Mallory Kargela

04 Mar 2022

Contributed by Lukas

In this week's episode we interview Mark's wife Mallory and discuss her lived experience around a recent health scare.There a ton of pearls ...

Interview With Dan Lorenz

25 Feb 2022

Contributed by Lukas

Listen to our 3rd and final episode recording live at CSM San AntonioDan Lorenz shares his background and perspective.What do experts do well?Are we g...

Interview With Michael Ray

18 Feb 2022

Contributed by Lukas

Join us for our second interview from CSM San Antonio with Michael Ray.Listen as Michael shares his journey and the challenges he faced with tradition...

Interview With Jason Silvernail

11 Feb 2022

Contributed by Lukas

Listen to our first interview at CSM 2022 in San Antonio with one of our mentors and friends Col. Jason SilvernailWe talk about development of critica...

Interview with Aaron Kubal - PartTwo

04 Feb 2022

Contributed by Lukas

In part two of our discussion with Aaron we discussed the process he went through in becoming this active and successful on social media.We discuss hi...

Interview with Aaron Kubal Part 1

28 Jan 2022

Contributed by Lukas

Join us as we interview Aaron Kubal, a chiropractor, doing some great things in his practice and on social mediaIn part one we talk about his journey ...

Manual Therapy: Supportive Not Corrective

21 Jan 2022

Contributed by Lukas

While listening to Peter O'Sullivan and Joletta Belton discuss their experience with Peter's interaction with Joletta the topic of manual th...

Defense Versus Defect

14 Jan 2022

Contributed by Lukas

A key concept that really helped Jarod and Mark better understand and help people with pain was the thought that pain was more defense versus defect.W...

I Have No Idea What Is Going On With This Patient. What Do I Do?

07 Jan 2022

Contributed by Lukas

The clinic is undoubtedly full of gray and rarely resembles the neat black and white version we learn in DPT schoolHumans likely never will fall into ...

The State Of DPT Education

31 Dec 2021

Contributed by Lukas

DPT education can become a very spirited discussion.Students are at times heard complaining about what they are being taught.Faculty members are fight...

Interview With Across The Continuum

24 Dec 2021

Contributed by Lukas

Listen in this week as Mark interviews Joe Camoratto and CJ DePalma. They will discuss their Across the Continuum Program and how they have been abl...

Specificity In Spinal Manipulation Part 2

17 Dec 2021

Contributed by Lukas

Last week Jarod and Mark discussed a systematic review on specificity of spinal manipulation.The review showed we didn't have any data to support...

**Research Review** Specificity In Spinal Manipulation

10 Dec 2021

Contributed by Lukas

A recent systematic review has been published in Scientific Reports titled - The importance of selecting the correct site to apply spinal manipulation...

Three Things You Don't Need To Succeed As A New Grad

03 Dec 2021

Contributed by Lukas

Coming off of last week's episode on keys to success as a new grad we thought we would go in the opposite direction.What are three things you DON...

Three Keys To Success As A New Grad

26 Nov 2021

Contributed by Lukas

We have been fortunate to have a lot of conversations with new graduates who are early in their career.We have been able to hear their struggles in ou...

How to Deal with Clinicians Who Do Not Practice Like You

19 Nov 2021

Contributed by Lukas

We had someone pose a question that we get A LOT!How do I handle practicing with a clinician who is practicing in dated practice patterns?So how do we...

The Three Best Exercises You Can Do

12 Nov 2021

Contributed by Lukas

Jarod reposted an Instagram post from 4-5 years ago on the three best exercises you can doWhat are the characteristics of these exercises?How do these...

Explaining Arthritis Vs Arthropathy

05 Nov 2021

Contributed by Lukas

Patients regularly report their pain is due to arthritisDr. Google is often no help for patients in getting a current view on what their imaging means...

Stop Chasing Shiny Exercises

29 Oct 2021

Contributed by Lukas

Jarod had the following post on Twitter.You can prescribe the same exact exercise 100 different ways, with 100 different doses, 100 different intensit...

Is DPT School A History Lesson?

22 Oct 2021

Contributed by Lukas

A regular complaint we see on social media comes from DPT students frustrated with what they are being taught in their DPT programsJarod and Mark both...

Navigating The Manual Therapy Pendulum

15 Oct 2021

Contributed by Lukas

We have been talking to a lot of clinicians lately and a common theme seems to be emerging?People are frustrated. Social media per usual feeds you a ...

Rethinking Joint Mobilization

08 Oct 2021

Contributed by Lukas

Joint mobilizations are a large part of our manual therapy training in schoolWe learn the convex concave rule and arthrokinematics in detailBut does i...

Is That Really Shoulder Pain?

01 Oct 2021

Contributed by Lukas

We have all been there.A person we are working with comes in with primary complaints of pain in the shoulder regionWe jump on the primary hypothesis o...

Covid Fatigue

24 Sep 2021

Contributed by Lukas

We are living in unprecedented times that have not likely been similarly witness since the last major pandemic of the Spanish FluCovid has taken a tol...

Is Stretching Worthless??

17 Sep 2021

Contributed by Lukas

What we all were taught about stretching and what science is saying about stretching are two different thingsPer usual social media tends to create a ...

Lumbar Stenosis

03 Jun 2021

Contributed by Lukas

Lumbar stenosis is a common imaging finding we often see in clinic.Is it always clinically relevant?How do we test this clinically?We must be careful ...

What is a Clinical Process?

28 May 2021

Contributed by Lukas

The first 8+ years of Mark's career was spent moving back and forth to new tools to add to the toolboxHis clinical process was to throw the kitch...

Coaching And Mentoring Experiences: An Interview With Howard Yan

20 May 2021

Contributed by Lukas

We have been having a blast with our first clinician enrolled in our Complete Clinician Supercharged Program. We have had a lot of questions about th...

Coaching And Mentoring Experiences: An Interview With Kyle Yuro

20 May 2021

Contributed by Lukas

We have been having a blast with our first clinician enrolled in our Complete Clinician Supercharged Program. We have had a lot of questions about th...

Do "Unmotivated Patients" Really Exist??

13 May 2021

Contributed by Lukas

Recently we had someone ask us how we get patient buy-in when the person appears unmotivated.Is someone truly unmotivated or are we missing something?...

Dosing Exercise For Osteoarthritis

06 May 2021

Contributed by Lukas

There has been a great movement to better understand and apply exercise patients.Strength and conditioning principles are important to understand when...

Utilization of Technicians in the Clinic

30 Apr 2021

Contributed by Lukas

We get asked a lot about the utilization of techs in the clinic.Is this a bad thing?What's the best way to deliver high-value care while incorpor...

Prescribing Exercise Across the Continuum

22 Apr 2021

Contributed by Lukas

I think we can all agree that we were not prepared well to prescribe exercise in schoolWe often are so focused on getting people to "discharge&qu...

Opioid Use Disorder With Special Guest Marcos Lopez

15 Apr 2021

Contributed by Lukas

Opioid use disorder is something many patients in pain unfortunately are dealing with.Marcos Lopez is a physical therapist doing some amazing things i...

What to Do with Lateral Shifts?

08 Apr 2021

Contributed by Lukas

Lateral shifts are a common clinical presentation that can respond to specific treatmentLouis Gifford had public criticisms of the push to correct a l...

Understanding Clinical Prediction Rules for Lumbar Manipulation

01 Apr 2021

Contributed by Lukas

You learned about them. You studied them. You were tested on them. But the real question is, how important are they to use?Clinical prediction rules (...

Dosing Principles for Neurodynamics

25 Mar 2021

Contributed by Lukas

If you read studies often we are left with 3 sets of 10 reps or 3 sets of 30 seconds as what we have to go on for rep schemes around dosing.Does that ...

Blood Flow Restriction with Special Guest Nick Rolnick

18 Mar 2021

Contributed by Lukas

Join us this week as we have Nick Rolnick from BFR Pros joining us to talk all things blood flow restrictionNick gives a great summary of BFR and answ...

Lower Extremity Neurodynamics

12 Mar 2021

Contributed by Lukas

Where do neurodynamics fit in lower extremity conditions?Tune in and find out as Jarod and Mark unpack this and more on this week's episode of th...

Upper Extremity Neurodynamics: Part 2

04 Mar 2021

Contributed by Lukas

What does it mean to apply neurodynamics in a purposeful and methodical manner?Are you systematically applying loads in these tests?How do you documen...

Upper Extremity Neurodynamics

25 Feb 2021

Contributed by Lukas

Neurodynamics can give us clues of possible neuropathic pain components to extremity conditions?What conditions often have a neurodynamic component?Ho...

Neurodynamics In The Clinic: An Overview

18 Feb 2021

Contributed by Lukas

Neurodynamics is an examination and treatment strategy that can give you great information and treatment strategies with a patient.It also can be a wa...

Is Painful Manual Therapy OK?

11 Feb 2021

Contributed by Lukas

Is Painful Manual Therapy OK? by Modern Pain Care*********************************************************************📸 - Follow us on Instagram - ...

Repeated Motions in the Neck

05 Feb 2021

Contributed by Lukas

Repeated motions is a examination and intervention skill that can be very helpful for patients?How do we apply it in clinic?What are the common errors...

Medial Scapular Border Pain

30 Jan 2021

Contributed by Lukas

Join us in our first episode where we share clinical pearls that have helped us greatly along the way.Pain in region of the medial border of the scapu...

Nothing Works For Pain

21 Jan 2021

Contributed by Lukas

🤬🤬We often have people approach us and say we have a very cynical view on things and have the view that nothing works for pain🤬🤬This is no...

Issues With The IT Band???

14 Jan 2021

Contributed by Lukas

✅ A recent article discussed the history and current evidence behind IT band pathology.🤔 What is the history of this diagnosis?🤔 What does cur...

Patient Expectations

07 Jan 2021

Contributed by Lukas

There have been some great conversations going on about patient expectations recently.✅ Bringing the patient's unique thoughts and beliefs into...

Is Subacromial Impingement Even A Thing?

17 Dec 2020

Contributed by Lukas

A recent systematic review has come out with the title, "No relationship between the acromiohumeral distance and pain in adults with subacromial ...

A Third Of The World Needs Rehab

10 Dec 2020

Contributed by Lukas

🌏🌏 The Lancet recently released an OPEN ACCESS study titled - "Global estimates of the need for rehabilitation based on the Global Burden o...

Disc Herniation

03 Dec 2020

Contributed by Lukas

There has been discussion going around about discsDo they slip?Are clinicians spreading misinformation?What do people in pain believe?What does resear...

SI Joint Dysfunction????

19 Nov 2020

Contributed by Lukas

😩😩This joint nearly had me quit PT.😩😩😥😥 It convinced me that I will never be capable of feeling that millimeters of movement that su...

The Issues With Black and White Thinking

12 Nov 2020

Contributed by Lukas

A recent post was made in the DPT student group that peeked our interest.https://www.facebook.com/groups/DPTStudent/permalink/3566671440045574/It was ...

F Our Differences

05 Nov 2020

Contributed by Lukas

Jarod released a blog (link in comments) on our site that put into words a lot of the frustration we see and encounter daily.Are their truly special i...

Clinician Roundtable Discussion on Exercise

29 Oct 2020

Contributed by Lukas

We had a great discussion this past weekend in our Lifelong Learning Academy.It was so good we felt we needed to share it with you all.Jarod Hall, Mar...

Key Critical Thinking Skills to Survive and Thrive

22 Oct 2020

Contributed by Lukas

🤜🤛Critical thinking and sound clinical reasoning go hand in hand.🤜🤛😫It is not easy to teach in a classroom.🗣🗣We usually are quick...

Does Exercise Need To Be Specific?

15 Oct 2020

Contributed by Lukas

🏋️🚴It's hard to argue over the value of exercise in the treatment of pain. 🚴🏋️🤔 But do we need to be specific?🤔 Around the ...

What do we do with a frozen shoulder?

08 Oct 2020

Contributed by Lukas

Frozen shoulders are somewhat of a clinical enigmaWe don't necessarily understand their cause and have yet to find a great treatment that speeds ...

Symptom Irritability - It's Complex

01 Oct 2020

Contributed by Lukas

✅ Understanding symptom behavior is crucial to being able to appropriately plan your examination and treatments.✅ A big part of this is understand...

Can You Go Wrong Getting Strong?

10 Sep 2020

Contributed by Lukas

💪💪"You can't go wrong getting strong!!!!"💪💪✅ That has been a popular battle cry lately in the rehab fields.🤔 Is this a...

What Is The Deal With Trigger Points?

27 Aug 2020

Contributed by Lukas

🤯🤯Nothing seems to raise blood pressures and evoke emotional responses as the debate around trigger points.🤯🤯🤬🤬With dry needling bec...

Why The Toolbox Approach May Not Be A Great Idea

15 Aug 2020

Contributed by Lukas

🛠🛠Often you will hear clinicians discuss having a lot of tools in the toolbox.🛠🛠🤔 Is this always a great pursuit?🤔 Do we risk having...

Pain Science Is Not An Intervention

06 Aug 2020

Contributed by Lukas

🤔🤔 Do we "pain science" people? 🤔🤔✅ That seems to be the thoughts of a lot of people out there.🗣🗣We regularly hear, &quo...

How to Deal With Beliefs of Bone on Bone

30 Jul 2020

Contributed by Lukas

😔 Most of us have experienced this and it can be frustrating!!!😨 A patient discusses their condition and tells you they feel they are dealing wi...

Professional Debate in the Face of Opposing Views

27 Jul 2020

Contributed by Lukas

👴👩‍🦱🧔🏿🧕🏼If you are human you have a unique context you have grown and learned in that has shaped your beliefs and perceived kno...

Modern Pain Care For Patellofemoral Pain Syndrome

09 Jul 2020

Contributed by Lukas

🤔 What is patellofemoral pain sydnrome?🤔 Should we just call in pain in the region of the anterior knee?🤔 Do biomechanics have a role?🤔 Is...

General Vs Specific Exercise For Low Back Pain

03 Jul 2020

Contributed by Lukas

✅Many of us were taught that specific activation of the transverse abdominus and multifidi are a key component of any back exercise program.✅ Rese...

Using Manual Therapy to Evaluate Top Down Pain Modulation

19 Jun 2020

Contributed by Lukas

🤔 The research has not really supported many mechanical effects of manual therapy✅ Yet we do see it change pain in session✅ Joel Bialosky, Stev...

The Pain of Healthcare Spending

13 Jun 2020

Contributed by Lukas

💸💸Healthcare spending is a major issue!! 💸💸📉 📉The return on investment is severely lacking📉📉✅ This recent JAMA study points ...

Where Does Stretching Fit?

05 Jun 2020

Contributed by Lukas

🤔🤔 Where does stretching fit in current practice?🏋️‍♀️🏋️‍♂️🤔 Are we truly elongating tissue?🤔 What is the sensory th...

Why You Need Philosophy In Your Practice

28 May 2020

Contributed by Lukas

🤔🤔Critical thinking is vital to our growth and performance as clinicians🤔🤔❓ Do you ever think about your thinking?❓ Is biomedical and ...

The Issues With Evidence-Based Practice

21 May 2020

Contributed by Lukas

🤔 The evidence-based practice movement has given us a huge amount of value in healthcare 🤔🤯 It is not perfect though. 🤯❓ How can experts...

How To Handle Requests For Passive Care

14 May 2020

Contributed by Lukas

✅ Passive care requests can be challenging to address.❓ How do you get patients to engage in active management strategies?❓ How do you not lose ...

Should You Even Learn Manual Therapy

07 May 2020

Contributed by Lukas

Should you learn manual therapy?❓❓We have had people asking us this question for some time so we think it's time to share our views with ever...

Can Pain Science and Biomechanics Get Along??

30 Apr 2020

Contributed by Lukas

You have not lived unless you have been a part of the usual mud slinging and name calling that happens when biomechanics and pain science are discusse...

Modern Pain Podcast - Episode 14 - Rachel Zoffness

26 Sep 2019

Contributed by Lukas

Listen as Rachel Zoffness, PhD, a pain psychologist shares her unique perspective on pain from a pain psychology point of view and some of the challen...

Modern Pain Podcast - Episode 13 - Marcos Lopez

22 Aug 2019

Contributed by Lukas

Listen as Dr. Marcos Lopez shares his perspective as a physical therapist practicing in an opioid addiction setting. He discusses the sobering statis...

Modern Pain Podcast - Episode 12 - Ben Cormack

04 Jul 2019

Contributed by Lukas

Listen as Mark interviews Ben Cormack of Cor-Kinetic (cor-kinetic.com) where they discuss core stability and person centered exercise. Ben brings up ...