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Pain Practice OS Waiting List
Matt Erb returns to the show for an insightful and wide-ranging conversation on the future of physical therapy. We cover the limitations of the biopsychosocial model, practical mindbody strategies, billing within the system, trauma-informed care, and how clinicians can advocate for real change—both in their practice and the communities they serve.📃 Article - Advancing Physiotherapy in Mental Health: Guiding Principles for Whole-Person Care
📕 Integrative Rehabilitation Practice - Textbook Co-Edited by Matt
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In this episode, I sit down with Ben Whybrow, a pain specialist physio in the UK and new community manager for Modern Pain Care, to discuss the critical role of communication in modern healthcare. We break down why the traditional, paternalistic approach to patient interaction falls short and explore how guided discovery can lead to better outcomes for people in pain. If you’re a clinician looking to improve your communication skills and create more meaningful connections with your patients, this conversation is for you.
🔗 Links Mentioned:
• Modern Pain Care Program Interest List
• Clinical Communication Podcast – Ben Whybrow
• Gifford’s Aches and Pains Books
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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness -
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In this episode, I sit down with Cameron Faller, co-founder of the Institute of Contextual Health, to discuss the future of healthcare. We explore the challenges of traditional, siloed care models and why a more interconnected, person-centered approach is essential for better patient outcomes. Cameron shares insights on process-based care, complexity science, the role of EMRs, and the potential for AI to revolutionize the patient experience. If you’re a clinician or healthcare provider looking to make a real impact, this episode is for you.
🔗 Links Mentioned:
• Institute of Contextual Health
• Hayes & Hoffman’s Process-Based Therapy Book (recommended reading) (affiliate link)
• Connect with Cameron on Instagram
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In today’s episode, we tackle one of the biggest tensions modern clinicians face:
How do you keep your schedule full and patients engaged without fear-mongering or overselling?
I share how to reframe “sales” from manipulation to alignment, why selling your services is an ethical obligation, and how to transition from just treating pain to guiding patients toward long-term health and resilience.
If you’ve ever felt stuck between wanting to do right by your patients and keeping your business thriving — this one’s for you.
➡️ Learn how to out-value, not out-volume, the competition.
➡️ Find out why selling real wellness is the future.
➡️ Hear real-world strategies to build relationships, not dependency.
**Timestamps**
00:00 Introduction and Episode Overview
00:09 Listener's Message and Common Struggles
00:44 Reframing Sales in Healthcare
01:10 Personal Journey with Sales
02:20 Ethical Sales and Value Exchange
04:54 Challenges with the Fix Model
07:13 Broadening the Scope of Care
14:08 Practical Tips for Ethical Sales
17:12 Conclusion and Call to Action
Subscribe for more episodes: https://youtube.com/@modernpainpodcast
Connect with me:
Website: https://modernpaincare.com
Instagram: @modernpaincare
Email: [email protected]
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What if more treatment isn’t the answer?
In this episode, we explore Creative Hopelessness—an ACT-based exercise that helps patients with persistent pain reflect on the real impact of their symptom management strategies.
You’ll learn how to guide patients to see their patterns, validate their efforts, and gently open the door to a new, values-based direction.
👇 Download the FREE clinician guide to walk through this exercise in your own sessions:
https://modernpaincare.com/hopelessness
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🎙️ Have you ever treated someone with what seemed like a typical MSK problem—but the pain just didn’t add up? Burning, zinging, unpredictable symptoms? In this episode, Mark Kargela breaks down the clinical presentation of neuropathic pain, how to screen for it confidently, and 4 common mistakes that lead to missed diagnoses.
✅ Learn how to distinguish neuropathic from nociceptive and nociplastic pain
✅ Use simple tools like a paperclip and a coin to screen for small fiber dysfunction
✅ Understand how to palpate nerves (not trigger points) and recognize their sensitivity
✅ Get clarity on terms like somatic referred pain, radicular pain, and radiculopathy
📥 Download the free Neuropathic Pain Screening Cheat Sheet here:
👉 https://modernpaincare.com/neuropathic
📃 Related Papers:
Terminology IASP paper
Validity of Small Fiber Tests
Neuropathic Pain Grading System
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🎙️ Is whiplash just a musculoskeletal issue—or are we missing something bigger?
Nerve pathology and neuropathic pain after whiplash injury: a systematic review and metaanalysisThe presence and prognosis of nerve pathology following whiplash injury: a prospective cohort study Evidence for peripheral neuroinflammation after acute whiplash
In this episode, we talk with Dr. Annina Schmid and Dr. Joel Fundaun—two of the world’s leading researchers on nerve involvement in whiplash. They reveal the surprising evidence from recent studies showing that many patients with Grade II whiplash have signs of neuropathic pain, nerve inflammation, and sensory loss—and they share simple ways frontline clinicians can catch it early.
✅ Learn how small fiber deficits, neurodynamic testing, and bedside tools like pinprick and thermal tests can help
✅ Find out why current guidelines may under-treat nerve involvement in whiplash
✅ Hear how to reframe rehab beyond musculoskeletal care
Whether you’re a PT, physician, or pain researcher, this episode bridges the gap between clinical research and real-world application.
🎧 Listen to the full episode now and subscribe for more deep dives into modern pain care.
📚 Papers:
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🎙️ In this episode of The Modern Pain Podcast, Mark Kargela chats with Tom Walters, DPT—founder of Rehab Science, educator, and digital health innovator.
Tom shares how he transitioned from a traditional orthopedic physical therapist to building a global online brand helping millions through coaching, education, and his bestselling book. We dive into:
✅ Why coaching and education may be more impactful than hands-on care
✅ How Rehab Science became a leader in virtual rehab & social media health content
✅ Handling criticism in the online health space (and how to grow from it)
✅ The dangers of outdated treatment models in physical therapy
✅ How Tom is serving both clinicians & the general public through modern pain care
👉 If you’re a clinician, fitness pro, or just someone who cares about where healthcare is headed—you don’t want to miss this one.
📚 Grab Tom’s Book (Rehab Science): https://amzn.to/4bQB0oB (affiliate link - helps the channel)
💻 Follow Tom on Instagram & YouTube (@rehabscience)
🌐 More from Modern Pain Care: https://modernpaincare.com
💡 Stay tuned until the end where Tom shares details on upcoming courses and certifications aimed at bridging the gap between rehab and fitness!
#TomWalters #RehabScience #DigitalHealthcare #PainCare #PhysicalTherapy #ModernPainPodcast #Coaching #PTBusiness #ChronicPain #PainScience #FitnessProfessionals #VirtualRehab
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🚨 In this episode of The Modern Pain Podcast, Mark Kargela interviews Sandy Hilton, a pioneering physical therapist and expert in pelvic health and pain care. 🚨
Sandy shares her fascinating journey from treating loggers in Oregon to leading change in pelvic health and pain management globally. We discuss why pain care is falling behind, the massive issues with the modified Oswestry assessment, and why treating pain with pain must stop.
👉 You’ll learn:
• How Sandy entered the world of pelvic health unexpectedly
• Why many pain treatments still make things worse
• How to improve access to care, even with limited resources
• The real reason men avoid pelvic health care
• How pelvic health therapists were early adopters of pain science principles
• What’s wrong with current clinical tools and how we can do better
• Sandy’s vision for the future of pain care
💡 Whether you’re a clinician, student, or someone navigating pain, this conversation will challenge you to rethink how we approach healing.
🎯 Don’t forget to:
✅ SUBSCRIBE for weekly interviews on modern pain care
✅ SHARE with colleagues and friends who need to hear this!
🔗 Helpful Links:
📝 Take the Modern Pain Podcast Research Survey: https://modernpaincare.com/research
🎙️ Listen to the full podcast here: https://modernpaincare.com
📩 Contact Sandy Hilton: [email protected]
📚 Related Topics: pain science, pelvic health therapy, chronic pain treatment, manual therapy myths, and patient-centered care.
#PainManagement #PelvicHealth #SandyHilton #ModernPainPodcast #PainCare #PhysicalTherapy #PainScience #ChronicPain #PTPodcast #Healthcare
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Participate in our research study
Amy's First Episode
✅ Ever battled with chronic pain or long COVID symptoms? Discover Amy Eicher's remarkable journey from being dismissed and misdiagnosed to becoming her own best advocate. In this episode of the Modern Pain Podcast, Amy shares her personal story of dealing with chronic pain, understanding long COVID, and navigating the intricacies of the healthcare system. Expect eye-opening insights, practical takeaways on resilience, pacing, and self-advocacy, and much more. Stick around for an engaging conversation that healthcare professionals, patients, and anyone interested in the human side of chronic illness should not miss!
Restoring Venus - https://restoringvenus.com/
Restoring Venus Facebook - https://www.facebook.com/RestoringVenus/
Restoring Venus TikTok - https://www.tiktok.com/@restoringvenuspaincoach
Restoring Venus YouTube - @restoringvenusamyeicher
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In this episode of the Modern Pain Podcast, host Mark Kargela challenges clinicians to rethink their approach to pain treatment. He discusses how the pursuit of certainty can lead practitioners to rely too heavily on specific tools, neglecting the complexity and individual nature of pain. Using the parable of the blind men and the elephant, he illustrates the pitfalls of mistaking partial perspectives for the whole truth. Mark advocates for a values-based approach, emphasizing the importance of understanding patients' personal goals and experiences to provide meaningful care.
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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness -
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In this episode of the Modern Pain Podcast, host Mark Kargela discusses the evolution of pain treatment from a solely biomechanical model to a more holistic biopsychosocial approach. Initially rooted in biomechanics, Mark shares his journey of realizing the limitations of this model and the rise of psychologically informed care. He emphasizes the importance of integrating both biomechanics and psychological strategies for effective pain management. Through various patient case studies, Mark illustrates the need for balance and the middle ground in modern pain treatment. He also urges clinicians to move beyond outdated narratives and adopt a more comprehensive approach tailored to individual patient needs.
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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness -
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In this episode of the Modern Pain Podcast, join Mark Kargela as he discusses the challenges in pain care and the gaps in clinician education. Discover how to provide psychologically informed care and learn about a new comprehensive community-based program designed to empower clinicians as pain management leaders. Mark shares insights on the need for a paradigm shift from quick fixes to lasting, meaningful change and invites you to be part of this transformative journey.
Join the waiting list and stay updated on when you can bring your community the pain management it deserves - https://modernpaincare.com/painprogram
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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness -
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In this episode of the Modern Pain Podcast, host Mark Kargela sits down with Jim Stark, an insightful and experienced physical therapist with over 30 years in the field. Jim discusses the limitations of our current 'illness care system' and shares his journey of integrating holistic and spiritual approaches into physical therapy, focusing on chronic and persistent pain. Learn about the importance of being authentic, the concept of narrative medicine, and powerful, practical strategies like breathing exercises for durable impact. Jim also highlights the significance of seeing patients outside the confines of conventional treatment and creating a supportive environment for true healing. Don't miss his valuable advice and resources for clinicians aiming to enrich their practice and transform patient care.
00:00 Introduction to the Illness Care System
01:06 Jim's Path to Physical Therapy
02:20 Spiritual Growth and Patient Healing Stories
03:47 Changing the Narrative in Healthcare
07:55 The Role of PTs and OTs in Pain Management
12:36 Breathing Techniques for Pain Relief
19:18 Strategies for Patient Empowerment
31:34 Conclusion and Final Thoughts
Free resources from Jim
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Join us in this episode of the Modern Pain Podcast as we sit down with Brian Pulling to explore groundbreaking research on why people with knee osteoarthritis avoid physical activity despite its known benefits. Brian shares insights from a study using the Implicit Association Test (IAT) to uncover subconscious beliefs associating movement with danger. We delve into how these implicit threat associations differ from explicit beliefs and the implications for clinical practice. Brian also shares his personal journey from physical therapy training in the U.S. to becoming a leading researcher in Australia. This episode is packed with valuable information for clinicians looking to improve pain management strategies and help patients move more confidently.
ARTICLE
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In this episode of the Modern Pain Podcast, host Dr. Mark Kargela interviews physical therapist Chris Hughen. Chris shares his journey from aspiring strength coach to established physical therapist, highlighting the importance of mentorship, the pitfalls of chasing certifications, and the value of embracing uncertainty in clinical practice. Chris also discusses how his background in coaching influences his patient interactions and the necessity of maintaining good professional relationships. Tune in for valuable lessons on pain management and building a successful career in physical therapy.
Chris' Instagram
Chris' Podcast
E3 Rehab
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Join us for an insightful episode where host Mark Kargela engages with expert Jen Uschold, a physical therapist and lifestyle medicine coach. Delve into the integration of traditional physical therapy with coaching and mental fitness to foster stronger client-therapist relationships in pain management. Discover the significance of motivational interviewing, emotional intelligence, and 'mental fitness' principles covering positive psychology, performance science, CBT, and neuroscience. Explore the synergistic relationship between Positive Intelligence (PQ) and Physical Therapy (PT), the impact of Acceptance and Commitment Therapy (ACT), and innovative approaches to managing chronic pain. Learn how to address both manual therapy and cognitive strategies, promoting meaningful activities beyond mere pain control. This episode is a treasure trove for clinicians seeking to improve patient care through a holistic and personalized approach
Links:
Jen's Website for PT
Website for Mental Fitness and Divorce Prep -Code for your listeners to get 20% off the Mental Fitness 7 week course: IRISE20
Jen's LinkedIn
Jen's Instagram
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In this episode of the Modern Pain Podcast, Mark Kargela explores the false dichotomy of passive versus active care in pain management, emphasizing that neither is inherently detrimental. He discusses the unique roles of passive care techniques like manual therapy and active care, which encompasses more than just exercise. Mark highlights the importance of personalized, patient-centered approaches that consider the patient's values and life circumstances. The episode underscores the significant impact of communication skills, advocating for meaningful clinician-patient dialogues to better understand patients' stories and barriers. This approach aims to foster a therapeutic alliance and guide patients back to meaningful lives.
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In this episode of the Modern Pain Podcast, host Mark Kargela explores the intersection of environmental considerations and physiotherapy with Filip Maric, Founder of the Environmental Physiotherapy Association, and Jessica Stanhope, a Research Fellow at the University of Adelaide. The discussion delves into the environmental blind spots in physiotherapy practice, emphasizing the importance of incorporating natural environments into treatment settings. The episode highlights research linking green spaces to better health outcomes, such as reduced pain and arthritis, and examines how physiotherapy education can integrate environmental awareness. The conversation invites clinicians to contemplate the physical environments patients interact with, both inside and outside clinical settings, and consider innovative ways to make impactful changes in their practice.
***Helpful LInks***
Environmental Physiotherapy Association
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In this episode of the Modern Pain Podcast, host Mark Kargela is joined by Mathilde Kehler to explore the transformative shift from a 'fixer' to a 'coach' in helping patients manage chronic pain. They delve into the importance of positioning the patient as the main character, focusing on their goals, and leveraging their resources rather than just diagnosing and treating symptoms. Mathilde shares her journey from physiotherapy to creating a pain coach program, emphasizing the need for personalized, patient-centered care. The episode highlights the critical role of communication, listening, and effective questioning in pain management, aiming to build patient self-efficacy and meaningful change. They also discuss the challenges and strategies for clinicians transitioning to this approach and the potential future of pain coaching in healthcare systems.
***LINKS***
Mathilde's Website
Smerteguiden Instagram
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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness - Laat meer zien
